Ongoing Update – Cochrane Report – March 13, 2017

The following was sent on behalf of Damian Lange, Director Clinical Operations, NRGH, and Dr. 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. Brendan Carr has asked that we provide you with regular updates.

1. NRGH Quality and Operations Committee Meeting on CPOE Suspension
On Thursday March 9, the NRGH Quality and Operations Committee had its second meeting to take steps safely to suspend CPOE and related processes. The following are highlights:

  • Teams Getting to Work on Suspending CPOE
    IHealth teams have been hard at work determining the implications of safely suspending CPOE and developing work plans. Operational teams will be starting similar work shortly.

  • Departmental Order Entry Reviewed
    The Committee spent time understanding the process of “departmental order entry.” This is the system that existed prior to CPOE where departments such as lab, medical imaging and pharmacy transcribed physician orders into their electronic systems. The group had unanswered questions about the differences between CPOE and pharmacy departmental order entry and these will be answered at the next meeting.

  • Timeline for Safe Suspension of CPOE
    Because there are no models for suspending CPOE and moving to paper, the number of new staff hired since adopting CPOE (over 190 who have never worked for Island Health in a paper-based hospital, and additional staff who will have never used paper in their current position), and the logistics involved, it will be a lengthy process to safely suspend CPOE. Although the first estimate prior to any work being undertaken was 4-6 weeks, technical teams now estimate a timeline for safely suspending CPOE of 10-16 weeks.

2. Important Survey for all Staff and Physicians: Deadline Tuesday March 14 at 4pm
The NRGH Local Quality and Operations Committee is conducting a survey in order to understand staff and physician perspectives related to the direction to take steps to safely suspend CPOE. You should have received a link to a secure and anonymous survey on Tuesday, March 7th.

If you did not receive a link to the survey, please email

**Survey results will be distributed to the NRGH Local Quality and Operations Committee and your feedback will help determine next steps. **

3. BCNU Survey
We understand that the BC Nurses Union is also conducting a survey of its members. BCNU members are encouraged to participate.

Yours Sincerely,

Damian Lange
Director, Clinical Operations, NRGH

Dr. Ben Williams
Medical Director Oceanside