Category Archives: healthcare system

Computerized Physician Order Entry (CPOE) system – How it improves efficiency of a Healthcare delivery system

Computerized provider order entry (CPOE) is an application that allows healthcare providers to directly enter medical orders electronically. CPOE systems can allow electronic entry of medication, laboratory, admission, radiology, referral, and procedure orders.

 

Developing and implementing CPOE is multidisciplinary effort and involves IT, clinical, business and informatics expertise with the following goals in mind:

  • Reducing the potential for human error.
  • Reducing time to care delivery.
  • Improving order accuracy.
  • Decreasing time for order confirmation and turnaround.
  • Improving clinical decision support at the point of care.
  • Making crucial information more readily available.
  • Improving communication among physicians, ancillary staff and patients.

Health delivery centers continue to strive to improve patient safety and quality of care

CPOE has tremendous benefits that impact overall efficiency of the healthcare delivery system. It enables safer, more consistent patient-centered care that is quantifiable. Time efficiency is a huge benefit of implementing CPOE across an organization. CPOE users find improved efficiency to be even more impactful than its technological advances. Specifically, with enhanced time efficiency, clinicians can communicate more effectively, provide care more accurately, and focus more of their time on patients’ needs. These benefits include:

  • Legible order entry: This allows for a decreased risk of duplicative, incorrect or erroneous orders.
  • Protocol adherence: Various kinds of checks for each order allows for a system to ensure adequate patient preparation and protocol adherence. This, in turn, ensures optimal management practices.
  • Clinical Decision Support system: Various CDS models can be added to the EHR-CPOE systems to allow useful information, including guidelines recommendations, checks, suggestions for suitable management steps based on the available information on the patient condition.
  • Medication-related checks: These include medication reconciliation that checks for duplicative medications, drug-drug interactions, allergies, medication contraindications, and renal- and weight-based dosing.

Specifically, CPOE minimizes or altogether eliminates:

  • The need to maintain physical patients’ charts.
  • Overlooked orders by nurses or unit secretaries.
  • The need for order clarification due to illegibility.
  • The need to manually reenter data, leading to transcription errors.
  • Override rates from electronic drug dispensing systems.

 

Successful CPOE implementation depends on high level of leadership involvement, widespread commitment to the project, availability of resources, access to technology, and comprehensive training and communication. When these ingredients are present to implement CPOE across the organization, it has a tremendous impact.

 

Health delivery centers continue to strive to improve patient safety and quality of care. There is also an increased focus on the efficiency of health care. The Joint Commission defined the important dimensions of performance for quality of care as “patient perspective issues; safety of the care environment; and accessibility, appropriateness, continuity, effectiveness, efficacy, efficiency, and timeliness of care.”

 

Overall, CPOE systems with CDS can improve medication safety, quality of care, compliance with guidelines and protocols, while reducing medical errors and spurious healthcare dollar spending at the same time, the cost of healthcare.

How Blockchain Can Improve Healthcare Technology

As per one definition, “Blockchain technology uses secure, encrypted authentication mechanisms to validate information from primary sources and include it in a distributed ledger, ensuring a shared source of truth for validating healthcare provider information.” Blockchain is rapidly impacting healthcare. There are several aspects of healthcare technology that can benefit from blockchain and become more streamlined, efficient, and optimized.

 

Here’s how that can happen:

  • Longitudinal healthcare records – Blockchain can enable patient records to be securely linked and be accessible across different provider organizations to improve care coordination. Blockchain has been shown to be extremely useful for recording transactions. This can be leveraged in medical records, which are riddled with inaccuracy and discrepancies. Ensuring that sensitive medical records are accurate, complete, and only available to authorized individuals makes for an inefficient system that blockchain is poised to revolutionize.

 

  • Automated health claims adjudication – By using a “smart contract” structure, blockchain can help streamline payers’ and patients’ provider payments for a more cost-efficient process.

 

  • Interoperability – Blockchain can overcome current patient data interoperability issues, as it allows efficient ways to gather the information needed to support population health initiatives. Blockchain offers the ability to share patient records across payers and providers industry-wide, reducing costs and minimizing risks. It allows patient data (clinical, demographic, billing, etc.) to be securely transferable and available to any treating physician, health system or payer within the blockchain network. It allows patients to change health insurance providers and choose physicians across various health providers, with there being no need for multiple data entry. Blockchain-powered interoperability can reduce duplicative testing, erroneous treatment, and incomplete medical data.

