1. EDIS Emergency Department Information System
Manitoba Nursing Informatics Association
March 16th, 2009
Presented by Debbie McMahon
EDIS Clinical Nursing Coordinator
WRHA Emergency Program

2. 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

3. 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
High level reasons for why the WRHA has initiated this project.

4. 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

5. 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.

6. 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

7. 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

8. Simplifies Reporting - eliminates manual reporting
- automatically generates department log -

9. Benefits to Administrators
Increases Patient Satisfaction
- fewer LWBS, elopements, AMA
- improves door to doc
- decreased noise
- decreased patient wait time and length of stay

10. Decreases Liability Printed discharge instructions
Legible documentation ( once clindoc)
Eliminates lost of misplaced patients
Increased patient safety

11. 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

12. 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.

13. 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

14. 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.

16. 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.

17. 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.

18. 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.

19. QUESTIONS?