Pulse+IT Magazine - July 2014

Page 52





INCREMENTAL APPROACH TO DIGITISATION Rolling out a full electronic medical record in the acute care setting is notoriously fraught with difficulty, an exercise that is hard, expensive and ripe for failure. An alternative measure that can provide excellent results is a scanned medical record accompanied by electronic forms and diagnostic results viewing. That is the path chosen by Epworth Healthcare in Melbourne as it implemented Core Medical Solutions’ BOSSnet DMR over the last year.

KATE MCDONALD Journalist: Pulse+IT kate.mcdonald@pulseitmagazine.com.au

Scanned medical records are nothing new and many hospitals and healthcare organisations have implemented a solution in various forms over the last decade or so, but the technology behind scanning solutions has improved enormously over that time and it now provides a practical, cost-effective way to digitise the mountain of paperwork that still proliferates in almost every hospital in the country. Scanned medical records can act as a necessary tool to maintain historical records but with a few added extras, they can also be a step towards a full EMR. When joined with electronic forms, electronic ordering and results reviewing and an electronic medications management module, these pieces of technology can constitute what many regard as a full EMR, without the headaches of boxed solutions. Epworth Healthcare in Melbourne has this year completed the roll-out of Core Medical Solutions’ BOSSnet Digital Medical Record (DMR). First installed at Epworth Eastern in late 2010, it has now been implemented throughout the hospital group, with the last facilities going live in March this year. Epworth previously used a legacy, nonclinical scanning solution that needed to be replaced. Rohan Ward, CEO of Core

Medical Solutions, says there was no discussion about trying to do anything other than fix something that was broken, but there was an eye on what BOSSnet could provide in the future as well. “We were chosen because we had a product that could replace their legacy scanning solution but we also provided a logical and manageable system that can be used when you want to move to a paperless environment,” he says. “But the main thing was they had a system that was going to stop working and it had to be replaced.” BOSSnet DMR was initially implemented at Epworth Eastern in November 2010, and after a comprehensive tendering process in 2012, it was implemented across the remaining six facilities in 10 months. Greg Horvat, Epworth’s senior project manager for the implementation, says BOSSnet has all of the capabilities required for electronic scanning, but it can also receive electronic pathology and radiology results and reports, along with additional functions such as its eForms capability and electronic ordering of results. “BOSSnet gives us the opportunity of bringing in results from pathology and