The document discusses a healthcare facility's need to replace its aging admission, discharge and transfer (ADT) system. Two vendor systems, Intel and Alert, were evaluated. Both systems met key functional requirements and received positive references. The Intel system had a larger installed base but was more expensive. Alert was a smaller, newer company but had enthusiastic references. The committee is seeking a recommendation on which system to select before making a final decision.
HIM 500 Technology Information
Featherfall Medical Center has an existing admission discharge transfer (ADT)/master patient index
(MPI) system that was developed in-house and implemented over 20 years ago. By now, all of the
original programmers have resigned or retired. The system is cumbersome to manage and update to
meet the current needs of the center. This has also led to the compliance, ethical, and governance
issues previously stated.
An RFP was sent out to two vendors: Intel (SOA Expressway for Healthcare) and Alert (Admission
Discharge and Transfer [ADT]). Key portions of the RFP have been summarized to allow for easy
comparison. The responses to the functional requirements have also been provided for review.
Demonstrations were conducted at the Center, and both systems looked good. The MPI module is
preferred on Intel, and the ADT system is preferred on Alert; however, both systems were received
favorably. The committee went to see both systems in operation and liked them both. References were
checked on both systems. The references for Alert were glowing. All of them said that the system was
good and the people were great to work with because they wanted their new company to succeed and
grow. However, given their small size, they might lack the resources of a larger company. The references
on Intel were excellent as well. The only negative about Intel was that the company is quite large and
was sometimes slow to respond to what the company saw as minor problems. The next release of Alert
is due out in 6 months and of Intel is due out in 8 months. The Committee has used the following tables
to summarize and compare the information that was gathered and is awaiting your recommendation
before final decision is reached.
System Comparison
Topic Intel (SOA Expressway for
Healthcare)
Alert (Admission Discharge and
Transfer [ADT])
Cost of interface $378,000 $238,000
Cost of software $465,000 $325,000
Cost of hardware $375,000 $400,000
Implementation costs $275,000 $175,000
Other costs $110,000 $120,000
Annual maintenance $75,000 $65,000
Training costs $350,000 $264,000
Number systems in use in
hospitals
364 12
Length of time in business 30 years 3 years
Stability of company Good Good
RFP Response from Intel (SOA Expressway for Healthcare)
System Functions Standard Next Release Not Available Custom
Admit patient to ER X
Admit patient to inpatient status X
Admit patient to outpatient status X
Transfer patient from room to room X
Transfer patient from inpatient to
outpatient
X
Transfer patient from outpatient to
inpatient
X
Transfer patient from ER to inpatient
status
X
Discharge patient from ER X
Discharge patient from inpatient status X
Discharge patient from outpatient status X
Notify housekeeping when patient
discharged
X
Notify HIM when patient admitted X
Meets UHDDS ...
Understanding basics of software development and healthcareBharadwaj PV
The document discusses key principles for designing software for healthcare applications. It covers understanding the different layers of software, following a software development life cycle, using object-oriented design principles and use case modeling to define system requirements and functionality. Centralizing electronic health records across different systems and locations is proposed to improve patient care, data availability and information sharing between stakeholders.
The document discusses NextGen Healthcare, a provider of electronic medical records and practice management systems. It provides an overview of NextGen's solutions including their Enterprise Architecture, Community Health Solution (CHS), NextMD patient portal, and Regional Affiliate Marketing Program (RAMP). RAMP allows hospitals to affiliate with independent practices and provide EMR/CHS solutions to enable a community-wide health information exchange.
mMD.net is an electronic health record and practice management software with features including health information exchange, a patient portal, mobile access, and integration with other systems. It uses a services-oriented architecture and can automatically share patient medical records between providers to facilitate referrals and consultations.
The document discusses proposals for developing healthcare information sharing infrastructure and solutions across multiple healthcare providers in New Jersey. It proposes a partnership between Newark Beth Israel Medical Center and other hospitals, clinics, nursing homes and healthcare organizations to create a healthcare information exchange. It describes two potential models for this exchange and the key components, including physician and patient portals, clinical data repositories, standards-based integration, and a universal patient transfer form. The goal is to improve care coordination, access to patient information, and health outcomes across the healthcare system.
Workflow Process Management and Enterprise Application Integration in HealthcareAmit Sheth
The document discusses requirements, applications, technology, and research related to enterprise application integration in healthcare. It provides examples of healthcare applications that have used the METEOR EAppS (Enterprise Application Suite of Services and Tools), including neonatal clinical pathways, genome sequencing, eligibility-referral, and immunization tracking. It also discusses requirements for mission-critical healthcare applications and the state of technology, products, and research in areas like workflow management and enterprise application integration.
HIM 500 Technology Information
Featherfall Medical Center has an existing admission discharge transfer (ADT)/master patient index
(MPI) system that was developed in-house and implemented over 20 years ago. By now, all of the
original programmers have resigned or retired. The system is cumbersome to manage and update to
meet the current needs of the center. This has also led to the compliance, ethical, and governance
issues previously stated.
An RFP was sent out to two vendors: Intel (SOA Expressway for Healthcare) and Alert (Admission
Discharge and Transfer [ADT]). Key portions of the RFP have been summarized to allow for easy
comparison. The responses to the functional requirements have also been provided for review.
