Ambulatory Care

What's Changing?

Advanced Cerner electronic health record capability is coming to ambulatory care at South Island locations. This IHealth activation will focus on: 

  • Standardization of registration and scheduling within the electronic health record (EHR)
  • Implementation of computerized provider order entry (CPOE) and bar-coded medication administration
  • Implementation of electronic clinical and provider documentation
  • Implementation of electronic ordering to document Medical Orders for Scope of Treatment (MOST).

The planned changes support the completeness of the patient chart in the EHR and will enable teams caring for patients in different centres to see important documentation related to their care.

To standardize ambulatory clinic processes, this digital transformation will include the following objectives: 

  • Eliminate unnecessary variation in work processes with adoption of electronic tools in a consistent way across ambulatory settings
  • Identify opportunities for improvement in business processes or clinical care delivery and implement at scale to deliver on the strategic goals of the organization
  • Understand and set criteria to identify when standardization is not the best option.
Neuro Electrodiagnostic Technologist Kirstine Macaskill performs nerve conduction studies to measure the electrical activity of nerves
Neuro Electrodiagnostic Technologist Kirstine Macaskill performs nerve conduction studies to measure the electrical activity of nerves.

Who's going live?

Ambulatory Care - General Group 1 - March 2024

The following clinics have significant care linkages to patients in acute care, and will be the first group to go live with advanced functionality of the Cerner electronic health record, alongside acute care services at VGH/RJH.

  • Antenatal Assessment Unit (including Medical Genetics)
  • Echocardiography
  • Electrodiagnostic Services
  • Endoscopy
  • Gestational Diabetes Clinic
  • Home IV
  • Medical Imaging
  • Neuro Electrodiagnostic Services
  • Pediatric Daycare/Medical Care
  • Surgery Pre-Admission
  • Endoscopy
  • Surgery Pre-Admission
  • SI Endocscopy Screening Program
  • Bronchoscopy
  • Cardiac Catheterization and Electrophysiology Lab
  • Cardiac Short Stay
  • Clinic 6 Ophthalmology
  • Colposcopy
  • Cystoscopy
  • Echocardiography
  • Electroconvulsive Therapy
  • Electrodiagnostic Services
  • Endoscopy
  • Home Dialysis Hemodialysis
  • Home Dialysis Peritoneal Dialysis
  • Home IV
  • Kidney Care Clinic
  • Medical Day Care
  • Medical Imaging
  • Neuro Electrodiagnostic Services
  • Outpatient Parenteral Antimicrobial Therapy
  • Pacemaker Clinic
  • Pain Program Clinic
  • Pulmonary Function Lab
  • Surgery Pre-Admission
  • Transplant Clinic

Note: Inpatient units providing procedures or procedure recovery for ambulatory patients are also included

Subsequent groups

The remaining ambulatory clinics will go live at a later date, to be announced.