Clinical systems boost workflow
By Patty Enrado, Contributing Editor
As point-of-care information systems are not stand-alone solutions but components of clinical IT systems, the buyers guide
focuses on clinical IT systems’ point-of-care capabilities. Core
clinical IT system vendors are working to tie their systems with monitoring devices, according to Adam Gale, COO of KLAS. By connecting these devices to the clinical IT systems, nurses and physicians will no longer need to write down the information, thereby saving time, improving workflow and potentially reducing errors. While there are some proven sites for this capability, Gale said that the trend is catching on and moving forward at many sites. Vendors who have worked on the user-friendliness of their core systems have seen higher adoption rates. While there is only a 5 percent industry-wide adoption rate for computerized physician order entry, Gale expects CPOE adoption to continue to grow. The rankings for the category of acute care CDR, orders and charting are based on KLAS’ year-end report, released in December 2006.
Epic Systems Corp.
EpicCare Inpatient Clinical Information System
KLAS Rank No. 1
Features: EpicCare streamlines and transforms hospital-based care while increasing efficiency and reducing medical errors. It gives the care team access to targeted patient information and intuitive features, including CPOE, medication reconciliation, workflow navigators and other workflow management capabilities, electronic MAR with barcoding and nursing documentation. Flexible, real-time decision support promotes best practices. EpicCare Inpatient shares a single database and user interface with Epic’s other applications (pharmacy, ambulatory EMR, emergency department, hospital billing, scheduling) providing seamless integration.
Does your clinical IT system minimally impact physician workflow and provide ease of use? Yes. EpicCare Inpatient’s quick response times and intuitive, task-oriented structure allow rapid movement through workflows. Features that help physicians complete work at the point of care include configurable navigators that guide admission, rounding, transfer and discharge workflows, “point-and-click” documentation forms, drill-down reports that automatically compile and display relevant data over time and a synopsis function for reviewing clinical events and correlating events and data. Monitoring-device integration makes source data available for review in EpicCare.
What is your track record for providing training and services for physicians and nurses for POC information gathering so that the adoption rate is high? Epic’s post-live survey results indicate positive end user responses to EpicCare, and Epic has clients who’ve gone completely paperless. Our training includes a professional development component to develop understanding of how EpicCare affects clinical practices. Epic helps identify and train customers’ physician and nurse super users, so end users receive primary support from peers. Epic staff provides on site go-live support and we use post-live surveys and trips to assess user happiness and recommend follow-up areas.
Enterprise Medical Record
KLAS Rank No. 2
Features: Enterprise Medical Record (EMR) collects, stores and displays clinical data for individuals within a community or region. The EMR accepts data from any number of separate Meditech enterprises, other vendor applications and from many source facilities (for example, hospitals, clinics and provider offices). The information ranges from demographic and status data to orders performed and medications administered during a visit. Because this information is never purged from EMR, histories are permanently maintained. Being able to view a patient’s entire medical record in one area is critical. Data is organized and it saves users’ time. Along with lab results, X-ray reports, allergies and medications, the EMR also stores nursing data from our Patient Care System (PCS) product. Since the EMR, a hub of clinical data, displays information from PCS and other clinical applications, Bedside Medication Verification (BMV) medication information will also display in the EMR. Users can view active, discontinued and all medications by clicking on the medication panel within the EMR. Clicking on a medication name will display both the detail and history of the medication for this patient.
Does your clinical IT system minimally impact physician workflow and provide ease of use? Meditech’s application, Physician Care Manager, displays information physicians need on an electronic dashboard, so providers have one destination from which they access data within the Meditech system. Physicians can manage their workloads, review results, manage orders, document care and electronically sign documents. CPOE capabilities enable physicians to enter orders from hospital, home, or while traveling. System capabilities are integrated to ensure coordinated and safe ordering. In addition, physicians can sign verbal orders and view results from anywhere.
What is your track record for providing training and services for physicians and nurses for POC information gathering so that the adoption rate is high? Meditech has adopted a “train the trainer” approach to training. Customers select a core group of personnel from each application to be instructed by Meditech staff. These personnel then undergo extensive training in how to use the system and how to teach others to use it. Meditech recommends two hours of one-on-one training for physicians. We also recommend using realistic patient scenarios and order sets/common provider orders, specific to a specialty.
Horizon Clinicals point-of-care solutions
KLAS Rank No. 3
Features: Horizon Clinicals is a comprehensive suite of next-generation, integrated solutions for physicians, nurses and other clinicians in virtually every care setting. This modular suite of clinically intelligent information systems thinks and works like clinicians. Featuring point-of-care documentation and order management, common architecture, advanced clinical decision support and an integrated clinical repository, Horizon Clinicals unifies the clinical process by linking all patient encounters across care settings and clinical disciplines.
Does your clinical IT system minimally impact physician workflow and provide ease of use? McKesson’s physician clinical solutions were designed by physicians for physicians with a simple philosophy...make it simple, make it fast and deliver real-world
value and benefits. McKesson builds solutions that work like a physician thinks, delivering access
to information and decision support in an intuitive, relevant
manner, seamlessly fitting into their
What is your track record for providing training and services for physicians and nurses for POC information gathering so that the adoption rate is high? We conduct on-site training, either at our state-of-the-art training facilities or at your facility’s training location.
How-to training provides users with the knowledge they need to complete their work goals, empowering confident staff members and fostering adoption of the software to support your organization’s healthcare delivery and operations. These training approaches, together with our comprehensive implementation services, help maximize the adoption rate of our solutions.
