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MN-CMS EHR Phase 2 complete Expanding Digital Care Across Ireland’s Maternity Services

The Maternal and Newborn Clinical Management System (MN-CMS) EHR National Programme in collaboration with Oracle Cerner and the site implementation teams are delighted to announce the successful roll out at the Mid West region and The Coombe Hospital thereby completing Phase 2 of the programme. It reflects the dedication of both local and national teams working together, including significant support from the Phase 1 sites, to deliver digital change.

This is a significant advancement in the delivery of maternity, neonatology, and gynaecology care as the MN-CMS EHR now supports approximately 62% of all births in Ireland and marks a key milestone in the HSE’s commitment to delivering safe, integrated and person-centred care. It strengthens communication across hospital and community services, supporting safer, more coordinated care for women and newborns. 

On 11th October the Coombe Hospital became the final standalone maternity hospital to successfully adopt the MN-CMS EHR followed by its community based antenatal clinics from 13th October. This follows the successful implementation in HSE Mid West which became the first region in Ireland to complete the implementation of the MN-CMS EHR with all specialties; maternity, neonatology as well as gynaecology in July 2025. They join Cork University Maternity Hospital, University Hospital Kerry, the Rotunda Hospital, and the National Maternity Hospital in this national programme. As part of the HSE Digital for Care 2030 strategy, the remaining 13 maternity units, and their related clinics are expected to implement the system in the next five years as part of this transformative national programme.

With the MN-CMS EHR in place the new sites are connected with the hospitals and clinics already live on the system, ensuring that expectant mothers’ complete health records are accessible, regardless of where they receive care. Additionally, MN-CMS EHR helps staff to accurately code diagnoses and procedures, receive near real-time notifications if the patient has an increased risk of certain conditions, and convert raw data into actionable insights by identifying patterns and trends that can elevate care delivery and help improve outcomes.

The key benefits of the MN-CMS EHR include:

  • Enhanced patient safety through real-time access to clinical information and more informed decision-making
  • Streamlined, high-quality documentation that reduces duplication and ensures legibility 
  • Improved communication among multidisciplinary teams, ensuring seamless care across hospital and community settings
  • Support for research, audit, and data-driven management at local and national levels
  • Compliance with GDPR in protecting patient privacy while enabling secure information sharing.

MN-CMS EHR Post Implementation Support Team

Once live the MN-CMS National Back Office (NBO) in collaboration with Oracle Cerner Application Management Services (AMS) assumes responsibility for the maintenance, development and optimisation of the system in partnership with all clinical sites back offices 

The MN-CMS NBO facilitates optimal support to the system, works collaboratively with the system vendor Oracle Cerner and the local back office teams, on business as usual (BAU) activity ensuring safe optimisation and development of functionality to support patient care

The MN-CMS NBO provides a 24/7 on-call service to all MN-CMS EHR sites as a 3rd tier support following escalation of issues through local issue logging processes by designated site personnel and Oracle Cerner AMS support teams.

Responsibilities:

  • Ensures Change Advisory Board (CAB) processes are maintained and configuration verification is available in a structured format pre and post changes to MN-CMS path to live and production systems
  • Provides System continuity management, support on system configuration 
  • Oversees and monitors Service Level Agreements of system incidents and formal communication to sites of any incidents
  • Manages and coordinates the domain strategy, including management, maintenance and planning of activity
  • Engages and coordinates with the technical resources from the HSE and Oracle Cerner to ensure ICT requirements are met appropriately
  • Supports and oversees system upgrades, system testing, training and SOPs
  • Works closely with MN-CMS EHR National Project team to assist with implementation tasks such as testing, data migration, interfacing, reporting, future site engagement and all other necessary tasks
  • Works closely with MN-CMS National EHR Project team workstream Leads & Local back Office teams on BAU activity associated with live site support  
  • Ensures Data Protection and Information Governance requirements are complete and appropriate
  • Collaborates and communicates with the necessary HSE projects, such as MedLIS, IHI
  • Contributes to national policy development, working with other National Project Team (NPT) Workstream leads

While supporting BAU for the six live sites is the focus for the MN-CMS EHR National Team, the optimisation roadmap pursues ‘added value’ and optimisation and intend to initiate projects shortly to implement integrated clinical digital dictation, Blood gas POCT as well as 2026 deliverables which include Patient Portal, the move of MN-CMS EHR data to HSE data-lake, MN-CMS as a mobile application PowerChart Touch, and an upgrade to the EHR clinical code.

View this photo reel from the MN-CMS EHR successful rollout with Oracle Cerner in the Mid West and The Coombe.