Welcome to Future State Validation Maternal & Newborn Clinical Management System (MN-CMS)

Welcome to Future State Validation Maternal & Newborn Clinical Management System (MN-CMS)

Table of Contents Welcome... 3 Agenda... 4 Introduction to the MN-CMS Project... 10 Benefits of the MN-CMS... 12 Future State Validation... 15 Local Implementation of the Project... 17 What Should I Expect To Do Next?... 18 Project Contacts... 19 About Cerner and Cerner Millennium... 20 Notes and Thoughts... 22 Every mother & newborn baby in Ireland will have an Electronic Health Record powered by Cerner Millennium in partnership with the HSE. www.ehealthireland.ie/mn-cms

Welcome! Today marks an important and exciting milestone in the lifecycle of this project, where the build and design of the MN-CMS system will be demonstrated for the first time. This is the result of significant work over the last 10 months by the MN-CMS National Project Team (NPT), the various work streams, which comprised of representation of the 19 maternity units and the Cerner team. The implementation of the MN-CMS does not in any way take away from the key focus of caring for mother and baby. This system will provide accurate and up to date information to all those involved in the care of mother and baby in the maternity units. The long term vision is to continue to develop the system to meet the ongoing changes within maternity services and to work closely with other national systems and initiatives, to capture and provide key information, including but not limited to; National Medical Laboratory Information System (MedLIS), Individual Health Identifier (IHI), National Immunisation and Child Health Information System (NICIS). The Project Board is greatly impressed by the dedication and work done to date by the NPT, work streams and input received from the 19 maternity units and encourages all maternity units to engage with the MN-CMS project and help in the ongoing development and deployment of the system. Enjoy the event, and thank you all for your input, support and expertise to date, and in the future. Helen Byrne MN-CMS Chair & Head of Planning and Performance Acute Hospitals Division, Health Service Executive We are excited and honoured to be working so closely with the HSE team to improve the safety and efficiency of maternity and neonatal care throughout Ireland. It is our shared vision to seamlessly unify information capture, access and sharing across all 19 healthcare facilities in Ireland that provide care for mothers-to-be and their developing infants. Cerner has successfully delivered similar maternity solutions to over 345 health care partners across the world. Over the last year our Cerner team has been delighted to work with you all, shaping this system to reflect how midwives, nurses, physicians, and other healthcare providers deliver care to Ireland s mothers and babies. Thank you for taking the time to attend the validation event of the MN-CMS. We hope you really enjoy the sessions over the next five days and continue to engage with the MN-CMS team to roll-out Ireland s first electronic health record for all mothers and their babies. Amanda Green General Manager Cerner Ireland Page / 03

Agenda Day One: Monday 21 September, 2015 Time Session Location 09.30-10.30 Registration, Tea and Coffee Lower Ground Floor 10.30-11.00 Introduction and Presentations Pearse & Connolly 11.00-13.00 Day in the Life - System Demonstration Pearse & Connolly 13.00-14.00 Lunch Ground Floor Restaurant Workflow: Maternity 14.00-15.30 The Maternity OPD Department Pearse 15.30-16.30 Using MN-CMS in the Maternity Theatre Pearse Workflow: NICU 14.00-16.30 Pre-term Sick Infant - Part One Connolly Workflow: Project Management 14.00-16.30 Project Management Meeting Gaol 17.00-18.00 Cerner invites you to meet the MN-CMS Hilton Bar, Ground floor team for refreshments. All attendees are welcome. Get hands on! Try the system for yourself or ask the MN-CMS team to show you round the solution in Markiewicz room all week. www.ehealthireland.ie/mn-cms

Agenda Day Two: Tuesday 22 September, 2015 Time Session Location 08.30-09.00 Registration, Tea and Coffee Lower Ground Floor Workflow: Maternity / Theatre Integration 09.00-12.00 Healthy Mum and Baby Admission, Connolly Labour and Delivery At Term Workflow: NICU / Dietetics Integration 09.00-12.00 Pre-term Sick Infant - Part Two Pearse Workflow: Labs 09.00-12.00 Laboratories Workflow Validation Liffey Workflow: Therapy Validation 09.00-12.00 Physio, OT and SLT Workflow Validation Emmet 12.00-13.00 Lunch Ground Floor Restaurant Workflow: Maternity / NICU Integration 13.00-16.30 Post Natal Care and Discharge of Connolly Healthy Newborn Workflow: Dietetics 13.00-16.30 Dietetics Workflow Validation Emmet Workflow: Theatre Nurses 13.00-16.30 Theatre Nursing Workflow Validation Pearse Workflow: Labs 13.00-16.30 Laboratories Workflow Validation Liffey 16.30 Close of Day Two Page / 05

