NMH

NMH | 2024 173 Quality & Safety Services The system uses role based access, providing users with access only to parts of the chart that are required to fulfil their role. The majority of staff receive training on-site and attend in-person for between 2 and 6 hours, depending on their role. Users who are given read-only access for the purposes of research are required to complete a module on HSELand. The MN-CMS team provide support by phone and email as well as in-person support which are all essential parts of any large electronic system. Pager, phone and 'at the elbow' support is available Monday to Friday, while phone support, provided by Oracle Cerner AMS available out of hours. The local team also provide cover outside of core working hours for any planned downtime or upgrade to the system. One of the great challenges of healthcare is routine data collection and a concise but complete record of care. This documentation serves as an integral measure of care quality, and improvement of documentation is a primary focus of the MN-CMS Local Back Office (LBO). Throughout 2024, the team have undertaken detailed daily and monthly data quality monitoring in order to set and maintain good quality standards of documentation. In 2024, the team continued to release MN-CMS Dashboards in collaboration with the Information Department. The NMH Dashboard is released monthly and shows information about births in the hospital for the previous month, including total births, Mode of Delivery, Patient Category and various other interesting pieces of information. The Dashboard is emailed to all staff and is displayed on information screens in the hospital for all to see. MN-CMS Dashboards allow staff to view high level information about activity levels in the hospital and feedback has been very positive, especially from non- clinical staff members who previously may not have had access to such information. As information collected in MN-CMS is shared more widely, the benefits of electronic data capture and dissemination are being realised. The team also releases additional information dashboards focusing on specific areas within the hospital, such as the NICU, Emergency Department, Antenatal Education and DOMINO care in conjunction with those departments. Our Electronic Health Record is constantly being upgraded and improved and in 2024 the Team were involved in planning for a 2025 upgrade to Cloud CareAware iBus® for BMDIs (Bedside Medical Device Interface). Numerous other updates to MN-CMS took place in 2024 to enhance function and usability of the EHR. These included new consults, changes to tracking boards, new Growth Chart for Down Syndrome, facilitating changes to reflect new policies and guidelines, changes to support the national RSV immunisation rollout and many other modifications to the system. One of the great challenges of healthcare is routine data collection and a concise but complete record of care. This documentation serves as an integral measure of care quality, and improvement of documentation is a primary focus of the MN-CMS Local Back Office (LBO)." Alongside this, and throughout 2024, extra build and new features have been proposed, agreed, built and tested in preparation to add two new MN-CMS Maternity Hospital sites in 2025. When operational in the new sites, 70% of all births in Ireland will be recorded on MN-CMS. The MN-CMS Team continue to work at a local level and in collaboration at a national level and look forward to being able to facilitate greater enhancements in the future, dependent on clinical priorities, national agreement and available resources. The MN-CMS Team continues to work with all areas of the hospital to get the most from our electronic health record. Our aim is to support and guide users on every aspect of MN-CMS to achieve the maximum benefit for our patients and us all as healthcare providers. Sive Cassidy, CMM3 MN-CMS.

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