Blockchain technology can potentially enable patients to more easily and securely gain access to their own medical records

  • Online patient access – Blockchain technology can potentially enable patients to more easily and securely gain access to their own medical records. Currently, patients have almost entirely no control over their own medical data. They are completely managed by healthcare institutions. This makes for an inefficient system and creates mistrust between patients and healthcare institutions.

 

  • Supply chain management – It can also enhance healthcare contract management and reduce costs by allowing through real-time contract tracking and execution.

 

  • Prescriptions – In the current system, patients have their medications prescribed and filled by hospitals and pharmacies, each with their own database, which can result in discrepancies in patient records. A prescription blockchain solves much of the problems that arise from varied systems and records and provides a trustworthy source of patient prescription records. This way, healthcare providers could have an accurate, immediate view into a patient’s medications, resulting in better, more personalized treatment.

Provider data and identity management
Identity and credential management of licensed providers is critical to the healthcare delivery system. This requires maintaining accurate, up-to-date provider database, which is expensive and prone to error. Currently, all payers and providers maintain this data individually, resulting in redundant data and expenses. Blockchain can provide a distributed database of provider credentials accessible to payers and providers made universally available. A credentialing blockchain would eliminate duplicate requests for information from original sources, reducing processing time and enabling real-time updating of records.

Imaging suite workflow optimization with AI

An imaging suite/department has many moving parts. There are several steps involved:

  • patient scheduling
  • protocol selection and patient preparation
  • tracer/agent administration
  • image acquisition & processing
  • RIS/PACS
  • image interpretation & reporting
  • radiologist performance analytics

 

Let’s review these to see how AI can play a role therein.

 

Patient scheduling:

There are many software solutions on the market today that have attempted to streamline and automate the process. The main goal is to reduce downtime and optimally utilize resources, and in addition, ensure an efficient and reliable way for patients to make their preferred selections. AI can play a role in helping the patient find the most desirable time slot while ensuring that the resources such as camera time and personnel are optimally utilized. Furthermore, it can send automated follow-ups and help in rescheduling for new time slots as needed.

There are many software solutions in the market today that have attempted of streamline and automate the process

Protocol selection and patient preparation:

There is a wide variety of protocols used in adult and pediatric imaging. Choosing between them can be hard and several factors come into play. There are instances where wrong protocol selection leads to suboptimal images, overdoses, patient discomfort or even morbidities. AI can (semi-)automate the process by which the system can use the available information, such as patient age, sex, body habitus, serum levels, allergic/medication history, prior imaging, prostheses, other contraindications etc. and provide the most suitable protocol. This can ensure patient safety and desirable imaging results leading to superior quality of medical care.

 

Image acquisition & processing

AI is playing a big role here. There is a lot of research showing improved image acquisition using AI, whether it is MRI or PET. Improved acquisition techniques have led to faster imaging time, lower radiation dose, higher resolution, etc. Post-acquisition processing has benefited from AI as well, including 3D-iterative techniques and kinetic modeling, etc. AI continues to grow by leaps and bounds in this space.

 

RIS/PACS

AI has the potential to impact radiology information system (RIS) and picture archiving and communication system (PACS). AI-based hierarchical worklists, nuanced feedbacks, trend analytics, lesion tracking, synoptic processes are in the pipeline and once implemented can greatly improve the clinical radiology workflow.

 

Image interpretation & reporting

The role of AI is quite prominent here as well. From CAD to radionics, AI is innovating automated lesion analysis to unravel subvisual information on disease processes. Likewise. AI-driven semi-automated structured reporting that checks for errors in real-time and provides instant feedback are poised to streamline the reporting process and make it safer, accurate and informative. AI can also aid in the radiologist-referrer communication loop in order to ensure effective transfer of critical knowledge to the ordering doctor for immediate action as needed. This reduces the chances of miscommunication that may lead to clinical mismanagement.

 

Radiologist performance analytics:

Finally, AI is able to significantly improve the existing radiology performance system by introducing novel but useful metrics, such as hedging scores, feedback scores, biopsy results, protocoling errors, etc., and help create a more holistic performance evaluation of the radiologist, which can accurately identify deficient areas in clinical practice.

How Can EMR Build Better Patient Relationships?

Better Patient Relationships

There are no excuses as to why better patient relationships cannot be obtained with a little forward planning. The first thing to do is to review the current systems that are in place in your medical practice as it is these very procedures and platforms that help build the confidence in both healthcare workers and patients.

 

Electronic medical records are the way forward if we are to judge by the number of practices that are choosing to use these systems. Having all the patient information at hand by the touch of a button is extremely advantageous and speeds up the processes making it efficient, organized and streamlined.  Any doubts that EMR systems prevent therapists from fully engaging with their patients has long been proven wrong. In fact, the opposite is true. It affords doctors and medical staff to spend more quality time with their patients.

