TABLE 2.
Level | Tasks |
---|---|
Administration | Obtain executive committee approval Establish communication protocols with quality assurance and quality improvement committees Review protocols with medical–legal department |
Communication | Write media material for patients and families Develop and disseminate scripts for front-line staff Develop communication and meet with all relevant front-line staff on merits of project Educate all staff on workflow changes and impacts |
Clinical preparation | Conduct internal review of unplanned transfers and present results to all clinicians Determine service level agreements, ownership of at-risk patients, who will access alerts Conduct staff meetings to educate staff Perform debriefs on relevant cases Determine desired outcomes, process measures, balancing measures Determine acceptable clinician burden (alerts/day) |
Technology | Establish documentation templates Ensure access to new data fields (electronic medical record security process must be followed for access rights) |
Workflows | Workflows (clinical response, patient preferences, supportive care, communication, documentation) must be in place prior to actual go live |
Shadowing | Testing period (alerts communicated to selected clinicians prior to going live) should occur |