As part of phase two, we are implementing a number of projects that will improve patient care now in preparation for the new acute care tower opening.
Surgical Services Patient Tracking
In partnership with TeleTracking, Surgical Services Patient Tracking went live on March 15, 2022. It improves the efficiency of the current surgical services area to help inform the technology-enabling workflow design of the future integrated interventional ‘super floor.’
The project makes it possible to capture patients’ physical locations and the milestones of their surgical journeys from the time they are registered to the time they leave recovery. It allows us to track the status of an operating room, view the surgery volume and know the progress of the surgical slate at any given time via remote access.
Families of surgical patients will now be able to follow a patient’s care journey from the surgical journey board screen in the waiting area. The patient’s name displayed on the board is anonymized. Families obtain the ‘patient identifier’ from the surgical units.
Surgical patients will be wearing a real time locating system badge with an orange-coloured wristband on the day of their surgical procedure. The badge will allow us to locate a patient’s real-time physical location and their surgical milestones. The wristband will be removed before the patient is discharged to any of the inpatient and critical care areas.
The project is intended to improve the efficiency of the distribution of information across surgical services, reduce process delays and backlogs in associated service areas, increase on-time starts and provide real time access of the patient’s status to clinicians.
Interventional Radiology Information Distribution
Capitalizing on the TeleTracking investment made with Surgical Services Patient Tracking, Interventional Radiology kicked off the Interventional Radiology Information Distribution (IRID) early implementation project in June 2021. IRID’s objectives are to increase situational awareness through streamlining service requests, triage processes, and workflow while leveraging information distribution within the Interventional Radiology department. The IRID is aimed to go live in early to mid 2022.
Unified Clinical Communications
Unified Clinical Communications is about providing communications solutions and tools that address clinical communications challenges.
As part of this work, we will be introducing Vocera, an instant, hands-free, two-way communication platform that complements existing communications tools. Vocera allows users to communicate directly in real time using ‘badges’ that are smaller than smart phones and can be clipped on a uniform or worn on a lanyard. Royal Columbian will be the first hospital in Fraser Health to use the new Vocera Smartbadge that allows text messaging amongst Smartbadge holders.
Users will be able to connect to the right person based on their role without having to know the particular staff member working that day. It will also be possible to broadcast announcements to an entire group whose members are available online. These features will decrease any communications gaps and delays caused by missed pages and calls. The system will also reduce noise because there will be less need for overhead paging.
We plan to launch in summer 2022 for the Clinical Teaching Unit and Respiratory Therapy, with the first wave of other departments to follow later in the year.
Food Services App
Royal Columbian Hospital will be one of the first hospitals in Fraser Health to introduce a new food services app that will allow patients to order hospital food from their phones. The CBORD app makes it possible for patients and families to order hospital meals electronically from a menu with photos as if they were ordering from a restaurant.
Hospital staff will be able to pre-select the menu for each patient to ensure that it meets the patient’s dietary needs. The app securely connects to hospital information systems to ensure patients are only able to view foods that are appropriate for their diet and allergies.
We are already starting to work on getting menus ready, setting up the app, and training staff. We expect to roll out the app for patients starting in early 2023.
This project will help address the increased demand for porter services once the acute care tower is open.
Front line staff and their managers are collecting data on how porter services are used. We are collating and analyzing the data to help identify current service volumes to inform future state planning. We will be exploring new service delivery models that make better use of technology.
Site Operations Command Centre
The Site Operations Command Centre (SOCC) is an innovative feature of the redevelopment project designed to provide a central control point for operational processes across the hospital campus.
The SOCC will have the right technology and supports in place to improve patient flow logistics, discharge planning and support services coordination. We will be conducting a number of plan-do-study-act cycles as early implementation opportunities that will help identify proposed changes to people, processes and technology.
One of the first cycles involves access to the ‘higher level of care’ (HLoC) cardiac services. This initial test case will provide the groundwork for additional cycles over the next two years.