Electronic Medical Record
Thanks for visiting this page. We're delighted that you want to know more about the Electronic Medical Record program. This page will tell you what we've done, what we're doing and where eMR2 is currently being used.
First, let's give you some background. In 2006/2007 treasury funded an initial investment in the Electronic Medical Record (eMR). As a result of that investment, over 100 hospitals are using the basic eMR and 100,000 people now have access to the eMR state-wide.
In Late 2010 a business case to extend the original eMR functionality was submitted to Treasury. The business case was approved and the eMR Clinical Documentation Program formed to undertake the corresponding work. The project to implement this body of work is called eMR2.
We have split eMR2 up into three different releases, A, B and C. Each release is given an overview below and there are links to PDF documents which provide more detailed information. The dates refer to the date that the eMR2 project team completed the Release and made it available to the LHDs. It's important to note that each LHD is then responsible for the implementation at their hospitals.
Release A – December 2013
Release A concentrated on reducing the amount of paperwork that is used in the inpatient setting. This included documenting progress notes, completing mandatory assessments and entering observations, all tasks that have historically been done using paper. A priority was also to create a patient summary page where all the relevant patient data could be accessed, particularly during the handover process.
- Patient Summary Page (354kb)
- Ability to enter vital signs electronically (Between the Flags) (264kb)
- Ability to document progress notes electronically (152kb)
- Ability to document mandatory assessments electronically, including :
Release B – November 2014
Release B has built on the functionality in Release A. For example, Release A provided users with the ability to document progress notes electronically. As part of Release B ContinuousDoc was built which enables them to easily read these documents, filter by particular documents and search by keywords. Additionally, Release A provided users with the ability to enter observations and assessments electronically into the patient's eMR. Release B has built on this to automatically create tasks, referrals and orders from observations entered and assessment scores generated. Release B includes the functionality below:
- Automated rules to create tasks, referrals and orders
- Improved way to view documentation (148kb)
- Ability to quickly launch Allied Health forms (204kb)
- Clinical Informatics (253 kb)
- Entering observations in iView (305kb)
- Ability to enter a note in a patients record to indicate there was a downtime (245kb)
- A new tool for nurses to manage their tasks and activities (210kb)
- A rule to alert to the risk of a patient developing Sepsis or VTE (238kb)
View the video below to see how eMR2 is helping provide better care at Blacktown Hospital
Release C – due September 2015
Release C looks at using existing and new eMR functionality and tailors it to specific specialties. The five specialties we are looking at are Respiratory, Renal, Stroke, Cardiology and Hip Fracture. Electronic pathways are being developed for these specialties to assist clinicians in the management of patients to improve patient outcomes.
The areas which are covered by Release C include:
- 5 x Clinical Pathways
- Advanced Care planning
- Clinical Analytics
- New user interface screens
- DocLauncher version 2
- LearningLive (accessing training material from within the eMR)
Where is eMR2 currently implemented?
As at 1st August 2015, eMR2 has been implemented at the following locations
Release A + ContinuousDoc (from Release B):
- Sydney West LHD – Blacktown Hospital
- Western NSW LHD – Wellington, Molong, Cobar and Walgett Hospitals
- Murrumbidgee LHD – Deniliquin, Lockhart, Gundagai and Corowa Hospitals
- Southern NSW LHD – Moruya and Cooma Hospitals