Automating Anesthesia at Meditech Hospitals: Removing the Risk

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1 White Paper Automating Anesthesia at Meditech Hospitals: Removing the Risk Direct integration with Meditech, the largest installed base in the industry, plus, powerful decision support capabilities, make the Picis anesthesia information management system the logical choice for Meditech hospitals. Introduction Automating anesthesia documentation, and workflow, can deliver countless benefits for the anesthesia professional, the patient and the hospital. These include: improved care quality and patient outcomes, increased efficiency, decreased errors, reduced costs, increased revenues and better regulatory compliance. That s why more and more hospitals, with Meditech electronic medical record (EMR) solutions, are seeking to implement anesthesia information management systems (AIMS), as an integral part of their perioperative automation strategy. To have the greatest positive impact on the organization and handle current and future requirements, the selected AIMS should meet the following criteria: Seamlessly integrate with Meditech EMR and all other relevant systems, including OR, finance and ancillary systems Be proven and in operation in hospitals of all sizes and types Offer advanced functionality, across the entire perioperative environment, from preoperative patient management, through the post-anesthesia care unit (PACU) Offer the latest tools, to streamline workflow and provide decision support, in order to improve efficiency, meet changing regulatory and reimbursement requirements and avoid costly surgical delays Direct Integration with Meditech Effectively sharing clinical data, across the healthcare continuum, is a prerequisite for today s clinical systems. An anesthesia system must be able to link the entire perioperative process and provide seamless interoperability, across the healthcare enterprise. Better sharing of clinical information is an important qualifier for Meaningful Use and other federal health incentives. Sharing clinical information, also, offers other benefits such as: Improved care coordination Improved care quality Better patient safety More accurate charge capture and billing More robust analytics

2 Picis is the only AIMS provider that offers direct integration with Meditech. Other solutions require a third-party integration partner, which complicates the interface process and can result in delays. It, also, can result in additional costs and increased risk, not just at time of the interface, but, for the life of the system. Picis direct integration offers a number of significant benefits. First, it means easier and more efficient implementation for the hospital. Picis Perioperative Solutions have been interfaced, with Meditech, hundreds of times, which ensures a faster, cleaner integration, that requires only minimal involvement from the hospital s information technology staff. Second, direct integration is much easier to support. Picis is the only party responsible for the interface, which means there is no finger-pointing and issues are more quickly resolved. Complexity and cost are, also, reduced. Third, upgrading becomes much simpler. Picis Anesthesia software is written to work with all versions of, both, Magic and Client/Server Meditech. As a result, the complexity of the upgrade, whether on the AIMS or Meditech EMR side, is greatly diminished. Using advanced integration techniques, based on industry standards, all key data is made available when and where it s needed, regardless of system. Picis has extensive experience providing direct integration solutions for the following Meditech systems and modules: Admission Discharge Transfer (ADT)/Demographics OR Schedule Materials Management Billing Patient Care Inquiry (PCI) or EMR (depending on Meditech version) Lab/Microbiology Nursing or Patient Care System (PCS) (depending on Meditech version) Picis, also, provides connectivity to all leading patient monitoring devices, including anesthesia machines, ventilators, cardiac monitors, respiratory monitors, infusion pumps and dialysis monitors. This medical device connectivity is essential for effective point-ofcare automation. It eliminates the manual recording of data, improves documentation accuracy and dramatically increases efficiency. Unsurpassed Experience in Meditech Facilities Picis has, by far, the most experience of any perioperative system provider in Meditech hospitals. More than 250 Meditech EMR hospitals have selected and implemented Picis perioperative and anesthesia systems the nearest competitive system has been implemented in fewer than 10 Meditech facilities. Picis extensive experience, and long-term working relationship with all versions of Meditech systems, translate into significant benefits for the client hospitals and is vital for smooth integration and implementation. In addition to our experience in Meditech hospitals, Picis Anesthesia is the most installed AIMS in the industry, regardless of EMR vendor. Our experience serving Meditech hospitals, and other anesthesia departments, across the country, has been instrumental in our construction of a functionally rich system that is intuitive and frees the anesthesia professional to focus more time on patient care. It has, also, resulted in the building of an extensive and rich content library that leverages more than 15 years of our customers best practices.

