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Implementing the Maternity information system in South Canterbury
The document discusses the implementation of a fully electronic Maternity Clinical Information System (MCIS) at a primary and secondary maternity unit, highlighting the transition from paper to digital records. It details the challenges faced, including staff resistance, varying IT literacy, and the need for extensive training, while also noting that the system has evolved since its launch in October 2014. Future benefits from the MCIS include improved data collection and integration with national health systems, promoting better health management for mothers and babies.
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Implementing the Maternity information system in South Canterbury
- 1. Maternity Clinical Information System(MCIS) The challenge of moving from paper to fully electronic CIS Jane Brosnahan Director of Nursing & Midwifery
- 2. Our Place -Primary & Secondary Maternity Unit – 11 Beds
- 3. Background to MCIS •Fully electronic • Supports maternity journey from confirmation of pregnancy through to 6 weeks post partum – Conception to six weeks postnatal – DHB and community care – All clinical staff involved with care of mother and baby
- 5. What does MCISlook like?Thanks to Tairawhiti DHB for sharing this slide
- 6. Pregnancy CareThanks toTairawhiti DHB for sharing this slide
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- 8. Implementation of Trendcare2013 • Midwives were fearful/ mistrusting of new technology and reliability of the data • Variable IT literacy in the workforce • Slow to uptake system • Once implemented good users
- 10. Implementation MCIS October2014 • Small DHB not used to being early adopter – best at being a fast follower adopter • Never anticipated that SCDHB would be the first DHB to utilise the entire system – originally selected to commence in 2nd tranche • Externally managed system so constantly evolving (currently on version 8 – version 9 coming soon)
- 11. Implementation MCIS October2014 • Much bigger change process than anticipated – training , training , training communication, communication, communication • Success required individual level practice changes – clinical notes , increased use of partograms • Need to purchase new tools of the trade – laptops (cows), secure bags, mobile printers, i phones
- 12. Training and utilisation •All midwives (Core, Continuity of Care, LMC) – Some resistant staff with extra training and involvement in the implementation they are now some of the best users – LMC Midwives (non-employees) some now prefer MCIS as there preferred method for recording clinical notes
- 13. Training and utilisationcont’d • Senior Medical Officers – Obstetricians (ongoing training required to increase utilisation) – Paediatricians (more involvement in version 9 release) – Anaesthetists (training planned) – Locums
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- 20. Membership • SCDHB GeneralManager, Clinical Governance • SCDHB Director of Nursing & Midwifery • SCDHB Falls Lead • SCDHB Strategy, Planning and Funding • Home Based Support Services • Aged Residential Care Provider • Sport Canterbury • ACC • Timaru District Council • Community Physiotherapist • Primary Care Chief Medical Officer (as required) • Co-opted representatives (as required)
- 22. Learnings (post implementation andfrom Tairawhiti DHB) • Undercooked project management • Better preparation • More involvement of end users • Probably should have implemented part rather than entire system • Greater consideration of Health and Safety issues related to equipment
- 23. Benefits to come •Automated triple enrolment – National Immunisation Register – Tamariki Ora Well Child providers – Oral Health – General Practice
- 24. Benefits to come •Hearing screening module (implications for Public Health Nursing, General Practice) • LMC Midwives MMPO notes to be linked to MCIS • National Maternity dataset through Health Information Standards Organisation process • Link to Health Connect South for lab results etc.