Agenda Day Three: Wednesday 23 September, 2015 Time Session Location 08.30-09.00 Registration, Tea and Coffee Lower Ground Floor Workflow: Maternity 09.00-12.00 Unplanned (Emergency) Admission Connolly Workflow: NICU 09.00-12.00 NICU Sick Preterm Daily Care Pearse Workflow: Labs 09.00-12.00 Lab Workflow Validation / Test Script Liffey Validation and Training Workflow: Theatre Nurses 09.00-12.00 Theatre Nursing Workflow Emmet 12.00-13.00 Lunch Ground Floor Restaurant Workflow: Maternity / Theatre & Labs Integration 13.00-15.00 Pre-term Labour & Emergency Connolly Caesarean Section Workflow: NICU 13.00-15.00 NICU Sick Preterm Daily Care (cont.) Pearse Workflow: Maternity / NICU Integration 15.15-16.30 Resuscitation of Pre-term Infant Connolly from Previous Scenario 16.30 Close of Day Three www.ehealthireland.ie/mn-cms

Agenda Day Four: Thursday 24 September, 2015 Time Session Location 08.30-09.00 Registration, Tea and Coffee Lower Ground Floor Workflow: Maternity 09.00-12.00 Induction of Labour Connolly Workflow: NICU 09.00-12.00 NICU Discharge / Transfer / Death Pearse Workflow: Social Work 09.00-12.00 Social Work Workflow Validation Emmet 12.00-13.00 Lunch Ground Floor Restaurant Workflow: Maternity 13.00-15.00 Pregnancy Loss Connolly 15.15-16.00 Still Birth Connolly Workflow: NICU 13.00-15.00 NICU Discharge / Transfer / Death (cont.) Pearse 15.15-16.00 NICU Follow Up Pearse 16.30 Close of Day Four Get hands on! Try the system for yourself or ask the MN-CMS team to show you round the solution in Markiewicz room all week. Page / 07

Agenda Day Five: Friday 25 September, 2015 Time Session Location 08.30-09.00 Registration, tea and coffee Lower Ground Floor Workflow: Maternity 09.00-12.00 Sepsis, Shoulder Dystocia, Multiple Births Emmett Workflow: Clinical Research 09.00-12.00 Protocol Creation, Study, Approval Phoenix Creating Pre-Screening Rules 12.00-13.00 Lunch Ground Floor Restaurant Workflow: Clinical Research 13.00-16.00 Pre-screening; Enrollment; Amendment, Phoenix Revision or Additional Site Required; Removing from Study; Sign off; Wrap up and Next Steps 16.00 Close of Day Five and FSV Event Get hands on! Try the system for yourself or ask the MN-CMS team to show you round the solution in Markiewicz room all week. www.ehealthireland.ie/mn-cms Page / 08

MN-CMS turns information into insight for patients and clinicians alike. Richard Corbridge, Chief Information Officer, Health Service Executive

Introduction to the Maternal & Newborn Clinical Management System (MN-CMS) Project What is the MN-CMS project? The MN-CMS Project is the design and implementation of an Electronic Health Record (EHR) for all women and babies in maternity services in Ireland. Cerner are the EHR provider chosen to deliver the system. The solution is called Cerner Millennium. The benefits of the MN-CMS project This project will provide a seamless, complete and reliable source of all the information clinicians require to quickly and to accurately make care decisions for the optimal well-being of mothers and infants across Ireland. The key overall benefits of the MN-CMS project include: Improved patient care as a result of better communication, supported decision making and effective planning of care. More effective and efficient recording of information reflecting best standards in documentation. Enhanced clinical audit and research locally as a result of better quality data. Informed business intelligence that will drive local and national management decisions. You can see more detailed benefits in the next section. Implementation of the MN-CMS Phase 1 of this project is focused on the design of the national MN-CMS and its initial roll out to the following four sites in 2016: Cork University Maternity Hospital Kerry General Hospital The Rotunda Hospital The National Maternity Hospital. The system will then be deployed to the remaining 15 hospitals on a phased basis from 2016 onwards. www.ehealthireland.ie/mn-cms Page / 10

