Health Systems

Virtual Care Teams
HelloCare.AI

Ambient Clinical Intelligence -
the Power of Voice AI
Albridge
Nuance DAX

Cedar Sinai - voice-enabled nursing care
www.cedars-sinai.org/newsroom/artificial-intelligence-lightens-burden-on-nurses/

AI-powered early-warning system
Be Proactive - Identify people in need
using AI and CHARTWatch

Helpful and fun blog from
Dr. CT Lin from U Colorado
(learn Epic with Ukele songs ctlin.blog/

Hospital EHR- Epic and Apple
Start by clicking here with a 3 min overview

Explore Health System IT Strategies with Leaders
https://thisweekhealth.com/read/

From CPOE to a digital mosaic of understanding for our patients"

Creating Standard Plans of Care: Using Order Sets

In the News - HI - Lights

Help physicians and nurses effectively use EHR tools -

25 By 5 Symposium Drives Ongoing Efforts to Reduce Documentation Burden on U.S. CliniciansSee symposium videos, slides, documents
www.dbmi.columbia.edu/25x5/

Electronic Health Records Associated with Lower Hospital Mortality - After Systems have Time to Mature www.healthaffairs.org/doi/10.1377/hlthaff.2017.1658

EHR progress over time.

Click to set custom HTML

Telehealth at the Veterans Administration
telehealth.va.gov/

The National Emergency Tele-Critical Care Network project (or NETCCN – rhymes with “Jetson”) addresses a critical problem for COVID response:

www.tatrc.org/netccn/overview.htmlnetccn-storybrand-v7.mp4

VA EHRM - Electronic Health Record Modernization Launching Now and over the next decade
www.ehrm.va.gov/ "I am hiring as we speak"

Acute Care at Home 

Imagine Health Care without Walls
See Deloitte Report Below

gx-care-without-walls.pdf
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Scroll down for EHR Sim Lab - for more demonstrations and activities

Veterans Administration CPRS EHR Training

See McKinsey report on Virtual Hospitals here

Surveyed nurses consider leaving direct patient care at elevated rates

How might technology help?

www.healthcareitnews.com/news/report-90-nurses-considering-leaving-profession-next-year#:~:text=Nurses%20are%20thinking%20about%20leaving,within%20the%20next%20few%20months.

How to reduce EHR documentation burden for clinicians/nurses?

nlmdirector.nlm.nih.gov/2021/08/11/25x5-decreasing-documentation-burden-on-u-s-clinicians/

Practitioners and AI - together = Proactive Care
Putting the Rothman Index into Practice

Healing at Home: NHK UK addressing Covid hospital capacity challenge with Virtual Covid Units
mymhealth.com/covid-app

UCSD Health Mission Control

Mission Control for Healthcare
Command Centers - GE

KLAS Report Command Centers klasresearch.com/report/healthcare-operations-command-center-ecosystem-2021-a-first-look-at-the-spectrum-of-technology/1776

Command center in Nevada

All about Dashboards

Saving Time - Saving Lives - Patient Flow Center
at Oshner in New Orleans

AI ROI -optimize OR/surgery https://leantaas.com/success-stories/

KLAS Report on Command Centers

"Innovation is when you have an urgency to change but don't know exactly how to get there.

If you know where you're going, it's just implementation not innovation." Yitshak Kreiss

Ask questions

Can you reduce risk?
How can you provide more proactive care?
What is a deterioration versus a code blue alert?
Can tech help reinvent ICU care?
Can care/care teams come to you virtually?

"The unexamined life is not worth living" Socrates

No margin - No Mission
Healthcare Finance progresses from budget to performance

Optimizing the OR with predictive analytics

Strata - Health System Finance & Innovations

www.stratadecision.com/solutions/decision-support/

leantaastransformoperatingroom1605037113999__1_.pdf
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How Health IT is working with Hospitals in COVID-19
https://www.youtube.com/channel/UC3r-R0BQKl7-8xsycSy5waQ

Check out the Kaiser Permanente Garfield Center and take a virtual tour
https://garfieldcenter.kaiserpermanente.org/

An EHR Reflection - Linda Travis Macomber
The systems of our health system

- EHRs are the nervous system –
The brains that store and communicate memories or our health

- EHRs are the muskuloskeletal system – The structure without which all falls apart

-EHRs are the respiratory system –
The constant breath of fresh air flows into them from a healthy ecosystem

- EHRs are the system of skin – The need for a usability/visualization makeover and going beyond skin deep

- EHRs are the psycho/social system –
he vulnerability as EHRs are not islands yet need community connections.

- EHRs are the circulatory system –
The heartbeat and lifeblood of our health organization from which everything flows-

Innovations in practice

Explore Epic Outcomes -
www.epic.com/epic/archive/epic-outcomes

Click to set custom HTML

Explore acute care innovations
Immerse yourself in system demonstrations of EHR/Patient Care Systems (Scroll down for more comprehensive sections on Epic, Cerner, the VA system, etc.
Tour medical centers and see health IT in action.

5 by 25 - Conference on reducing EHR documentation burden by 25% by 2025 www.dbmi.columbia.edu/25x5/

EHR Sim Lab:
Check out demonstrations
- Cerner
- Epic
- VA - CPRS

Cerner - Introduction

Enjoy the following film festival series designed specifically to walk in the shoes of nurses and inter-professional teams experiencing EHRs in practice - highlighting use of Cerner PowerChart.

EPIC
Introduction
EPIC - is a comprehensive complex system of systems with many modules. Explore them here - www.epic.com/software#Clinicals

Do you want to work for Epic or for an organization using Epic - Do you know the names of Epic products? https://healthcareitskills.com/epic-systems-modules/

Learn about Judy Faukner, Epic CEO - www.forbes.com/video/6253972119001/the-richest-woman-youve-never-heard-of-judy-faulkner/?sh=28dc1e5d8d64

Video Introductions - Explore Epic/ KP Health Connect - a series of video vignettes - While people configure Epic to meet needs of clients, this provides a base introduction to navigating Epic. These are examples - a series continues after the first video demonstration.

https://internalmedicine.wustl.edu/epic-training-videos/
https://vimeo.com/kpcohealthconnect

Go Live with Epic - just for fun - with music from the play Hamilton - then consider readiness for adoption of the Epic system into practice in the VLog

What can you do to configure Epic? - Learn some basics here to help Epic work for you
www.acep.org/administration/quality/health-information-technology/epic-articles/things-you-can-do-on-your-own-epic/

Admissions, Transfers and Discharges in HealthConnect from KP HealthConnect IT on Vimeo.

start 30

Fuji Summary of Changes for Primary Care Ambulatory Nursing Staff. from KP HealthConnect IT on Vimeo.

Have fun while learning and warm with a hospital Epic selection and go live. (Especially enjoyable if you are a Hamilton fan)

VA CPRS - tab by tab update
Take a 12 minute tour of the VA EHR with the cover sheet in lesson 4
vatraining.remote-learner.net/mod/page/view.php?id=31386
Or, view as much as you wish

Interested in a full certificate on the VA system? Access to the Veterans Administration Computer Patient Record System (CPRS) registration can be accessed from this link www.train.org/vha/home

VA - Veterans Administration VISTA - CPRS

https://patientping.com/