Women’s & Children’s and Newborn Services
EMR Phase 2.1 will see the implementation of a number of clinical and administrative modules that will enhance the patient experience for Women’s and Children’s patients, improving the safety, efficiency and coordination of care. Staff will be able to view the patient’s history and all relevant information in a simplified and streamlined system, providing more time to spend with the patient and less time moving between multiple clinical systems.
The rollout of EMR Phase 2.1 functionality for Women’s and Children’s is taking place with a staggered Go-Live, with a number of modules implemented in July and August 2023.
From 14th August 2023, the following functionality is live in the EMR:
- Ambulatory Organiser to view and manage schedules
- Women’s and Children’s Specialist Clinic Outpatients referrals and scheduling
- Women’s and Children’s Specialist Clinic Outpatient clinical documentation (excluding antenatal & MFM)
- Adding a pregnancy
- New Ordersets – including the Iron Infusion Orderset
- Requesting a review appointment
- Perineal repair in Operating Theatre
- Instrumental in Operating Theatre
- Caesarean Section
- Passport to surgery
- Transcribe SBR/TCB from short stay patients to Newborn Services
- Observation mPage: MORC – RAAS (excluding ANC appointments)
MORC – all non-labouring patients
Victor Chart - iView: Fluid Balance
ROAD (including Checklist)
Jaundice
Packs - Orders and Referrals: Obstetric Epidurals
- Power Notes: Perineal repairs
Instrumental births
The final stage of the Women’s and Children’s rollout is planned to occur in early-2024.
When the EMR Phase 2.1 implementation is complete, the full patient journey for maternity patients will be documented in the EMR, including Antenatal Clinic appointments, antenatal care, all the way through to labour, birth and the post-partum period. Scheduling Management helps to tie all the systems together seamlessly and works between clinical services to manage bookings and appointments, improving efficiency and providing a positive patient experience.
The introduction of PowerChart Maternity will allow for the collection and tracking of information on mother and baby to give clinicians a summary view of weight tracking, test results, pregnancy timeline, obstetric examination documentation, labour and delivery information, postnatal care and follow-up in a single system.
New maternity-specific Interactive View (iView) bands will be introduced for clinicians to document care specific to their area, and Women’s Health Overview in Workflow M-Pages will be used to view summary information throughout the mother, fetal and neonatal journey. Clinicians will be able to customise this page to show information relevant to their work area.
The new digital Maternity Observation Response Charts (MORC) and VICTOR charts are supporting monitoring, recognition and response for deteriorating mothers and babies. Perinatal loss workflows can be documented in the EMR to ensure timely and coordinated care and referral to appropriate services.
By moving Women’s and Children’s care onto a fully digital system, transcription errors will be reduced, and staff will save time by documenting in fewer places. The maternity module enables linkage of the mother and baby records allowing staff to easily and safely navigate between both, simplifying the admission workflow for our inborn infants and reducing transcription error. The Result Copy Wizard will also allow for relevant data in the mother’s record to be transferred to the baby’s record. Additionally, the Maternity Module brings integrated National Institute of Clinical Excellent (NICE) jaundice charts for monitoring bilirubin and supports decision-making for phototherapy management.
When required, the new Digital CTG (cardiotocography) program FetaLink will receive information from the fetal monitors that can be used in Inpatient and Outpatient settings. It enables monitoring -at the bedside and remotely- to support clinical decision making, and contemporaneous documentation of clinical care.
Newborn Services are now benefiting from maternal, fetal and newborn clinical information being documented in the same system. This has enabled integration of data that has already been entered about the pregnancy and birth including observations, gestation, gravida and parity, investigation results, medications and pregnancy issues managed.
EMR functionality within newborn services has expanded to include neonatal feeds, respiratory support, and improved medication workflows.
Neonatal monitors and ventilators are now integrated with EMR to display graph trends over time for observations, respiratory support and more, through the digital VICTOR charts. As a result, the EMR will contiguously document the whole newborn journey through Western Health and minimise re-documentation of information by clinicians for each patient, each shift and episode of care, including ongoing care through Hospital in the Home and outpatients.
When it’s time to go home, integrated discharge checklists in the EMR help staff ensure that all required activities and referrals are complete prior to discharge.
All Midwifery at Home visit scheduling and clinical documentation is completed in the EMR, ensuring an integrated view of maternal and baby health for all Western Health clinicians.
“Expecting: EMR” sessions
The EMR Phase 2 Women’s & Children’s Team ran Expecting: EMR sessions over 2022 with each session covering the latest EMR updates and different EMR insights for Women’s and Children’s.
To view the Expecting : EMR presentations and recordings please visit the password protected Presentations page of this site. If you do not already have the password for this page, please email Madeleine.Murphy@wh.org.au or Danika.Janus@wh.org.au
Frequently Asked Questions
Please click here to view Women’s & Children’s Frequently Asked Questions.
Please click here to view Newborn Services Frequently Asked Questions.
Contact
For queries regarding EMR Phase 2 and Women’s & Children’s please contact Project Manager Danika Janus – Danika.Janus@wh.org.au