Cerner Millennium CPOE
KLAS Rank No. 4
Features: Cerner Millennium provides quick access to the most relevant information for timely decisions, supporting common tasks and anticipating clinicians’ next steps. The solution offers a simple, intuitive visual interface designed by clinicians for clinicians working in both acute care and ambulatory settings. Cerner Millennium delivers the benefits of a clinical database, with functionality allowing users to view clinical data, complete orders and optimize clinician documentation in one powerful solution.
Does your clinical IT system minimally impact physician workflow and provide ease of use? Cerner Millennium standardizes workflow processes, providing clinicians with the right information at the right time. Cerner solutions alert clinicians to critical results, messages and tasks, allowing them to respond without interrupting a patient visit. Cerner supports prioritization of work to organize the most critical issues and sets reminders for physicians or staff to ensure patient needs are met. Streamlined order entry and improved patient coordination help clinicians optimize efficiency and performance.
What is your track record for providing training and services for physicians and nurses for POC information gathering so that the adoption rate is high? To drive engagement and satisfaction, we have developed the Cerner Physician Support Program. The three stages – assessment, involvement and ownership – have specialized programs, components and metrics to ensure the right client outcome. We also provide a number of vehicles for clients to interact with peers and Cerner associates, discuss key issues and learn new topics. The universal Cerner Millennium framework can be leveraged across multiple roles, venues and disciplines, further driving user adoption.
Siemens Medical Solutions
KLAS Rank No. 5
Features: Soarian has been designed to specifically and comprehensively address the needs of the clinician, the patient and the healthcare administrator through improved workflow. Aside from being workflow engineered (synchronizing processes across the health system), Soarian is differentiated by its smart user interface, which anticipates the needs and unique work processes of individual users, as well as by embedded analytics that empower users to monitor, measure, and act.
Does your clinical IT system minimally impact physician workflow and provide ease of use? Soarian supports the integration of physician order entry (POE) with clinical decision support. Soarian’s POE is designed to reduce serious prescribing errors. Clinical Decision Support embedded in Soarian allows for interventional (rules-based in the workflow) alerts, warnings and links, as well as analytical (post hoc analysis reporting) decision-making from pathway embedded metrics. Capabilities for POE include such things as smart orders, rapid documentation, patient safety and activity handling by creating worklists.
What is your track record for providing training and services for physicians and nurses for POC information gathering so that the adoption rate is high? Soarian was developed with usability as a key design factor, thus increasing the adoption rate among the clinicians. Siemens Education Services will provide Soarian application specific training for Customer Project Team members early on during implementation. The entire training cycle time is reduced due to Self-Training Guides and context-sensitive “User Assistance.” Soarian provides online training wizards as part of the application to facilitate self-instruction. Siemens also offers a complete range of Soarian education classes.
Sunrise Clinical Manager
KLAS Rank 6
Features: Sunrise Clinical Manager is an enterprise-wide advanced information solution that provides immediate, secure access to patients’ complete records, streamlines care processes and improves the quality and cost-efficiency of care. Its fully integrated solutions for the acute, ambulatory, critical care and emergency environments share a patient-centered electronic medical record, state-of-the-art clinician-centered workflow engine, CPOE system, embedded evidence-based clinical content and sophisticated interdisciplinary clinical documentation capabilities.
Does your clinical IT system minimally impact physician workflow and provide ease of use? Workflows are examined and improved through our proven methodology around helping customers achieve measurable outcome improvements through the use of Sunrise Clinical Manager. Eclipsys consultants work with clients to gain an understanding of current workflows, identify improvement opportunities and clarify any unique process requirements. This builds the foundation for the design of the new workflows within Sunrise Clinical Manager. This process includes extensive feedback from physicians and other clinicians on the design of clinical workflows and system build to ensure that physicians feel the system addresses their needs. Sunrise Clinical Manager’s user interface is very user friendly and incorporates many of the same concepts used in popular Microsoft desktop applications.
Misys Healthcare Systems
KLAS Rank 7
Features: Misys CPR delivers enterprise clinical management through a computerized patient record solution. Providing access to comprehensive patient information and decision support at all points of care, Misys CPR helps drive higher quality of care, cost control and successful outcomes. Misys CPR provides an integrated CPR with a suite of modules including CPR, CPOE, integrated pharmacy, radiology and laboratory, clinical data repository, automated nursing documentation, automated medication administration, document imaging and physician Web portal.
Does your clinical IT system minimally impact physician workflow and provide ease of use? By working closely with customers, Misys understands what physicians are looking for in an HIT solution, and as a result, has some of the highest CPOE adoption rates in the industry. Misys CPR’s integrated CPOE process facilitates safe, efficient care across multiple venues and its clinician-friendly user interface streamlines the ordering process, saving physicians time. Online patient information is available at any time, enabling physicians to get the information they need, when they need it.
Centricity Enterprise (formerly GE LastWords Clinicals)
KLAS Rank 8
Does your clinical IT system minimally impact physician workflow and provide ease of use? GE Healthcare has a long legacy of supporting workflow management for our customers. Our Centricity Enterprise Solution provides role-based task lists in addition to role-specific alerts and reminders, helping to improve clinical workflow and making our solution extremely easy to use without jeopardizing clinical excellence. GE works with each customer to analyze workflows and staff roles specific to each facility and identify the most appropriate routing and escalation paths for alerts, reminders and task lists.
What is your track record for providing training and services for physicians and nurses for POC information gathering so that the adoption rate is high? At GE, we work closely with our advisory groups as well as our clients to offer best practice sharing across our broad customer base to help facilitate adoption. We also offer various events where customers can meet with GE representatives for train the trainer sessions, new functionality sessions and feedback sessions for future releases.