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Queensland Health digital initiatives

Integrated electronic Medical Record (ieMR)

The ieMR solution allows your doctors, nurses and healthcare team to document and access your medical information (such as who you are, reason for admission, medical history and any allergies) on computers instead of using paper files.

New digital bedside patient monitoring devices automatically upload your vital signs and observations, such as your blood pressure, temperature and heart rate, directly to your secure electronic medical record.

Positive patient identification

Printed patient identity wristbands with unique bar codes replace hand written wristbands to ensure accurate patient identification.

Our staff scan the bar code on your wristband with a handheld device to easily link your digital bedside vital signs and observations with your medical record.

Benefits include:

  • faster access for clinicians to accurate medical information
  • a reduction in errors and less variation in care processes
  • progressing treatments more efficiently so patients can get home sooner
  • staff able to spend more time providing patient care and less time chasing paper charts.

Integration with other Queensland Health systems

While there are other electronic Medical Record solutions available, the Queensland Health ieMR differs in that it offers integration with a number of clinical systems, including:

  • pathology (AUSLAB) and medical imaging systems to enable electronic order entry and viewing of test results
  • bio-medical devices to automatically capture data such as vital signs (pulse, blood pressure, temperature, etc.) and, where appropriate, to trigger clinical alerts
  • the pharmacy information system (i-Pharmacy) which will enable e-prescribing and electronic recording of medication administration
  • the state Patient Administration System (PAS - HBICS)  to coordinate administrative functions with the Clinical solution.

Rollout

The ieMR solution is currently available at varying levels of capability at ten Queensland hospitals:

  • Princess Alexandra Hospital (Australia’s first large scale public digital hospital)
  • Cairns Hospital (Queensland’s first regional public digital hospital)
  • Mackay Base Hospital
  • Lady Cilento Children’s Hospital
  • Logan Hospital
  • Beaudesert Hospital
  • Redland Hospital
  • Wynnum Manly Community Health Centre Gundu Pa
  • The Townsville Hospital
  • Royal Brisbane and Women’s Hospital

In March 2017, the Princess Alexandra Hospital rolled out the Medications Management, Anaesthetics and Research Support (MARS) system release becoming the first hospital in Queensland with advanced ieMR capability.

Queensland Health is currently on track to deliver an ieMR with advanced capability to a total of 27 sites by June 2020.

  • Princess Alexandra Hospital
  • Logan Hospital
  • Beaudesert Hospital
  • Lady Cilento Children’s Hospital
  • QEII Hospital
  • Redland Hospital
  • Wynnum Community Health Centre Gundu Pa
  • Townsville Hospital – August 2018
  • Cairns Hospital
  • Royal Brisbane and Women’s Hospital
  • Sunshine Coast University Hospital – October 2018
  • Nambour General Hospital – November 2018
  • Ipswich Hospital
  • Toowoomba Hospital
  • Gold Coast University Hospital – April 2019
  • Robina Hospital – April 2019
  • Bundaberg Hospital
  • Caboolture Hospital
  • Hervey Bay Hospital
  • Longreach Hospital
  • Mount Isa Hospital
  • Redcliffe Hospital
  • Rockhampton Hospital
  • Roma Hospital
  • The Prince Charles Hospital
  • Thursday Island Hospital
  • Mackay Hospital

Optimisation

To maximise the benefits of the ieMR solution for patient care an optimisation program – led by clinicians – identifies potential system changes and improvements.  These are then prioritised and implemented as appropriate to improve patient outcomes.

Optimisation initiatives underway include:

1.SurgiNet

  • Optimising the SurgiNet module to better meet the needs of clinicians.

2. Paediatrics

  • ­ Completion of the outstanding paediatric build for the Medication and Anaesthetics and Research Support release.

3. Perinatal Data Collection

  • ­ Delivery of a working PDC extract from ieMR Maternity.

4. Medications

  • ­ Optimising the Medications, Anaesthetics and Research Support (MARS) release and providing core medications support functions.

5. Care Delivery

  • ­ Identifying and delivering a number of small pieces of work spanning across areas of Care Delivery that are out of scope for currently supported optimisation initiatives, and not closely aligned with planned roll-outs.

6. Transfer of Care

  • ­ Delivery of the digital clinical handover and discharge referral solutions.

7. Anaeasthetics

  • ­ Optimisation of the SAA Anaesthesia module of the ieMR and associated medical device connectivity.

8. Critical Care

  • ­ Enhancing the ieMR to address clinical design gaps for management of patients admitted to Special Care Nursery, Neonatal ICU, Paediatric ICU and Adult ICU.

9. QXR Interface

  • ­ Provision of an electronic interface between the ieMR and Queensland X-Ray (QXR) for electronic Radiology Orders and Results.

10. AGFA Interface

  • ­ Design and implementation of an Orders and Results Interface between ieMR and AGFA (RIS) that can be used for the SCUH ieMR Roll-out Go Live.

11. Early Warning Tools

  • ­ Upgrade of the Managing Deterioration code to enable the Maternity Early Warning Tool functionality.

12. Renal

  • ­ Optimisation of the existing ieMR statewide solution to deliver an enhanced Renal build that is fit for purpose across the state.

13. Oncology

  • ­ Optimisation of the ieMR solution to accommodate cancer care workflows and protocols as PowerPlans for an integrated Oncology solution.

Adjusting to the new system

By becoming a Digital Hospital, our hospital staff needed to learn and adjust to the new digital system and devices. We appreciate your patience as we transition to this new way of documenting your care.

Last updated: 11 May 2018