CEO Memo – CPOE – March 29, 2017

The following message has been sent to staff and physicians at Nanaimo Regional General Hospital (NRGH), Dufferin Place, and the Oceanside Health Centre on behalf of Dr. Brendan Carr, Island Health President & CEO

29 March 2017

SUBJECT: IHealth Update

Dear Colleagues at NRGH,

Since February 17, we have been working with the NRGH Local Quality and Operations Committee (LQOC) and other local stakeholders on a plan to safely suspend CPOE. Through these discussions, the complexity and impact of suspending CPOE has been reviewed and better understood. As a result, NRGH leaders have requested that new ways of supporting, and not suspending, CPOE be defined.

A go-forward plan has been drafted based on the advice of the LQOC and local stakeholders on the CPOE supports that will be most meaningful and have the greatest local impact. The draft plan will be shared by Island Health’s Chief Medical Information Officer, Dr. Mary-Lyn Fyfe, with all staff and refined as required at the next LQOC meeting.

The Island Health Board met today, and the Board and Executive support the local direction. The Board has struck a Task Force that will oversee the implementation of the NRGH workplan in support of the continued implementation of IHealth across the Region.

Over the last several weeks, we have learned CPOE is fundamentally intertwined with other advanced EHR functionality and suspending its use would significantly impact practice components such as bar-coded medication administration and the electronic Medication Administration Record (MAR). Suspending CPOE jeopardizes the benefits that have been realized by our patients, including enhanced medication safety; reduced antibiotic, medical imaging, laboratory and blood product turn-around times; and a new ability to clearly and legibly share our patients’ information across time and space.

Island Health values greatly the ongoing commitment of NRGH staff and physicians to patient safety and the quality and experience of care. We acknowledge that views on the new EHR are varied, and we are committed to demonstrating new ways of listening, supporting, and responding to concerns. We are most grateful for the guidance provided by NRGH in defining the way forward, and have learned about the importance of plans being developed for you, by you.

Thank you again for your commitment to working and learning together, as it is through true collaboration and focus on our patients that we will find our way forward. In addition to your manager, leader or medical lead, Dr. Jeremy Etherington, Chief Medical Officer, and/or Dawn Nedzelski, Chief Nursing Officer and Chief of Professional Practice, would be pleased to hear from your directly if you have any questions, comments or concerns.

Yours sincerely,

Dr. Brendan Carr
President and CEO