The document discusses the Emergency Department at a Glance (EDAG) system which has successfully captured over 88,000 patient presentations. The system has strong support from ED staff and other hospital departments. New functionality has been added to capture additional data and the DHB has continued investing in improvements. SNOMED CT coding is endorsed for the NZ health system and there is increasing interest from ED and research. The system has raised the profile of ED information systems regionally and nationally. The future direction is uncertain but may involve partnering with a vendor or the regional health board developing a solution while the current system remains in place.

1. Emergency Department at a
Glance

3. ED at a
Glance

4. Emergency Department at a Glance
88,000+ successfully captured ED presentations
Very strong buy in from all ED staff, ward
doctors, bed coordinators, radiology, business
support team, managerial staff
DHB has continued to invest in the product –
and it continues to improve

5. New functionality
 Enhanced ability to capture reasons why patients stay
longer than 6 hours
 Destination coding
 Automated lists for x-ray sessions and M&M meetings
 Strengthened password security as we move to HCS
 Enhanced capture of ED procedures
 Clinical decision support to prompt data capture
 Back end reporting

6. SNOMED CT Coding
Endorsed as the future coding terminology for
the NZ health system
Increasing ED and research interest
St John
ACC conversation about to begin

7. SNOMED CT Coding
0
200
400
600
800
1,000
1,200
NumberofPresentations
Top 20 Nelson ED Diagnoses Jun 2014 - Jul 2015

8. NMDHB Journey
Raised Profile of ED Information Systems
Regionally
Nationally
Multiple visitors have viewed ED at a Glance
Clinicians ++
NHITB
Minister

9. Future Direction
Uncertain at first
?Seek to partner with a vendor (?value in further
ED at a Glance development)
Orion to develop a regional SI solution, but
NMDHB to maintain ED at a Glance until
regional platform is mature
ED at a Glance is agile and responsive enough to
be central in evolving to a paperless department

10. A few passing thoughts…
Small developers tend to have a small voice
Many DHB’s are not well placed (or funded) to
capitalise on innovation - little middle ground
Tension between clinicians with passion and intimate
understanding vs. corporate entities who are
contractually obliged to deliver to market (different
drivers)
How do clinicians maintain input into projects and
continue to innovate?

12. A fully integrated solution!!