I'm not sure I'm intimately involved with the project, but certainly it is a pilot project. It was intended to show some innovation and adoption techniques.
The innovation was to change the way reporting was being done, in this case in a neonatal unit, with the assumption that once deployed and in place, this certainly could be used in other care settings, in other institutions, in other types of wards and care facilities.
The notion was that prior to the implementation of this particular system, the majority of the reporting was done on paper, and as Mr. Alvarez has always indicated, our health system on paper doesn't always look that good. So the system that was put in place was very standardized, computer-usable, a web-based application. That all sounds very complicated, but the reality is that it was click and point, enter the information, and then that went to another base.
Who was involved? Part of the process of getting electronic health records to work is adoption of these things by the actual users in the care community. The three hospitals that were involved in this particular project had a great approach. They created a team, and ostensibly, in the neonatal units, everybody became a part of the team--the doctors, the nurses, and the staff. In fact, when we had a presentation at our last board, they had created these little buttons that said “I am part of the team”. And of course everybody was trying to do that.
In terms of the actual adoption, the process was a team effort within the hospitals per se. The result, in terms of the reporting, was a web-based reporting tool that was much easier to use and much more accessible than the paper products that had been in place before.
The final piece was that this was aggregated into a centralized database, where the information could be used by “the team” in terms of giving better care and better follow-up.