1. The Ottawa Hospital Clinical Category: e-Reports of Services ImagineNation Challenge Clinical Document Manager Electronic Discharge Summary

2. Defines a comprehensive toolset containing EHR-Embedded Document Selector Tool Customized Document Types/Templates Form Controls, Macros and Data Tools Enterprise Voice Recognition Solution Integrated Document Display Within EHR Internal/External Electronic Document Distribution Clinical Document Manager (CDM)

3. Defines an online EHR document that remains active throughout the inpatient visit encompassing: Diagnosis List Procedures Investigations Summary of Stay Discharge Plan Electronic Prescription Electronic Discharge Summary

4. CDM Document Template Selector Defined Set of Document Types, Templates and Tools “Document Type” can be defined by Clinical Provider type (ie: Physician, Nurse, Allied Health) Medical Specialty (ie: Surgery, Medicine) Workflow (ie: Consultations, Clinical Notes, Procedures) “Document Templates” can be defined by Clinical Requirements (ie: Specific Procedure Types) Specific Workflows (ie: Special Assessment Types)

6. Body copy goes here CDM Customized Document Types/Templates

7. Corporate Instance of Dragon Medical Enterprise Roaming user voice profiles User voice profile access at >8500 computers Voice templates and macros Available for Clinical Documents and Discharge Summaries Enterprise Voice Recognition Solution

8. Documents are available on-line in the EHR as soon as they are placed in final status. Electronic Discharge Summaries are here A large number of Medical and Allied Health documents can be created. Integrated Document Display Within EHR

9. Electronic Document Distribution Distribute to caregivers involved with patient and select others as needed from list of hundreds of clinicians

10. EDS – Electronic Discharge Summary

11. Electronic Discharge Summary with eDistribution Dialog

12. Electronic Prescription Electronic prescription printed to local printer with summary of final eDS – given to patient on day of discharge.

13. The combination of CDM (Clinical Document Manager) and EDS (Electronic Discharge Summary) provides a robust toolset to health providers at TOH. Health services are recorded and transmitted to the EHR and to the circle of community care providers in a timely manner for the purpose of improving continuity of care and patient outcomes. e-Reports of Services Summary

14. CDM/eDS Baseline Data eDS Number of eDS users: 3235 users Number of eDS distributions/month (November): 2452 This number accounts for 93% of TOH discharges for the month of November. CDM Number of CDM users (November): 2979 authorized users Number of CDM documents/month created (October): 36,700