UChart Implementation to Begin at Bascom Palmer and Sylvester

After a 2010 roll out on the medical campus, UChart is ready to be implemented at two of the Miller School’s specialty hospitals, where advanced patient care, documentation and communication are primary goals.

Starting in the summer of 2014, the ophthalmology-specific UChart module Kaleidoscope will be deployed at Bascom Palmer Eye Institute. Additionally, Sylvester Comprehensive Cancer Center/University of Miami Hospital and Clinics will begin using UChart Inpatient and Computerized Physician Orders Entry (CPOE) on the wards, as well as transitioning to the Beacon module for chemotherapy management. The radiology systems also will be upgraded to the UChart Radiant module.

“The efforts to implement UChart at Bascom and UMHC/Sylvester have been a valuable focal point to build better engagement between physicians, staff and the UMIT Clinical Applications team,” said David M. Seo, M.D., Associate Vice President for Clinical Applications, Chief Medical Informatics Officer and Chief Research Information Officer. “We have been working together closely since day one to build a system that fits our workflows and, in doing so, improves the quality of patient care. In addition to the UChart rollout at Bascom and UMHC this summer, we are continuing the UChart implementation at UMH as we work toward an integrated EHR across the Health System.”

Led by J. William Harbour, M.D., professor and the Mark J. Daily Chair in Ophthalmology, Isabel Rams, M.B.A., C.R.A., Executive Director of Clinical Operations at Bascom Palmer, and Joanne Martin, RN, MSN, MBA, Bascom Palmer’s Chief Nursing Officer, the implementation of Kaleidoscope will replace paper charts for outpatient services at Bascom Palmer. The transition is a welcome change for Harbour, who says it will not only allow for more detailed charting, but also will help improve patient care.

“Although the transition from paper charts to electronic medical records represents a significant logistical challenge for such a large and complex institution as Bascom Palmer, our implementation team is working very hard to minimize the inconvenience and ensure the most efficient, high quality EMR possible for our patients, physicians and staff,” said Harbour, who is also Vice Chairman for Translational Research at Bascom Palmer, and an Executive Committee member at Sylvester.

Like Bascom Palmer, Sylvester/UMHC can soon say goodbye to the old paper charts. With the implementation of Inpatient, CPOE, Radiant and particularly Beacon, healthcare providers will be able to create comprehensive treatment plans for cancer patients, from scheduling lab work, imaging tests and routine appointments, to treatments over time, such as chemotherapy. Importantly, these comprehensive treatment plans will cover both the outpatient and inpatient phases of care.

Dido Franceschi, M.D., professor of clinical surgery and Chief of the Division of Informatics, who, along with Elizabeth Smith, DNP, RN, Sylvester Chief Nursing Officer, is spearheading efforts at Sylvester/UMHC, says he is looking forward to the upgrades.

“While we have experience using UChart for two years in the ambulatory setting, the expansion to the inpatient setting will represent a major step in achieving a true electronic integration of our enterprise, leading to improvements in the delivery of patient care,” said Franceschi. “Understanding the transition from paper to electronic charts also has presented a significant opportunity for collaboration and improved communication among UMHC departments and divisions, as well as with other integral parts of UHealth, such as UMH and Bascom Palmer.”

In addition to the inpatient implementation at UMHC/Sylvester, the UMIT Clinical Applications team will replace the current radiology information systems with the UChart Radiant module. This module will significantly improve the integration of radiology workflows and results reporting with UChart. Radiant also will provide new functionality, including radiation tracking, risk assessments, and a letter verification work list, and will be compliant with Mammography Quality Standards Act reporting.

Over the next several months, physicians and staff will receive more information about upcoming UChart implementations, including scheduling for UChart training sessions at Bascom and UMHC/Sylvester. A big change from the prior UChart ambulatory implementation will be the use of classroom training instead of computer-based learning modules.

“One lesson learned from our last UChart implementation was that we needed to improve our training methods so that our physicians and staff can use the system effectively from the beginning,” said Seo. “In our evaluation of Epic implementations at our peer institutions, such as Johns Hopkins, Duke and University of Michigan, their use of extensive classroom training was a key component in their go-live strategy. So we have adopted a similar rigorous training approach that has been used successfully at other academic medical centers.”

While the deployments of UChart at Bascom and UMHC/Sylvester are in full swing, the UMIT Clinical Applications team, together with David Sinclair, M.D., associate professor of clinical anesthesiology and co-director of informatics, and JoAnn Trybulski, Ph.D., ANP-BC, DPNAP, UMH’s Chief Nursing Officer, are also hard at work on the UChart implementation at UMH.

In addition to testing and training over the next several months, a UChart website is being constructed to serve as one central location for updates, information and training protocols.

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