1. The Health Roundtable Project RED: Roll out of electronic ordering from ED to Radiology Presenter: Jayne Morris St Vincents Sydney Innovation Poster Session HRT1215 – Innovation Awards Sydney 11 th and 12 th Oct 2012

2. The Health Roundtable KEY PROBLEM  Time wasted for Emergency Department (ED) doctors walking to Radiology with a hand-written imaging request form and talking to Radiographers & Radiologists to request a CT scan  Interruptions to Radiologists in the middle of reporting on images  ED only department in the hospital not using electronic ordering for medical imaging  Paper order forms illegible and with missing information

3. The Health Roundtable AIM OF THIS INNOVATION  To streamline the processes of ordering of medical imaging for emergency department patients  Goal: For 90% of radiology requests from ED to be electronic within 8 weeks of going live

4. The Health Roundtable BASELINE DATA  Only 3% of radiology orders from ED were placed electronically in early 2012.  Time wasted:  ED Doctor time: 5-10 minutes per request  Radiographer: 5 minutes per request  Radiologist: 5 minutes per request  Money wasted = $270,996 per year

5. The Health Roundtable KEY CHANGES IMPLEMENTED  ED-Radiology Service Agreement  Putting in place agreed business processes

6. The Health Roundtable KEY CHANGES IMPLEMENTED Agreed business processes

7. The Health Roundtable KEY CHANGES IMPLEMENTED  ED-Radiology Service Agreement  Putting in place agreed business processes  Education for all staff  Implementation of electronic ordering  Review of ED porter roles and responsibilities  Simplification of the electronic request form – some unnecessarily mandatory fields no longer necessary  Issues log  Weekly multi-disciplinary team problem-solving meetings

8. The Health Roundtable OUTCOMES SO FAR  Aim of our project was for 90% of radiology requests from ED to be electronic within 8 weeks of going live. This was ACHIEVED…AND EXCEEDED with 98% of orders electronic  Notional efficiency savings = $270 000 per year  Improved quality with increased legibility of orders and less missing information  We now have data on ordering times so we can break down the ordering process into “Triage to Order time” and “Order to Imaging time” for ongoing problem-solving and improvement of work

10. The Health Roundtable LESSONS LEARNT  Issues log to assist with problem solving  Problem-solving meetings  A multidisciplinary team brings different perspectives, with each member able to solve different issues and communicate with other staff in their department  Information technology cannot be implemented in isolation – it is essential to work out the business processes to go with it