Emergency Department at a

Glance

ED at a

Glance

PMS

Radiology

Labs

Bed Manage

rsWard RMO’s

Concerto

Capacity at a Glance

Emergency Department at a Glance

88,000+ successfully captured ED presentations

Very strong buy in from all ED staff, ward doctors, bed coordinators, radiology, business support team, managerial staff

DHB has continued to invest in the product – and it continues to improve

New functionalityEnhanced ability to capture reasons why patients

stay longer than 6 hoursDestination codingAutomated lists for x-ray sessions and M&M

meetingsStrengthened password security as we move to HCSEnhanced capture of ED proceduresClinical decision support to prompt data captureBack end reporting

SNOMED CT Coding

Endorsed as the future coding terminology for the NZ health system

Increasing ED and research interestSt JohnACC conversation about to begin

SNOMED CT Coding

0

200

400

600

800

1,000

1,200Top 20 Nelson ED Diagnoses Jun 2014 - Jul 2015

Num

ber o

f Pre

sent

ation

s

NMDHB Journey Raised Profile of ED Information Systems

RegionallyNationally

Multiple visitors have viewed ED at a Glance

Clinicians ++NHITBMinister

Future DirectionUncertain at first

?Seek to partner with a vendor (?value in further ED at a Glance development)

Orion to develop a regional SI solution, but NMDHB to maintain ED at a Glance until regional platform is mature

ED at a Glance is agile and responsive enough to be central in evolving to a paperless department

A few passing thoughts…Small developers tend to have a small voice

Many DHB’s are not well placed (or funded) to capitalise on innovation - little middle ground

Tension between clinicians with passion and intimate understanding vs. corporate entities who are contractually obliged to deliver to market (different drivers)

How do clinicians maintain input into projects and continue to innovate?

A fully integrated solution!!