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1 HealthFore Technologies Limited Transforming Clinical Adoption using Enterprise Health Systems 13/11/2013

2 1 Transforming Clinical Adoption using Enterprise Health Systems Whitepaper Details Title: Transforming Clinical Adoption using Enterprise Health Systems Author: Ganapathi Shenoy Argodu Sr. Product Manager, HealthFore Technologies Limited

3 Introduction This white paper discusses how enterprise health systems can play a pivotal role in facilitating healthcare organizations to transcend their maturity levels of clinical adoption and benchmark themselves using internationally accepted guidelines. HIMSS Analytics supports improved decision making for healthcare organizations, healthcare IT companies and consulting firms by delivering high quality data and analytical expertise. The EMR Adoption Model identifies and scores hospitals using an 8 step scale that charts the cumulative path to a fully paperless environment. Stages Cumulative Capabilities Benefits Hospitals Benefits Physician and Clinics Required Product Capabilities 7 Complete EMR; CCD transactions to share data; Data warehousing; Data continuity with ED, ambulatory, OP a) Sharing data across organizations b) Discrete data for analyzing clinical outcomes On-line data access to clinicians via secured network. Complete EMR, Sharing clinical data across healthcare networks, Data mining capabilities 6 Physician documentation (structured templates), full CDSS (variance & compliance), Closed loop medication administration a) Real time documentation b) Eliminates dictation and transcription errors. c) Patient safety Higher level of clinical decision support and improves clinical outcomes. Fully integrated EMR Enables access across the geography with security and confidentiality 5 Full R-PACS a) End to end medication management b) Medication administration by ensuring 7Rs. Reduction in Medication errors, improving patient safety and better outcomes a) Validating of 7R (rights) during Med admin b) Use of barcodes or/and RFID 4 CPOE, Clinical Decision Support (clinical protocols) a) Patient safety by eliminating medication errors (handwriting) & b) CDSS at order creation. Reductions in medication errors using clinical decision support CPOE and evidence based knowledge base integration at all levels 3 Nursing/clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology Improved nursing efficiency standardization of nursing practice, alerts and reminders, Evidence based nursing protocols for better outcome Patient safety errors checking and interaction warnings a) Nursing protocols b) System intelligence, error checking alerts and reminders on pending tasks

4 2 CDR, Controlled Medical Vocabulary, CDS, may have Document Imaging; HIE capable a) Remote access to latest results. b) Reduce turnaround time c) Real time clinical decision support d) Enable to review the result trending and outcomes a) Patient safety b) Better legibility of electronic data Protocols and clinical guidelines helps in better outcomes a) Real-time data repository for decision making b) Clinical decision support 1 0 Ancillaries - Lab, Rad, Pharmacy - All Installed All Three Ancillaries Not Installed a) Electronic ordering and result reporting for Lab and Radiology b) Prescribing and dispensing of drugs electronically Data entry system Physicians access to clinical protocol Fully integrated HIS with all three ancillary systems Data entry system with basic features HealthFore Solution (Magnum Infinity) is capable of sharing data and managing data continuity across care settings within an enterprise and can be enhanced to adopt CCD to exchange data with external enterprises as well. Its clinical documentation templates and flow sheets integrated with ancillary modules of Laboratory, RIS-PACS and closed loop medication management interfaced with third party drug knowledge base to support CDSS using CPOE. This solution allows the organizational transition from one stage to another until to achieve highest maturity level in EMR adoption. Reducing medical errors and enhancing patient safety using Health- Fore Solutions HealthFore solutions support electronic data capture that improves patient safety by eliminating mistakes often introduced by paper records and human error. HealthFore solutions offer CPOE capability that allows physicians to send electronic orders to the pharmacy, laboratory and radiology. This eliminates the need for physicians to hand write prescription and ancillary orders or communicate face-to-face with support staff. Without the use of CPOE, it may lead to mistakes from illegible handwriting of physicians or transcription notes from verbal orders. Using barcode technology, HealthFore solutions help nurses to verify a patient s identity and verify medication with a simple scan of the patient wristband at the bedside. This practice ensures the 5 Rights of medication about to be administered at the point of care aligns with the care plan prescribed by the doctor through the CPOE. Using HealthFore solutions, Physicians can monitor a patient s response to their care plan from the real-time updates on their EHR (entered by care providers using bedside recording), allowing physicians to better understand underlying causes and respond most appropriately and quickly to an ad-

5 verse event. Thus, HealthFore solutions implemented effectively within a healthcare delivery system improves patient care and patient safety reducing the medication errors and allows physicians to be more connected with their patients. About Author Ganapathi Shenoy Argodu (Sr. Product Manager, HealthFore Technologies Limited) has over 24 years of experience in Hospital domain & healthcare IT. Shenoy is a qualified Pharmacist with experience in healthcare IT consulting, product management, pre-sale support and customer engagement. He is one of the key architects and SME involved in business process reengineering and product design of Pharmacy Information System (PhIS and CPS), a national program under Ministry of Health (MOH), Malaysia.

6 Healthfore Technologies Limited Prestige Blue Chip,# 9, 4th Floor, 3rd Block, Hosur Road, Near Dairy Circle, Bangalore GYS Universal Plot No. - A 3,4,5, Sec. 125 Noida, UP P O Box 73030, ED 22, Building 16, Dubai Internet City Dubai, UAE Write to us at: For more details please visit: Bahrain I Botswana I Egypt I Ghana I India I Jordan I Kuwait I Mauritius I Nigeria I Qatar I Saudi Arabia I Thailand I UAE I USA

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