Get ready for Clinical Practice Redesign - Saskatchewan Medical ...

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health care “No state or province that I’m aware of in the world has attempted it on this scale.” front lines - in this case, health care workers, patients and their families. Florizone admits he was skeptical until he participated in a workshop at Seattle’s Virginia Mason Medical Centre in 2004. “It’s going to take a lot of leadership to be able to convince people this isn’t a fad,” Florizone said. “There’s only one way to convince the skeptic and that’s the way I was convinced - let’s do it.” It is a mistake to think health care is so different from other industries that it can’t use the same solutions manufacturers have already found to similar problems, Florizone said. “The old way of cost-cutting was absolutely wrong-headed,” he said. “I realized for the first time why we were so mistaken in the ‘80s and ‘90s when we were cutting budgets and ending up with poor service at the end of the day.” Deciding what to tackle is another key component of lean management. Florizone said an organization needs to pick just a couple of top priorities and focus intensely on them before moving on to the rest of its wish list. “If everything’s a priority, nothing’s a priority.” The government has organized lean’s provincial rollout into two phases. The planning phase in lean management is usually called hoshin kanri, a Japanese phrase. The government is calling it ‘strategy deployment.’ Unlike current strategic planning, high-level executives will run their proposed priorities before teams of lowerlevel managers and front-line workers, and then consider their feedback before proceeding. 12 Spring 2012 SMA News Digest -Dan Florizone, Deputy Minister of Health Phase two will take several years and involves building up local expertise and getting more than 43,000 workers in the province’s health regions, the Saskatchewan Cancer Agency, the Health Quality Council and the Health Ministry thinking like a synchronized lean machine: Identify waste, test a possible fix, evaluate the outcome and repeat. The cycle can, and should, go on forever. To do this, the province needs a lean expert, or sensei, to lead it. This fall, the Saskatchewan Association of Health Organizations issued two requests for proposals - one contract for about six months of lean leadership to do the first phase of planning - hoshin kanri - and a longer-term contract to help roll out the lean system. SAHO Past President and CEO Susan Antosh said the first contract was awarded in October to American consultants John Black and Associates. The second contract has not yet been awarded. The consultants won’t just teach and run, she said - the region wants to build a long-term relationship with someone who has the experience and knowledge to guide them through years of significant cultural change. The SMA is currently in discussions with the provincial government regarding lean implementation and the role for physicians in the transformation process.
Lab results faster? Now that’s a good thing! �� You may have wondered if the day would come when you’d see a patient in the morning, order lab tests, and then have the results on your computer later in the day. With this information in hand, you could contact your patient and order treatment, without further delay. This is the reality for Saskatchewan physicians already receiving lab results through their electronic medical record (EMR) systems. And along the same lines, did you hope for a day when you knew that other providers working with your patients could access past lab results no matter where the patients received treatment, whether it be in a walk-in clinic, the emergency room or a specialized surgery or treatment in another Saskatchewan community? Beginning in April 2012, 85 per cent of all electronic laboratory results will be available for viewing online by authorized health care professionals through Saskatchewan’s eHealth Portal. The eHealth Portal is a secure online tool developed by eHealth Saskatchewan, with the support of Canada Health Infoway, that will allow authorized health care providers to see lab results for patients, even for tests they have not ordered. With the addition of the eHealth Portal, lab results will be available to you in these ways: EMR If you have an EMR, results for lab tests you order are delivered to your EMR, copied to others you choose such as specialists and stored securely in the Saskatchewan Laboratory Results Repository (SLRR). If your EMR already receives electronic lab results, and an ordering provider copies you on the requisition they are making, a copy of those results will be sent to your EMR. The eHealth Portal The eHealth Portal has been developed by eHealth Saskatchewan for use by a wide variety of health care providers including physicians, pharmacists, nurse practitioners and home care nurses. If your patient receives care from another authorized provider, and lab work is ordered, the results are stored in the SLRR for access by you or other authorized providers. Beginning April 2012, physicians will be one of the first groups that will be offered this service Sunrise Clinical Manager If Sunrise Clinical Manager is available in your health region, you may use it to view local lab results for your patients. eHealth Saskatchewan Lab Results Now Available to Providers Sooner Saskatchewan has a new electronic health �� health care A Saskatchewan Treasury Board Crown Corporation �� Above: A preview of one of the new eHealth posters promoting new developments in the �� Saskatchewan electronic health information system. As of April 2012, 85 per cent of all electronic lab results will be available for viewing online by authorized health care professionals through Saskatchewan’s eHealth Portal. Image courtesy of the Saskatchewan Ministry of Health SMA News Digest Spring 2012 13
Page 1 and 2: The SMA joins social media revoluti
Page 3 and 4: 3 4 Photo by Josh Schaefer spring 2
Page 5 and 6: Board calls for member input Survey
Page 7 and 8: Specialist Directory a user-friendl
Page 9 and 10: Local doctor receives national reco
Page 11 and 12: More time to enjoy your practice Mo
Page 13: Ministry plans to LEAN the system
Page 17 and 18: EMR Roadshow generates interest By
Page 19 and 20: Concussion in sport One particular
Page 21 and 22: health care How privacy considerati
Page 23 and 24: Med 1 hosts annual art show and sil
Page 25 and 26: Rochelle Plemel, the SMA’s Physic
Page 27 and 28: to the high-stress environment that
Page 29 and 30: Upcoming courses, conferences, and
Page 31 and 32: Willowgrove Medical Group is lookin
Page 33 and 34: Physicians Wanted Estevan, Saskatch
Page 35 and 36: Medical Advisor Prevention Program
Page 37 and 38: # NUMBER ONE IN ASSET GROWTH 1 It m
Page 39 and 40: � Helping Saskatchewan Physicians

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