emr : improvements are ahead · cerner emr sites have replaced chime with choc . cerner sites...
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Office of the CCIO eHealth NSW
May 2017
eMR : Improvements are Ahead
Paul Higgins ICT Emergency Department SME, Lead Initiatives [email protected]
Key Elements of a Proposed Clinical Solution Design Governance Framework
Knowledge Domains. The key to good design decisions.
Clinical Informatics Board
One or more Build Teams per DWG depending on Solution being built.
ED Systems Input - Pillar Organisations
Input in to design of clinical systems
Quality & Safety Framework for
HealthCare IT (IIMS and RCA data).
ED Information Systems and Technology Advisory Committee
Oversight of Information
Management activities for EDs.
Education and training for patient care, administrative
and support services
Policies and Guidelines in Electronic Information Systems
NSW public health system
performance reporting
ED Systems Input – Client-Stakeholders and Vendors
Aust Digital Health Agency Aust Qual & Safety HC
Comm Ambulance Service NSW CENA
Information, Management & IT Application Training Application Support ED-SYSTEM USERS !
Software Expertise Solution Projects Code Upgrades Incident Support
FirstNet AAG EDDCWG Forms Committee
Overview of eMR rollouts FirstNet –
FirstNet Go-Lives since 2007 State Baseline Build
Other ED Clinical Information Systems eMR2
ContinuousDoc Leverage Custom Inpatient components in to the ED
CHOC / CHIME Community Clinician Documentation Cerner eMR sites have replaced CHIME with CHOC Cerner sites “One System - multiple views”.
‘ED Optimisation’ Initiative Challenges Deloitte Report – FirstNet Remediation Project Current Initiative Approach -
Goal Improve the Usability and Usefulness Data-gathering -functionality and system-features – What works well ? What are the key issues in terms of Usability ?
Cerner FirstNet Optimisation review
Potential Improvements / Recommendations
What’s on the Radar ?
LaunchPoint
Device Integration
Speech Recognition
Clinical Reporting / Analytics
Clinical Workflows
Interoperability
Faster Sign-On
So what’s being reviewed ? New functionality and look & feel - LaunchPoint (Cerner sites) –
Challenge - How do we integrate LP with the current “Enhanced Tracking” ?
So what’s being reviewed ? Connecting the eMR with Devices (Biomedical Device Interfaces – BMDI)
Vital Signs / Patient Monitors -
ECG -
Improvements to Voice/Speech Recognition –
System support of Clinical Workflows / Better Documentation tools –
Better flows already being incorporated in to current Documentation.
So what’s being reviewed ?
Facilitating different Clinical Information Systems sharing patient information (Interoperability) –
Patient Data Flow between Cerner eMR and ERIC
Sources of Pt Info that feed in to HealtheNet (My PECHR)
Improved Clinical Reporting / Analytics – Current reporting is more ‘data-management’ oriented NSW Health Analytics Framework – ‘Clinical Analytics Working Group’ Data-Access / Dashboards / Self-Service Decision-Support
So what’s being reviewed ?
Thank You !
eMR : Improvements are Ahead
Paul Higgins ICT Emergency Department SME, Lead Initiatives [email protected]