medrec: 50 first dates at vancouver coastal health
TRANSCRIPT
MedRec
at
Vancouver Coastal Health
& Providence Healthcare (and the 50 first dates phenomenon )
Karin Trapnell
February 2016
MedRec at VCH/PHC
January 2005
• 21 Required Organizational Practices by
Accreditation Canada came into effect
MedRec…… • Seemed pretty straight forward at the time
……….
MedRec at VCH/PHC
• In the beginning……
MedRec at VCH/PHC
VCH/PHC MedRec-
By the Numbers VCHA owned and operated:
9 Acute Care hospitals ≈ 86,000 admissions /yr
– elective ≈33, 409 /yr
– urgent (Emerg) ≈ 52,556/yr
11 Emergency /Urgent Care departments
≈ 366,857 visits /yr
– non admitted patients ≈ 314,301/yr
– non admitted patients ≈ 861/day
VCH/PHC MedRec-
By the Numbers
• 2 free standing Rehab hospitals
• 2 free standing hospices
• 21 Residential Care facilities
• 9 Tertiary/Sub Acute Mental Health facilities
• 42 Ambulatory Care clinics & counting
• 5 Ambulatory Chemotherapy clinics
• 23 Community Home Health sites/programs
• 72 Community Mental Health & Addiction
sites/programs
VCH/PHC MedRec-
By the Numbers
Clinics!!
Peri op /Invasive procedures
• Daycare surgery alone ≈100,000/yr
• ≈ 1,000,000 visits/yr*
*to clinics situated within acute care hospitals
MedRec at VCH/PHC
MedRec at VCH/PHC
MedRec at VCH/PHC
Why 50 first dates phenomenon??
• In our MedRec travels-we’ve been here before
• Pretty sure we’ve worked with this team before
Why 50 first dates???
2% of sales are made on the first contact
3% of sales are made on the second contact
5% of sales are made on the third contact
10% of sales are made on the fourth contact
80% of sales are made on the
fifth to twelfth contact
MedRec at
VCH/PHC
Creating and using a follow up system is a
guaranteed way to grow your business
MedRec at
VCH/PHC
Are we making a difference??
• Baseline and pilot studies within the VCH
acute care, demonstrated a reduction of
unintended medication discrepancies at
admission by 69-75% in targeted areas.
MedRec at
VCH/PHC
• MedRec is a journey
A very long journey
Are we there yet? Not quite but getting
closer…..