Monday October 1st,
3:30 – 5:30 pm

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Taking a Clinical Byte Out of Paper: Launching a Change/Leadership
Management Model to Facilitate Migration from Paper-Based to
Electronic Readiness in an Academic Health Science Centre.

Presenting Authors: Sally Remus RN, MscN & Erika delaCruz, RN, MN

Co-Authors: Anne Trafford, RN, BScN

Information and communication technology (ICT) adoption across the health care system has been slow and painful. In fact, ICT implementations have in some cases “tied us up" versus “tying us together or connecting us” to support efficient and effective care delivery to our patients. To address the pace of innovation and the complexity of competing demands within an academic health science centre, project leadership designed an interdisciplinary clinical unit preparedness strategy based upon a change and leadership management model. Specifically, the underpinnings of the unit preparedness strategy needed to facilitate successful integration and adoption of clinical system applications that will serve as key foundational elements for the organization’s electronic patient record (EPR). Also, the strategy framework designed, needed to incorporate both scalability and sustainability factors to support:

  • future state implementation requirements, as the anticipated number of clinical system’s applications increase or change (i.e., up-grades), and
  • meet the needs of diverse clinician roles (i.e., students, clinical instructors, employees & physicians) reflective in an academic health science environment.

The unit preparedness strategy that engaged clinical users in actively preparing and acquiring the requisite skills and knowledge for successful integration of new electronic tools into their care delivery, subsequently transforming practice will be presented. Key learnings as a result of implementing the unit preparedness strategy across inter-professional practice teams will be shared to better inform health colleagues for the continued success of future clinical system application implementations paving the road for the organizational EPR.

Biography

Sally Remus is an experienced and knowledgeable director and consultant in health management and informatics with an extensive career in health service organizations, government and private business. She has a broad clinical health and nursing experience ranging across the continuum of care in critical care, long term care and community settings. She brings strong re-design skills in the area of clinical process re-engineering and change management focused in EPR implementations. Sally serves nurses and nursing by sitting at the data and technology standard’s health policy tables at the Federal and previously at the Provincial levels for the development of Electronic Health Records. Sally is a graduate of the University of Western Ontario and University of Toronto where she obtained a BScN and MScN. Currently, Sally is the Director of Clinical Informatics at St. Michael’s Hospital, Toronto.

Erika dela Cruz has been a registered nurse since 2004. She completed an undergraduate degree in Kinesiology at Simon Fraser University. She later completed an undergraduate nursing degree and a Master of Nursing degree from the University of Toronto. In 2006, she completed a MN preceptorship in Nursing Informatics with Sally Remus at St. Michael’s Hospital, Toronto, where she currently holds the position of Clinical Informatics Specialist. .



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