Integrated case management system

With an integrated electronic patient record system, clinicians at Alfred Health can deliver high quality care across multiple sites by accessing the complete patient record at the point of care.

Alfred Health provides health services to the inner south eastern suburbs of Melbourne, Australia.   Following the establishment of a Disease Management Unit (DMU) and their Better Care for Older People (BCOP) program, Alfred initiated the Community and Hospital Online Record (CHORd) project to replace their paper-based patient consultation records system. 

The DMU treats patients with chronic diseases who receive proactive, ongoing care while the BCOP program co-ordinates the care of at risk elderly patients and incorporates community health services, GP’s and the Royal District Nursing Services.  Both the DMU and BCOP required an integrated, patient centric system capable of tracking and planning the complex patient care needs with the aim of reducing emergency department admissions and average length of stay in hospital and improving the quality of life for patients.

EMIS Health JCC’s secure, integrated case management system was implemented across DMU and BCOP to co-ordinate the delivery of ongoing care across multiple sites and multiple providers.  With JCC, online patient information is accessible by healthcare providers at the point of care and is synchronised in real time.  Easily accessible by care providers but with robust security to manage data and system integrity and safeguard patient confidentiality, JCC provides the clinician with the complete patient record to more accurately assess the overall patient care outcomes.  The core functionality of EMIS Health’s JCC includes:

  • Secure Access
  • Outcome Measurement
  • Information at Point of Care
  • Comprehensive Reporting and Graphing
  • Integration Capability
  • Referral Management
  • Document Management
  • Medication Management
  • Assessments
  • Clinical Notes

Within a six month period, the DMU saw a 36% reduction in hospital admissions, a reduction in the average length of stay in hospital from 6.9 to 6.5 days and a 39% reduction in emergency department presentations.

“By definition, disease management implies co-ordinated review and communication strategies. CHORd (and JCC) has enabled the rapid and timely transfer of information from specialist clinics to primary care providers.”

Dr Marco Bonollo, Head of the Disease Management Unit at Alfred Health