Office of the CCIO eHealth NSW

May 2017

eMR : Improvements are Ahead

Paul Higgins ICT Emergency Department SME, Lead Initiatives paul.higgins1@health.nsw.gov.au

eHealth Senior Executive Structure

The Office of the CCIO

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 paul.higgins1@health.nsw.gov.au