m Microsoft Amalga HIS Electronic Medical Record The Microsoft Amalga Hospital Information System (HIS) revolves around an electronic medical record (EMR) providing a comprehensive view into a patient s experience. Built as an innate part of the overall system, the EMR draws from functions across the organisation to consolidate data to tell the complete story of a patient s history, condition, and progress. Integrated patient data for efficient, cost-effective, high quality care. EMRs are often offered as discrete software packages added on to an existing set of base hospital management applications. Because they are not originally designed as an integrated component of other hospital system functionality, many EMR solutions can be challenging to implement and use. The fragile nature of the system interfaces can potentially create gaps in critical data. Because the Microsoft Amalga HIS EMR is a core part of the total hospital information system, information is captured as it is generated, giving continuous insight into a patient s health record. This complete picture allows clinicians to focus quickly on immediate issues and helps expedite treatment. More holistic care An enterprise-wide EMR gives the entire care team access to the same information, so caregivers can address a patient s condition more collaboratively limiting miscommunication and misinterpretation caused by incomplete data. More satisfied patients Patients can move through your health system without having to answer repetitive questions or fill out the same forms each time they show up for an appointment or procedure. Appointments progress more quickly and caregivers can arrive at appropriate decisions more confidently. Streamlined workflow and better decision-making for doctors Doctors can access all pertinent information about a patient s demographics and medical history and can view, compare, and update data in ways never possible with paper charts empowering doctors to make more informed decisions. Electronic documentation and ordering can eliminate the inefficiencies of searching for missing paper records, preventing the follow-up with nurses and pharmacists to clarify handwritten orders and instructions, potentially saving hours. Templates, order sets and favourite order lists enable fast handling of routine processes. Facilitates more accurate billing Because the EMR is a component of Amalga HIS, it helps your organisation capture accurate information in order to collect the right amount at the end of a patient s stay. In addition, the EMR automatically updates Amalga HIS Financial Management s billing information each time a patient is given medication or a supply, or undergoes a procedure. Considerable cost savings and staff efficiencies Electronic record-keeping allows hospitals to reduce staff and storage space dedicated to managing thousands of papercharts and files, reducing costs substantially.
Sophisticated features that drive successful clinical outcomes. Role-Based Security Users gain different levels of access to a patient s data based on their role in the hospital and relationship to the patient protecting privacy while ensuring personnel gain instant access to the information they need. International Support Data can be displayed in any Unicode-supported language and in regional date and time formats, fostering widespread adoption among multi-cultural medical teams and throughout regional hospitals. Flexible Interaction for Clinicians The EMR is flexible enough to facilitate both highly structured physician documentation and more familiar free-form usage or a hybrid of the two methods. This helps promote adoption by physicians and allows more efficient usage according to caregivers comfort levels. When using structured physician documentation, Amalga HIS EMR captures discrete data components, rather than textual data, enabling richer, more intelligent presentation and data analysis for caregivers. Intelligent Data The system automatically updates and generates new views based on patient events recorded throughout the hospital. As one example, when a pregnant mother gives birth, the EMR automatically creates a new medical record for the new baby associated with the mother s record. Standardisation The EMR is supplemented by intelligent clinical databases to standardise terminology and support diagnosis for symptoms and conditions. By finding commonalities in language, symptoms reporting and analysis, the EMR ensures better communication, faster diagnosis and better system-wide tracking and documentation of trends. Scanned, Bar-Coded Paper Documents Amalga HIS EMR supports a hybrid of electronic and paper reporting and record-keeping to promote adoption by doctors. Document imaging capabilities allow paper prescriptions and reports to be scanned and bar-coded for the full benefit of electronic processing and tracking. If your hospital s goal is to move to paperless processes, Amalga HIS supports a gradual phasing out of paper over time. The system s user interface can be customised to feel like a paper form for doctors comfort and ease, if desired.
