Clinical information

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Clinical information

• Anna Baker, Oacis Regional Coordinator, CYWHS

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Purpose and history
SA Health
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Purpose of the careconnect.sa clinical
information system

• a clinically focused change effort to
  revolutionise the way health professionals
  deliver care to result in improved
• patient safety and higher standard of patient
  care, and
• Health care delivery efficiency

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Clinical information system provides

• A single point of access to the integrated
  on-line patient record
• Electronic ordering
• Submission of referrals
• Entering of consultation notes
• Infectious disease antibiotic advice and approval
• Distribution of information to general
  practitioners, specialists and other health care
  providers
• Clinical handover notes
• Recording of information for renal patients

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Patient information includes

• Demographics
• Admissions emergency attendances
• Outpatient appointments
• Laboratory results
• Imaging reports and images
• Discharge summaries nursing transfer letters
• Renal management transplants

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How we got to this point
4 separate training hospitals 1 performing
transplants remote dialysis centre
a central electronic record
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South Australian implementation
v

Womens and ChildrensHospital - 300 beds
Pt Augusta Dialysis
Glenside
Mt Gambier
Metro Dialysis centres
Community health centres
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Architecture of Oacis
Availability 24 x 7
Admissions
Clinical Display
Clinical Reporting
Laboratory
Order Management
Interfaces
Radiology
Oacis Gateway
Data Entry
Pharmacy
Oacis EMPI Matches and links patient
Theatre
Oacis Data
Separation Summary
Emergency
Query Analysis
Other Systems
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High availability
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Sample screens
SA Health
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Clinical information - Client-based product
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Confidentiality agreement
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Clinical roster

• The columns from the left display the patients
  status (Pprivate or Vveteran), location, name,
  MRN, attending clinician and admit reason
• The standard column headings on the right are the
  service column headings
• LAB2 laboratory results
• ENC history of encounters
• RAD radiology reports
• SUM separation summaries
• Ren renal results
• RFL referrals actioned
• N/M DL nursing and midwifery discharge letter
• Hnd clinical handover notes

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Encounters
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Laboratory results
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Imaging results
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Radiology images from PACs
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Electronic ordering
Electronic ordering for diagnostic, therapeutic,
pharmaceutical, medical and surgical patient
services and incorporates best practice
information into multi-disciplinary order sets.
By placing orders for diagnostic services,
referrals for therapeutic, medical and surgical
services, requests for approvals of certain
restricted medications and prescriptions for
inpatient, outpatient and discharge medications
utilising a standard format, will improve the
accuracy of ordering and reduce delays and
errors.
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Vitamin D monitoring in at risk populations
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Electronic referrals

• Home Oxygen Education
• Service description -
• For patients commencing on home oxygen therapy
  or who already have oxygen in the home.
• Urgent requests
• Select A (asap) for Priority
• Page Respiratory Unit

Select Today

• Suggestions
• New oxygen patient
• Review of current oxygen management

List Inhaled medications
Click the down arrow select options from list
Include comments like COPD/Asthma/Pulmonary
Hypertension/ Ischemic Heart Disease/Interstitial
Fibrosis/Cardiac Failure/Polycythemia Lung
Malignancy
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Worklist screen

• The Worklist screen displays a list of individual
  services that have been requested for selected
  patients

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Summary list window

• The Summary List window displays all the
  summaries for the selected patient.

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Discharge letter
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Clinical handover

• Type in notes in to text boxes estimated
  discharge date
• Tick
• Handover
• Urgent

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Handover notes pre implementation
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Handover notes post implementation
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Web based clinical information
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Navigation improvement