 

There are two key points required if you are changing over to an EMR system.

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  • Take time to get comfortable with your new EMR system
  • Customize it to suit your needs

 

Understanding the system completely is vital of course. This takes a little time as you need to understand each system’s individual traits and to comprehend how to utilize it to its best advantages. Once you are fully au-fait with the system and how it works, then, it is time to allow colleagues to do the same. Some may have negative thoughts about new processes preferring the old patient record system, but, most will see this as progress.  For some, the difficulties will be learning a new system as this does take time. It may even add pressure to an already pressured daily schedule. Sometimes, we find it difficult to see the overall goal when under stress. However, once a new EMR system has been learned then, a smoother efficient service becomes apparent and the pressure eases. This always has a knock-on effect on your patients who also see a new confidence in the staff and benefit from the extra time they spend with medical experts.

 

Another great bonus to having an EMR system in your practice is the ability to tailor it to your own business needs. This may well enable you to redefine your business in ways that you would have considered impossible. It also allows you to tailor it more to your patients’ needs which can speed up processes and cut back on things like typing. These time-saving elements not only save on expenses but also mean you or your staff get more time doing what you were originally trained for and that is looking after your patients.

Most EMR systems will allow you to create evaluation profiles and this can help eliminate simple mistakes like adding information twice.

 

Any better patient relationship building is likely to happen with honest communication. Patients will judge you on how well they have been treated on both a personal level and in a medical sense. This technology allows it all to happen in a seamless fashion.  As you enter personal and medical data into the system (something that would have been done when the patient was not there before) you can interact with the patient and include them in the whole process. This becomes a much more personal service and is likely to build a solid rapport with the client. Your work with the patient will be at your fingertips and you will be able to interact with the patient in a way that was not possible before. Patient confidence will quickly grow.

 

Working with Electronic medical record software can certainly finetune the business and create better patient relationships. It’s worth the effort and will create a new aspect of the central business.

What Are the Benefits of Health Information Exchange?

Health Information Exchange

The use of online health information exchange systems is transforming the way healthcare providers operate. Everyone benefits from using shared information and this is easily accessed by healthcare employees but, it has a built-in safety to protect security. It is very important that everyone who is involved in a patient’s care has access to the same information and this eliminates potential mistakes. It also ensures that everyone is informed as to the latest tests, results or future diagnostic tests. From this alone, it’s easy to see why this streamlined approach to patient care is attracting more and more healthcare providers as they quickly recognize the benefits to their own business practice in respect of time-saving, running cost reduction, and a higher level of patient care.

 

There many more benefits of using a health information exchange:

 

  • Easily track a patient’s complete medical history
  • Reduce medical errors
  • Encourages patients to interact with their own health care
  • Allows important decisions to be made with confidence
  • Reduces paperwork and increases overall efficiency

 

Health information exchange benefits can be experienced all the way through the whole medical healthcare practice and beyond as it efficiently provides information exactly where it is needed and reduces costs and time. Patients realize that the medical center is taking a progressive approach to health and all business functions and is reinvesting into the business, as a result, they feel confident. This confidence is typically felt through the entire business and makes all roles easier to operate generally.

 

Another major benefit is the ability to create a far easier way to obtain feedback. Older systems did not provide this benefit in the same way and communication was weaker. If you invest in this technology, you know that communication is enhanced and there is a kind of completeness about it because everyone is interconnected through business processes and patient care.

 

Appointment reminders can be sent directly to the patient helping to reduce missed or forgotten appointments and prescriptions can be sent directly to the pharmacies. This alone saves time and costs where it is needed the most. As more providers and other areas within healthcare adopt these types of technology, there will be a greater spread of interaction with targeted and up-to-date information which will create continuity throughout the whole health care system. These benefits will continue to grow as a network of providers make the obvious decision to join.

 

Less time more carefully.

 

Your medical practice and your patients are certainly going to benefit. Even the reduction of form filling allows more time for actual patient care to take place. As a result, your patients will feel that the service you provide is more personalized to their needs and requirements. This kind of health care clearly stands out from other practices that do not yet use it. Word of mouth, after all, is a very effective marketing technique and you will gain new patients as a result.

 

A practice that uses the health information exchange system becomes more efficient very quickly in both patient care and with reduced costs. This creates a better working environment as healthcare workers right down the line have more confidence in a system that provides what is needed straight to their fingertips.