Healthcare Undergoing Optimization (HUGO)
London Health Sciences Centre (LHSC) believes that an electronic patient record represents one of the greatest quality improvement tools available to health providers and patients today. LHSC played a leading role in a collaboration of 10 regional hospitals to advance towards an electronic patient record by implementing transformative work called HUGO – Healthcare Undergoing Optimization. With HUGO, these key elements of the patient record have now been migrated to the electronic format:
- Computerized provider order entry (i.e. all orders are submitted electronically)
- Bar-coding and electronic medical administration record (i.e. a patient’s hospital bracelet barcode is scanned and must match the medication being administered)
- Electronic medical reconciliation (i.e. a patient’s medication history is inputted electronically)
Each of these will significantly enhance patient safety and quality of care through evidence-based standardization of care, automation and process flow change.
HUGO will be the most comprehensive evidence-based ordering system for a regional hospital system in Ontario, and a model for other regions across the country. HUGO is part of LHSC’s go-forward Enabling Technology plan, which in 2015 will include further optimization of the current HUGO project and planning for continued advancement towards a fully electronic patient record.
LHSC is also playing an active role in the implementation of the eHealth Connecting South West Ontario (cSWO) initiative, which will enable health providers in the circle of care to access electronic health record data for patients at any point in the continuum of care across the entire southwestern region of Ontario.