Demonstrations were conducted at the Center, and both systems looked good. The MPI module is
preferred on Intel, and the ADT system is preferred on Alert; however, both systems were received
favorably. The committee went to see both systems in operation and liked them both. References were
checked on both systems. The references for Alert were glowing. All of them said that the system was
good and the people were great to work with because they wanted their new company to succeed and
grow. However, given their small size, they might lack the resources of a larger company. The references
on Intel were excellent as well. The only negative about Intel was that the company is quite large and
was sometimes slow to respond to what the company saw as minor problems. The next release of Alert
is due out in 6 months and of Intel is due out in 8 months. The Committee has used the following tables
to summarize and compare the information that was gathered and is awaiting your recommendation
before final decision is reached.
System Comparison
Topic Intel (SOA Expressway for
Healthcare)
Alert (Admission Discharge and
Transfer [ADT])
Cost of interface $378,000 $238,000
Cost of software $465,000 $325,000
Cost of hardware $375,000 $400,000
Implementation costs $275,000 $175,000
Other costs $110,000 $120,000
Annual maintenance $75,000 $65,000
Training costs $350,000 $264,000
Number systems in use in
hospitals
364 12
Length of time in business 30 years 3 years
Stability of company Good Good
RFP Response from Intel (SOA Expressway for Healthcare)
System Functions Standard Next Release Not Available Custom
Admit patient to ER X
Admit patient to inpatient status X
Admit patient to outpatient status X
Transfer patient from room to room X
Transfer patient from inpatient to
outpatient
X
Transfer patient from outpatient to
inpatient
X
Transfer patient from ER to inpatient
status
X
Discharge patient from ER X
Discharge patient from inpatient status X
Discharge patient from outpatient status X
Notify housekeeping when patient
discharged
X
Notify HIM when patient admitted X
Meets UHDDS ...
Understanding basics of software development and healthcareBharadwaj PV
The document discusses key principles for designing software for healthcare applications. It covers understanding the different layers of software, following a software development life cycle, using object-oriented design principles and use case modeling to define system requirements and functionality. Centralizing electronic health records across different systems and locations is proposed to improve patient care, data availability and information sharing between stakeholders.
The document discusses NextGen Healthcare, a provider of electronic medical records and practice management systems. It provides an overview of NextGen's solutions including their Enterprise Architecture, Community Health Solution (CHS), NextMD patient portal, and Regional Affiliate Marketing Program (RAMP). RAMP allows hospitals to affiliate with independent practices and provide EMR/CHS solutions to enable a community-wide health information exchange.
mMD.net is an electronic health record and practice management software with features including health information exchange, a patient portal, mobile access, and integration with other systems. It uses a services-oriented architecture and can automatically share patient medical records between providers to facilitate referrals and consultations.
The document discusses proposals for developing healthcare information sharing infrastructure and solutions across multiple healthcare providers in New Jersey. It proposes a partnership between Newark Beth Israel Medical Center and other hospitals, clinics, nursing homes and healthcare organizations to create a healthcare information exchange. It describes two potential models for this exchange and the key components, including physician and patient portals, clinical data repositories, standards-based integration, and a universal patient transfer form. The goal is to improve care coordination, access to patient information, and health outcomes across the healthcare system.
Workflow Process Management and Enterprise Application Integration in HealthcareAmit Sheth
The document discusses requirements, applications, technology, and research related to enterprise application integration in healthcare. It provides examples of healthcare applications that have used the METEOR EAppS (Enterprise Application Suite of Services and Tools), including neonatal clinical pathways, genome sequencing, eligibility-referral, and immunization tracking. It also discusses requirements for mission-critical healthcare applications and the state of technology, products, and research in areas like workflow management and enterprise application integration.
Instrument of Change: Creating the next generation of Laboratory MiddlewareTodd Winey
These healthcare challenges create opportunities for the next generation of middleware to provide even more value to labs and the clinicians who depend on them. It requires a shift in thinking about the place and role of lab middleware, as it evolves from an operational tool to a platform that serves all of the business needs associated with running a laboratory.
Cis evaluation final_presentation, nur 3563 sol1SBU
An overview of a Computer Information System (CIS) and considerations that need to be taken with implementing an Electronic Health Record (EHR) in a healthcare setting.
The document describes an integrated healthcare management software called eHCareManagement. It provides modules for administration, reception, ward management, surgery, doctor consultations, pharmacy, diagnostics, finance, payroll, and more. The software aims to help healthcare providers streamline operations, improve patient care, analyze clinical and business data, integrate with other systems, and reduce costs. Key features include booking appointments, tracking patients and insurance, digital medical records, and customized reports. The software is provided through a cloud-based SaaS model with affordable pricing starting at $35 per month.
- Kaiser Permanente is deploying the Epic electronic health record system across its integrated health care delivery network, which includes 32 hospitals, over 430 medical offices, and serves 8.5 million health plan members.
- The deployment, called Kaiser Permanente HealthConnect, is the largest civilian implementation of an electronic health record in the world.
