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Centre for Addiction & Mental Health

The top one percent in health IT adoption

Centre for Addiction & Mental Health (CAMH), Canada’s largest mental health and addiction hospital, wins national health informatics award and HIMSS honors for its newly integrated health system.

CAMH, located in Toronto, Ontario, envisioned an integrated system that could leverage data across sites to treat mental health patients holistically. Due to its commitment, effective change management and the right solutions, CAMH successfully implemented Cerner Millennium simultaneously across all inpatient areas, the emergency service and outpatient clinics — within budget and on time.  The new integrated clinical information system (CIS), known locally as I-CARE, skyrocketed CAMH into the top one percent of all Canadian health systems, as well as earned the hospital a prestigious industry award.

“The greatest benefit of our new clinical information system is it offers a single source of client information (for inpatients, outpatients and emergency patients) wherein most aspects of client care can be managed,” said Dr. John Strauss, Director of Medical Informatics, CAMH.

Cerner worked closely with CAMH and Deloitte throughout the project. The collaboration paid off; CAMH recently received the “Project Team - Innovation and Care Delivery” Canada’s Health Informatics Association (CHIA) Award by ITAC Health and COACH for its CIS implementation. The award assesses teamwork and project objectives, as well as resulting outcomes.

After the 20-month implementation, CAMH’s Computerized Physician Order Entry (CPOE) adoption is now at 100 percent.  In addition, CAMH leveraged Cerner technology to automate the medication workflow across disciplines by integrating eMAR and bar-coding on both medication and a patient’s ID wrist band to create a closed loop management of medications.

The system’s new capabilities resulted in CAMH achieving Stage 6 on the HIMSS Analytics Electronic Medical Record Adoption Model (EMRAM) this past June. I-CARE has propelled CAMH from the bottom 10 percent to the top 1 percent of health care organizations adopting advanced clinical information technology in Canada. CAMH is the fourth Cerner Canada client to achieve Stage 6.

The project outcomes all showed increased efficiencies in everything from documentation to wait times.

Timely access to care is key to patient satisfaction and the teams’ work around the centralized scheduling feature significantly reduced wait times across clinics.

In addition, the teams designed customized MPages, such as the Therapeutic Notes MPage, which reduced documentation forms from 700 to 152, drastically decreasing the variation of care delivery across CAMH. Also, the standardized effort increases consistency of how a patient is asked to tell their story — reducing the burden of them repeating themselves at every encounter, a pain point in the mental health setting.

Given the complexity of patients who suffer mental health disorders, it was integral to have a true, inter-disciplinary system. The new documentation tools allow multiple contributors from multiple care teams to gather different pieces of information to build upon the patient’s story. This gives end-users a real-time, consolidated view of an individual’s history to provide more accurate medical diagnose and improves transition of care.

CAMH also incorporated nursing best practice guidelines selected by the Registered Nurses’ Association of Ontario to standardize document requirements such as the Suicide Risk Assessment, Mental Status Exam and the Team Review process. he system’s patient safety alerts notify clinicians of potential adverse effects and guide clinical decision-making. For example:

  • Methadone Expiry Order generates an automated notification to the physician’s Message Centre when a prescription is set to expire.  From October 2014 to February 2015, this alert fired 1,005 times.
  • Methadone Weekday Check fired 35 times in the same timeframe. That alert appears if the pharmacy’s reporting deviates from the take home doses, thus preventing double doses.

Overall, CAMH’s CIS project addressed clinical goals, lead to safer, high-quality care and created a more inter-disciplinary system. CAMH looks forward to building upon this success and their vision of transforming lives.

View All Client Achievement Stories
Client outcomes were achieved in respective settings and are not representative of benefits realized by all clients due to many variables, including solution scope, client capabilities and business and implementation models.