NSLHD Digital Strategy 2021-2026

ACCESS

Current state of clinical applications – Level 2 and 3

CORE APPLICATIONS

INFORMATION

SECURITY AND INFRASTRUCTURE

Key Insights:

Clinical Functions

The introduction of the eMR over the past decade has created a good technology foundation for clinical functions. However, gaps still exist in the form of: ► Gaps in functionality including in the areas of anaesthesia, outpatient, medical device integration, nursing care plans, second level clinical decision support and others. These gaps directly inhibit the organisational goal of reaching a HIMSS EMRAM stage 6 maturity. ► A number of specialties are not covered by the eMR e.g. haematology, oncology, anaesthesia. As a result, the specialties utilise separate systems, which are not always integrated with the eMR, or are still paper based. This has resulted in a hybrid patient medical record creating risk in quality of care and inefficiency for staff. ► The Patient Administration System is functioning well but, in its current form, does not meet the growing expectations of consumers and patients in enabling a better patient experience (Covered further under the patient experience capability).

Core Clinical ICT Functions

Medical Emergency Management

Multidisciplinary Teams

Clinical Coding

Advance Care Directive

Allied Health

Disease Management

Clinical Translation Services

Clinical Health Information Exchange

Patient Observations

Clinical Repository

Discharge Management

Medications Management

Patient Clinical History

Progress Notes

Clinical Decision Support

Care Plans

Order Sets

Patient Assessment

Clinical Document Scanning

Order and Results Management

Clinical Communication and Collaboration

Medical Workflow

Context Switching

Quality Management

Mobility (Clinical Mobile Forms)

Medical Handover

Clinical Pathways

Notifications and Alerts

Referral Management

Referral Management

Speciality Clinical or Location Specific ICT Functions

Patient Administration Systems

Demographics Information

Anaesthesia and Recovery

Radiology and Interventional Radiology

Registration Management

Intensive Care Services

Nuclear Medicine

Patient Flow Management

Clinical Scheduling

Emergency Medicine

Pharmacy

Oncology

Pathology

Enterprise Master Person Index Validation

Bed Management

Child and Family Health Services

Mental Health

Aboriginal Health

Close Observational Unit

Social and Behavioural Information

List Management

Community Health

Ambulatory

Oral Health

Medicine

Patient Identification (Barcode)

Clinical Criteria

Operating Suite

Surgery

Mature Digital Capability

Digital Capability in place but gaps exist

Manual process

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