- HealthConnect uses standardized clinical vocabularies like SNOMED-CT and LOINC to encode patient data, which enables improved clinical documentation, decision support, and analysis of outcomes and costs.
iHT2 Health IT Summit Boston – Larry Garber, Medical Director, Reliant Medical Group Case Study: "Maximizing the Value of an EHR: Beyond Meaningful Use Stage 1"
This session will provide the opportunity to explore how Reliant Medical Group began their journey into EHR and now, after receiving the 2011 HIMSS Ambulatory Davies Award, what it is they have done to capitalize on the EHR. Medical Director for Informatics, Larry Garber, MD stands behind belief that “The EHR enables patients to be more engaged in their health through improved communication with the provider team. The EHR also triggers alerts and automates processes to maintain consistent testing, education and follow up with the providers and patients to ensure higher quality, safer and more efficient care with better outcomes.” This presentation will share with the audience what Reliant Medical Group has done, and is continuing to do, that allows them to maximize the value of the EHR
Learning Objectives:
∙ Understand how Reliant Medical Group effectively implemented the EHR
∙ Develop a deeper understanding of the various ways to best utilize EHR services
∙ Analyze both the pros and cons of implementing and using EHR
This document describes an eHealthCareManagement system that provides a complete and affordable ERP-CRM solution for hospitals and clinics. It includes modules for finance, payroll, imaging, wards, surgery, pharmacy, diagnostics, and more. The system allows patients to book appointments and order medical items online. It aims to improve patient care, reduce costs, integrate with other systems, and provide analytics. Pricing is $35 per month for the first user and $12 per additional user. Customization and major system changes are included at no extra cost.
Scenario:
Midwest Regional Health is one of Wisconsin's largest and most sophisticated hospitals, is Implementing a new EHR system that will better their services to their internal and external customers. They are asking ITMC (I-Tech Medical Consortium) to help them navigate through this long term project, thereby improving their commitment to their surrounding community.
HIM 500 Sample Evaluation Matrix
This is a completed version:
Vendor
Evaluation
Matrix
Instructions: Score each vendor on a scale from 1 (poor) to 5 (excellent) on each of your prioritized items. Total up your ratings for each vendor to help
make your comparisons. Write the names of the vendors you are comparing in the watermark space provided in vendor columns. Use the blank rows at
the end of the worksheet to ask your own questions.
Functionality/Usability Priority
Vendor
A
Vendor
B
Vendor
C
Charting 26 41 31
Can the system accommodate (and
potentially improve) my workflow? HIGH 3 5 4
Can I easily build and/or customize “off-the-
shelf” templates? MED 3 4 2
Does the system offer a variety of data entry
options, e.g., dictation, voice recognition,
structured notes, etc.?
MED 2 4 3
Can I make subsequent edits and
addendums to clinical documentation? HIGH 4 5 4
Does the system alert me about unfinished
portions of the clinical documentation and
can I bypass it if necessary?
HIGH 3 4 3
Can I access other such clinical information
as previous labs, progress notes, etc. from a
patient’s “electronic chart” while charting?
HIGH 3 5 4
Does the system allow me to multi-task, e.g.,
create task, order lab, etc. while charting? LOW 3 5 4
Does the system allow me to forward patient
information to staff, other physicians, etc. via
email, electronic faxing, messaging, etc.?
MED 3 4 3
Does the system ensure that only authorized
clinicians can sign clinical documentation? HIGH 2 5 4
Prescriptions 21 28 24
Can I complete a prescription within a few
clicks? HIGH 3 3 4
Can I look up medication information, and is
this information valuable? MED 2 4 4
How extensive (and how sensitive) is the
system’s interactions-checking capability,
e.g., drug-drug, drug-allergy, drug-food?
MED 3 5 4
How accurate is the system in identifying
drug-condition warnings, e.g., pregnancy? LOW 3 5 3
Can I refill a medication within a few clicks?
Can previous sigs be viewed from the refill
screen?
MED 3 4 3
Can the system handle multiple drug
formularies? LOW 3 4 2
Can the system send prescriptions
electronically to pharmacies in my local
market?
MED 4 3 4
Lab and Results Management 21 27 24
Can I complete a lab order within a few
clicks? HIGH 2 3 4
Can the system send lab orders
electronically to laboratories, hospitals, etc.
in my local market?
HIGH 4 4 3
Can I pull up and review lab results within a
few clicks? HIGH 3 4 4
Can the system receive lab results
electronically from laboratories, hospitals,
etc. in my local market?
HIGH 3 3 4
Does the system notify me of abnormal lab
results and provide normal ranges? MED 3 4 3
Can the system show me trending of results
over time? MED 3 4 3
Can I create and/or customize “off-the-shelf”
order sets? LOW 3 5 3
Decision Support 9 11 11
Does the system utilize clinical information
from all parts of ...
Caresoft Hospital Information System is a customizable, integrated hospital management software that offers standard, premium, and basic modules. It provides features like patient registration, billing, reporting, doctor management, lab, pharmacy, and other modules. The system aims to improve hospital management with a performance-based, intelligent approach through automation, integration, and analytics.
This document discusses a project that uses game-theoretic rough sets (GTRS) to improve decision making in medical diagnosis and treatment. The project extends the GTRS model to analyze uncertainty in medical decision making. It aims to obtain three-way decision rules (acceptance, rejection, deferment) using GTRS thresholds. Experimental results on healthcare datasets suggest the approach may improve overall decision quality in medicine. The incorporation of GTRS in web-based medical decision support systems could enrich decision making capabilities.
The document describes a hospital management system (HMS) and its various modules. The HMS helps manage healthcare information and aids healthcare providers. It manages data for clinical, financial and laboratory departments. Key modules include patient management, doctor management, pharmacy management, and laboratory information management. The pharmacy module facilitates medication dispensing. The laboratory module allows for effective sample and data management. Together, the HMS modules aim to improve various processes, visibility, reporting and customer service for better hospital management.
