The 6th P Partnerships to Transform the Healthcare Experience RIM Toronto Executive Summit Toronto,

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The 6th PPartnerships to Transform the
Healthcare ExperienceRIMToronto Executive
SummitToronto, OntarioNovember 20, 2007
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Contents
About Trillium Health Centre
The 6th P
ICU and BlackBerry
The Future of Health Care
Next Steps
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Trillium Health Centre Fast Facts

• 2 sites Mississauga and West Toronto
• Catchment 1 Million people
• Annual Budget 373M

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Trillium Health Centre Fast Facts
Secondary
Tertiary
Primary
Acute
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RedevelopmentMississauga North Elevation
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RedevelopmentMississauga Innovative Patient Room
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RedevelopmentWest Toronto The Trillium Way
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Six Strategic Initiatives
Patient Centred Care
Integrated Care
Leadership
Innovation
Sustainable Value
THINK
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Transforming Healthcare into Integrated Networks
of Knowledge - Key Objectives

• In collaboration with our community, the THINK
  Initiative will deliver
• Connectivity all of the time, everywhere to
  everything
• Access to the right information at the right
  time by the right people for the right care
• Networking integration of the continuum of care
  both inside and outside of Trillium
• Solutions Innovative communication and care
  solutions at the point of care

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The 6th PPartnerships
Partnerships
People
Promotion
Placement
Price
Product
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Our Partners

• Support Trilliums innovative approach to
  transforming the patient experience
• Some partners are part of the Trillium Alliance
  for Care Technology (TACT)
• Each of our partners has committed to putting its
  staff experts at Trillium, working side-by-side
  with the hospital team

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New environment

• Synergistic relationships
• Convergence of expertise
• Must realize benefits
• Fewer resources
• Pace of change increasingly exponentially
• Must build capacity for front line

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The Challenge

• Challenge
• Patient care generates substantial information
  flows.
• Trillium Health Centre was looking for a more
  efficient way for the ICU clinical team to
  communicate to eliminate pagers, overhead speaker
  pages and physically searching for other members
  of the team.

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First solution

• November 2004 Email physicians non urgent
  complaints via secure hospital email system
• Physician to pick up email on tethered desktops
• This worked!
• Significant defragmentation of care process
• Improvement in response time to issues
• However reliance on many computer log ins for
  both physicians and nurses leading to delay and
  disruptions of workflow

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Moving to wireless

• Consulted with Dr. Tan from Health Canada re
  safety of using wireless frequencies around
  medical devices
• February 14, 2005 became one of the first
  hospitals to allow the use of cell phones in the
  hospital
• Trillium also became the first hospital in the
  world to use wireless handheld BlackBerrys for
  clinical communication between all members of a
  large interdisciplinary health care team.

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The BlackBerry Enterprise Solution

• August 2005 January 2006 Trillium Health
  Centre became the first hospital to install the
  BlackBerry Enterprise Solution
• Gave 40 clinicians physicians, nurses,
  therapists, dieticians, pharmacists access to
  mobile email on BlackBerry

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Architecture
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Advantages of push email in ICU

• Fast Transmission
• Clinician notified when message arrives
• Not disruptive to receive a wireless email
• Fits into workflow, takes only seconds to read,
  respond
• Able to respond to multiple parties
• Message content is legible and time stamped
• Verification of receipt

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The results

• As a nurse, taking away the BlackBerry would be
  like turning the lights out and having to work
  with a flashlight. You could still function, but
  why would you work with limited lighting? With
  the lights on, you can see everything clearly,
  while a flashlight leaves room for error. The
  BlackBerry is like turning the lights on in a
  room. You can work effectively, efficiently and
  safely.
• Jane Ramos, R.N. Acting Manager, Intensive Care
  Unit and Respiratory TherapyTrillium Health
  Centre

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The results

• Information flow is critical to healthcare. I
  think BlackBerry smartphones help us save lives
  because it makes sharing information much easier,
  enabling us to work together more effectively as
  a team. BlackBerry both improves the care we can
  deliver to our patients and makes our work day
  easier. Not many other things do that.
• Dr. Chris OConnor Director of Medical
  Informatics, Critical Care PhysicianTrillium
  Health Centre

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The Future of HealthCare

• Two further pilots being contemplated in the next
  twelve months
• Emergency Department
• Model unit for new Patient Wing

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Current State in Emergency Department
A.M. DAILY MEETING
30-40 PEOPLE
20-30 ED patients need beds
BEDS AVAILABLE WHEN?
PATIENT STATUS REPORTS
UNIT BY UNIT
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Bed Meeting
Im waiting for the CT scan
If my 2 possibles go I can take my off service
back from Surg
Is DI here?
Ive got 2 definite, 3 possible
Im waiting for the Echo results
Ive got 2 to go out to Medicine
I need 2 nurses for nights
I still dont have a discharge order
Emerg is holding 27
We have 2 for ICU
What do you mean the family cant come in?
What are they waiting for?
Im waiting for the lab tests
Ive got 8 same days coming in
Did CCAC come see the patient?
Im waiting for the other hospital to have a bed
to take her back
Im going to have to open 4 beds in 501
Can I have that rehab bed?
Im waiting for the MRI
Im waiting for the consult
Only 27, thats not bad. It was 32 yesterday
Can we staff that?
Did Mr. Smith go to the nursing home yesterday?
Is Med4B here?
If you take my Medicine I can make room for the
hip
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Integrated Messaging and Communications
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Dr. Chris OConnorEmerging Leader in Health
Informatics
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Questions?
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Thank YouFor More Information ContactBenoît
LongVP, CIO CMOTrillium Health
Centreblong_at_thc.on.ca