1. Members of Eastern Health: Angliss Hospital, Box Hill Hospital, Healesville & District Hospital, Maroondah Hospital, Peter James Centre, Turning Point Alcohol & Drug Centre, Wantirna Health, Yarra Ranges Health and Yarra Valley Community Health Members of Eastern Health: Angliss Hospital, Box Hill Hospital, Healesville & District Hospital, Maroondah Hospital, Peter James Centre, Turning Point Alcohol & Drug Centre, Wantirna Health, Yarra Ranges Health and Yarra Valley Community Health E-health at Eastern Health ‘Agency perspectives and client impacts’ Dr Sonia Fullerton Eastern Health Director of Palliative Care Services

2. Eastern Health -Around 1300 beds -Large catchment area of 2800 sq. km -Primary public provider for 750,000 people -8000 employees -Multiple campuses,

3. Eastern Health activity 140,000 admissions 140,000 ED presentations 30,000 operations 40,000 ambulance presentations 170,000 outpatient services Large and expanding ambulatory services Enormous mental health services

4. Lead agency for HealthSmart or “EhCare@Eastern” Eastern Health is leading Victoria with the implementation of EhCare@eastern, -aim to improve patient care through introduction of information systems that support clinical service delivery

5. EhCare@Eastern Release one Lists, alerts, allergies Results, discharge summaries, discharge and outpatient meds. Release two is underway Electronic inpatient drugs charts, pathology and radiology ordering Pharmacology decision support

6. EhCare@eastern (Healthsmart) has improved patient outcomes -Electronic ‘tagging’ of patients known to palliative care and other services allows sending of automated alerts to staff -“right person, right place, right time” - ‘pull’ known and unknown palliative patients from ED -Electronic referrals improve efficiency

8. … lots more Benefits to quality and safety through electronic medication chart, prevention of errors eg. Clot (DVT) prevention, allergies audit

9. Issues … complexity of introducing different IT systems across a huge and complex organization …. Lack of integration between some EH IT systems …. Lack of integration between EH systems and stakeholder IT systems

10. Way forward? -Improved integration between IT applications already in use across the sector -Clear direction from DoH on which systems should be utilized by agencies in future

11. Way forward? Key to success is good collaboration between working clinicians and IT departments -Fit in with existing clinical workflows and develop new and better ones -Resourcing for clinicians to be involved with health IT service development

12. Thanks! Sonia.fullerton@easternhealth.org.au Comments?