ACCENT\'s Hospital Management System provides an integrated solution that complements your hospital information management system and helps you manage and prioritize support services requests including transportation and environmental services.
By delivering full visibility and synchronization of patient rooms, tasks, equipment, and services for ideal patient throughput and hospital management, ACCENT provides the necessary workflow tools to maximize patient satisfaction, while at the same time improving hospital profitability.
ACCENT\'s Hospital Management System can significantly improve your capacity through our fully integrated hospital information management system. Here\'s how:
• ACCENT streamlines patient care processes by coordinating crucial events from admission to discharge. It gives everyone from leaders to frontline staff real-time data and task coordination tools that work with your hospital management software to increase hospital capacity.
• ACCENT prioritizes EVS, transportation, engineering, and translation service queues, alerting hospital service departments to patient care support tasks - when and where they are needed.
• Requests can be made on a routine to stat basis, so that services are available to patients at the priority level they require.
• Hospital performance dashboards reflect real-time electronic data collection from hospital information management systems.
• Synchronization of housekeeping, transportation, and engineering room requests by bed management are available for centralized bed turn coordination.
ACCENT’s Hospital Management System is a complete package one needs for a hospital to deal with all the day to day operations taking place. The program can look after Inpatients, OPD patients, records, database treatments, status illness, and billings. It also maintains their in hospital info such as ward ID, Doctor in Charge, and Department administering.
Corporate Profile and Integrated Health NetworkZamir Uddin
Pragmedic aims to transform healthcare through information management technology by creating a seamless continuum of care. Its mission is to become a market leader in healthcare software through leveraging IT to integrate consumers and providers. Pragmedic offers various solutions including an electronic health record, practice management, transcription services, and a healthcare community management solution to improve operational performance with minimal implementation and training requirements.
NTT DATA has developed an intuitive clinical application called Optimum Clinicals that provides clinicians with a comprehensive view of patient information. Optimum Clinicals consolidates the complete patient record and makes it accessible anytime, anywhere in order to improve clinical decision making and care delivery. The system offers a variety of tools including computerized physician order entry, electronic medication administration records, clinical decision support, and records from labs, radiology, and other departments. Optimum Clinicals is designed to improve efficiency, patient safety, and collaboration between care providers.
Test Automation for Healthcare IndustryAbhinav Das
The client is a US-based healthcare IT firm that builds clinical reasoning platforms to help clinicians make decisions using patient data and business intelligence algorithms. They engaged TenXLabs to help design, develop, and test a new platform. TenXLabs provided end-to-end testing support, including automating test cases using Selenium to improve quality and allow faster releases. This helped the client build the complex system faster and enhance important clinical procedures, improving resource use and clinical throughput for hospitals.
The document discusses Intouch Health, a leader in healthcare robotics. It describes Intouch's history and leadership, their remote presence robots like RP-7 that allow remote physician rounding and consultation, and their applications in intensive care units, pediatric wards, and emergency departments. It also outlines the benefits their solution provides to hospitals, physicians, and patients.
This document provides an overview of Entrada, a healthcare technology platform designed to help medical facilities streamline clinical documentation workflows. It describes Entrada's core functions like automatically routing clinical information between scheduling, medical records, and other systems. The document also outlines Entrada's models for ambulatory and acute care, explaining how it generates work lists, routes dictations for processing, and returns completed documentation to electronic health records.
CXAIR structuring data for inclusion in COSD for the NHSEmma Ordidge
Alongside many other changes occurring in the NHS lately, the way in which Cancer Services are reporting on their data has been reformed. The Government believe these changes are necessary requirements to improve patient outcomes for those diagnosed with Cancer, and will aid reaching the latest government target of saving over 5000 additional lives each year.
See how CXAIR can help solve the challenges of these requirements.
This document summarizes a pathology control software. It discusses modules covered like patient information, billing, tests, and doctors. It outlines the setup, reporting, and benefits. The benefits include secured access, unique report/bill IDs, auto-responses, due collection, lifetime report history, and customizable reporting and billing. Reporting can provide patient, doctor, date, and test summaries. Overall, it aims to minimize reporting time, store reports long-term, integrate accounting, and reduce errors.
The document discusses the features and advantages of a central patient monitoring system. It allows nurses to monitor multiple patients from a central location, monitor vital signs, receive alerts, integrate with other systems like EMRs. It provides clinical decision support tools, helps manage alarms to reduce alarm fatigue, and supports a continuous patient record.
roles are largely complete when they hand an investigation.docxwrite4
This document outlines the responsibilities of investigators at different phases of a criminal investigation from initial response to a crime scene through trial preparation. It provides guidance to complete an assignment detailing the steps, procedures, best practices, legal obligations and potential pitfalls at each phase, including: processing the initial crime scene; gathering information and interviewing witnesses during the investigation; identifying, locating, apprehending and interrogating suspects; assembling the final report and presenting the case to prosecutors; and preparing evidence and testimony for prosecution and trial. The assignment criteria include describing responsibilities at each phase, examining relevant procedures, analyzing strategies, and citing references.
The military plays an important role in responding to domestic disasters by providing personnel, equipment, and logistical support. During 9/11 and Hurricane Katrina, fighter jets patrolled cities and the National Guard and Coast Guard conducted large-scale rescue operations. While the military is effective at disaster response, there are also debates around federalizing the National Guard, authorizing deadly force, and declaring martial law during relief efforts.
