{"id":2532,"date":"2019-12-12T20:13:15","date_gmt":"2019-12-12T20:13:15","guid":{"rendered":"http:\/\/orionhealth-blog.local\/?p=2532"},"modified":"2019-12-12T20:13:15","modified_gmt":"2019-12-12T20:13:15","slug":"taking-down-the-sky-tower-one-file-at-a-time","status":"publish","type":"post","link":"https:\/\/orionhealth.com\/nz\/blog\/taking-down-the-sky-tower-one-file-at-a-time\/","title":{"rendered":"Taking down the Sky Tower, one file at a time"},"content":{"rendered":"<p><strong>The\nproject<\/strong><br>\nSince April the Orion Health Christchurch team\nhas been working with the Canterbury District Health Board (CDHB) on the\ndelivery of electronic forms in Health Connect South (HCS) for clinicians and\nadministrative staff in the Ophthalmology Service. <\/p>\n\n\n\n<p>The project aimed to facilitate the capture and access of structured data, therefore enabling staff to make consistently informed decisions. The project aligned with the wider CDHB strategy to move to a &#8216;paperlite&#8217; clinical environment. The Christchurch team rolled out a controlled go-live in October this year. <\/p>\n\n\n\n<p><strong>The paper problem<\/strong><br>\nThe\nOphthalmology Outpatients was a paper-based service located at the Christchurch\nOutpatients facility. It was rapidly becoming unsuitable for the clinical\nenvironment to continue with paper-based data capture because the Service sees 51,000\npatients per annum. This number of patients generated a large volume of paper\nrecords, which required off-site storage and retrieval:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Clinical records for eye outpatients are a lifelong requirement because of the chronic and acute nature of the diseases. As a result, there was an increasing demand for space to store these files. <\/li><li>Two staff members (one full-time and one part-time) are required to support and maintain clinical paper file management, including off-site storage and retrieval.<\/li><li>The annual cost of supporting an off-site service for these records is estimated at NZ$70,000.<\/li><li>In 2018 there were over 300 linear metres of clinical records in storage, and the number is growing. <\/li><\/ul>\n\n\n\n<p><strong>The\ndata problem <\/strong><\/p>\n\n\n\n<p>In addition to this ever-growing tower of paper, the\nChristchurch Ophthalmology Service had no standardised clinical coding of\ndiagnosis and procedures from their consultations. Health Connect South wasn\u2019t capturing\nany structured data for eye outpatients, which meant limited visibility of the\nwork that goes on within the Service \u2013 to both internal stakeholders, as well\nas outside providers. <br>\n<br>\n<strong>The solution<\/strong><br>\nThe aim was to provide generic &#8216;eye&#8217; digital forms\nin HCS and transfer all paper-based documentation to a digital format. Phase 1\ndelivery of a digital solution included:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Clinical Tests\nForm<\/li><li>Visual Fields Form<\/li><li>Pre-Admission Form\n(as a checklist in Phase 1; a full version of the form to be delivered in a\nfuture phase)<\/li><li>Problem List\ndiagnoses<\/li><li>Consultation documentation\n<\/li><li>Eye Admin list\n(populated with clinic outcomes to assist administrators with manual entry into\nSIPICS in the interim)<\/li><li>Clinic outcomes and\nrebooking instructions<\/li><\/ul>\n\n\n\n<p><strong>The\nsuccesses<\/strong><br>\nThe project resulted in significant wins for the\nChristchurch Ophthalmology Service. All documents are visible in HCS and can be\naccessed by those who have HCS accounts, which saves staff time and removes the\nneed to maintain paper records. This, in turn, has reduced clutter in the\nphysical work environment, as well as slashing storage, stationery and courier\ncosts. &nbsp;<strong><\/strong><\/p>\n\n\n\n<p><strong>The feedback<\/strong><br>The feedback from the Ophthalmology Service was hugely positive. There was a lot of excitement about the solution, and an overwhelming feeling that they would like to roll it out to all clinicians and administrators as soon as possible.&nbsp;<br> <br><strong>The future<\/strong><br>The Orion Health Christchurch team continue to work with the Christchurch Ophthalmology Service and CDHB on future enhancements to the digital solution. Now that the solution has been up and running for a few weeks, the Service has identified some enhancements to the forms that will improve workflows even further. These changes have been scheduled for the end of January. <\/p>\n\n\n\n<p>The following further enhancements are planned for 2020:<\/p>\n<ul>\n<li>Mechanisms to electronically report findings to referrers\/GPs<\/li>\n<li>Tracking components of essential test results<\/li>\n<li>Further subspecialty electronic documentation<\/li>\n<\/ul>\n\n\n\n<p>Learn more about cross community collaboration and care. <\/p>\n\n\n\n<div class=\"wp-block-button is-style-squared\"><a class=\"wp-block-button__link has-background\" href=\"https:\/\/orionhealth.com\/\/nz\/products\/amadeus\/\" style=\"background-color:#5f5f5f\">Learn about Amadeus<\/a><\/div>\n\n\n\n<div class=\"wp-block-button is-style-squared\"><a class=\"wp-block-button__link has-background\" href=\"https:\/\/orionhealth.com\/\/nz\/products\/coordinate\/\" style=\"background-color:#5f5f5f\">Learn about Coordinate<\/a><\/div>","protected":false},"excerpt":{"rendered":"<p>The project Since April the Orion Health Christchurch team has been working with the Canterbury District Health Board (CDHB) on the delivery of electronic forms in Health Connect South (HCS) for clinicians and administrative staff in the Ophthalmology Service. The project aimed to facilitate the capture and access of structured data, therefore enabling staff to [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":2904,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[1],"tags":[44],"region":[24],"class_list":["post-2532","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-population-health-management","region-nz"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Taking down the Sky Tower, one file at a time - Orion Health<\/title>\n<meta name=\"description\" content=\"The Orion Health Christchurch team has been working with the Canterbury District Health Board (CDHB) on the delivery of electronic forms in Health Connect South (HCS) for clinicians and administrative staff in the Ophthalmology Service.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/orionhealth.com\/nz\/blog\/taking-down-the-sky-tower-one-file-at-a-time\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Taking down the Sky Tower, one file at a time - 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