Ongoing Update – Cochrane Report – February 6, 2017

The following was sent on behalf of Ben Williams, Medical Director, Oceanside
to all Nanaimo Regional General Hospital, Oceanside Health Centre and Dufferin Place physicians and staff

Dear Colleagues,

As outlined previously, Island Health President and CEO, Dr. Brendon Carr, has asked that we provide you with regular updates on activities and actions related to IHealth.

1. External Review Status Update
As you know, Dr. Doug Cochrane led an external review of the Electronic Health Record (EHR). Dr Cochrane made 26 recommendations. A recommendation-by-recommendation status report is now available on the Island Health public website.

2. IHealth-Related Metrics
Physicians and staff have requested more data relating to IHealth, as well as hospital quality and operations. This data is available as the NRGH IHealth Metrics – Feb 6, 2017. We would very much like to supply you with the information you think would be helpful. Please forward any specific questions to me, and we will see what data is available.

3. Medication Auto-Stop
Across Island Health, several medications (Anti-infectives, cholinesterase inhibitors, and narcotics & controlled drugs) are subject to Automatic Stop Orders after seven days. Though intended for patient safety purposes, these Automated Stop Orders have, at times, led to medication discontinuation earlier than clinically indicated. The Health Authority Medical Quality Committee (HAMQC) has recommended to the Health Authority Medical Advisory Committee (HAMAC) that these Automatic Stop Orders be discontinued and that other mechanisms be developed to address issues relating to potential overuse of these medications.
It will take several weeks to implement the changes needed to discontinue Automatic Stop Orders. For now, please continue current practice and look for more details regarding this important change.

4. Later this week
Later this week you can expect to see:

  • Answers to common IHealth related questions.

Yours sincerely,

Dr. Ben Williams
Medical Director Oceanside