Conversation Ready ICA Steering Meeting May 14, 2013 Presentation by Lauge Sokol-Hessner and Jennie Greene
What is Conversation Ready? Reason for action Challenges Multiple conversations, places, times, providers/staff Paper documents High-stakes information Team Vision – Centralized place – Standard processes to collect, verify and share this data
Core business requirements Advance Care Planning shared mental model Data quality Audit trails Verification processes Transparent, modifiable Accessible from a variety of systems Built for busy users Intuitive, fits existing workflows Facilitates care by supporting Conversations
Linking from OMR profile page Current Proposed
Advance Care Planning Proposed Advance Care Planning Sheet
Current HCP process
Current HCP verification process
Advance Care Planning documents Current – Time/effort on Advance Care Planning documents – But we never “capture” them – Future providers are unaware of their content – Lost value, no shared mental model Ideal – Capture documents – Bring them to users across the spectrum of care
Document management, version control Health care proxy Advance Health Care Directive Other DNR/MOLST Provider/staff initiate capture – Indexing, peripheral vs. central scanning Version control and verification – Push back to provider to finish the process Future verifications as needed
Current Test Results Tracking interface 11 Document/PDF Task assignment Audit trail
12 Current Test Results Tracking interface Action and Status options
Proposed document management interface
Document Action and Status options Task assignment Audit trail
Proposed Advance Care Planning Sheet
Proposed document view interface
Having the Conversation with the right people Current – Patient knows who is important More than just healthcare proxy – No way for providers to capture this information in OMR – Information lost at transitions Ideal – Centralized, modifiable list of important contacts E.g. Care Management page
Proposed Advance Care Planning Sheet
Proposed Other Contacts editing page
Proposed Advance Care Planning Sheet
Identifying OMR notes Current state – OMR notes with free-text titles – Note content not transparent – Future providers unaware of prior conversations – Lost value, no shared mental model Ideal – Standard, systematic way to indicate note content – Minimal/no workflow change
Proposed Advance Care Planning “Problem”
Proposed Advance Care Planning Sheet
Proposed POE Advance Care Planning Communication page
The End. Thanks.