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Instrument of Change: Creating the next generation of Laboratory MiddlewareTodd Winey
These healthcare challenges create opportunities for the next generation of middleware to provide even more value to labs and the clinicians who depend on them. It requires a shift in thinking about the place and role of lab middleware, as it evolves from an operational tool to a platform that serves all of the business needs associated with running a laboratory.
Cis evaluation final_presentation, nur 3563 sol1SBU
An overview of a Computer Information System (CIS) and considerations that need to be taken with implementing an Electronic Health Record (EHR) in a healthcare setting.
The document describes an integrated healthcare management software called eHCareManagement. It provides modules for administration, reception, ward management, surgery, doctor consultations, pharmacy, diagnostics, finance, payroll, and more. The software aims to help healthcare providers streamline operations, improve patient care, analyze clinical and business data, integrate with other systems, and reduce costs. Key features include booking appointments, tracking patients and insurance, digital medical records, and customized reports. The software is provided through a cloud-based SaaS model with affordable pricing starting at $35 per month.
- Kaiser Permanente is deploying the Epic electronic health record system across its integrated health care delivery network, which includes 32 hospitals, over 430 medical offices, and serves 8.5 million health plan members.
- The deployment, called Kaiser Permanente HealthConnect, is the largest civilian implementation of an electronic health record in the world.
- HealthConnect uses standardized clinical vocabularies like SNOMED-CT and LOINC to encode patient data, which enables improved clinical documentation, decision support, and analysis of outcomes and costs.
iHT2 Health IT Summit Boston – Larry Garber, Medical Director, Reliant Medical Group Case Study: "Maximizing the Value of an EHR: Beyond Meaningful Use Stage 1"
This session will provide the opportunity to explore how Reliant Medical Group began their journey into EHR and now, after receiving the 2011 HIMSS Ambulatory Davies Award, what it is they have done to capitalize on the EHR. Medical Director for Informatics, Larry Garber, MD stands behind belief that “The EHR enables patients to be more engaged in their health through improved communication with the provider team. The EHR also triggers alerts and automates processes to maintain consistent testing, education and follow up with the providers and patients to ensure higher quality, safer and more efficient care with better outcomes.” This presentation will share with the audience what Reliant Medical Group has done, and is continuing to do, that allows them to maximize the value of the EHR
Learning Objectives:
∙ Understand how Reliant Medical Group effectively implemented the EHR
∙ Develop a deeper understanding of the various ways to best utilize EHR services
∙ Analyze both the pros and cons of implementing and using EHR
This document describes an eHealthCareManagement system that provides a complete and affordable ERP-CRM solution for hospitals and clinics. It includes modules for finance, payroll, imaging, wards, surgery, pharmacy, diagnostics, and more. The system allows patients to book appointments and order medical items online. It aims to improve patient care, reduce costs, integrate with other systems, and provide analytics. Pricing is $35 per month for the first user and $12 per additional user. Customization and major system changes are included at no extra cost.
Scenario:
Midwest Regional Health is one of Wisconsin's largest and most sophisticated hospitals, is Implementing a new EHR system that will better their services to their internal and external customers. They are asking ITMC (I-Tech Medical Consortium) to help them navigate through this long term project, thereby improving their commitment to their surrounding community.
HIM 500 Sample Evaluation Matrix
This is a completed version:
Vendor
Evaluation
Matrix
Instructions: Score each vendor on a scale from 1 (poor) to 5 (excellent) on each of your prioritized items. Total up your ratings for each vendor to help
make your comparisons. Write the names of the vendors you are comparing in the watermark space provided in vendor columns. Use the blank rows at
the end of the worksheet to ask your own questions.
Functionality/Usability Priority
Vendor
A
Vendor
B
Vendor
C
Charting 26 41 31
Can the system accommodate (and
potentially improve) my workflow? HIGH 3 5 4
Can I easily build and/or customize “off-the-
shelf” templates? MED 3 4 2
Does the system offer a variety of data entry
options, e.g., dictation, voice recognition,
structured notes, etc.?
MED 2 4 3
Can I make subsequent edits and
addendums to clinical documentation? HIGH 4 5 4
Does the system alert me about unfinished
portions of the clinical documentation and
can I bypass it if necessary?
HIGH 3 4 3
Can I access other such clinical information
as previous labs, progress notes, etc. from a
patient’s “electronic chart” while charting?
HIGH 3 5 4
Does the system allow me to multi-task, e.g.,
create task, order lab, etc. while charting? LOW 3 5 4
Does the system allow me to forward patient
information to staff, other physicians, etc. via
email, electronic faxing, messaging, etc.?
MED 3 4 3
Does the system ensure that only authorized
clinicians can sign clinical documentation? HIGH 2 5 4
Prescriptions 21 28 24
Can I complete a prescription within a few
clicks? HIGH 3 3 4
Can I look up medication information, and is
this information valuable? MED 2 4 4
How extensive (and how sensitive) is the
system’s interactions-checking capability,
e.g., drug-drug, drug-allergy, drug-food?
MED 3 5 4
How accurate is the system in identifying
drug-condition warnings, e.g., pregnancy? LOW 3 5 3
Can I refill a medication within a few clicks?
Can previous sigs be viewed from the refill
screen?
MED 3 4 3
Can the system handle multiple drug
formularies? LOW 3 4 2
Can the system send prescriptions
electronically to pharmacies in my local
market?
