EDISEmergency Department Information System Manitoba Nursing Informatics Association March 16th, 2009 Presented by Debbie McMahon EDIS Clinical Nursing Coordinator WRHA Emergency Program
WHAT IS EDIS? electronic patient tracking system EDIS is a system that automates such functions as triage, patient tracking, orders/results, documentation and discharge. The fast and easy access to clinical information
The Future of Health Care • ER Task Force & CAEP recognize EDIS • Technology is a key goal in 10-year plan for health care renewal • Technology is being introduced across Canada – all are working towards the electronic record • Calgary Health introduced EPR • Saskatoon Health, Atlantic Health in process of introducing EDIS & EPR • Vancouver has implemented EPR
Technology & Information Principles • Current eTriage does not allow information to be available globally • The Eclipsys system is designed with patient safety as a priority by: • Ensuring information is filed against the patient as it is created • Providing information to all care providers as soon as it’s created
Also provides information that quantitatively measures time to care for a patient in the ER. • Also indicates where bottlenecks are occurring in the ER’s • Factual information regarding patient care in real time. • reports for hospital administration showing data.
Benefits of EDIS • Saves time - shows patient location at all times - allows instant access to patient chart - allows for multi-person access to the chart - streamlines pt. flow using bedside registration and documentation
Improves Communication - provides Clinicians access to information throughout the department via -Patient tracking display - Clinical Documentation - Orders and Results - Eliminates lost patients - Enables staff to prioritize tasks - Decreases departmental noise - Admissions tracking
Simplifies Reporting - eliminates manual reporting - automatically generates department log -
Benefits to Administrators • Increases Patient Satisfaction - fewer LWBS, elopements, AMA - improves door to doc - decreased noise - decreased patient wait time and length of stay
Decreases Liability • Printed discharge instructions • Legible documentation ( once clindoc) • Eliminates lost of misplaced patients • Increased patient safety
Increases Accountability - reports help focus on department inefficiencies - Automatic reporting provides clear meaningful statistics - ED patient information will eventually be one system process - Resource for Quality Management, Risk management, and Infection Control maintenance
How is this important for Informatics. • As you may know Informatics is the science of information, the practice of information processing and the engineering of information systems. With this in mind, many data elements could be obtained from the EDIS system.
TRIAGE • Data elements from the triage and registration (quick and full registration) provides timelines for • Time of patient arrival • Patient arrival to triage • Triage to reassessment times • Door to Doc timeline • Clear concise length of stay data
Patient Tracking Board Provides multiple data elements that can be measured in time lines. These timelines assist with process mapping, defining, as well as process redefining.
How do we use the information? • Take the raw data and input and evaluate data to improve system work- processes. • Re-evaluate work processes to confirm improvement. • Concrete data allows for system changes with in the hospital system. ie consultants assess time, length of time for stretcher service pickup.
What data do we have now? • Parallel process of triage and registration showing that the total time spent for both processes to completion is about 7 min. • Data from LOS in ER at SOGH show that the average LOS is 2.8 hours. • At Vic LOS was 36 hours.
Where do we go from here? • More data collection to improve systems • Feedback with hard data to clinical staff to show improvement or no changes.