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144 Standalone Chapters 2020 | NMH Annual Rep t Jill Bookless and Rafael San Martin, Midwives, adding patient data to the system. T he Maternal and Newborn Clinical Management System (MN-CMS) has been live in The National Maternity Hospital since January 2018. First introduced as a maternal and newborn record only, it has since expanded to cover gynaecology and colposcopy services thereby providing a paperless electronic health record for the whole hospital. The ethos of MN-CMS is 'patient centred, clinically led' and the MN-CMS team work closely with the HSE National MN-CMS Team and the other participating maternity hospitals to support, manage and upgrade the system. Apart from patient documentation, MN-CMS enables medication prescribing and administration, ordering and viewing laboratory investigations and electronic communication with general practitioners. It also interfaces with other specialist systems such as fetal cardiotochograms, theatre and anaesthetic records, ultrasound, and patient administration system. The Maternal and Newb n Clinical Management System The MN-CMS Department provides the hospital with support to enable the continuous 24-hour use of the system and ensure the most efficient use of the electronic chart so both the patient and healthcare users get the maximum benefit from the system. Continuous training and creating and maintaining user access to MN-CMS are essential pre-requisites to all the other support functions. MN-CMS training is provided in our state-of-the-art computer training facility. All new and returning users require training and in the last year the team has trained 375 doctors, midwives, nurses, allied health professionals, students and administration staff to use MN-CMS. COVID-19 has provided challenges as face-to-face training has had to be limited and strict COVID-19 protocols put in place, as well as extra training sessions required for staff who worked from home during the pandemic. COVID-19 has also given us opportunities to develop new teaching tools, such as online and video educational materials which have now been rolled out on HSELand and the new NMH e-learning hub. MN-CMS has been good for COVID-19: COVID-19 has enhanced and demonstrated the benefits of MN-CMS and also accelerated the understanding that an electronic health record is the future. Remote access has proved invaluable throughout the COVID-19 pandemic, enabling multi-disciplinary teams to access patient records immediately from anywhere with a Wi-Fi connection and appropriate security protocols. Staff members working from home The ethos of the Maternal Newborn Clinical Management System is patient centred, clinically led