Using a data driven approach to improve eMR adoption
Tracks
Track 2
| Friday, July 25, 2025 |
| 11:10 AM - 11:30 AM |
| Bradman Theatrette |
Overview
Presenter: Adj Prof Aaron Jones FACN
Speaker
Adjunct Professor Aaron Jones
Chief Nursing And Midwifery Information Officer
Sydney Local Health District
Using a data driven approach to improve eMR adoption
11:10 AM - 11:30 AMAbstract
Introduction:
The implementation of Electronic Medical Record (eMR) functionality requires careful monitoring after go-live to monitor if end users are following agreed upon workflows. This paper will explore the use of a near real time dashboard developed to monitor performance, patient safety and staff adoption.
Main Body:
In June 2024, SLHD implemented the Emergency Care and Treatment (ECAT) program and associated eMR solution at all of its Emergency Departments (EDs). ECAT is a state-wide, co-designed program of standardised nurse initiated emergency care pathways, currently consisting of 73 protocols for both adult and paediatric patients.
The eMR solution consisted of a series of Cerner eMR PowerForms and PowerPlans that nursing staff in the EDs could use once accredited, as well as reports developed in Cerner Discern Analytics 2.0 to monitor solution usage. These reports required lengthy manual extraction and processing, limiting senior ED staff in their ability to monitor adoption and compliance.
To improve reporting on the uptake of ECAT protocols, SLHD co-designed a dashboard using the NSW Health Enterprise Data Lake and Microsoft PowerBI. The dashboard is refreshed daily and allows senior ED staff to visualise key data elements to ensure that ED staff were using the ECAT protocols safely and keeping to their scope of practice. The dashboard has seen improvements in the use of the eMR solution and provided the organisation with a clinical governance tool to monitor compliance.
Conclusion:
The use of a near real time dashboard has reduced time spent on data extraction and seen improved adoption of the ECAT eMR solution. The tool has enabled senior ED staff to focus on key data elements to ensure that staff are following policy and procedure and keeping to their scope of practice.
The implementation of Electronic Medical Record (eMR) functionality requires careful monitoring after go-live to monitor if end users are following agreed upon workflows. This paper will explore the use of a near real time dashboard developed to monitor performance, patient safety and staff adoption.
Main Body:
In June 2024, SLHD implemented the Emergency Care and Treatment (ECAT) program and associated eMR solution at all of its Emergency Departments (EDs). ECAT is a state-wide, co-designed program of standardised nurse initiated emergency care pathways, currently consisting of 73 protocols for both adult and paediatric patients.
The eMR solution consisted of a series of Cerner eMR PowerForms and PowerPlans that nursing staff in the EDs could use once accredited, as well as reports developed in Cerner Discern Analytics 2.0 to monitor solution usage. These reports required lengthy manual extraction and processing, limiting senior ED staff in their ability to monitor adoption and compliance.
To improve reporting on the uptake of ECAT protocols, SLHD co-designed a dashboard using the NSW Health Enterprise Data Lake and Microsoft PowerBI. The dashboard is refreshed daily and allows senior ED staff to visualise key data elements to ensure that ED staff were using the ECAT protocols safely and keeping to their scope of practice. The dashboard has seen improvements in the use of the eMR solution and provided the organisation with a clinical governance tool to monitor compliance.
Conclusion:
The use of a near real time dashboard has reduced time spent on data extraction and seen improved adoption of the ECAT eMR solution. The tool has enabled senior ED staff to focus on key data elements to ensure that staff are following policy and procedure and keeping to their scope of practice.
Biography
Aaron is the Chief Nursing and Midwifery Information Officer (CNMIO) for Sydney Local Health District (SLHD) and Adjunct Associate Professor in the Faculty of Medicine and Health at the University of Sydney. Aaron has over 30 years’ experience working in the NSW public health sector as a Registered Nurse in various clinical specialties including burns and plastic surgery, surgical oncology, cardiology, intensive care and emergency nursing.
Aaron became the first CNMIO in NSW in 2015 and has been actively engaged in the field of Health Informatics for over a decade. He was the inaugural Chair of the Australian College of Nursing Chief Nursing Information Officer Community of Interest and has co-authored a position statement on the role and importance of the role in Australia. Aaron represents the nursing and midwifery workforce locally and at a state a national level in various committees and working parties as it relates to the Electronic Medical Record, Digital Health and the emerging Health Informatics/Digital Health workforce. Aaron is on the International Advisory Board for the KLAS Arch Collaborative – an organisation that studies digital health technology implementation and adoption.
