Endoscopy Information System (EIS)

Aim

To develop a high-quality endoscopy reporting system to ensure that an accurate assessment of NSW endoscopy services can be undertaken against accepted patient safety, quality and utility benchmarks.

Benefits

The implementation of a standard EIS across NSW Health will:

  • Provide accurate statewide information on endoscopic procedures carried out in NSW public hospitals; 
  • Inform on issues of productivity, activity, costs, and access to services; 
  • Facilitate the comparison of services against critical safety and quality benchmarks; 
  • Facilitate electronic reporting to the National Bowel Cancer Screening Program’s Register; 
  • Enhance the efficiency and accuracy of clinician procedure-reporting through electronic image capture and customisable reporting templates; 
  • Allow endoscopic reports to be electronically stored and accessed across health services via an electronic Medical Record (eMR).

Summary

The EIS provides for electronic medical documentation of endoscopic procedures. It builds a statewide data repository that can be used for analysis of quality and safety metrics, and provides the foundation for future statewide benchmarking and research

Background

The EIS provides for electronic medical documentation of endoscopic procedures. It builds a statewide data repository that can be used for analysis of quality and safety metrics, and provides the foundation for future statewide benchmarking and research.

The benefits of an integrated EIS system across NSW  are as follows:

Patients

Patients will benefit from more accurate and detailed information on the outcome of procedures, with reports (including images) taken during the actual procedure.

Data from the EIS will provide the foundation for quality improvement initiatives, future statewide benchmarking and research, helping to drive improvements in patient care.

Clinicians

The EIS will be integrated with NSW Health’s eMR system. The ability to view real-time endoscopy data in conjunction with other real-time eMR data will support a common consolidated view of a patient’s medical data at the point of care.

Local Health Districts

The system will be hosted centrally at existing NSW Health data centres that will result in the ability to source comprehensive, accurate and timely information on a whole-of-enterprise basis for key activities such as endoscopic procedures.

NSW Health System

The EIS will facilitate statewide data collection for Endoscopic procedures at site, LHD and state levels; facilitate documentation that informs professional certification; provide accurate data about endoscopic services across NSW; and allow for provision of data to the National Bowel Cancer Screening Program (NBSCP).

Partnerships

  • HealthShare NSW

Key Dates

Pilot Sites

Implementation Sites

Central Coast Local Health DistrictGosford Hospital
Wyong Public Hospital
Hunter New England Local Health DistrictArmidale Rural Referral Hospital
Belmont Hospital
Calvary Mater Newcastle
Cessnock District Hospital
John Hunter Hospital
The Maitland Hospital
Muswellbrook Hospital
Singleton District Hospital
Tamworth Rural Referral Hospital
Manning Rural Referral Hospital (Taree)
Scott Memorial Hospital, Scone
Glen Innes District Hospital
Gloucester Soldiers Memorial Hospital
Gunnedah District Hospital
Inverell District Hospital
Moree District Hospital
Narrabri District Hospital
Illawarra Shoalhaven Local Health DistrictShoalhaven Hospital
Mid North Coast Local Health DistrictCoffs Harbour Base Hospital
Port Macquarie Base Hospital
Murrumbidgee Local Health DistrictWagga Wagga Base Hospital
Nepean Blue Mountains Local Health DistrictNepean Hospital
Blue Mountains District ANZAC Memorial Hospital
Lithgow Integrated Health Service
Blue Mountains District ANZAC Memorial Hospital
Lithgow Integrated Health Service
Northern NSW Local Health DistrictGrafton Base Hospital
Lismore Base Hospital
The Tweed Hospital
Northern Sydney Local Health DistrictHornsby Ku-ring-gai Hospital
Manly Hospital
Mona Vale Hospital
Royal North Shore Hospital
Ryde Hospital
South Eastern Sydney Local Health DistrictPrince of Wales Hospital
St George Hospital
Sutherland Hospital and Community Health Service
South Western Sydney Local Health DistrictBankstown Lidcombe Hospital
Campbelltown Hospital
Fairfield Hospital
Liverpool Hospital
Southern NSW Local Health DistrictGoulburn Base Hospital
Bateman's Bay District Hospital
Sydney Children's Hospital NetworkSydney Children's Hospital
The Children's Hospital at Westmead
Sydney Local Health DistrictCanterbury Hospital
Concord Repatriation General Hospital
Royal Prince Alfred Hospital
Western NSW Local Health DistrictDubbo Base Hospital
Bathurst Base Hospital
Orange Health Service
Western Sydney Local Health DistrictAuburn Hospital and Community Health Services
Blacktown Mount Druitt Hospital (Blacktown Campus)
Blacktown Mount Druitt Hospital (Mount Druitt Campus)
Westmead Hospital

Evaluation

Site installation evaluations are undertaken two weeks post-installation. As implementation is now complete, ACI has engaged the services of Deloitte Access Economics to undertaken an evaluation of the effectiveness of the implementation and whether the benefits/aims have been realised.

The evaluation will provide a framework to assess if implementing the EIS system has:

  • improved the information captured about endoscopic procedures
  • improved information available to other clinicians within the hospital to support a common consolidated view of a patient’s medical data at the point of care.
  • improved information for patients about the procedures they have undergone
  • improved the discharge information for patients and other healthcare providers
  • improved reporting to the National Bowel Cancer Screening Program (NBCSP)
  • provided a framework and baseline data which can be used to inform the development of hospital, LHD and state-wide reporting in the future.

The evaluation project will commence late April and will be completed at the end of June 2014.

Related Initiatives

The Gastroenterology Network has established an EIS Clinical Advisory Group, involving clinician representatives from all Local Health Districts. The function of the Clinical Advisory Group is to provide clinical governance and oversight of the data gathered as part of the EIS reporting process.

Additionally, the Network has established a training and support group who will oversight system training to ensure the sustainability of the system.

Contact

Lyn Farthing
Gastroenterology Network Manager
lyn.farthing@health.nsw.gov.au
02 9464 4622

Daniel Comerford
Director, Acute Care
daniel.comerford@health.nsw.gov.au
02 9464 4602

Page Top | Added: 5 November 2013 | Last modified: 23 September 2014

ACI
Status:
Contact:
Lyn Farthing
Gastroenterology Network Manager
Email
02 9464 4622
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