MED 4 3 4
Lab and Results Management 21 27 24
Can I complete a lab order within a few
clicks? HIGH 2 3 4
Can the system send lab orders
electronically to laboratories, hospitals, etc.
in my local market?
HIGH 4 4 3
Can I pull up and review lab results within a
few clicks? HIGH 3 4 4
Can the system receive lab results
electronically from laboratories, hospitals,
etc. in my local market?
HIGH 3 3 4
Does the system notify me of abnormal lab
results and provide normal ranges? MED 3 4 3
Can the system show me trending of results
over time? MED 3 4 3
Can I create and/or customize “off-the-shelf”
order sets? LOW 3 5 3
Decision Support 9 11 11
Does the system utilize clinical information
from all parts of ...
Caresoft Hospital Information System is a customizable, integrated hospital management software that offers standard, premium, and basic modules. It provides features like patient registration, billing, reporting, doctor management, lab, pharmacy, and other modules. The system aims to improve hospital management with a performance-based, intelligent approach through automation, integration, and analytics.
This document discusses a project that uses game-theoretic rough sets (GTRS) to improve decision making in medical diagnosis and treatment. The project extends the GTRS model to analyze uncertainty in medical decision making. It aims to obtain three-way decision rules (acceptance, rejection, deferment) using GTRS thresholds. Experimental results on healthcare datasets suggest the approach may improve overall decision quality in medicine. The incorporation of GTRS in web-based medical decision support systems could enrich decision making capabilities.
The document describes a hospital management system (HMS) and its various modules. The HMS helps manage healthcare information and aids healthcare providers. It manages data for clinical, financial and laboratory departments. Key modules include patient management, doctor management, pharmacy management, and laboratory information management. The pharmacy module facilitates medication dispensing. The laboratory module allows for effective sample and data management. Together, the HMS modules aim to improve various processes, visibility, reporting and customer service for better hospital management.
ACCENT\'s Hospital Management System provides an integrated solution that complements your hospital information management system and helps you manage and prioritize support services requests including transportation and environmental services.
By delivering full visibility and synchronization of patient rooms, tasks, equipment, and services for ideal patient throughput and hospital management, ACCENT provides the necessary workflow tools to maximize patient satisfaction, while at the same time improving hospital profitability.
ACCENT\'s Hospital Management System can significantly improve your capacity through our fully integrated hospital information management system. Here\'s how:
• ACCENT streamlines patient care processes by coordinating crucial events from admission to discharge. It gives everyone from leaders to frontline staff real-time data and task coordination tools that work with your hospital management software to increase hospital capacity.
• ACCENT prioritizes EVS, transportation, engineering, and translation service queues, alerting hospital service departments to patient care support tasks - when and where they are needed.
• Requests can be made on a routine to stat basis, so that services are available to patients at the priority level they require.
• Hospital performance dashboards reflect real-time electronic data collection from hospital information management systems.
• Synchronization of housekeeping, transportation, and engineering room requests by bed management are available for centralized bed turn coordination.
ACCENT’s Hospital Management System is a complete package one needs for a hospital to deal with all the day to day operations taking place. The program can look after Inpatients, OPD patients, records, database treatments, status illness, and billings. It also maintains their in hospital info such as ward ID, Doctor in Charge, and Department administering.
Corporate Profile and Integrated Health NetworkZamir Uddin
Pragmedic aims to transform healthcare through information management technology by creating a seamless continuum of care. Its mission is to become a market leader in healthcare software through leveraging IT to integrate consumers and providers. Pragmedic offers various solutions including an electronic health record, practice management, transcription services, and a healthcare community management solution to improve operational performance with minimal implementation and training requirements.
NTT DATA has developed an intuitive clinical application called Optimum Clinicals that provides clinicians with a comprehensive view of patient information. Optimum Clinicals consolidates the complete patient record and makes it accessible anytime, anywhere in order to improve clinical decision making and care delivery. The system offers a variety of tools including computerized physician order entry, electronic medication administration records, clinical decision support, and records from labs, radiology, and other departments. Optimum Clinicals is designed to improve efficiency, patient safety, and collaboration between care providers.