MN-CMS is a landmark project for Ireland and is unique across the world - the first national electronic health record for all mothers and their babies. Amanda Green, General Manager, Cerner Ireland

Benefits of the MN-CMS The MN-CMS project has four high level benefits which are continuing to be defined. These benefits are broken into more detail below: 1. Improved patient care as a result of better communication, supported decision making and effective planning of care: Easy to access, single record on mother and baby that is electronically accessible from all over the hospital/care setting. Ability to share information on mother and baby across all maternity hospitals. Reduction in adverse drug events through clinical decision support and features such as drug interaction and allergy checking. Alerts can be set up to support clinical decision making e.g. imews. Real time tracking of patient requests/orders from placement of order until result is back. Reduced time chasing results via phone or on paper as results will be in the EHR. Results can be sent directly to the midwife/consultant/ consultant team s message centre for review or consults. effective and efficient recording of information reflecting best standards in documentation: No written transcribing from mums to babies record. The Result Copy button will allow midwives to pick relevant information in mums chart and copy it immediately to the new baby s chart. In the NICU, integrated ventilators and monitors will chart information directly into the patients record. Fetal monitoring will also be integrated and viewable in mums record. Discharge letters to GPs and PHNs will be compiled and can be printed or communicated digitally. 2.More www.ehealthireland.ie/mn-cms Page / 12

3. Enhanced clinical audit and research locally as a result of better quality data: Patient information is recorded directly into the EHR in real-time. Local reports can be run to pull out relevant audit and research information for use. The PowerTrials functionality can support clinicians in identifying suitable patients for inclusion in research trials and manage the trial in the patients electronic chart. local and national management decisions: Local and national reports can be run to support management decisions. 4.Informed business intelligence that will drive

www.ehealthireland.ie/mn-cms

About Future State Validation (FSV) What is Future State Validation? The Future State Validation event is about showing you the MN-CMS as it has been designed by the HSE teams to date. During the FSV event, the MN-CMS and National Project team will present the system and workflows as you have developed them. You will also get some hands on use of the system and gain an understanding of how it will work in your hospital, as well the next steps in the project e.g. testing, training, communicating to your peers and demonstrating the MN-CMS locally. Why are you here? We invited you to this FSV event because you have been identified as someone who: Has led or participated in an aspect of a MN-CMS work stream or helped with data collection workbook; Has been involved in the development of the system and the agreed future state workflows; Has played an active part in understanding your local Maternity, NICU, Lab, Allied Health, or Specialist workflows and processes; Have been involved in Clinical Reporting & Clinical Research; or Will be involved with the MN-CMS project Local Implementation Team (LIT). What should you expect to see? During the FSV event, you will see: Demonstrations of the MN-CMS led by your clinical colleagues. Highlighted workflow designs that support the benefits you expect from the MN-CMS. Various elements of the MN-CMS workflows and how they will work in your clinical setting. Page / 15

The MN-CMS aims to achieve complexity - through simplicity. Dr Michael Robson MN-CMS Project Clinical Director www.ehealthireland.ie/mn-cms

Local Implementation of the Project So, what happens next in the MN-CMS project? We re now moving from the Design to Implementation phase. The Future State Validation event will showcase the system and workflows as it was developed and is the final task in the Design Phase. Moving into implementation means that Local Implementation Teams (LIT) in each of the four Phase 1 sites will now take ownership locally and become fully engaged with, and lead, the implementation process in their hospitals. In addition, the remaining 15 maternity units who will form part of subsequent phased roll outs now need to consider resourcing their own LIT so they are prepared to fully realise the benefits offered by the MN-CMS. Who are the Local Implementation Teams? Each hospital LIT will contain dedicated representatives from clinical, administrative, bio-med and ICT staff and is led by the local MN-CMS Project Manager. In addition, the LIT will be supported by the HSE National Project Team (NPT) and the Cerner team. Both the HSE and Cerner teams have leads across key areas such as change management, migration, testing, training and reporting. What roles will the LIT undertake? LIT s will incorporate these roles: - Project Management - Change Management - Data Migration (Hospital specific) - Testing - Training - System Reporting & Research - Local Infrastructure deployment - Communication - Back Office (support) - Go-Live Preparation - Go-Live - Post Go-Live Support How will they achieve this? By working to a national and local Project Plan; Close collaboration between the LIT, HSE NPT and the Cerner team; Regular LIT/HSE NPT/Cerner team meetings and teleconferences; Regular inter-departmental meetings and teleconferences; By identifying Super Users and Change Champions. Page / 17