View and document your patient s health experience all in one place. Amalga HIS EMR delivers comprehensive screen views that take a caregiver through a hierarchy of important patient information, presenting a dashboard of vital data and allowing caregivers to drill down into more detailed views. Colour-coded alerts and user-friendly design ensure users won t overlook the information that matters to them. Patient Overview As soon as a caregiver accesses a patient s EMR, a summary of the patient s most relevant information including vital signs, active medications, allergies, personal and social history and lab results are displayed front and centre. Review Caregivers can see a full archive of events that have happened to a patient within your health system from radiology reports to lab results to ER visits or check-up appointments. Customisable views of data can be logically categorised and grouped into collapsible data trees for easier browsing. Users can search data or sort by date, caregiver, or category. Other EMR Modules: Patient History Medication Profile Patient Education Diagnoses Appointments Sign-Off Reducing Paper Medical Record Inefficiencies Moving to 100 percent digital information management is the vision of many experts for a safe, highly efficient and more affordable health care system around the world. One major hospital system has made great strides in making that vision a reality. Bumrungrad Hospital is an internationally recognised hospital in central Bangkok, Thailand, serving more than 1.2 million patients annually. Struggling with a heavy patient load, a clinical and administrative staff of 3,000 people, and the need to optimise years of historical records and data, the hospital implemented Amalga HIS to move toward an enterprise-wide paperless system.
Computerised Physician Order Entry (CPOE) Physicians can place electronic orders for medications, exams and lab tests and submit them electronically, expressing preferences and communicating information that the clinicians receiving orders need to know. CPOE addresses complex medication ordering conditions such as schedule-based dosing. Templates for sets of tests commonly ordered together allow doctors to place such orders within seconds. Flow Sheet The EMR aggregates data points from a patient s lab tests and vital sign recordings to show trends over time helping physicians determine the success of a course of treatment and make more informed decisions. Documentation The online documentation system allows care providers to create patient reports quickly on the spot. The system enables structured, step-by-step documentation using evidence-based clinical terminology to expedite diagnosis and support treatment planning. It is also easily configurable to adapt to individual specialties and preferences. Alternatively, Amalga HIS EMR provides the flexibility of allowing physicians to electronically document care in an unstructured manner, similar to how they traditionally may have documented a patient s visit. Since go-live of Amalga HIS in late 1999, Bumrungrad has achieved both financial and care quality improvements: Time to retrieve a medical record decreased from 25 minutes to virtually instantaneous. 10,000 square feet of medical records storage space was converted to a revenue-producing paediatric centre that treated over 110,000 children in 2003. Outpatient pharmacy dispensing time decreased by 50 percent, from 20 minutes to 10 minutes. Outpatient bill preparation decreased from 22 minutes to eight minutes. Number of paper forms stocked decreased from 395,616 to zero. Days to close the monthly books decreased from 30 days to four days. 129 full-time equivalent savings attributed to Amalga HIS. Patient waiting times decreased by 39 percent, from 28 minutes to 17 minutes per patient.
m Microsoft Amalga HIS Microsoft Amalga Hospital Information System (HIS) is a state-of-the-art, fully integrated, single-solution hospital information system. This enterprise solution provides rich integration among its front- and back-office modules, giving clinicians and administrators access to information within and across different departments. In addition to its EMR capabilities, Amalga HIS also includes: > A full-featured accounting system with general ledger, accounts receivable, accounts payable and fixed asset maintenance systems > Purchasing and inventory systems that handle materials management, human resources and payroll These systems support paperless, integrated workflows to help improve data integrity, reduce transcription errors and duplication of data entry and optimise patient care and report turnaround. Learn more about the Amalga HIS EMR system at www.microsoft.com/amalga. 2008 Microsoft Corporation. All rights reserved. Microsoft, Amalga and the Amalga logo are either registered trademarks or trademarks of Microsoft Corporation in the United States and/or other countries. All other trademarks are property of their respective owners. Part No. 098-109492