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Developing HIS based on clinician need when they need it
Hospital information systems benefit hospitals, but how can we make the most out of it to provide more value to the organisation, the users, and the patients?
A hospital information system (HIS) allows us to provide healthcare at a large scale. We know we have a great investment when the HIS is modular rather than monolithic, because third-party applications can elevate the usability of the system and increase ROI. Enhancing your current HIS not only helps you maximize your investment but also improve clinical users’ workflow and provide better care for your patients.
Hospital Insights Asia reaches out to Jason Valore, General Manager (Global) at Medicomp Systems, a technology provider which developed Quippe clinical documentation, to seek his expert advice on why hospitals should augment their current HIS with new capabilities like an advanced clinical documentation tool.
Benefits to the organisation
We could all agree that HIS implementation is not easy. In fact, it is one of the “most expensive, disruptive, and resource-intensive” programs a hospital ever does, Valore states. It will require massive changes in workflows and ultimately reduce revenue during the introductory months as departments allocate training hours and problematic areas are fixed.
Hospitals with HIS, therefore, which know they won’t be changing or upgrading the system in several years but their doctors and nurses require additional and better features, could benefit from introducing a third-party clinical documentation solution to add those features. This way, there are no worries about training programs that take time for clinicians and nurses away from patients, among other things.
A clinical documentation tool like Quippe is future-proof and is easily integrated with any system, says Valore. Thus, when you update the HIS, the clinical documentation system won’t be affected and users’ workflow won’t change; this means no work disruptions just to run training programs.
Benefits to clinical users
The best HIS is something that’s based on what users need when they need it, and has solutions that can support a range of options today and tomorrow when the industry advances.
“The good thing about modular HIS is that hospitals can go out and source a clinical documentation solution that doctors and nurses can design in such a way that they believe will benefit their workflow,” outlines Valore. Being able to develop, create, and manage clinical documentation on their own allows for the perfection of the system and the users’ satisfaction.
Documentation takes up a large chunk of doctors’ and nurses’ daily workload. Hence, as the primary users of the tool, there is no one who better understands their needs, so it is vital that they play a key role in creating the clinical documentation system.
Part of this is making documentation dynamic so it shows the needed content and hides those that aren’t important at that point of access, Valore explains. Clinical users appreciate being able to efficiently input data and get the information they need even without asking for it. For example, the system, after document findings, could trigger a sepsis protocol plus the subsequent relevant steps. Valore also mentions a reward system for inputting data which can then be rendered as information that can solve an acute case.
Benefits to patients
HIS envisions a comprehensive and integrated flow of data to provide a seamless hospital journey for patients. With a third-party clinical documentation system, there is structured data behind all important documentation, such as patient symptoms, physical exam findings, family history, allergies, diagnoses, medications, tests, and orders for referrals.
All these recorded structured data can be used to inform other users of the system, ensuring smooth communication throughout and allowing dynamic documentation and trigger actions. For example, patient symptoms and physical exam findings can trigger workups for the most likely diagnoses, and all these are added to the doctor’s or nurse’s notes, so everyone has consistent access to the same information and communication errors are prevented.
Structured data can also flow from an outpatient physician clinic’s notes to inpatient admissions. This ensures that everyone is aware of the patient’s medical history and needs. In the same way, structured data enables nursing departments to easily monitor compliance and adherence to falls risk and bedsore protocols because the documentation is computable unlike when it is free text, adds Valore.
Furthermore, clinical documentation integrated into the HIS engages patients from outside the hospital. “Capturing details of patient visits as structured coded data means you can easily ask questions about the data and engage with patients in new ways,” says Valore. Patients likely to have diabetes, for example, can be easily identified and we can screen and counsel them. We can use structured data to predict which patients with chronic conditions are most likely to experience secondary and tertiary conditions, therefore, be more involved in the prevention of such. Essentially, we are able to provide care for patients who need it most.
Shifting to HIS should not end with a transition from paper-based to electronic documentation. Hospitals can elevate the usability and ROI of their current HIS should they be willing to introduce third-party applications that can easily integrate within the system and provide value for all stakeholders.
About Medicomp Systems
Medicomp Systems has spent over 30 years continuously expanding our powerful Quippe Clinical Data Engine in collaboration with clinical teams and data scientists from Cornell University, Harvard University, Johns Hopkins University, the Department of Defense Military Health System and other major health systems. As a result, Quippe Clinical Data Engine includes 100 million clinically computable links between medical concepts and standard nomenclatures such as SNOMED-CT, RxNorm, LOINC, IDC-10 and others.
Powered by Quippe Clinical Data Engine, Quippe Clinical Lens intelligently identifies and interprets disorganized and complex arrays of medical information from multiple sources to deliver filtered, high-value information as part of the physician’s workflow, aiding in clinical decision-making in the exam room.
The Quippe suite of solutions optimizes EHR usability and provides physicians with comprehensive problem-oriented views of clinically contextual information that helps them make better treatment decisions at the point of care. In addition, our easy-to-use Quippe clinical documentation tools display critical patient details in a query-friendly, structured data format that empowers analytics and clinical insights at the point of care.