Bigger, faster, better eMRs

clinican using emr by a patient's bedside
7 June 2017

eHealth NSW has tripled the computing capacity of electronic medical records (eMRs) across five domains to significantly improve performance for about 70,000 clinicians and support continued rapid growth in the number of users.

“We’ve managed to improve system response speeds by up to 26 per cent, while significantly increasing the number of concurrent users by as much as 10 per cent in some months alone,” said project leader David Cernjul of eHealth NSW’s eMR Connect Program.

This project increased Citrix capacity for eMRs across the five domains run by eHealth NSW, which encompass Western Sydney, Nepean Blue Mountains, Northern Sydney, Central Coast, South Eastern Sydney, Illawarra Shoalhaven and all six Rural Local Health Districts.

By December 2018, the peak number of concurrent eMR users is on track to reach around 25,000, from about 7000 in June 2013.

David said the growth of new concurrent users had significantly accelerated as the custom builds including Continuous Doc made the eMRs easier and more efficient to use.

“The eMR Connect team brought state working groups together from across NSW to design the eMR to meet the needs of Clinicians,” he said. “When you design something that’s easier to use, you get better uptake and you increase demand on the system.”

Adam Stanizone, of eHealth NSW Technical Services, said he was proud that so many teams across eHealth NSW and Local Health Districts had worked together to deliver the upgrade seamlessly.

“There was a lot of technical work that had to be timed perfectly to guarantee there was no disruption to clinical function,” Adam said.

“We injected over 100 physical servers, upgraded infrastructure, recycled more than 100 terabytes of storage left over from project sand vendors and completed the Citrix roll out in conjunction with the capacity uplift.”

eHealth NSW Director of Program Delivery, Mark Cope, said this achievement illustrated how much could be accomplished when many teams applied their varied expertise to a common goal.

“I’m incredibly proud of everyone involved in this project and of the difference this will make for the clinicians caring for patients,” Mark said.

“Part of our mission is to make the eMRs as easy and efficient to use as possible, and reducing some transaction response times by almost a third is a very positive step in that direction.”

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