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HIM 500 Southern New Hampshire University Healthcare Informatics Discussion.docx
1. HIM 500 Southern New Hampshire University Healthcare Informatics
Discussion
HIM 500 Technology Information Featherfall Medical Center has an existing admission
discharge transfer (ADT)/master patient index (MPI) system that was developed in-house
and implemented over 20 years ago. By now, all of the original programmers have resigned
or retired. The system is cumbersome to manage and update to meet the current needs of
the center. This has also led to the compliance, ethical, and governance issues previously
stated. An RFP was sent out to two vendors: Intel (SOA Expressway for Healthcare) and
Alert (Admission Discharge and Transfer [ADT]). Key portions of the RFP have been
summarized to allow for easy comparison. The responses to the functional requirements
have also been provided for review. Demonstrations were conducted at the Center, and
both systems looked good. The MPI module is preferred on Intel, and the ADT system is
preferred on Alert; however, both systems were received favorably. The committee went to
see both systems in operation and liked them both. References were checked on both
systems. The references for Alert were glowing. All of them said that the system was good
and the people were great to work with because they wanted their new company to succeed
and grow. However, given their small size, they might lack the resources of a larger
company. The references on Intel were excellent as well. The only negative about Intel was
that the company is quite large and was sometimes slow to respond to what the company
saw as minor problems. The next release of Alert is due out in 6 months and of Intel is due
out in 8 months. The Committee has used the following tables to summarize and compare
the information that was gathered and is awaiting your recommendation before final
decision is reached. System Comparison Topic Intel (SOA Expressway for Healthcare) Alert
(Admission Discharge and Transfer [ADT]) Cost of interface Cost of software Cost of
hardware Implementation costs Other costs Annual maintenance Training costs Number
systems in use in hospitals Length of time in business Stability of company $378,000
$465,000 $375,000 $275,000 $110,000 $75,000 $350,000 364 $238,000 $325,000
$400,000 $175,000 $120,000 $65,000 $264,000 12 30 years Good 3 years Good RFP
Response from Intel (SOA Expressway for Healthcare) System Functions Admit patient to
ER Admit patient to inpatient status Admit patient to outpatient status Transfer patient
from room to room Transfer patient from inpatient to outpatient Transfer patient from
outpatient to inpatient Transfer patient from ER to inpatient status Discharge patient from
ER Discharge patient from inpatient status Discharge patient from outpatient status Notify
2. housekeeping when patient discharged Notify HIM when patient admitted Meets UHDDS
requirements Meets HIPAA requirements Contains required demographics Automated
verification of insurance GUI technology User friendly Delete patient from system Multiple
levels of security Password protected Audit trail Biometric capable Reads barcodes Edit
demographics Edit insurance Allow for 4 insurance providers Prints standards reports at
specified periods Ad hoc reporting Admission list Discharge list Transfer list Standard X X X
X X Next Release Not Available Custom X X X X X X X X X X X X X X X X X X X X X X X X X X X
Looks for potential duplicate medical records Quality edits built into system SQL/Oracle
database Runs on Windows 8 Enterprise-wide ready Merge medical record numbers Allows
for aliases Maintains old medical record numbers Maintains former names Allows at least
999 patient visits Data dictionary Three-character service field Allows housekeeping to
notify admission that room is ready Online no-bed list Sends out announcements to
employees/staff Generates list of patients by physician Generates lists of patients by unit
Calculates census statistics Performs medical record number queries Performs patient
name queries Standardizes, secures, and governs access to master patient records
Standardizes, secures, and governs access to master provider indices Standardizes, secures,
and governs access to document exchanges Services for building interoperable healthcare
networks Authentication and authorization Management and monitoring Transport Layer
Security X X X X X X X X X X X X X X X X X X X X X X X X X X X RFP Response from Alert
(Admission Discharge and Transfer (ADT)) System Functions Admit patient to ER Admit
patient to inpatient status Admit patient to outpatient status Transfer patient from room to
room Transfer patient from inpatient to outpatient Transfer patient from outpatient to
inpatient Transfer patient from ER to inpatient status Discharge patient from ER Discharge
patient from inpatient status Discharge patient from outpatient status Notify housekeeping
when patient discharged Notify HIM when patient admitted Meets UHDDS requirements
Meets HIPAA requirements Contains required demographics Automated verification of
insurance GUI technology User friendly Delete patient from system Multiple levels of
security Password protected Audit trail Biometric capable Reads barcodes Edit
demographics Edit insurance Allow for 4 insurance providers Prints standards reports at
specified periods Ad hoc reporting Admission list Discharge list Standard Next Release Not
Available Custom X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Transfer list
Looks for potential duplicate medical records Quality edits built into system SQL/Oracle
database Runs on Windows 8 Enterprise-wide ready Merge medical record numbers Allows
for aliases Maintains old medical record numbers Maintains former names Allows at least
999 patient visits Data dictionary Three-character service field Allows housekeeping to
notify admission that room is ready Online no-bed list Sends out announcements to
employees/staff Generates list of patients by physician Generates lists of patients by unit
Calculates census statistics Performs medical record number queries Performs patient
name queries Standardizes, secures, and governs access to master patient records
Standardizes, secures, and governs access to master provider indices Standardizes, secures,
and governs access to document exchanges Services for building interoperable healthcare
networks Authentication and authorization Management and monitoring Transport Layer
Security X X X X X X X X X X X X X X X X X X X X X X X X X X X X HIM 500 Sample Evaluation
3. Matrix This is a completed version: Vendor Evaluation Matrix Instructions: Score each
vendor on a scale from 1 (poor) to 5 (excellent) on each of your prioritized items. Total up
your ratings for each vendor to help make your comparisons. Write the names of the
vendors you are comparing in the watermark space provided in vendor columns. Use the
blank rows at the end of the worksheet to ask your own questions. Functionality/Usability
Charting Can the system accommodate (and potentially improve) my workflow? Can I easily
build and/or customize “off-theshelf” templates? Does the system offer a variety of data
entry options, e.g., dictation, voice recognition, structured notes, etc.? Can I make
subsequent edits and addendums to clinical documentation? Does the system alert me
about unfinished portions of the clinical documentation and can I bypass it if necessary?