3 The Picis Anesthesia content library, with its predefined dictionary data, is a comprehensive set of recommended documentation practices. The library can be installed, on top of the hospital s existing dictionary, to jump-start the implementation of the AIMS. Content areas include events, event types, assessment, protocols and orders. The Picis Anesthesia content library helps take the guesswork out of interpreting regulatory and compliance rules, such as CMS measures that apply to surgical services, and interpreting Meaningful Use criteria. Proven Functionality Across the Entire Perioperative Environment Picis Anesthesia is a totally integrated anesthesia information management system, that helps anesthesia professionals, completely and accurately, chart a patient s progress throughout the surgical encounter, from preop through PACU. Not only does Picis Anesthesia automate the patient record, it, also, supplies the necessary information to support administrative requirements, such as utilization and service line analysis, compliance and quality reporting and billing. Picis Anesthesia s advanced functionality and capabilities include: Preoperative patient management Streamlined data collection for preop admission testing (PAT) Patient portal Surgeon/EMR integration ipad /Tablet data entry Intraoperative anesthesia record Advanced patient/case tracking Clinical decision support Analytics PACU documentation Powerful Preoperative Patient Management Tools Support Better Decisions The only thing certain about today s healthcare environment is change. That s why it is important to select an AIMS that is agile and adaptable. Picis Anesthesia, which is built on future-ready open architecture, is constantly evolving, adding the latest tools and technologies, so that hospitals can quickly and cost-effectively adapt to new requirements and improve productivity and patient satisfaction. An example of this is Picis PreOptimize. PreOptimize streamlines preoperative data collection and provides robust decision support capabilities for clinicians. It includes an easy-to-use patient portal, evidence- and consensus-based guidelines, mobile-platform accessibility for clinicians and data for research and reporting. Advanced Anesthesia Capabilities and Meditech Integration Lead St. Jude Medical Center to Picis St. Jude Medical Center, a 359-bed medical center, in Fullerton, California, implemented Picis Anesthesia to automate its intraoperative anesthesia care documentation and provide more efficient management of the entire anesthesia care process. One of the key factors, in the selection of the Picis solution, was its proven experience directly integrating with the Meditech EMR. Picis is integrated with Meditech at several points, at St. Jude, including ADT, lab, and materials management. Picis Anesthesia, with its flexible anesthesia record design, has helped St. Jude meet its goals to: Streamline the anesthesia process and administration Help promote quality of patient care Fully document multiple simultaneous data inputs from medical devices Meet regulatory requirements The Picis solution is, also, integrated with epreop (branded by Picis as PreOptimize ), a preop clinical decision support solution that streamlines the entire preop process. This innovative solution allows St. Jude patients to initiate their own records and document medications and prior procedures, via the web. This information is available to nurses and anesthesia, at admission, reducing data entry and the time to prescreen patients. At St. Jude, preop assessments are entered into Meditech s clinical documentation system. Using this workflow, once the PAT department completes its preop assessment in Meditech, the data (allergies, meds, surgical history, etc.) automatically flows into PreOptimize, and Picis Anesthesia, which are launched directly from Meditech. PreOptimize uses the data out of Meditech to generate checklists built around patient instructions, testing recommendations and consult indications. A tracking board provides easy access to all of the data, accessible from a single sign on button, with patient context, directly out of Meditech.

