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Power of one: one eMR for the state,one record for the patientLouise Hayesintegrated electronic Medical Record (ieMR) ProgramHealth Informatics ConferenceAugust 2015#hic15 @louiseh4499
February 2011
Royal Brisbane and Women’s Hospital Health Information Services, 2010
The journey has begun .Electronic Medical Recordsare here and nowin Queensland Health#hic15 @louiseh4499
What is the ieMR? State-wide integrated electronic Medical Record (ieMR) for use inQueensland public hospital system One system, one platform, one build, one eMR – standardised for all touse Each patient has one electronic record across the ieMR hospitals Partnership and collaboration with HHSs, Cerner Corporation and ieMRProgram, Department of Health COTS product deployment based on Cerner’s global experience and bestpractice Clinically led program, with focus on clinical standards and patient safety Release based implementations across four phases#hic15 @louiseh4499
Initial ieMR footprintImplemented at six facilitiesCairns HospitalThe Townsville HospitalMackay Base HospitalRoyal Brisbane and Women’s HospitalRoyal Children’s / Lady Cilento Children’s HospitalPrincess Alexandra HospitalGold Coast HHSGold Coast University Hospital,Robina Hospitaland Carrara Health Centre#hic15 @louiseh4499
So how do we get there?Site teams drive the buildand implementationLeveraging content from otherswho have done this before(NSW, Victoria, global)A single build state-wide enablesrapid deployment to multiplelocations and economies of scale#hic15 @louiseh4499
Release One (R1) messagesieMR functionality
Release One - foundationDelivered the following components: Configuring ieMR for state-wide build Integration with other QH systems Scanning of documents – e.g. tomake medical records widelyavailable via ieMR Paediatric Growth Charts torecord, review and track a child’sprogressReleaseOne6hospitalsnow liveFirstimplemented:Dec 2013#hic15 @louiseh4499
Release Two – initial structured dataContinued the journey: Alerts and allergies, problems and diagnosesInitial structured clinical documentationProgress notesRisk assessments Expanded clinicaldocumentation for the renalspecialty area - haemodialysis Electronic order entry and resultsreporting (OERR) for pathology andradiology– Mackay pilot site Emergency department: EDIS interfaceReleaseTwo6 hospitals& 12satellitesites liveFirstimplemented:July 2014#hic15 @louiseh4499
How do we achieve “One patient record”?EDSClient DirectoryQldHealthPublicHospitalsData repositories132 x Patient Administration Systems (PMIs)Clinical Information Systems(summary encounter data)#hic15 @louiseh4499
One system, one build Standardisation– eMR for statewide consumption; state standards are a must– Principle based design– Leverage state, national and international standards where possible Governance– Same state-wide principles and standards are maintained– What is good for one, must be good for many– Principles can be tweaked – patient safety integrity and clinical benefitsmust remain– Support: clinician, information, technology The Vision: the eMR supports the patient journey, within the health serviceand across the state. One patient, one medical record.#hic15 @louiseh4499
Release One (R1) messagesThe ieMR results so far
#hic15 @louiseh4499
on an average day in the ieMR 6000 users log in 46,454 patient charts are opened 4,294 unique patients are seen 67,000 interface transactions#hic15 @louiseh4499
an average month in the ieMR 12,208 Allergies documented 353,581 Clinical documents created* 11,898 Problem/diagnoses recorded* 1.1M patient charts are opened 100,000 unique patient seen 2.3M handwritten forms scanned*not all hospitals are live with this functionality#hic15 @louiseh4499
09-Jun-2015Cairns HospitalThe Townsville HospitalRoyal Brisbane andWomen’s Hospital#hic15 @louiseh4499
Digital health records in Qld Meet baby Susan#hic15 @louiseh4499
Release One (R1) messagesThe ieMR journey continues –coming in 2015/16
Digital Release – further the digital stack Clinical documentation for high volume forms and completion ofspeciality clinical documentation for key specialties FirstNet and SurgiNet – emergency and surgery modules PowerChart ECG and FetalinkCTG including device integrationDigitalHospitalBuild Referral and scheduling Dragon voice dictation Community HealthTargetedfor PAH& CHGo-live: Nov2015 Integration of the electronic dischargesummary into workflows#hic15 @louiseh4499
Medication ReleaseMedications Management Tracking medications from “the order to dispensing” Point of ordering decision support Allergy checking and alertsDigitalHospitalBuildAnaesthesia Anaesthesia supportTargetedfor PAH& CHPowerTrial Clinical Trial governance work flowsupport Sophisticated candidate identification &enrolmentGo-live: mid2016#hic15 @louiseh4499
The integrated electronic Medical Record (ieMR)solution will enable a patient-centric focus to health caredelivery. Queensland Health clinicians and supportingstaff will be able to securely access a single view of apatient’s medical record, designed to focus on patientsafety and quality.#hic15 @louiseh4499
Acknowledgements Cerner Corporation associates ieMR Program:– Josie Di Donato– Payal Barde– Dr Helen Healy– Extended ieMR teams: ieMR Program and hospital teams RBWH Health Information Services team LCCH ieMR project team ieMR Service Integration Management (SIM) team, Health ServicesInformation Agency, Department of Health#hic15 @louiseh4499
Louise HayesBBus HIM, CHIADirector Information Management and InformaticsieMR ProgramHealth Services Information AgencyDepartment of Healthe. Louise.Hayes@health.qld.gov.au#HIC15 @louiseh4499For more information please contact:Jacqueline Curran, ieMR Program CommunicationsFormore information please contact: Ph: 3170 4717 / 0448 903 628HSIA-ieMRComms@health.qld.gov.auieMR Program CommunicationsHSIA-ieMRComms@health.qld.gov.au
The integrated electronic Medical Record (ieMR) solution will enable a patient-centric focus to health care delivery. Queensland Health clinicians and supporting staff will be able to securely access a single view of a patient's medical record, designed to focus on patient safety and quality. #hic15 @louiseh4499
