A CELEBRATION OF CHANGE: IMPLEMENTING AN ONCOLOGY-SPECIFIC, ELECTRONIC DOCUMENTATION SYSTEM IN AN OUTPATIENT ONCOLOGY UNIT

2.50
Hdl Handle:
http://hdl.handle.net/10755/164797
Category:
Abstract
Type:
Presentation
Title:
A CELEBRATION OF CHANGE: IMPLEMENTING AN ONCOLOGY-SPECIFIC, ELECTRONIC DOCUMENTATION SYSTEM IN AN OUTPATIENT ONCOLOGY UNIT
Author(s):
Robison, Jeanene; Hathorn, Lois; Cook, Connie
Author Details:
Jeanene Robison, MSN, RN, AOCN,Oncology Clinical Nurse Specialist, The Christ Hospital, Cincinnati, Ohio, USA, email: Jeanene.Robison@thechristhospital.com; Lois Hathorn, RN, BSN, OCN; Connie Cook, RN, BSN
Abstract:
Administration/Leadership Development: Electronic documentation is the trend of the future. The Christ Hospital (TCH), a 555 bed hospital in the Midwest, implemented EPIC, an electronic medical record, in 5/08. TCH Cancer Center will implement Beacon, an oncology-specific application of the EPIC electronic documentation system, in 3/09. This module contains chemotherapy and supportive treatment plans with workflows affecting physicians, pharmacists, nurses and medical secretaries. The purpose of implementing EPIC and Beacon, the oncologyspecific, electronic documentation system, was to: (1) improve patient safety by omitting the potential for error due to illegible MD handwriting in med orders; (2) improve patient safety using bar code medication administration; (3) increase the use of evidenced based practice in chemotherapy, biotherapy and supportive care protocols; (4) improve the coding and billing process; and (5) decrease time needed to retrieve patient data from past patient visit encounters. Process experts were chosen to participate on the Implementation Team, including oncology physicians and an interdisciplinary team. A Project Team Manager and computer analysts assisted the team in developing and implementing Beacon. The work of the Implementation Team included: (1) standardizing workflows for the oncology interdisciplinary team; (2) building chemotherapy, biotherapy, and supportive care protocols, using evidenced based practice; (3) building the Beacon environment for "real life" use; (4) meeting Ohio Board of Pharmacy's requirements for electronic documentation of medications; (5) delivering training to all oncology staff involved in Beacon implementation; and (6) creating processes to support stabilization of the new system. Throughout the hospital, med errors have decreased by 50% in the last 6 months. The Cancer Center staff recognizes the benefits of the system related to patient safety, audit trails for patient care, and ability to retrieve data from prior visits. Some physicians complained that this process is more time consuming. Press Ganey scores, including patient's waiting time, decreased from 95.5 (2nd quarter 2008) to 92.7 (4th quarter 2008). Education of physicians and staff has been challenging and is ongoing. Documentation in the patient's medical record is a legal requirement. Nurses will be able to use the information in this presentation to guide similar projects to implement electronic documentation systems in oncology outpatient settings.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2009
Conference Name:
34th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Antonio, Texas, 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.titleA CELEBRATION OF CHANGE: IMPLEMENTING AN ONCOLOGY-SPECIFIC, ELECTRONIC DOCUMENTATION SYSTEM IN AN OUTPATIENT ONCOLOGY UNITen_GB
dc.contributor.authorRobison, Jeaneneen_US
dc.contributor.authorHathorn, Loisen_US
dc.contributor.authorCook, Connieen_US
dc.author.detailsJeanene Robison, MSN, RN, AOCN,Oncology Clinical Nurse Specialist, The Christ Hospital, Cincinnati, Ohio, USA, email: Jeanene.Robison@thechristhospital.com; Lois Hathorn, RN, BSN, OCN; Connie Cook, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164797-
dc.description.abstractAdministration/Leadership Development: Electronic documentation is the trend of the future. The Christ Hospital (TCH), a 555 bed hospital in the Midwest, implemented EPIC, an electronic medical record, in 5/08. TCH Cancer Center will implement Beacon, an oncology-specific application of the EPIC electronic documentation system, in 3/09. This module contains chemotherapy and supportive treatment plans with workflows affecting physicians, pharmacists, nurses and medical secretaries. The purpose of implementing EPIC and Beacon, the oncologyspecific, electronic documentation system, was to: (1) improve patient safety by omitting the potential for error due to illegible MD handwriting in med orders; (2) improve patient safety using bar code medication administration; (3) increase the use of evidenced based practice in chemotherapy, biotherapy and supportive care protocols; (4) improve the coding and billing process; and (5) decrease time needed to retrieve patient data from past patient visit encounters. Process experts were chosen to participate on the Implementation Team, including oncology physicians and an interdisciplinary team. A Project Team Manager and computer analysts assisted the team in developing and implementing Beacon. The work of the Implementation Team included: (1) standardizing workflows for the oncology interdisciplinary team; (2) building chemotherapy, biotherapy, and supportive care protocols, using evidenced based practice; (3) building the Beacon environment for "real life" use; (4) meeting Ohio Board of Pharmacy's requirements for electronic documentation of medications; (5) delivering training to all oncology staff involved in Beacon implementation; and (6) creating processes to support stabilization of the new system. Throughout the hospital, med errors have decreased by 50% in the last 6 months. The Cancer Center staff recognizes the benefits of the system related to patient safety, audit trails for patient care, and ability to retrieve data from prior visits. Some physicians complained that this process is more time consuming. Press Ganey scores, including patient's waiting time, decreased from 95.5 (2nd quarter 2008) to 92.7 (4th quarter 2008). Education of physicians and staff has been challenging and is ongoing. Documentation in the patient's medical record is a legal requirement. Nurses will be able to use the information in this presentation to guide similar projects to implement electronic documentation systems in oncology outpatient settings.en_GB
dc.date.available2011-10-27T12:07:10Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:07:10Z-
dc.conference.date2009en_US
dc.conference.name34th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Antonio, Texas, 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.-
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