What Should I Expect To Do Next? Spread the word! Communicate to your colleagues about what you ve seen at the event and about the upcoming implementation phase in your hospital. Consider, and prepare for, the impact of this system on your existing processes, workflows, policies and procedures. Be prepared to validate the MN-CMS during system and integration testing. Communicate the benefits the system will bring to you, your colleagues and your patients. Continue to be involved in the MN-CMS project and support future events. Be part of, or support, your Local Implementation Team and help to successfully implement the MN-CMS in your hospital. Have a say! Tell us what you think by writing on our FSV feedback wall. www.ehealthireland.ie/mn-cms

Project contacts You can contact these people for further information on this project: Noel Carberry, National Project Manager NCarberry@rotunda.ie Caroline Cahill, ICT Project Manager Caroline.Cahill@hse.ie Joan Malone, Business Implementation Manager Joan.Malone1@hse.ie Dr Michael Robson, MN-CMS Project Clinical Director MRobson@nmh.ie Professor Richard Greene, Clinical Lead Obstetrics R.Greene@ucc.ie Dr Brendan Murphy, Clinical Lead Neonatology Brendan.Murphy@ucc.ie Aileen Murphy, Information Manager Ammurphy@rotunda.ie Helen Lambert, MN-CMS Testing Lead Helen.Lambert@hse.ie Moll Colbert, IPMS to MN-CMS Project Co-ordination Moll.Colbert@hse.ie AnnMarie Lennon, MN-CMS Interfacing Lead AnnMarie.Lennon@hse.ie Vanessa Hamilton, Cerner Programme Manager Vanessa.Hamilton@cerner.com Thomas O Dwyer, Cerner Integration Architect Thomas.Odwyer@cerner.com Nollaig Shalloo, Cerner Clinical Strategist Nollaig.Shalloo@cerner.com Jaime Pierce, Cerner Learning Architect Jaime.Pierce@Cerner.com Alan Lynskey, Cerner Engagement Controller Alan.Lynskey@Cerner.com Find out more! You can find out about the MN-CMS, and other projects, at www.ehealthireland.ie/mn-cms Page / 19

About Cerner Since Cerner s inception 36 years ago, we have focused our daily efforts at the intersection of health care and information technology (IT). Cerner s mission is to contribute to the systemic improvement of health care delivery and the health of communities. As health care has developed, Cerner has grown into one of the largest health care IT suppliers worldwide, with solutions in over 18,000 venues across 30 countries. One constant in its journey has been to anticipate, innovate and create new solutions and business models that will transform health care. Cerner became active in the Irish market in 2005 delivering an electronic patient records system with St James s Hospital. In 2007 Cerner Ireland was formed and we opened our Dublin office, which is the centre for Cerner European Support operations as well as a growing local consulting team working to implement out system in Irish hospitals. We are continuing to grow in the Irish market, with national HSE projects such as the MN-CMS, and the National Medical Laboratory Information System (MedLIS). Cerner recognises that Ireland has an exciting future on its journey to ehealth. We are proud to contribute to the evolution of health care and patient safety in Ireland, beginning with every mother and newborn baby in Ireland having a complete longitudinal electronic health record. www.ehealthireland.ie/mn-cms www.cerner.ie

About Cerner Millennium Cerner Millennium is the one of the most powerful, scalable and interoperable electronic platforms on the market today. Millennium is a system built on an integrated platform to provide a single source of truth for all clinicians, caregivers and staff, and simplify the environment. As the new national Maternal & Newborn Clinical Management System (MN-CMS), Cerner, and the Millennium solution, will support Ireland to provide all mothers and newborn babies with world class standards of safe health and care through accurate, accessible and secure data. Millennium is interoperable with all other systems to ensure all existing patient and care data is integrated to into an comprehensive, accurate and securely accessible EHR - giving a single source of truth for a patient. Page / 21

www.ehealthireland.ie/mn-cms Thoughts and notes...

Don t forget to share what you think by writing on the feedback wall... Page / 23

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