Overview of the New Zealand Maternity Clinical Information System

BadgerNet New Zealand Maternity System

HINZ 2015

Dr Karolyn Kerr, NZ Account Manager Karolyn.kerr@clevermed.com

Dr Elaine Fyfe, NZ Clinical Specialist Elaine.Fyfe@clevermed.com

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clevermedBackground

• Overarching National Programme – Maternity Information Systems Programme already in place

• National Maternity dataset through Health Information Standards Organisation process

• Ministry Procurement process for one national Maternity Information System

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clevermedBackground

• We also have in NZ: – a Neonatal System – Hearing Screening System– Patient and Clinical Portals prototype– MMPO - new development to support community

care providers/LMCs with clinical documentation and practice review process

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clevermedBackground

• Governance– Clinical reference group– Steering Group - MISP– National Health IT Board– Clevermed are the data custodians - national and local datasets

• Scope of the Maternity system– Conception to six weeks postnatal– DHB and now community care– All clinical staff involved with care of mother and baby

= National end to end maternity information system

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clevermedNational Interfaces

Ministry of Health:• NIR, Mat Datamart, Section 88

Department of Internal Affairs• Births, Deaths and Marriages

Future Interfaces• National Child Health Platform (Midlands Health Network)• Electronic Medications Management• Metabolic Screening• Health Practitioner Index

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clevermedFinancial Model

• Software as a Service– Cost per baby includes licensing and development

fees– Implementation fee to cover set up of local

BadgerNet Server and PAS Interface development– National Interfaces so far covered by MOH– Fee for extra local DHB interfaces– Devices require a client, local server, failover to

national server at CCL

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clevermedRoll Out

• Maternity Live – Midcentral– Whanganui– Counties– Tairawhiti– South Canterbury

• Neonates Live– Whanganui– Midcentral

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clevermedRoll Out

• Business Cases Signed– Capital and Coast (Mat and Neo)– West Coast (Mat)– Waikato – (Mat and Neo)

• Business case under development– Hutt and Wairarapa (Mat, Neo and hearing screening)– Canterbury– Waitemata

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clevermedImplementation

• Project Team/Manager• Significant clinical change required – needs

active and ongoing clinical leadership and a good relationship between IT and the Service

• Minimum requirements for go-live for DHBs defined by steering group

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clevermedRelease Process

• Clinical Reference Group – Chair Cheryl Benn• Weekly WebEx Meetings to agree changes• Added to Clevermed release process• Currently 3 monthly, moving to quarterly/6 monthly• All three systems on same release cycle• Testing by DHBs in Test prior to release to Live• Take over of secretariat role by MOH

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MCIS: Overview

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Access

Audit trail: within individual notes and forms

Access report: viewing/opening notes and forms

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Front page

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Partner present mode

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Home tabs

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Notes and forms

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All Notes

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Charts

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Reporting – individual record

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Reporting - lists

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Reporting – unit reports

Unit reports

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Break glass functionAllows users to access a maternity record at any location in the country using the MCIS and provides a complete audit trail of actions.

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