Name of Group/Meeting: HED Advisory Committee

Date / Time / Location: June 7, 2012, 2-3pm, 5053/5-54, MCE, North Tower / Next Meeting: Different day of the month than usual !July 19, 2012, 2-3pm, Room TBD
Chair: Karen Hughart & Vickie Thompson / Recorder:Ron Reed
Attending: Karen Wilson, Nancy Rudge, Kristen Berutti, Karen Hughart, Ron Reed, Sara Turcote, Vicki Thompson, Bill Raines, Cheri Ward, Arlene Boudreaux, Lydia Colley, Shelly Padget, Michael Jorden, Deborah Ariosto, Elma Bunch, Melissa Powell, Amanda Mitchell
Meeting Objectives:
  1. Information sharing on new features & training and implementation plans if applicable
  2. Decision making on new enhancements
  3. Begin to identify significant enhancements needed (for future prioritization).

AGENDA

/ MINUTES
Who/Time / Topic / Summary / Decision / Next Steps
  1. Nancy Rudge, 20 min.
/ HED Upgrade Update: Status of outstanding issues & address any questions / Fixed:
  • Care Provider Assignment is no longer sticking after discharge.
  • Blue/Black Screen then reboots computer, affected over 1,000 CWS’s
  • PDF documents are now being sent to StarPanel
  • Old Archive Review Screens are available
Work In Progress:
  • Care Provider assignments not ending when transferring to another unit or department
  • Performance, especially for long stay patients. To help with some of the performance for long stay patient’s data that doesn’t pertain to patient safety is being moved to tables to help. Once patient is discharge data is reunited with patient chart.
  • Shared Session sometimes is not working, which makes user log on twice. It appears to user HED is not working, but if user puts in user id and password, it will work
  • StarPanel link is related to shared session above, until that is fixed, this link will not be available.
  • Unsaved Data Error
  • Tab/Enter Key will be fixed with upgraded version. Team working with support escalate problem to get fixed quicker. Workaround is entering data and assessment first then change time.
  • Two IAE, Pay Load Error and Cannot Access disposed Object.
  • HED Training Region is now working, Test Region Unavailable
  • Administrative Work Stations – Lan Managers have been sent education on how to load new version on the AWS
  • Discussion on monochrome screen – SSS has found a temporary fix, by adjusting brightness and contrast, however this is individualized to each computer. No fix for color or monochrome view.

  1. All, 15 min.
/ Review options for font and screen display and agree on next steps to make decisions about making changes to Production system.
  • Look at sample display (in Test system) in 2 hr. increments for Peds and Med./Surg Assessment/Interventions and Pain Tabs and 1 hr. increments for Adult ICU Assessment/Intervention Tab.
  • Look at medium and large fonts with the two views
  • Agree on best way to get user input and make decision about what to change
/
  • Screen display within HED: Able to change display with HED to view Q1H or Q4H. HED Advisory to take back to users to see if there is a preference on the view within HED
  • Font Display: Karen received lots of feedback on increasing Font size within HED. 3/5 said increase Font Size, 2/5 said keep the same. HED Advisory Committee decided to increase Font Size.

  1. Karen, 10 min.
/ Lessons learned from Extended Downtime
  • How can we more effectively communicate complex instructions during future downtime or system instability period?
  • Annual training for MRs and Chg. Nurses re: downtime procedures?
  • Biggest pain points to address in planning similar events in the future?
/
  • Many Lessons learned. Post communication was the biggest problem. Fax was main source of communication, however, with the fax machine there is a delay and sometimes before information got to the unit because of the number of faxes to be sent, by the time they got to the unit it was out of date. Email in the past does not work, as staff are caring for patients not logging into email. Feedback was updating information on the SSS Website was the best alternative. Also what worked well was AC’s were texting charge nurse to look on fax machines and website for updated information.
  • Training Session for Downtime: Consensus on training is needed. Some kind of annual competency that could be sent to the units and then reassigned to the appropriate staff member.
  • Training for physicians was also mentioned as many didn’t know how to fill out a physician order sheet.
  • Other noted problems – TOBS felt left out, unable to get MAR, unable to fax, so MAR’s were done very late.
  • Question: Can MAR’s just print to the unit instead of all printing on one side of VUH or just the center pods in VCH. Heparin and Insulin Gtt protocols being done by the physician didn’t go well.

  1. All, 15 min.
/ Looking forward – group input about future processes:
  • Now that we have new capabilities, we will want to allocate a percentage of our committee time and of HED Builder resources to revise existing HED and move forward with Simplification and Standardization work.
  • We are looking at ways to handle “committee requests” for significant changes & requests from individual users for minor changes differently.
/
  • More information about this topic to be discussed at next HED Advisory and how to proceed with enhancements and prioritizing projects for groups such as falls committee, restraint committee etc.

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