Health Information Technology and Its Evolution in Australian Hospitals
Information technology has altered many aspects of our lives. Healthcare has accelerated its adoption primarily with the aim to reduce health system inefficiencies and improve the quality and safety of healthcare delivery. The burgeoning and seasoned medical administrator is likely to encounter more and more transformational programs where health information technology plays a significant role. This chapter focuses on key principles of a typical Electronic Medical Record (EMR) implementation, with a practical case study of Australia’s first fully integrated digital hospital at St Stephen’s Hospital Hervey Bay, from the perspective of a Chief Medical Information Officer. This will equip medical administrators with a base level of expertise to support these endeavours within their organisations and serve as a preliminary introduction to health information technology.
KeywordsHealth information technology eHealth Electronic Medical Record Electronic Health Record Health information technology Implementation HIMSS CMIO CNIO CCIO Quality and safety UnitingCare Health St Stephen’s Hervey Bay
Dr Monic Trujillo - I would like to acknowledge Richard Royle, ED UCH, Connie Harmsen, eHealth Program Director, Dr. Yogesh Mistry (Assistant CMIO), Dr. Luis Prado (Chief Medical Officer UCH), Dr. Surendra Bhutra (Chair of Anaesthetic WRT and Director of Anaesthesia & Perioperative services, SSH) and Dr. Ranald Pascoe (Director Intensive Care, Wesley Hospital and Chair of Medical WRT) Connie Cross (Clinical applications Project Manager), Vicki Ibrahim (Chief Pharmacist UCH), Patricia Liebke (Learning and Change Manager) David Kempson (CIO UCH) and the fantastic Cerner team that worked with us. Dr Nic Woods - I would like to acknowledge Physician Executive colleagues from Cerner, to the digital health pioneers and all clinicians playing an active role in this exciting and important space.
- 2.Wikipedia. E-Health. http://en.wikipedia.org/wiki/EHealth. Accessed 8 May 2015.
- 4.HIMSS Analytics Asia Pacific. EMR Adoption Model: 2014 Q4 – 2015 Q1 Regional Comparisons, May 2015.Google Scholar
- 5.HIMSS Europe Insight Report. “Evidence of the Effects of Healthcare IT on Healthcare Outcomes”. Winter 2014.Google Scholar
- 6.Australian Commission on Safety and Quality in Healthcare. “Australian Safety and Quality Framework for Health Care”. http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/32296-Australian-SandQ-Framework1.pdf. Accessed 7 July 2015.
- 7.Eden R, Burton-Jones A, Scott I, Staib A, Sullivan C. “The impacts of eHealth upon hospital practice: synthesis of the current literature” Deeble Institute Evidence Brief No 16. Australian Healthcare and Hospitals Association; 2017. p. 7.Google Scholar
- 8.Westbrook JI, Reckmann M, Li L, Runciman WB, Burke R, Lo C, et al. Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study. PLoS Med. 2012;9(1):e1001164. https://doi.org/10.1371/journal.pmed.1001164.CrossRefPubMedPubMedCentralGoogle Scholar
- 9.Westbrook JI, Gospodarevskaya E, Li L, Richardson KL, Roffe D, Heywood M, Day RO, Graves N. Cost-effectiveness analysis of a hospital electronic medication management system. J Am Med Inform Assoc. 2015;22(4):784–93. https://doi.org/10.1093/jamia/ocu014. Epub 2015 Feb 10CrossRefPubMedPubMedCentralGoogle Scholar
- 11.The Australian Council of Healthcare Standards. “16th Annual ACHS Quality Improvement Awards 2013”. http://www.achs.org.au/media/94904/qi_awards_2013_fi- nal_version.pdf. Accessed 28 Apr 2015.
- 12.Clinical Excellence Commission. “Clinical Excellence Commission (CEC) Award for Improvement in Patient Safety. Waterlow Wednesday – Preventing Pressure Injuries”. 2012. http://www.hssevents.health.nsw.gov.au/documents/nsw-health-awards/2012/pdf-presenta- tions/clinical-excellence-commission-cec-award-for-im-provement-in-patient-safety.pdf. Accessed 6 May 2015.
- 13.Guevara J, Stegman E, Hall L. Gartner IT Key Metrics Data 2012 IT Enterprise Summary Report; 2012Google Scholar
- Bria WF, Rydell RL. The CMIO survival guide: a handbook for chief medical information officers and those who hire them. Boca Raton: CRC Press; 2011.Google Scholar
- Kotter JP. Leading Change. Harvard Business Review Press; 2012.Google Scholar
- Rowlands D. “A Practitioner’s Guide to Health Informatics in Australia”. Note that this is the accompanying online text to the certified health Informatician Australasia course.Google Scholar