Barwon is building a community electronic medical record system (community EMR): a connected, patient-first, HL7-ready platform on the Salesforce Customer 360 Platform for Health. It gives clinicians the tools they need to enroll patients in programs as needed, connect that data and information accordingly, and give real-time visibility to care providers as needed so that everyone involved in the person’s care (including the patient!) can take action as one team.
Here’s how the EMR is designed:
- Authorised care providers log in to the portal via Health Cloud, Salesforce’s service and case management CRM product intelligently optimised for the needs of the typical patient interaction. Here, they can log notes in the patient’s personal profile record, tag clinicians or specialists on specific questions, update program enrollment details, and so on. “This will give staff the ability to stay updated on a patient without having to file through folder after folder of paper notes to find out the status is from program X, how successful program Y has been, what impact program Z has had...” said Reynolds.
- Integrated reports and dashboards pull patient data into a summary view, which staff can use to spot trends or patterns, measure relative progress, pinpoint catalysts, and more.
- Salesforce Field Service was added, which will extend the same functionality to Barwon’s extended network; hospitals or home nurses for example who make a significant number of house visits. These teams will also be able to log into the system, receive their schedule, look at a dashboard, determine who they need to visit next, and understand what that patient’s needs might be when they get there. I.e.: “a greater level of acuity across our hospital-in-home services, allowing more patients to recover in the comfort of their own house, faster,” Dr. MacKinlay added.
- Real-time and/or urgent updates can be sent to a care team via instant message through online community portals built using Experience Cloud. “Let’s say you’re one of our mental health workers and you have 15 active clients under your care, including Sandra who just finished a checkup appointment after testing positive for COVID-19 the week before. Sandra, or Sandra’s doctor, can log in and send you a message to let you know she’s struggling more today than yesterday, prompting you to follow up with her sooner than you might have otherwise and potentially stopping an acute crisis,” Dr. MacKinlay continued.
- MuleSoft was also included, enabling the system to integrate and automatically share records back and forth with third-party systems. As was Shield, giving Barwon the tools to build an additional layer of security and compliance features like event monitoring and field audit trail. And last but not least, Sandbox was layered on, providing Barwon with a test environment to try out new capabilities before pushing them live to the broader network.
Instead of having program-by-program progress reports that list patient names and outcomes one line after the next, everything starts with the individual and the care they are receiving. “We can incorporate and connect things like outpatient rehab, allied health, occupational therapy, or drug and alcohol services as needed. It’s more efficient for the organisation, more beneficial for the person, and more impactful with respect to our mission,” said Reynolds.
“It is a collaborative project, co-led by Clinical Informaticians, IT specialists, and subject matter experts to establish a new standard in connected, patient-centred care,” added Dr. MacKinlay.