Electronic Medical Records: Going from a Model T to a Lexus – by KSB Hospital Chief Medical Officer Tim Appenheimer, M.D.

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My first practice as a fledgling physician in 1981 was in Oregon, Illinois. As I was moving into my new office, the elderly physician whose practice I was inheriting asked if I would like to have the records of his patients for the previous 40 years. Of course, I said.  Within 10 minutes, he reappeared at my office door with a large recipe box full of 3 x 5 notecards. “Here you go,” he said. And that was it! His practice records for 40 years, kept in a recipe box. Most physicians today dream of returning to that level of … Read More

eSOAR Update: Thursday Evening

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The eSOAR status team met again this afternoon for a daily update of our system implementation, here are some notes: An email was sent to physicians earlier today with a screenshot walk through for viewing patient records from the ED.  Another screenshot tutorial will soon be sent out to educate physicians on using the “Pause/Break” function on Wyse Terminals. Dr. Appenheimer and Leslie Mann are developing this resource.  Weekend tech support will be available by calling x1164. We have coverage by tech staff, system champions, and nurse leaders throughout the weekend. We’re working on a plan for support staffing over … Read More

eSOAR Update: Wednesday Evening

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As we move towards the end of the second week of the eSOAR Clinical and Financial system, the newness is wearing off and understandably, excitement and enthusiasm can be replaced with frustration. I perfectly understand. The work happening behind the curtain may not be as obvious as we’d like, however it is happening at a fast pace. When users discover something wrong with the system or suggest an improvement, a work ticket is generated. Our team of consultants said we began the week with nearly 500 work tickets. After a lot of hard work, we’ve brought the number of outstanding … Read More

eSOAR Update: Monday Evening

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Welcome to week two of eSOAR. While we’re still working on a smooth and effective deployment of eSOAR, you’re probably getting used to the new screens and the new workflow, and hopefully that’s helping to promote better quality and satisfaction. Here are today’s updates from the eSOAR daily meeting: We’re working on processes for the ED to handle electronic orders and registration for patients before they’ve been assigned a physician.  Barb Stockton and the Medical Staff Services department are preparing for notifying other departments when a new physician is added.  Laboratory and other departments are working on very detailed issues … Read More

A Tale of Two Organizations

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One of the side benefits of our Go-Live is the chance for our Leadership Team to see “the other” KSB… the one that provides world-class care on evenings, midnights and weekends. We have rotated an Administrative Team Leader throughout each shift for Monday through Sunday.  It’s a wonderful opportunity to listen and learn.  The volume and general “business” is less, however due to less staff members present it doesn’t take much to create a very busy situation. Thanks to all of physicians and staff that represent KSB after hours.  I’m very proud of the work you do. – Dave

eSOAR Update: Friday Evening

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We’re at the one week mark since the eSOAR switch was flipped. We’ve made excellent progress and are much further along toward our goal of full utilization. It’s a top organizational priority to invest in technology to improve clinical quality and the patient experience. Here’s an update of where we are now: The eSOAR Financial system had a glitch this morning, caused by the data center in Pennsylvania and affecting KSB and a few other Siemens systems. The service has been restored.  Navigation and usage on OB has become more efficient and more reliable. The physicians continue to make strides … Read More

ED Teamwork Shows in eSOAR Go Live

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How do you implement a change in a department with no predictable census, a wide range of acuity, and around the clock staffing needs? With a lot of teamwork and collaboration. “The KSB Emergency Department works so well together as a team,” said Director Sue Prosch, “It’s been incredible to see it on display this week.” The ED was one of the first departments to use the eSOAR system after the midnight go-live. Given the unpredictable and fast-paced nature of the department, the staff had to be ready for any circumstance. Since the implementation, the ED Team has tackled a … Read More

eSOAR Update: Thursday Evening

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We met again this afternoon with leaders from across the organization to discuss the progress we’re making on the eSOAR Clinical and eSOAR Financial system implementation. And again we heard a lot of reassuring news and good indications. Here’s an update: The Laboratory system is back up and running, having resolved the major issues that kept it off yesterday and this morning. Thanks to everyone who worked together to bring this important piece back online! Technical communications and tutorials are being prepared for physicians and office staff on specific features and tasks within eSOAR. Tim is working to discern ECD … Read More

eSOAR Update: Wednesday Evening

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The eSOAR Steering Committee met again this afternoon for a daily status update and group conversation. We’re still working together toward our goal of using technology to improve clinical quality and enhance the patient experience. Here’s a snapshot of our progress: In Pharmacy, it’s all systems go. The various software systems are interfaced and talking to each other, and eSOAR is running smoothly. A few issues persist in Laboratory, but we’re developing solutions and testing their viability. We’ll be resolving issues with lab orders and registrations soon. Nursing is making great progress toward customization of eSOAR to realize efficiencies. We’re … Read More

Registration Rocks

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I want to give a shout out this morning to our Registration Department Team, led by Trinette Decker. I made the rounds this morning between 7:30 and 8:45. I visited Day Surgery, Central Scheduling, Commerce Towers, the Emergency Department and Town Square Centre. You know what I saw? Smiling faces. Support in the form of consultants standing behind our troops and offering suggestions and shortcuts. And most importantly…. NO LINES!!! Great job Registration Rock Stars… and thank you! – Dave