The Ottawa Hospital

Clinical Category:

e-Reports of Services

ImagineNation Challenge

Clinical Document Manager

Electronic Discharge Summary

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)

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

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)

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CDM Customized Document Types/Templates

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

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

Electronic Document Distribution

Distribute to caregivers involved with patient and select others as needed from list of hundreds of clinicians

EDS – Electronic Discharge Summary

Electronic Discharge Summary with eDistribution Dialog

Electronic Prescription

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

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

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