EMR Phase 2.1 has seen the implementation of a number of different modules to improve efficiency, safety and the patient experience in Cancer Services. These modules, specially designed for oncology services, are integrated with the Western Health EMR to streamline oncology patient care processes and improve visibility across the organisation.
Patient care documentation for Outpatient Clinics, Chemotherapy Day Unit (CDU), Symptom Urgent Review Clinic, Inpatient Chemotherapy and Cancer Multidisciplinary Meetings are now on the EMR, while Hospital in the Home (HITH) are also documenting patient care and notes (but not medications) in the EMR. This makes it easier for staff working across multiple areas to track the patient journey and stay up to date with their patient’s care.
For example, clinical documentation for outpatient appointment visits is now completed using the Medical Workflow mPage (BOSSNet is no longer used), and documentation from Cancer Multidisciplinary Meetings is easily viewable by clinicians so that they can discuss recommendations and treatment options with patients. The note generated in the Cancer Multidisciplinary Meeting is also sent to the GP for patient continuity of care. Commonly-ordered medications and tests (such as pathology and imaging) are available via the Quick Orders section of the mPage.
If the patient is then referred for chemotherapy, the referral nurse can review and triage the referral by viewing the documentation completed within PowerChart, then schedule the treatment using the Scheduling Appointment Book. The Scheduling Management module is also integrated with treatment regimens (PowerPlans).
The electronic prescribing of chemotherapy regimens provides a transparent solution to the management of chemotherapy. The chemotherapy regimens include cycles and days of treatment containing the chemotherapy/immunotherapy drugs, supportive care medications, prescriptions and pathology tests.
Ahead of the day of treatment, the CDU Scheduled Worklist can now be used by medical, nursing and pharmacy staff to ensure that all required information has been collected and documented. On the day of treatment, staff can monitor patient flow through the CDU using the Tracking Board, and document risk assessments in the relevant Interactive View (iView) bands, and oncology-specific nursing assessments (PowerForms).
A Supportive Care Screening Tool has also been built into the EMR to help with the identification of risk factors in a standardised way to meet the needs of the patient so that any Allied Health support can be arranged.
EMR Cancer Services presentations
EMR presentations given to the Cancer Services team are available on the password protected Presentations page of this site.
If you do not already have the password for this page please email Diana.Tran@wh.org.au
Frequently Asked Questions
For queries regarding EMR Phase 2 and the Cancer Services scope please contact Acting Project Manager Diana Tran – Diana.Tran@wh.org.au