Large PIG Annual Summary FY-2017-18: our successes, challenges, and plans for the coming year

Our Large PIG (actually JIG: Joint Informatics Group)

How do you give thanks and acknowledge your teams each year? I know WE don’t do it nearly enough. Here’s a partial list of our PIG achievements from 2017-18, now that we’re into 2019 (I know, I know, I can’t blog fast enough to keep up with smart amazing colleagues, a great problem to have).

Physician Informatics Group Annual Executive Summary
Submitted by CT Lin MD, August 20, 2018

Vision statement: We improve physician/APP and team wellness and effectiveness by building extraordinary relationships and innovative tools.

FY2017-18 Achievements

Go Lives: MANY Clinics, 2 Hospitals
Sprint: 17 Sprints in 2 years, 496 providers, 315 staff
PI’s conduct specialty-specific and general projects to improve provider and staff efficiency and effectiveness in patient care
PI’s create and educate via newsletters, tip sheets, videos, meetings
PI’s help review, test, educate and implement Epic upgrades
PI’s develop and lead service line governance for UCHealth
PI’s chair or co-chair or participate in at least 2 dozen UCHealth governance committees to guide both Epic EHR development as well as UCHealth provider leadership overall.

Examples of successful projects:

Conversion of OIC (infusion) orders from “referrals” to “Therapy Plans” for safety, efficiency
Creation of 5 new UCHealth-wide service lines to facilitate Epic EHR build, reduce unnecessary variation
Creation of an APP Epic Concierge meeting to improve effectiveness and training
Dragon Speech expansion and elimination of Partial Dictation
Creation of a PI onboarding document, training, getting-up-to-speed
Creation of an Opioid management steer and Epic customizations to support initiative
Implementation and expansion of innovation partner tools within Epic: AgileMD, RxREVU, APPRISS
Implementation of Radiology Indications software, phase I
Implementation of patient access to images via My Health Connection
Use of EHR, scheduling and billing data to improve clinic operation efficiency, effectiveness
Creation of an Universal APSO note to improve both standardization AND customization
Creation of an MA-smartform to dramatically improve consistency of data capture in Practice Transform
Connection of Epic data to ORIEN (oncology research network) with dramatic efficiencies
Implementation of iECG, physician informatics/organizational change support to change EKG capture platforms across all hospitals/clinics
EPCS: E-prescribe Controlled Substances deployment of 2-factor authentication
Support of Palliative Care and Spine Surgery smartforms, note templates, registry reporting tools
Standardization of UCHealth Order Sets, physician leadership, phase I
Support of AMC Neurology Practice Transformation, note templates, flowsheets
Book Club: Read books this year on Organizational Change, Communication, Connection: Design of Everyday Things, Good to Great, Great by Choice, Crucial Conversations, Leading Change, Nudge
Creation of Small PIG program to mentor newer PI’s

Opportunities for Improvement

Counseling and coaching of PI(s) to further improve internal and external communication and leadership skills in a rapidly growing organization
More emphasis on analytics, use of information in our PI role, beyond “go live” and “optimization”

Plans for Coming Year

Implementation of approved Sprint Team 2, improvements on process for Team 1
Implementation of expanded rollout of Practice Transformation (changing the MA:MD ratio to 2:1), and supporting EHR tools
Support of ongoing hospital go lives
Ongoing redesign of PI support of clinic go-lives and onboarding individual providers
Incorporate analytics into Sprint
Dragon speech QI/research project: Dragon in the exam room
Radiology imaging shown to patients QI/research project
Expansion of Innovation projects
Expansion of MHC questionnaires, possibly PROMIS questionnaires
Acceleration of the Order Set Synchronization project
Further reducing the EHR burden, improving patient care and human connection, in everything we do