Clinical Nurse Specialist Influencing Local to National Systems: Electronic Transplant Referral

2.50
Hdl Handle:
http://hdl.handle.net/10755/164086
Category:
Abstract
Type:
Presentation
Title:
Clinical Nurse Specialist Influencing Local to National Systems: Electronic Transplant Referral
Author(s):
Herbage, Ann; Brenk, Thomas
Author Details:
Ann Herbage, RN, MS, CWOCN, ACNS-BC, CNS-PP, Portland VA Medical Center, Portland, Oregon, USA, email: ann.busch@va.gov; Thomas Brenk, MPA
Abstract:
PURPOSE/OBJECTIVES: The Veterans Affairs (VA) Electronic Transplant Referral Template was developed to facilitate, standardize, and expedite the referral process in the VA system nationally. SIGNIFICANCE: The template relieves transplant coordinators from manually sorting through an electronic chart for pertinent provider notes and clinical data to make a referral. The template streamlines the process for referral, facilitates more timely patient access to transplant care, improves the efficiency and timeliness of referrals, and expands opportunities for data collection. BACKGROUND/RATIONALE: Over 1500 transplant referrals arc made in the VA system each year. Historically, the referral process has been cumbersome and viewed as a barrier for patient referral. A coordinator at each VA utilized a checklist to gather pertinent data from the electronic record, assembled the pages in required order, obtained signatures, and sent the referral to VA Central Office for an expert panel of transplant physicians to review. DESCRIPTION: As an internal consultant, the Liver Transplant Clinical Nurse Specialist (CNS) collaborated with her local VA computer (CAC) expert to translate the existing referral system to an electronic process. The electronic template pulls required information in the correct order. Demographics, progress notes, labs, imaging, and procedure results are uploaded into the template and are viewed in the electronic chart together. The prototype was developed locally, piloted at 13 VA sites, and revised from pilot and national VA leadership feedback. OUTCOME: The template is currently being rolled-out nationally to all VA hospitals and clinics. Referral coordinators report they save a minimum of 2 hours per referral, have packets that are reduced in size from greater than SO pages to IS, and improve patient care by expediting referral. INTERPRETATION/CONCLUSION: Collaboration between CNS at the point of care, local CAC, and national VA leadership resulted in developing the national VA Electronic Transplant Referral Template. This template maximizes the use of electronic charting capabilities to streamline the referral process resulting in improved care for patients referred for transplant. IMPLICATIONS FOR PRACTICE: Significant nursing time is saved using an improved product. This template organization could be used by other health care systems that utilize electronic records.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2010
Conference Name:
CNS as Interal Consultant: Influencing Local to Global Systems
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Portland, Oregon, USA
Description:
Conference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleClinical Nurse Specialist Influencing Local to National Systems: Electronic Transplant Referralen_GB
dc.contributor.authorHerbage, Annen_US
dc.contributor.authorBrenk, Thomasen_US
dc.author.detailsAnn Herbage, RN, MS, CWOCN, ACNS-BC, CNS-PP, Portland VA Medical Center, Portland, Oregon, USA, email: ann.busch@va.gov; Thomas Brenk, MPAen_US
dc.identifier.urihttp://hdl.handle.net/10755/164086-
dc.description.abstractPURPOSE/OBJECTIVES: The Veterans Affairs (VA) Electronic Transplant Referral Template was developed to facilitate, standardize, and expedite the referral process in the VA system nationally. SIGNIFICANCE: The template relieves transplant coordinators from manually sorting through an electronic chart for pertinent provider notes and clinical data to make a referral. The template streamlines the process for referral, facilitates more timely patient access to transplant care, improves the efficiency and timeliness of referrals, and expands opportunities for data collection. BACKGROUND/RATIONALE: Over 1500 transplant referrals arc made in the VA system each year. Historically, the referral process has been cumbersome and viewed as a barrier for patient referral. A coordinator at each VA utilized a checklist to gather pertinent data from the electronic record, assembled the pages in required order, obtained signatures, and sent the referral to VA Central Office for an expert panel of transplant physicians to review. DESCRIPTION: As an internal consultant, the Liver Transplant Clinical Nurse Specialist (CNS) collaborated with her local VA computer (CAC) expert to translate the existing referral system to an electronic process. The electronic template pulls required information in the correct order. Demographics, progress notes, labs, imaging, and procedure results are uploaded into the template and are viewed in the electronic chart together. The prototype was developed locally, piloted at 13 VA sites, and revised from pilot and national VA leadership feedback. OUTCOME: The template is currently being rolled-out nationally to all VA hospitals and clinics. Referral coordinators report they save a minimum of 2 hours per referral, have packets that are reduced in size from greater than SO pages to IS, and improve patient care by expediting referral. INTERPRETATION/CONCLUSION: Collaboration between CNS at the point of care, local CAC, and national VA leadership resulted in developing the national VA Electronic Transplant Referral Template. This template maximizes the use of electronic charting capabilities to streamline the referral process resulting in improved care for patients referred for transplant. IMPLICATIONS FOR PRACTICE: Significant nursing time is saved using an improved product. This template organization could be used by other health care systems that utilize electronic records.en_GB
dc.date.available2011-10-27T11:41:46Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:41:46Z-
dc.conference.date2010en_US
dc.conference.nameCNS as Interal Consultant: Influencing Local to Global Systemsen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationPortland, Oregon, USAen_US
dc.descriptionConference theme: CNS as Internal Consultant: Influencing Local to Global Systems, held March 3 - 6, Portland, Oregon, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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