March 24, 2010

Patricia Liebke

eHealth Learning and Change Manager, UnitingCare Health

Successful introduction of full device integration

into clinical care

@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

•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

2012

•Contract signed with Federal Government

July

2012

•Project Director for eHealth appointed – Connie Harmsen

•Australia’s first CMIO appointed – Dr Monica Trujillo

13 October

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 Millennium Applications eg:

•PowerChart

•Medications Management

•Surginet

•Anaesthesia

20 Devices eg:

External Service Providers and Systems and Interfaces eg:

•Laboratory

•Radiology

•Food management system

Necessary ICT infrastructure eg:

•Remote Hosting Option (RHO)

•Local ICT and IT peripherals (Workstations, Scanners, etc.)

•Networks

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Laboratory and Radiology Interfaces

eMR

QML

SNPQMI

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

9

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

12

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