Province releases review into IHealth

Twenty-six recommendations were released Thursday in a report by Dr. Doug Cochrane, who led a review into IHealth.

An independent review supports Island Health’s electronic record system remaining in place, but it will be “very different” than it is now, according to Dr. Doug Cochrane, provincial patient safety and quality officer.

Twenty-six recommendations were released Thursday in a report by Cochrane, who led a review into IHealth, a $178-million system that rolled out in March.

The B.C. Ministry of Health and Island Health agreed to a third-party review in July following a meeting with health care workers at Nanaimo Regional General Hospital. It also came after a call for an expedited and external review including from Dr. David Forrest, president of Nanaimo Medical Staff Association, who claimed the system is difficult to use, inefficient and that there’s concern about patient safety.

According to the report, the ability to deliver care has been adversely affected by the March rollout in “many areas of NRGH.”

It found that following implementation of IHealth, the rate of patients who left the emergency department without being seen increased to 2.3 per cent, higher than for any month last year. Medical and other professional staff members also saw fewer patients as a result of the time required for documentation. It also found follow-up to concerns of users who reported issues around performance, usability and safety was inconsistent.

Recommendations are around supports for staffing, education, and medication ordering and administration, for example that Island Health create an algorithm that alerts the pharmacy and the ward that medications haven’t been given when a patient is transferred.

For Cochrane, at the crux of it all is medication order entry and clinical documentation, both introduced in March. He’s recommending a revalidation, which will look at what is working and what isn’t.

“That understanding of what works well and what doesn’t moves away from the assumption that the order entry capabilities of the system would work for everybody, under every circumstance because I think what we’ve heard over the past several months, and people have experienced, is that they don’t always work well and they don’t work in the way they would expect,” he said. “It’s too bad that it has to be done again, but you know, there’s such a wealth of knowledge from this experience in Nanaimo that we can’t let it go, we can only help make it better.”

Dr. Brendan Carr, CEO of Island Health, couldn’t say how much time and money it will take to implement recommendations, adding there hasn’t been time to go through them in detail. The review could also delay activation of the system at other sites.

Forrest said Cochrane has provided sage recommendations.

“We are obviously grateful and relieved that the concerns that the medical and non-medical staff have raised over the past eight months have been validated,” he said.

An oversight committee will be struck to oversee recommendations.

Just Posted

John A. Read, who was inspired to leave his former career to become a professional astronomy by the purchase of a $13 telescope, will give beginning astronomers key pointers on how to set up and get the best performance from their instruments at Nanaimo Astronomy Society’s meeting June 24. (Photo courtesy Jennifer Read)
Astrophysicist will talk about getting the most out of a telescope at Nanaimo astronomy meeting

John Read’s purchase of a $13 telescope led to a degree in astrophysics and a career in astronomy

Nanaimo rapper Sirreal plays the Port Theatre on June 25. (Photo courtesy Alanna Morton)
Nanaimo rapper Sirreal and friends play the Port Theatre

Live-streamed concert the second in venue’s Discovery Series highlighting local artists

Environment Canada has issued a special weather statement, stating that Nanaimo will see temperatures between five-10 degrees above seasonal the next two days. (News Bulletin file)
Environment Canada has issued a special weather statement, stating that Nanaimo will see temperatures between five-10 degrees above normal the next two days. (News Bulletin file)
Heat wave will see Nanaimo temperatures rise 5-10 degrees above normal

Sun with highs of 28 C forecast by Environment Canada for Harbour City on Sunday and Monday

According to a staff report, Regional District of Nanaimo has seen some $13.6 million in grant applications approved between Jan. 1 and May 15. (News Bulletin file)
Close to $14 million in money granted to RDN in first half of year

Successful grants include more than $4 million for transit service in Regional District of Nanaimo

A section of the rail corridor on Vancouver Island. (Black Press file photo)
LETTER TO THE EDITOR: Put rail trail right overtop of the tracks

Removing tracks would be a horrendous expense, says letter writer

Robin Dutton, left, and Peter Sinclair are taking their mountain bikes and travelling down trails in the Mount Benson area June 19 as part of a 24-hour fundraiser benefiting Loaves and Fishes Community Food Bank. (Karl Yu/News Bulletin)
Full-day mountain bike fundraiser gives financial support for Nanaimo food bank

Event part of Loaves and Fishes Community Food Bank’s Food 4 Summer campaign

This undated file photo provided by Ernie Carswell & Partners shows the home featured in the opening and closing scenes of The Brady Bunch in Los Angeles. Do you know the occupation of Mike Brady, the father in this show about a blended family? (Anthony Barcelo/Ernie Carswell & Partners via AP, File)
QUIZ: A celebration of dad on Father’s Day

How much do you know about famous fathers?

(V.I. Trail/Google Maps)
Now 90% complete, Vancouver Island trail forges new funding partnership

Victoria Foundation takes on Vancouver Island Trail Association; fund valued at $40,000

Emily Steele holds up a collage of her son, 16-year-old Elijah-Iain Beauregard who was stabbed and killed in June 2019, outside of Kelowna Law Courts on June 18. (Aaron Hemens/Capital News)
Kelowna woman who fatally stabbed teen facing up to 1.5 years of jail time

Her jail sentence would be followed by an additional one to 1.5 years of supervision

Cpl. Scott MacLeod and Police Service Dog Jago. Jago was killed in the line of duty on Thursday, June 17. (RCMP)
Abbotsford police, RCMP grieve 4-year-old service dog killed in line of duty

Jago killed by armed suspect during ‘high-risk’ incident in Alberta

The George Road wildfire near Lytton, B.C., has grown to 250 hectares. (BC Wildfire Service)
B.C. drone sighting halts helicopters fighting 250 hectares of wildfire

‘If a drone collides with firefighting aircraft the consequences could be deadly,’ says BC Wildfire Service

A dose of the Pfizer-BioNTech COVID-19 vaccine is pictured at a vaccination site in Vancouver Thursday, March 11, 2021. THE CANADIAN PRESS/Jonathan Hayward
NACI advice to mix vaccines gets varied reaction from AstraZeneca double-dosers

NACI recommends an mRNA vaccine for all Canadians receiving a second dose of a COVID-19 vaccine

A aerial view shows the debris going into Quesnel Lake caused by a tailings pond breach near the town of Likely, B.C., Tuesday, Aug. 5, 2014. THE CANADIAN PRESS/Jonathan Hayward
Updated tailings code after Mount Polley an improvement: B.C. mines auditor

British Columbia’s chief auditor of mines has found changes to the province’s requirements for tailings storage facilities

A North Vancouver man was arrested Friday and three police officers were injured after a 10-person broke out at English Bay on June 19, 2021. (Youtube/Screen grab)
Man arrested, 3 police injured during 10-person brawl at Vancouver beach

The arrest was captured on video by bystanders, many of whom heckled the officers as they struggled with the handcuffed man

Most Read