bianca jordaan - emr connect - ehealth nsw

Smarter Safer Better

Change for Success

Driving Change Across Major

Clinical Programs

Bianca JordaanChange and Adoption Manager

eMR Connect Program


Driving Change Across NSW

• eMR Connect overview

• What is change?

• Defining and supporting change management

• The eMR Connect challenge for NSW Health

• eMR Connect approach to change management

• The challenges ahead


eMR Connect Program Progress

At 10 March 2017


Growing Momentum Across NSW

26,000Appointments

booked per day

Medication

management

workflows

documented

90

130eMR Quick

Reference Guides

in Learning Live

Charts

opened a

dayTests ordered

per day194,000

33,000 Clinicians

using an eMR

471,000

120 eLearning modules

available across NSW


I am happy to change …

… when it suits / benefits me

TV support Instructor support App support


I am happy to change ...

… just give me time

1950s 1970s 2016


I am happy to change ...

… but where will this take me?

Paper Electronic Connected


Connecting with Local Health Districts

On the wards

Change happens in the hospital,

not in eHealth NSW’s office

Varying skills

Change managers have different

levels of skills and experiences

Sharing the lessons

The same lessons were being

learnt over and over again even

though sites are unique

Learn &

improve

Change

coaching

Change

resources

Demystify

change

$

The Challenge eMR Connect

Approach

?

?

?


Change ManagementTHE 6 CRITICAL SUCCESS FACTORS

eMR Connect Change and

Adoption Framework based on

learnings of Canada Health

Infoway.

Change and Adoption

Framework further developed in

consultation with NSW eMeds

Program lead sites.


Demystifying Change Management

CHANGE FRAMEWORK• Applying processes,

knowledge, skills,

experience

PROCESSES & TOOLS• Key steps

• Populated templates

• Key messages

CHANGE

SCHEDULE• Align to project

schedule

SUPPORTING LEADERS• Steering Committee

• Monthly messages


Schedule EXAMPLE


Executive Key Messages TEMPLATE

Key Messages for MarchOur key themes right now are: [these can be news, progress,

functionality, innovations, issues being resolved, etc.]

• Clinical documentation is now less than 8 months to go-

live

• Medication management has been formally kicked off with

the executive team

• Device procurement is underway

Please share the messages below in your conversations and

meetings with our project stakeholders:

• [A sentence to provide more details about the first topic.]

• [A sentence to provide more details about the second

topic.]

• [A sentence to provide more details about the third topic.]

Key Dates Key dates for the Project for March include: [these can be about project

milestones, key meetings and events, etc.]

Benefit for MarchDid you know?

• Implementing an electronic medication management

solution can reduce medication administration errors

• Implementing the eMR will support advanced clinical

decision support at the point of patient care

• [A key message will be reflected each Month to ensure

these messages are cascaded on a regular basis.]

eMeds Myths and FactsFighting fires?

Myth: There are not enough computers on the ward at the moment and

this will impact on staff being able to use the eMR at the point of care

Fact: Additional devices are being funded through the eMR Program and

these will be rolled out across the different facilities. A key consideration

is the right device for the right workflow.

The eMR team hopes these messages are useful for you, and

welcomes any feedback and suggestions. [email protected]

All March Key stakeholder engagement activities

30 April eMeds project schedule finalised

4 May Project Start-up session

Mid May Benefits Ownership session

All May Current State Review interviews

mailto:[email protected]


Local Health District Coaching

TIMEUpfront

training and

support

TOOLSCompleted tools

and templates

CONFIDANTSomeone to bounce

ideas off

SCHEDULINGGuidance on what to do

and when


Resourcing Change – Lessons

Fund extensive change activities –

workflows take time

Analysts evolve from BA to training

to testing to change

Change / training resources start early –

learn from planning and as-is practices

Embed benefit ownership – understanding,

engagement and measurement takes time

Fund change

resources and

activities

$

Leverage existing change capabilities –

state-wide eLearning approach


eMR Connect Training

CHALLENGE AND APPROACH

980Interns

1800Registered

Nurses

8%staff

turnover

OngoingStudent

intake

Regularfunctionality

released

Learning Live

Reference guides

and online help

eLearning

For employees,

students, agency staff

eMR Connect Hub

Resources and

tools for trainers


eMeds eLearning

• Online interactive learning modules for the eMR,

including eMeds, available to all Local Health

Districts through HETI Online1

• Local Health District staff have ready and direct

access to online modules covering fundamentals

of system, as foundation to ongoing eMR

learning

• Features safety messaging

• Developed with clinical input

1 HETI Online: NSW Health learning management system which supports education and training

across the NSW Health system


Learning and Improving• Roundtable

• Learning forums

• Local Health District 'Lessons Learned' focus groups

• Knowledge transfer

• Attendance

• Format of working group

• Effort to maintain log, document findings and track actions

What

Worked

Issues

Willingness to learn •

Willingness to share • Know when a lesson is a lesson •

Partnering to deliver the best outcome

It’s all about the culture


Refining 90+ Workflows


Go Live Lessons Learned EXAMPLE


ChallengesQUICKENING PACE

• Uplift skills

• Greater

standardisation

USER OPTIMISATION

• Support focus

• Adoption and benefit

monitoring

CAPABILITY AND CAPACITY

• Increased change focus

• More change managers needed

• Capacity to measure and

evaluate

CAREER PATHS

• Clinicians as change managers

• Career progressions


Questions?

bianca jordaan - emr connect - ehealth nsw

Healthcare