AUGUST 2022
EDITION 17
COMPREHENSIVE CARE PILOT PROJECT: POST-IMPLEMENTATION The eMR Comprehensive Care Pilot Project rolled out on 7 June 2022 across Northern Sydney and Central Coast Local Health Districts. This pilot project is in collaboration with the Australian Commission for Safety and Quality in Healthcare, Clinical Excellence Commission, Agency for Clinical Innovation and eHealth NSW’s eMR Connect Program. Two pilot solutions have been implemented as part of the Project.
Part 2 - Documentation Workflow for Medical Officers/Nurse Practitioners and Allied Health Clinicians The Documentation Workflow is the second solution rolled out as part of the Comprehensive Care Pilot Project. It is a new workflow page in which clinicians can review medical records and create a draft progress note on one page. Clinicians are also able to order treatments and consults as well as check pathology and medical imaging results. This enhancement can capture the current diagnosis and chronic problems accurately and more timely.. SMOKING CESSATION PILOT PROJECT: POST IMPLEMENTATION In parallel to the Comprehensive Care Pilot Project, the Smoking Cessation Pilot Project also rolled out in eMR on 7 June 2022. This project is in collaboration with the Cancer Institute NSW and eHealth NSW. Smoking Management Pathway is available for patients and consumers in the Emergency Department, inpatients settings and select community services. It allows clinicians to capture information on smoking, e-cigarette and vape use. The pathway provides rapid access to nicotine-replacement therapy for the ED and inpatients to prevent nicotine withdrawal- associated discomfort and behaviour whilst smoking is banned in the health facilities as per NSW Health policy. The clinicians can also refer patients and consumers to Quitline NSW through the pathway for follow up.
This solution aims to combine the traditionally used risk screening tools into one for clinicians to holistically assess and identify any clinical risks, such as falls, pressure injuries, malnutrition and delirium. It allows clinicians to implement clinically appropriate, individualised care for all patients in the inpatient and Emergency Department settings. Clinicians can reassess the patient’s risks and adjust care appropriately using the same RSA throughout the patient’s journey. The solution provides continuity and visibility of clinical changes and care adaptions to meet patients' individual needs. Part 1 - Risk Screen and Assessment (RSA) solution
The four steps involved:
Save
Assess (using the same RSA)
Save the RSA. Compare with the previously saved RSA.
Commence RSA at pre-admission and within 8 hours of admission
Re-assess at transfer, discharge or change in clinical condition. Review at every change of shift. Document Create a documentation based on the RSA. Mobility and Self-care are documented in iView.
Order Order nursing care tasks, clinical review, alerts and order Allied Health consults.
Refer: Risk Screening and Assessment Comprehensive Care Pathway Adult /Paediatric - NSLHD Guideline
Comprehensive Care Standard
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