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OTTR - A Compilation of Best Practices

OTTR - A Compilation of Best Practices. SBMC – OTTR install 12/2009 Oracle – initial upgrade to 5.1.3 in 2005 Upgrade in 5/13 from Oracle to SQL plus upgrade from 5.1.3 to 6.0 NBI – OTTR Install 4/2006 Pending upgrade from 5.4 to 6.0 10/2013 Goal-Enterprise solution for both centers:

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OTTR - A Compilation of Best Practices

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  1. OTTR - A Compilation of Best Practices

  2. SBMC – OTTR install 12/2009 • Oracle – initial upgrade to 5.1.3 in 2005 • Upgrade in 5/13 from Oracle to SQL plus upgrade from 5.1.3 to 6.0 • NBI – OTTR Install 4/2006 • Pending upgrade from 5.4 to 6.0 10/2013 • Goal-Enterprise solution for both centers: • one OTTR application for both transplant programs – heart, kidney, pancreas, lung Our history…

  3. .5 FTE shared between two facilities for OTTR Admin and Software • Hardware maintained by IT Our history…

  4. Discreet data: • Action • Diagnosis • Medication • Progress Notes tell the story Our OTTR Philosophy…

  5. OTTR Admin – Query Builder • Uses tables to select fields • Export to Excel • Shows SQL for report building Our OTTR Philosophy…

  6. What is “Best Practice”? A best practice is what will work best at your center or facility with your staff. Best practices are easy to identify but challenging to successfully implement.

  7. It’s not about what our center is doing right… it’s about finding what has worked for others and determining if that solution, or a version of that solution, will help your team.

  8. The credit belongs to all of the Otter users…

  9. Solicit feedback and questions of staff… • What would make Ottr work better? • Investigate possibilities/solutions • Query users/ OTTR support • Shamelessly steal  • Implement • Repeat Formula for success

  10. Create balance

  11. Determine what is really needed…- Do staff know how to use the system?- What are they trying to accomplish?

  12. Don’t over-react and rush to create reports or change systems…Listen, assess, research and work with staff to find the best solution.

  13. Solicit feedback

  14. Inpatient Pre-Transplant Transplant Administration Research Post-Transplant

  15. Customizing lists with coordinators name…

  16. Alphabetizing lists for Actions, Diagnoses, etc.

  17. Alphabetizing lists for Actions, Diagnoses, etc.

  18. Form letters

  19. √Customized√Compliant√Consistent

  20. Lists and Reports

  21. Lists and Reports

  22. Lists and Reports- Marketing/Communications

  23. Lists and Reports- Marketing/Communications

  24. Lists and Reports- Nursing Assessment

  25. Lists and Reports- High Risk

  26. Lists and Reports- Quality

  27. Lists and Reports- CMS

  28. Lists and Reports- limits needs for custom reports

  29. Transplant Candidate Review

  30. F.A.S.T – Fast Track… Facilitating ASpeedy Transplant

  31. Psycho-social assessment

  32. Medication Card

  33. Research protocols

  34. Kidney Donors

  35. Kidney Donors

  36. Kidney Donors

  37. Kidney Paired Exchange/Donation

  38. How has this helped… Patient quality of care/patient safety Staffing Increased efficiency/effectiveness Increased staff satisfaction Marketing opportunities Managed Care contracts Data necessary for analysis Regulatory compliance Process review and due diligence Continuous monitoring Frequent refocus on goals Identify and recognize achievements

  39. Lessons learned…Secret to success – great support

  40. OTTR Database = $ XX,XXX Server = $ x,xxx Data/IT Staff = $ xx,xxx Cost of Improved Patient Care… Priceless

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