Helen Paterson Department of Women’s and Children's Health, Dunedin School of Medicine, University of Otago (Thursday, 2.00, General 1) Maternity Plus ™ is the Maternity Information System used in the Southern District Health Board (SDHB). It is used by Lead Maternity Carers (LMC) in the primary sector and Kew and Dunedin Hospitals in the secondary and tertiary sectors. At present all maternity bookings are completed by LMCs on paper and sent to the SDHB, that data is subsequently entered manually into the SDHB Maternity Plus system. Our goal is to integrate the electronic systems used to optimise efficiency and accuracy of data entry and use.

1. Electronic Maternity Facility Bookings
Using Maternity Plus
Helen Paterson
Darren Klemp
Caroline Folland
Malcolm Briggs

2. Maternity Plus
 Clinical maternity information system
 Created in NZ with input from NZ clinicians

3. Secondary / tertiary
 DHBs
 Northland DHB (Secondary)
 Southern DHB (Tertiary)
 Queen Mary Maternity Centre

4. Primary Care
 Dannevirke Community Hospital
 Birthing Centers Warkworth Birthing Center
Waterford Birthing Center
 Provider Organisations MMPO, MAMA
 Private Obstetricians
 Independent Midwives

5. Educational Institutions
 Waikato Institute of Technology – Midwifery

6. Users in Southern District Health Board
 Lead Maternity Carers (LMC) using Midwifery
and Maternity Providers Organisation (MMPO)
services
 Primary
 Queen Mary Maternity Centre
 Secondary / tertiary

7. Objective
 Integrate primary and secondary electronic
systems
 Optimise efficiency and accuracy of data entry
 Improve the ease of data capture

8. Concept
 Stage 1: An Electronic Facility Booking sent
when a woman provides her LMC with her
planned place of birth

9. Concept
 Stage 2: Electronic Facility Admission, transfer
of agreed content clinical record of the
pregnancy held by the LMC at the time the
woman is admitted

10. Concept
 Stage 3: Electronic Facility Discharge back to
the LMC. This will include a complete (agreed)
clinical record that can be loaded into the LMC’s
version of Maternity Plus from the secondary
facility’s labour, birth and postnatal record

11. Bookings at Queen Mary Maternity centre

12. The future

13. Electronic Maternity Facility Bookings

14.  Screen shot of contacts

17. Privacy
 Messages are transported between the LMC and the
facility using HealthLink
 Standard HL7 RSD messaging structure
 Acknowledgement message from the facility to the
LMC on receipt of new booking, update and
cancellation message
 The LMC as the sender of the information has
control over the content sent

18. Advantages
 Time
 Transcription errors
 Data entry at point of care
 Ease of updating the facility on miscarriage or
women changing facility for their birth
 Capacity planning by the facility
 Audit

19. Present project status
 Electronic Bookings System is operational and
in secondary testing within Queen Mary
Maternity centre, SDHB
 There is support and enthusiasm to progress to
Stage 3

20. Future developments
 Integration with alternative information systems
 MedTech
 Incisive
 Transferable clinical maternity record

21. Acknowledgments
 Prue Thomson - LMC
 Sally McNeil - LMC
 Georgia Grant – QMMC core midwife
 Ann Henriques - Solutions Plus
 Christine Hendry - MMPO

22. Questions