Changing the way we deliver care
The work underway at Island Health to implement the Electronic Health Record (EHR), including a cross continuum of clinical systems, is groundbreaking and will change the way we deliver care in Vancouver Island communities, in the Province and potentially across the country. This work could not be done without the leadership, dedication and engagement of medical staff across Island Health. As medical staff, your involvement in implementations of the EHR is critical to the success of the project. It links directly to improving the quality of care and standardization of information in all aspects of patient care at Island Health.
IHealth will continue to roll out across Island Health communities through 2024. If your workplace is not yet fully activated with all the EHR functions, we encourage you to prepare through available training, and take advantage of the support available during “go-live” from IHealth project staff, Provider Education and Experience (ProEx) and Clinical Informatics. We also ask you to share information and support each other. “Pay it forward and pay it back”, as you master new skills, and seek help and guidance as you need it through this significant change.
Support for medical staff following clinical documentation go-live
For medical staff working at Cowichan District Hospital, resources are available to you during the transition to clinical operations. For further details, please see the medical hot sheet, Clinical Documentation Transition to Operations .
Provider Education and Experience (ProEx) staff will continue to offer onsite support:
- Monday-Friday until October 28,
- Wednesdays and Thursdays, until December 1. Site needs will be reassessed at that time.
Provider Skill Sharpeners are available for individuals or groups. To request a Skill Sharpener session, email EHRProvidereducation@islandhealth.ca
ProEX works with the Island Health credentialing team to ensure that new physicians receive their education prior to their first shift.
eCoach in the EHR:
eCoach provides on-screen support tips within PowerChart and FirstNet – a great first source for help prior to contacting the Clinical Service Desk. You will find it in the grey navigation bar at the top of Cerner PowerChart and FirstNet.
Training for medical staff
To book your training:
Register for the ClinDoc facilitated virtual education session specific to your specialization (links below). You need a LearningHub account. If you don’t already have one, sign up using the link below. You can refer to the account set-up directions. If you are having trouble, email firstname.lastname@example.org and they will help you.
Links to facilitated virtual education session registration
Once you have registered for your facilitated education session, you may start completing your prerequisite self-guided e-learning modules right away. All modules need to be complete prior to your scheduled virtual facilitated education session.
Clinical Documentation Roadmap and Skill Sharpeners:
Individual Skill Sharpeners
Individual skill sharpeners available (In person as support is on site, or via zoom)
- On Site Rounding
- Ongoing ProEX onsite presence and rounding for informal skill sharpeners
- Scheduled Data Driven Engagements
- Targeted engagement using HIM Utilization data and on-call schedule
- 4-6 weeks post activation utilize Cerner Advance and to do targeted skill sharpening
- Individual Skill Sharpener Sessions Upon Request
Group Skill Sharpener Concepts
15 Minute to 1 Hour Increment Skill Sharpeners
- Question & Answer Session and Where to Find Nursing Documentation.
How to; Add addendums, mark documents in error, add documentation, copy to another physician and how to re-name a document.
How to find documents and documenting on the Right Encounter
- Optimize Dragon and AutoText:
Cerner AutoText, Dragon Step-by-step commands, Add word, Manage vocabulary
- Patient List:
- Finding Results in Provider View vs Results Review:
- Message Centre:
Saved vs Sign Documents, Deficient documents
- eMOST and Advance Care Planning (ACP):
eMOST, Advance Care Planning PowerForm
- Provider View:
Quick links, Filters
- Admission Medication Reconciliation Process
- Problem and Diagnosis Control
MyHealth Patient Portal Training:
- Admission Note
- Cardiology Consult
- Discharge Summary
- Gastroenterology Consult
- General Surgery Consult
- Internal Medicine Consult
- Nephrology Consult
- Operative and Discharge Note
- Operative Report
- Orthopedic Consult
- Procedure Note
- Respirology Consult
This will prepare you for creating MyHealth released notes through the review of best practices for patient-centred clinical documentation. It also includes information on how to select note types that will be released to the MyHealth portal.
Resources for medical staff
IHealth Medical Specialty Leads
Medical staff representing surgical and medical specialties are working to harmonize clinical documentation practices and order sets in the EHR.
IHealth "Go-Live" Hot Sheets
View tips and information for medical staff during Clinical Documentation implementations.
Inviting feedback and input from medical staff
As you begin working in the EHR, you will be directly involved in improving the quality of care and the standardization of information across the region. Multi-disciplinary teams will see more information made available to them, as we activate more EHR modules across Island Health services and locations.
You’re invited to provide feedback and input that can improve the EHR, including suggestions for enhancements to the system that improve functionality, user experience, and safety. Please contact us with your suggestions.
IHealth stories featuring medical staff
Read these recent stories featuring medical staff and their experiences with IHealth:
Medical staff who represent different surgical and medical specialties will work with their colleagues to harmonize electronic clinical documentation practices and digitized order sets within their specialties.
Physicians rounding together during the first days of ‘go-live’ in early October at Victoria General Hospital (VGH) were able to share perspectives from the IHealth project’s past, present, and future transition to electronic clinical documentation.
Medical students in some of Island Health’s busiest emergency departments are now able to practice their documenting skills with electronic clinical documentation, thanks to a recommendation from three ER physicians who advocated for an enhancement to the Cerner Electronic Health Record (EHR).
Obstetrician and gynecology specialist Dr. Joelle Dennie has taken her use of the electronic health record (EHR) to the next level. She recently discovered tools in the Cerner PowerChart program that automate and streamline the way she handles clinical documentation.