Our team has developed an integrated HIT capability (clinicalMessage) to help reduce variations in the clinical practice at the bedside. This FREE ePlatform online tool can be implemented incrementally with minimum disruption to hospital’s current operations. We have adopted the “IHI Leadership, Support and Care Processes” as critical areas to focus on closing gaps in care using a Continuous Learning Improvement Platform. For more information, go to http://www.clinicalmessage.org

1. © Copyright clinicalMessage Inc. 2013,
Close Care Gap
Patient Safety Organization
www.clinicalMessage.org
join the leading federally designated Patient Safety Organization

2. © Copyright clinicalMessage Inc. 2013,
Healthcare - Problem to Solve
Hospital Acquired Infections
(HAI)
• $35.7 to $45 Billion per year
• Four Most (70%) Common HAI
– Surgical Site Inflection (SSI)
– Catheter-associated urinary tract
infections (CAUTI)
– Central line associated
bloodstream infections (CLABSI)
– Ventilator associated pneumonia
(VAP)

3. © Copyright clinicalMessage Inc. 2013,
Triggers for Change
• Magnet Hospitals
– Magnet requires organizations to develop,
disseminate and enculturate evidence-based
criteria that result in a positive work environment
for nurses and, by extension, all employees.
• Continuous Education Credits
– Must demonstrate improvement as part of
learning in order to gain Continue Education
Credits
• Patient Safety and Quality of Care
– Professional Mandate to ANCC .. It is our job
• Availability of Mobile Tools
– Mobile, Internet and cloud based toils made it
easer
Health IT
has to
work for
the Global
Population

4. © Copyright clinicalMessage Inc. 2013,
Solution Direction – AHRQ Report
Improvement Strategy
• Audit and Feedback
• Clinician Education
• Clinician Reminder
• Patient Education
• Financial or Regulatory Incentive for
Patients and Clinicians
• Organizational Change
• Combination of above
Source: Prevention of HAI, AHRQ Report # 208

5. © Copyright clinicalMessage Inc. 2013,
Key Elements of the Solution
• Real-Time Audits by Peers and
Shared Learning
• Develop and Manage Improvement
Plan
• Analyse Process Variance – between
Wards, Services, Sites and Industry
• Systematize Best Practices through
the use of mobile and cloud based
technology
• Incorporate Continuous Education
and Training into Improvement
Programs
• Real-Time Dashboard of Process
Variance and Outcomes – Reduction
in Infection, Complications,
Unintended Consequences
Higher Process Variability -> Lower Quality

6. © Copyright clinicalMessage Inc. 2013,
clinicalMessage – PSO

7. © Copyright clinicalMessage Inc. 2013,
clinicalMessage – standardize/automate
Bio Sensor Interface
• Collate all data and make available to team of providers, patients and families
• Care Coordination and Evidence Based Practice

8. © Copyright clinicalMessage Inc. 2013,
• Hospitals
– Study Process Variance and implement system strategies using
clinicalMessage
– Reduce HAI
– Improve Care Quality and Reimbursements
• Providers
– Get Education Credits
• clinicalMessage
– Establish Close Care Gap PSO
– Continue towards overall clinicalMessage Vision of Population Health
Management
• TJSN – Center of Excellence
– Build self Funding COE – Patient Care Quality
Value Proposition

9. © Copyright clinicalMessage Inc. 2013,
Roadmap
to Next
Generation
Health IT
Contact Info:
M Jason Uppal, P.Eng.
Chief Architect, clinicalMessage
Jason.uppal@clinicalMessage.org
416 464 3329 or 610 732 8500
eHealth Information System
framework for the Global
Population
Engage
Population Engage
Providers
Define
Population
Assess Care
Gaps
Strategies
and Assess
Risks
Engage
Patients
Manage Care
Measure
Outcomes and
Correct
Population
Health Measures
• Total cost
• Quality
• Satisfaction
Close Care Gap, PSO and Centre of Excellence
Operationalize Good Practices with clinicalMessage Solution
Make Patient Provided Data - Part of the Daily Care Plan
Decision Support – Patient information and evidence based practices
Patient Data – Reported through 3rd party devices and applications
Health Outcomes - Analytics and Dissemination to the point of care
Engage Population – Self health promotion and incent wellness globally
√