EDIS

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EDIS

• Emergency Department Information System
• Visions for an integrated provincial program

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What is EDIS

• An electronic emergency department patient
  information system available in all the Winnipeg
  ERs
• Implemented with limited functions of tracking
  and reporting of lab results at most sites but
  with more functions (order entry) at St Boniface
• A strong communication tool of ER utilization
• A source of performance evaluation for EDs

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Sample EDIS Status Board
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What EDIS is not

• An integrated health record
• It is not a clinical documentation tool yet
  (other than Triage) but will evolve into one as
  more functions are added
• It is not available beyond Winnipeg or at the
  MUCC or Pan Am MIC

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What is needed

• A single additive document that records the track
  of patient care from initiation of services to
  disposition beyond emergency department for all
  Manitobans
• A safety and flow enhancing tool
• Process to record findings while avoiding
  unnecessary repetition of tests or care steps
• Integration of care to include transport
• Appropriate transmission of information to care
  givers beyond the ER
• Tool to ensure that ER process improvements can
  be measured

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Single Record

• Allows documentation to be additive and to
  record changes in patients condition
• Single repository will allow for access to
  information for subsequent management even beyond
  the ER
• Multi disciplinary and multi-site charting can
  take place
• Instant access to information available at any
  point of care
• Integrated with other EMR

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Safety and Flow enhancement

• Legibility of records
• Diminished errors
• Safer handoffs
• Patients may be transferred prior to some results
  being available allowing faster access to
  tertiary care
• Time stamping and user identification will
  enhance accountability
• Standard care pathways for all ERs based on best
  practice

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Efficiency and Stewardship

• Lab and diagnostic tests may not need to be
  repeated
• Results can be accurately trended from onset of
  event
• Integration with EMR will confirm validity of
  tests without the need to keep patients to assess
  trends (egTnT in renal dysfunction, access to
  EKGs)

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EMS- Integration

• Allow documentation regarding transport
• Improved handoffs
• Allow pre assignment of care spaces in receiving
  sites
• Distribution of patient load based on activity
  and stretcher availability

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EMS Dashboard
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Discharge and Transfer of Care

• Transfer of legible records
• Consistent standard nomenclature of discharge
  diagnoses
• Access to delayed results and appropriate
  auditing processes
• Reliable and consistent discharge education

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Decision Support Tools

• Performance Appraisals
• Measurement of process improvement needs and
  actions
• Resource Allocation based on needs
• Access time Information for patients
• Adverse event and critical incident investigation

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Patient WR Wait-Times Dashboard Concept
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Next Steps

• Engage regional emergency departments and EMS
• Ensure representative governance structure
• Develop a roll out strategy
• Enhanced function
• Provincial and EMS involvement
• Share learning and tools with other EDIS users in
  the country
• Address shortcomings and Interface Issues
• Rapid access challenges
• Hybrid records

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Questions?