An Incremental Clinical Transformation
Client:
Cabrini HealthChallenge:
- Make it easier and faster to access administration and clinical information
- Improve medication management for safer, more efficient patient care
Solution:
- An incremental clinical transformation
- Introduction of a virtual EMR and electronic medication management system – accessible through mobile devices
Results:
- Streamlined access to real-time clinical information enabling medical staff to monitor and care for patients from any location
- Better collaboration and communication among doctors, nurses and pharmacists at the hospital and beyond
Cabrini Health is a leading comprehensive private health service operating 832 beds across five facilities in Melbourne, Australia. The not-for-profit group cares for 86,000 inpatients annually and provides emergency care and a variety of community outreach services including Hospital in the Home.
Challenge
In 2008 Cabrini implemented DXC’s webPAS patient administration system (PAS) as a single, integrated information backbone. Clinical care however remained a paper driven process. Not yet ready for a full electronic medical record (EMR) system, Cabrini asked DXC for a way to make it easier for doctors to access and use clinical patient information.
Solution
We started by connecting the various sources of clinical information to the webPAS patient administration system. We then created an intuitive mobile interface to present the information, which gave staff real-time mobile access to patient lists, pathology and imaging results, bed-side monitoring data and patient demographics. This virtual EMR went live in 2011 on a voluntary bring-your own device (BYOD) basis.
Result
Nine months later 320 doctors were using the system and reporting time and efficiency gains. Today the solution also offers review of observations and test ordering. As of 2015 a total of 618 consultants use the solution, as does Cabrini’s Hospital in the Home nursing staff.
The next step in Cabrini’s clinical transformation was to introduce electronic medication management. The first Cabrini facility to implement MedChart, in September 2013, was the 74 bed specialist inpatient and outpatient Cabrini Health Rehabilitation Service – Elsternwick. In early 2015 Cabrini’s Brighton Hospital, a 141 bed acute care facility made the switch from paper to electronic medication charts. Later that year a mobile version of the solution was introduced. DXC played a key role in training staff and fostering the adoption of the system.
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