SA Health Electronic health record

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SA Health Electronic health record

• David Johnston, Chief Information Officer
• ICT Services information forum
• Thursday 4 December 2008
• Adelaide Convention Centre

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Welcome

• Agenda
• careconnect.sa overview
• Out of hospital sector
• Clinical information
• Afternoon tea break
• Infection control
• Clinical reporting
• Clinical practice support
• Pharmacy management

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House keeping

• Please turn mobile phones off or to silent
• In an emergency, Adelaide Convention Centre staff
  will direct us accordingly
• Any messages will be left on a message board near
  the registration desk

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careconnect.sa where has it come from?
SA Health
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Generational health review

• Recommendation
• Implement integrated Electronic Health Records
  across the South Australian health system with
  the purpose of improving the quality and safety
  of healthcare across the health system as a
  whole.
• Department of Health identified as working
  towards meeting this goal through the
  implementation of Oacis and recommended that it
  be extended across the States public health
  system.
• Government of South Australia, Better Choices
  Better Health Final report of the South
  Australian Health Review, April 2003, p. 92

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The case for change

• Ageing population
• Increasing demand
• Ageing workforce
• Ageing infrastructure

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SA Health Care Plan

• The State Government has developed a number of
  strategies in order to meet South Australias
  health care challenges.
• Restructured public hospital system
• Focus on primary health care
• Support for self-management
• Helping clinicians to work together 
• Improving information technology

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SA Health Care Plan Stepped care where when
needed
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SA Health ICT master plan

• 715m will be spent on new initiatives in health
  over the next 4 years - includes 92.2m to
  upgrade and replace information, communication
  and technology infrastructure across SA Health
• 215m over the next 10 years of new investment
  for ICT systems, in addition to the current
  levels of annual funding. Total funding
  375.6m over 10 years.
• 11.5m new investment being allocated to commence
  major activities during 2007-08
• These activities are all part of the integrated
  10 year, which consists of 65 individual
  inter-related ICT projects
• careconnect.sa will be the standard statewide
  electronic health record accessed by clinicians

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careconnect.sa

• Aims to provide consolidated and standardises
  patient information electronically across the
  public health system so that it is available at
  the point of care
• Will improve the coordination of health care
  services due to the increased accuracy and
  timeliness of patient information
• The end goal of careconnect.sa is to establish a
  personal, web-based entry point (or web portal)
  to access integrated patient health information
• The information may come from a variety of
  information systems that will not be obvious to
  users

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careconnect.sa where is it at now?
SA Health
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careconnect.sa components in place

• careconnect.sa clinical information system
• Oacis Clinical Display, Order Entry, Separation
  Summary, Nursing Discharge Letter and related
  functionality (such as Worklists and Clinical
  Handover)
• careconnect.sa infection control system
• Infection Control and Infection alerts Data Entry
• careconnect.sa clinical reporting
• Web Intelligence reporting engine with
  information sourced from the Clinical Reporting
  Repository

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careconnect.sa componentsin progress

• careconnect.sa clinical practice support
• careconnect.sa pharmacy management
• careconnect.sa patient administration
• careconnect.sa community health information
• careconnect.sa mental health information

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Clinical information system upgrade

• There has been work underway to progress the
  upgrade of the clinical information system
  (Oacis) to the web-based version.
• This is a major piece of work that we are
  negotiating with the systems product owners,
  Emergis, so that all functionality that is in the
  client-based product can be made available to
  users across SA Health.
• Glenside Campus and Mount Gambier Hospital use a
  web-based version of the clinical information
  system. This version currently has limited
  functionality available.
• Once the upgraded to the web-based version with
  full functionality has been completed, it will be
  implemented across all sites currently using the
  system.
• Implementation to the remaining SA Health
  hospitals and health services within the state
  will then follow.

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To the clinician, what will access to electronic
health information look like?

• The end goal of careconnect.sa is to establish a
  personal, web-based entry point (or web portal)
  to access integrated patient health information
• The information may come from a variety of
  information systems that will not be obvious to
  users
• Expected to improve the quality and safety of
  health care in South Australia and, as a
  consequence, improve efficiencies across the
  health system

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Generic system branding

• Logon
• Desktop icons
• Portal

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SA Health
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Desktop icons
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careconnect.sa where is it going?
SA Health
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Smartcard technology

• Using portal technology and combined biometric
  and smartcard authentication, users will be able
  to access integrated information that may reside
  in multiple transaction systems

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Bedside information system

• Pilot at LMHS with Telstra
• Patient entertainment combined with clinical
  information.
• http//www.telstraenterprise.com/researchinsights/
  casestudies/Pages/LMHS.aspx

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Where HealthConnect fits

• The long-term vision is that there will be an
  information broker that will link relevant
  patient summary information from the public
  health system to private health care providers
  with the patients consent
• Through HealthConnect, information will be linked
  via care planning system through health care
  providers who work within the private health
  sector with the patients consent.
• Access will include all members of the patients
  health care team from public, private and
  community health care settings.
• Patients and their carers will also have access
  to their health care plan.

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PUBLIC
PRIVATE

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Other future ICT solutions

• Proposals should be submitted to Regional ICT
  Clinical Reference Group
• Regional ICT Clinical Reference Groups and the
  ICT Clinical Reference Group have strong
  representation by clinicians from all areas of SA
  Health.
• This means that clinicians are making
  improvements to create more efficient IT systems
  that meet the needs of clinicians and patients,
  enhancing the safety and quality of clinical care
  

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ICT governance structure

• Regional ICT Clinical Reference Groups
• Promote the use of clinical information systems
  within each region
• Monitor and support the development and
  implementation of existing systems
• Act as liaison between regional executive,
  executive, regional staff and ICT Clinical
  Reference Group
• ICT Clinical Reference Group
• Considers statewide applicability of strategies
  wherever possible
• Once a proposal is approved by the ICT Clinical
  Reference Group it is forwarded to the ICT
  Steering Committee for final approval
• ICT Steering Committee
• Chaired by SA Health Chief Executive Dr Tony
  Sherbon
• Representation from across SA Health and Dept of
  Treasury and Finance
• Provides final approval on all ICT strategies

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• www.careconnect.sa.gov.au
• Questions can be asked after each presenter or
  placed in the boxes provided