Su Successf essful ul introdu troduction ction of ful ull l - - PowerPoint PPT Presentation

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Su Successf essful ul introdu troduction ction of ful ull l - - PowerPoint PPT Presentation

Su Successf essful ul introdu troduction ction of ful ull l dev evice e integr tegrat atio ion n into to clinical ical car are Patricia Liebke eHealth Learning and Change Manager, UnitingCare Health @tliebke March 24, 2010


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March 24, 2010

Patricia Liebke eHealth Learning and Change Manager, UnitingCare Health

Su Successf essful ul introdu troduction ction of ful ull l dev evice e integr tegrat atio ion n into to clinical ical car are

@tliebke

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UnitingCare Health

UnitingCare Queensland

  • UnitingCare Health
  • UnitingCare Communities

(Lifeline)

  • BlueCare

The Wesley Hospital

  • 536 overnight beds
  • 24 operating theatres
  • 19 ICU beds

St Andrew’s War Memorial Hospital

  • 250 beds
  • 15 operating theatres
  • 15 ICU beds

The Sunshine Coast Private Hospital

  • 190 beds
  • 8 operating theatres
  • 12 ICU/CCU beds

St Stephen’s Hospital Hervey Bay

  • 5 operating theatres
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St Stephens Hospital Hervey Bay

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St Stephen’s Hervey Bay New Digital Hospital

July 2010 10

  • Federal Government sought submissions via Health and Hospitals Fund for projects to improve access to

regional and rural health services

May

2011

  • Government announced $47.1M grant to UCH towards developing Australia’s first fully integrated digital hospital
  • $25.9M towards construction costs
  • $21.2M for eHealth

June ne 2012 12

  • Contract signed with Federal Government

July y 2012 12

  • Project Director for eHealth appointed – Connie Harmsen
  • Australia’s first CMIO appointed – Dr Monica Trujillo

13 13

Octob

  • ber

er

2014 2014

  • St Stephen’s Hospital Hervey Bay takes its first patient

December

2014

  • St Stephen’s hospital is the first in Australia to achieve HIMSS Level 6
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Digital Elements

29 Cerner er Millenn llennium ium Applicatio lications s eg:

  • PowerChart
  • Medications Management
  • Surginet
  • Anaesthesia

20 Devi vices es eg: Exter ernal al Service ice Provi vider ders s and Syst stems ms and Inter erfac aces eg:

  • Laboratory
  • Radiology
  • Food management system

Neces essar ary ICT infrastr rastructu ture re eg:

  • Remote Hosting Option (RHO)
  • Local ICT and IT peripherals (Workstations, Scanners, etc.)
  • Networks
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Laboratory and Radiology Interfaces

eMR

QML

SNP

QMI

 Bidirectional interface  Orders and results correlate in the eMR  Radiology report is displayed with hyperlink to image

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Closed Medication Management Loop: Integration and Interfaces

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ADC

 Automatic Dispensing Cabinet  Part of closed loop medication system  Uses bar code scanning and also finger print identification

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Practical technology integration: Medications management process

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Meal management

 Diet order and allergies documented in the electronic medial record  Interfaces to the electronic patient meal ordering system  Patient uses the patient entertainment system to order their desired meal

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Infusion Management

 Infusion pumps are barcode associated to a IV fluid order  Carefusion server and Cerner iBus connectivity  Currently one direction but has potential for bidirectional integration

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Documentation of vital signs

Health organisation case study (Florida, USA) Total time spent on vitals assessments per 12-hour shift across all 5 hospitals fell from 6,074.8 to 1,581,minutes through the use of Cerner iBus Lee, J., Kuo, Y. & Goddwin, J. (2013) The effect of eMR adoption on outcomes in US hospitals, BMC health services research found at http://www.biomedcentral.com

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Capturing of ECG

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Capturing Clinical Images to EMR

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Hands free communication devices

 One of our favorite gadgets  Works on WIFI network  Enables instant communication  Linked to nurse call system

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Real time patient and equipment tracking

 Real time location system (RTLS)  Relies on radiofrequency  Integrates with Cerner Capacity Management

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Real time patient and equipment tracking

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W.O.W

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Where to from here?

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Thank you