Smarter Safer Better

Delivering on the eHealth

Vision for NSW

Jonathan Di Michiel

Program Director – eMR Connect

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Sharing

Lessons

Agenda

eMedsProgress

Approach

Strategy

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eHealth Strategy

for NSW Health

eMR Connect supports

“A digitally enabled and

integrated health system

delivering patient-centred

health experiences and

quality health outcomes”

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eHealth Strategy for NSW Health

Consistent

Foundations

“Patients have

consistent

interactions with

healthcare systems

that address their

health and

wellbeing.”

Integration

“Patients benefit from

strong partnerships

that provide

coordinated and

integrated health

services.”

Personalisation

“Patients experience

customised

healthcare and

education available

when and where

needed.”

Horizon 1

Years 1– 3

Horizon 2

Years 1– 7

Horizon 3

Years 1– 10

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eHealth Strategy for NSW Health

Horizons

How is eMR Connect Program Delivering

on the eHealth Strategy for NSW Health?

• Delivering an electronic medical record across

NSW to enhance quality of patient care and

achieve improved health outcomes

• Rolling out functionality to support care for patients

in hospitals

eMR

eMeds

• Extended eMR to support community health and

outpatient care – CHOC

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Delivering for Clinicians and Patients

Orders

and results

Surgery

Emergency

Dept

Clinical

documentation

Electronic

prescribing

Enhanced decision

support

Community

care

Clinical

pathways

Tools to

identify at-risk

patients

Optimise

clinical

applications

Meds

admin

Meds Rec

ICU

HealtheNet

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SAFETY PRINCIPLES

Design a safe system

Ensure people are equipped and trained to use it safely

Use the system to improve safety and quality of care

APPROACH

• Stakeholder-led clinical governance frameworks

• Promoting standardisation of appropriate design elements

• Managing risk associated with variance

• Clinical leadership and engagement

Focus on Safety and Quality

The Story So Far … and Challenge AheadeMR CONNECT ROLLOUT SCOREBOARD

• Completed Community Health and Outpatient Care (CHOC)

Live at 333 facilities across all LHDs

• Successful completion of eMR2

Over halfway through by bed numbers, even more by sites

Driving take up of new functionality, e.g. ‘Between the Flags’

enhancements

• Accelerate rollout of eMeds

Scope increased to 58 sites – 16,000 hospital beds

12 hospitals scheduled to go live in 2017

eMR 2 eMeds CHOC

Live 140 10 333

Planned 179 58 333

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eMR Connect Program Rollout Across NSW

As at 10 March 2017

Ministry of Health data used for

bed numbers

The projected acceleration of

beds to go live for eMR2 and

eMeds reflects the future

rollout schedule to large

facilities with many beds

Ramping Up eMeds• Implementing eMeds at more hospitals, more quickly, safely, with

best use of resources

– Scope increased from 28 to 58 hospitals

– 12 ‘go lives’ planned during 2017

• Delivering high quality and safe systems for hospitals

– Underpinned by rigorous clinical governance and meaningful

engagement with clinicians and LHDs

• Supporting effective change management

– eMeds not only live in hospital but used efficiently & safely

• Setting up Rural LHDs for success to roll out eMeds to

18 hospitals in 2018

– In collaboration with Rural eHealth Program

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Standards

Clinical

Engage-

ment

Usable

Systems

Inter-

operability

eMeds

Readiness

Approach

to

GovernanceFunding Resources

Change

Manage-

ment

Benefits

Tackling the Challenges /

Applying the eMeds Lessons

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Questions?