4 Preop Data Collection: The PreOptimize web-based patient portal streamlines patient intake, and integrates with the surgeon s EMR, to make the preoperative data collection process easier and more efficient. The patient can enter his or her medical history directly into the system from home, at the surgeon s office or through a hospital kiosk. A convenient alternative to on-site preoperative interviews, the patient portal can save patient time and eliminate repetitive steps. It, also, generates patient-specific teaching instructions. Benefits include: Enhanced patient satisfaction Reduced administration time More time for nurses and clinicians to focus on patient care Checklists and Patient-specific Recommendations: PreOptimize streamlines the entire preop process beginning with collection of the patients medical history. Once entered via the web-based preop portal, PreOptimize applies clinical decision support to the patient s medical history and generates patient-/case-specific teaching instructions, diagnostic testing and consult recommendations, as well as, a customized set of administrative tasks that need to be completed, prior to, and on the day of surgery. These teaching instructions, testing/consult recommendations and administrative tasks combine to create a complete preop checklist for the patient. PreOptimize provides a web-based intuitive tracking board that allows the hospital to easily monitor and track the preop checklists for all patients. Benefits include: More timely and complete assessments Reduction of unnecessary testing Avoidance of costly surgery delays or cancellations Standardization of preoperative testing and consults, which can result in potential cost savings for the hospital Mobility: The patient s preoperative record is available to the anesthesia professional from ipads, other tablets and smartphones. As a result, the anesthesia professional can complete preoperative assessments from the bedside, which, in addition to its convenience, facilitates the timely completion of electronic preoperative assessments. Research and Quality Reporting: PreOptimize supports hospitals needs for advanced analytics. It delivers quality measure tracking with Anesthesia Quality Institute (AQI) integration. Furthermore, it allows hospitals to capture and report quality measures, and clinicians can easily query the database to report on hospital-specific populations.

5 Conclusion Anesthesia automation is, in many hospitals, the last step in providing a seamless perioperative continuum of care. Picis Anesthesia provides an attractive solution that meets all the key criteria for success: It can be directly integrated with Meditech ADT, EMR, OR Schedule, Billing, PCS and other relevant modules to ensure that all information is available when and where it s needed. Learn more about the Picis Anesthesia Information Management System. Call: Web site: It is not only the most installed anesthesia system in Meditech hospitals, but, also the most widely used AIMS in the world. It is the most functionally rich system in the industry and offers an extensive content library based on 15 years of customer best practices. Picis is continually adding new technologies and tools, such as PreOptimize, that afford new efficiencies and keep customers up to date with changing regulations and requirements. Picis Anesthesia is a full-featured system that offers proven implementation, integration and support capabilities. In addition to being easy to install and maintain, it delivers a low total cost of ownership. In short, Picis anesthesia information management system clearly provides the best solution for Meditech hospitals. About Picis Clinical Solutions Picis Clinical Solutions, a wholly owned subsidiary of N. Harris Computer Corporation, is a global provider of innovative information solutions that enable rapid and sustained delivery of clinical documentation, financial and operational results in the emergency departments, surgical suites and intensive care units of the hospital. Picis Clinical Solutions offers an advanced suite of integrated products focused on these life-critical areas of the hospital where the patients are the most vulnerable, the care process is the most complex and an increasing majority of hospital costs and potential revenue are concentrated. Headquartered in Wakefield, Massachusetts, Picis Clinical Solutions has licensed systems for use at more than 700 hospitals in 18 countries. For more information about Picis Clinical Solutions, visit picis.com 100 Quannapowitt Parkway, Suite 405, Wakefield, MA Picis Clinical Solutions, Inc. All rights reserved. Picis and the Picis logo are either trademarks or registered trademarks of Picis Clinical Solutions, Inc. in the United States and/or other countries. All other trademarks mentioned herein are the properties of their respective owners. This product sheet represents information for the North American market only. The Quality Management System at Picis Clinical Solutions is certified in accordance with ISO 13485, ISO 9001 and Annex II (excluding 4) of the Council Directive 93/42/EEC on Medical Devices. COL WhitePaper_Automating_Anesthesia_at_Meditech_Hospitals

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