Taking the detective work out of pediatric care

  • Jennifer MacGregor
  • 03/12/2015

Alberta Children’s Hospital (Calgary, Alberta, Canada) uses Allscripts SunriseTM  to improve care and free its clinicians from tedious “detective work” and calculations. In a recent case study, physicians describe how they’ve applied intelligent order sets to pediatric diabetes management and infant Total Parenteral Nutrition (TPN).

Solving the mystery of insulin management

According to pediatric endocrinologist Dr. Jonathan Dawrant, managing insulin has three main challenges:

1) Even though diabetes is a growing health concern, not every clinician has enough exposure and expertise to manage insulin.

2) Insulin has no clear dose range; it’s different for every patient. This ambiguity is especially challenging for growing children.

3) To determine the appropriate dose of insulin requires input from various sources. Dawrant observed, “Doing rounds was like doing detective work…you have to gather different pieces of paper, which are located in different places, then manually calculate doses and next steps. The process repeats itself daily.”

Now Alberta Children’s Hospital uses Sunrise to gather insulin information – clinician’s orders, actual doses and patient reaction – into one display. Clinicians can more easily recognize patterns and make better decisions.

Automating complex TPN calculations

Neonatologists must carefully calculate TPN, or intravenous nutrition, for their tiny patients. According to Alberta Children’s Health neonatologist Dr. Jack Rabi, they need to review and adjust orders based on clinical concerns, lab results and the patient’s weight. And all of this needs to happen every day for 40 babies.

Sunrise order sets have significantly simplified the process. “Prior to the [TPN] order set, it would take five or ten minutes for each baby, but now it takes less than 30 seconds to order,” Dr. Rabi said.

Taking pediatric care to the next level

Alberta Children’s Hospital recognizes the value of using technology to free clinicians from tedious information-gathering and calculating tasks. Instead, pediatricians can use reports in strategic ways to improve care for their patients.

To learn more about Alberta Children’s Hospital’s experience with Sunrise, you can download a free case study.

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About the author

Jennifer MacGregor is Managing Director for Allscripts Canada sales and operations. In this role, she leads the sales, development, professional services teams in the different regions across the country. Most recently, MacGregor led the Allscripts Professional Services organization across all three regional business teams, where she was responsible for services sales, driving client satisfaction, and creating a consistent methodology throughout the regions. MacGregor began her career with Allscripts in 2005 as a Practice Manager, focusing on computerized physician order entry, outcomes measurement and clinical adoption. Her collaborative leadership enabled a number of clients to successfully implement large scale clinical transformation initiatives. MacGregor’s career progressed as she led the successful implementation of Allscripts solutions at many clients as a Program Director. She also led the regional services team as Associate Vice President Professional Services in both Canada and the western region of the United States, where she had responsibility for ensuring quality outcomes for Allscripts customers. Prior to Allscripts, MacGregor was a Senior Healthcare Consultant with a consulting firm working with Canadian healthcare organizations to develop HIT strategic plans, facilitating regional healthcare leadership initiatives and implementing client solutions. MacGregor has both a B.Sc. in Biological Sciences and an MBA from The University of Calgary.


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