Can I access other such clinical information as previous labs, progress notes, etc. from a
patient’s “electronic chart” while charting? Vendor A Vendor B 26 41 HIGH 3 5 4 MED 3 4 2
MED 2 4 3 HIGH 4 5 4 HIGH 3 4 3 HIGH 3 5 4 Priority Vendor C 31 Does the system allow me
to multi-task, e.g., create task, order lab, etc. while charting? Does the system allow me to
forward patient information to staff, other physicians, etc. via email, electronic faxing,
messaging, etc.? Does the system ensure that only authorized clinicians can sign clinical
documentation? Prescriptions Can I complete a prescription within a few clicks? Can I look
up medication information, and is this information valuable? How extensive (and how
sensitive) is the system’s interactions-checking capability, e.g., drug-drug, drug-allergy,
drug-food? How accurate is the system in identifying drug-condition warnings, e.g.,
pregnancy? Can I refill a medication within a few clicks? Can previous sigs be viewed from
the refill screen? Can the system handle multiple drug formularies? Can the system send
prescriptions electronically to pharmacies in my local market? Lab and Results
Management Can I complete a lab order within a few clicks? Can the system send lab orders
electronically to laboratories, hospitals, etc. in my local market? Can I pull up and review lab
results within a few clicks? Can the system receive lab results electronically from
laboratories, hospitals, etc. in my local market? LOW 3 5 4 MED 3 4 3 HIGH 2 5 4 21 28 24
HIGH 3 3 4 MED 2 4 4 MED 3 5 4 LOW 3 5 3 MED 3 4 3 LOW 3 4 2 MED 4 3 4 21 27 24 HIGH
2 3 4 HIGH 4 4 3 HIGH 3 4 4 HIGH 3 3 4 Does the system notify me of abnormal lab results
and provide normal ranges? Can the system show me trending of results over time? Can I
create and/or customize “off-the-shelf” order sets? Decision Support Does the system utilize
clinical information from all parts of the chart to provide decision support? Does the system
alert me when patient data indicates that intervention is recommended? Can I access
medical literature, clinical guidelines, etc.? Disease and Population Management Assuming
good data entry for all patients, can I query the system and identify patients that have a
particular condition, are on a certain medication, etc.? Does the system track patients for
follow-up and send out reminders? Can I create ad-hoc reports, or am I limited to ones
provided off-the-shelf? Can I customize these reports? Does reporting module handle
“and/or” queries together? Health Record Management Can I look up a patient by a number
of different criteria, e.g., name, MRN, SSN, etc.? Does the system provide a summary view of
a patient’s health status? Does the system handle other such clinical documents as X-rays,
reports, etc.? MED 3 4 3 MED 3 4 3 LOW 3 5 3 9 11 11 MED 3 3 4 MED 3 5 4 LOW 3 3 3 8 16
13 MED 2 4 3 LOW 2 5 3 LOW 3 4 4 MED 3 3 3 16 24 18 MED 3 5 4 LOW 4 5 3 MED 3 5 3
4. Does the system allow me to maintain patient lists, e.g., problems, allergies, medications,
etc.? Can I organize patient information within the system in a similar way to my paper
charts? Clinical Tasking and Messaging Can I access and manage various tasks, e.g., sign
progress notes, review labs, etc. within a few clicks? Can I task or message someone else in
the practice and do it with a few clicks? Does system alert me of overdue tasks and urgent
lab results? How disruptive are the alerts, are they customizable, and can they be
overridden? Can I manage tasks and messages from a computer other than my own?
Financial Considerations Roughly how much could the system cost my clinic? Can you offer
an Application Service Provider (ASP) option, purchase option, or monthly subscription
option? Roughly how much do the software licenses cost? About how much will ongoing
maintenance and upgrades cost? How often will a support person(s) be available once the
system goes “LIVE” in case of any system difficulty? How are the licenses issued?
Concurrent user versus per practitioner? TOTAL SCORE MED 3 5 4 LOW 3 4 4 14 22 17
HIGH 2 5 3 MED 2 4 3 LOW 3 5 3 LOW 4 4 4 LOW 3 4 4 17 17 21 HIGH 3 2 4 MED 3 2 3 HIGH
2 2 3 MED 3 2 3 MED 3 5 4 MED 3 4 4 132 186 159 Vendor Evaluation Matrix Instructions:
Score each vendor on a scale from 1 (poor) to 5 (excellent) on each of your prioritized
items. Total up your ratings for each vendor to help make your comparisons. Write the
names of the vendors you are comparing in the watermark space provided in vendor
columns. Use the blank rows at the end of the worksheet to ask your own questions.
Functionality/Usability Charting Can the system accommodate (and potentially improve)
my workflow? Can I easily build and/or customize “off-theshelf” templates? Does the
system offer a variety of data entry options, e.g., dictation, voice recognition, structured
notes, etc.? 1 Priority Vendor A Vendor B Prescriptions Can I complete a prescription within
a few clicks? Can I look up medication information, and is this information valuable? How
extensive (and how sensitive) is the system’s interactions-checking capability, e.g., drug-
drug, drug-allergy, drug-food? Lab and Results Management Can I complete a lab order
within a few clicks? Can the system send lab orders electronically to laboratories, hospitals,
etc. in my local market? Can I pull up and review lab results within a few clicks? 2 Decision
Support Does the system utilize clinical information from all parts of the chart to provide
decision support? Disease and Population Management Assuming good data entry for all
patients, can I query the system and identify patients that have a particular condition, are
on a certain medication, etc.? Health Record Management Can I look up a patient by a
number of different criteria, e.g., name, MRN, SSN, etc.? Does the system provide a summary
view of a patient’s health status? 3 Clinical Tasking and Messaging Can I access and manage
various tasks, e.g., sign progress notes, review labs, etc. within a few clicks? Can I task or
message someone else in the practice and do it with a few clicks? Financial Considerations
Roughly how much could the system cost my clinic? TOTAL SCORE 4