THE PHYSICIAN/PROVIDER PORTAL & CPOE PORTAL SUITE PROVIDES PHYSICIANS & PROVIDERS WITH AN EFFICIENT, FAST, COMPREHENSIVE, INTUITIVE, POINT OF CARE APPLICATION TO ENHANCE CLINICAL DECISION MAKING
THE SHAMS GROUP 1304 West Walnut Hill Lane Suite #240 Irving, TX 75038 | Phone: 469.586.3317 | Fax: 214.292.8841 | Email:
[email protected] | www.shamsgroup.com
V2.7
Organizational Challenges – Physician/Provider Portal
Three types of Organizational Challenges exists in the hospital environments. They are:
Disparate Messages
• Data Sets and documents from many applications must be combined and housed in one place. • Information is often fragmented forcing the user to go to more than one computer application plus check the paper chart to obtain vital data regarding the patient’s current health status. • This takes valuable time away from where it is needed most; providing quality patient care.
Fragmented Chart
• Some patient information is electronic, in various applications and some information is on paper. • The Physician/Provider must spend a significant amount of time obtaining information; treatment is delayed, and life saving measures could have been identified and performed sooner.
Patient Safety Risk
•If results are not displayed in an organized, concise, complete, and accurate manner then the patient is at risk. Information may be missed resulting in misdiagnosis and mistreatment. •The Physician/Provider may not see critical values if they are not flagged as abnormal in a way that draws attention and is easily viewable.
Physician/Provider Workflow
My Patients
View Alerts
Results Review
Decision Making
Enter Orders
Outcome
ORGANIZATIONAL CHALLENGES - PHYSICIAN/PROVIDER PORTAL
One of the biggest challenges of any Hospital Information System is to present a complete account of patient health experiences in an accurate, organized, concise electronic health record.
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THE SHAMS GROUP
The Physician/Provider Portal & CPOE Product Suite is delivered complete with the fully-functional components below:
Physician/Provider Portal & CPOE Portal Suite Physician Central Homepage
Results Review/Clinical Decision Support
Patient List
Rad and Pac Images
Alert Manager
Nurse Reports & Nurse Trending
Rounds Reports
Lab Reports & Lab Trending
Reference Links Advanced search Secure Messaging
Scanned Documents & Other Images Problem List
Computerized Provider Order Entry (CPOE)
Legal ECM /Chart Deficiency/Chart Management
Features & Functions
Deficiency List
Order Management System (OMS)
Delinquency List
Multum Knowledge Base
Addendums
Point of Care (POC) Alerts Annotation Medication Reconciliation E-Sign Order Integration Engine Administration Tool Reports & Analytics Allergy List
PHYSICIAN/PROVIDER PORTAL & CPOE PORTAL SUITE
Physician/Provider Portal & CPOE Portal Suite
Clinical Decision Support
4 1304 West Walnut Hill Lane Suite #240 Irving, TX 75038 | Phone: 469.586.3317 | Fax: 214.292.8841 | Email:
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THE SHAMS GROUP
• The goal of the Physician/Provider Portal is to provide physicians with an efficient, fast, comprehensive, intuitive, point of care application that will enhance clinical decision-making, provide for patient safety and improve the quality of patient care. • The Physician/Provider Portal integrates any form of data, whether paper or electronic, and displays it in any web-based browser for easy maneuverability. The result is a unified patient electronic health record that is easy to use and maximizes the view of patient information. • To accommodate the unique needs of each hospital, personalization of the Physician/Provider Portal is available: from home page/dashboard layout, internet links, secure messaging, tab/page order, web part application display, to the date/time filter for each tab, and much more.
Features
Key Strengths
• Point and click access to Admissions, Laboratory, Radiology, Transcription, Pharmacy, Order Entry, and Clinical Documentation information, plus scanned documents, PACS and other images/ recordings or any other interfaced application • The Current Status tab – Last 24 hours of Laboratory, Radiology, Reports, Medications, Allergies, Vital Signs, and Intake and Output data displayed on one page. • Color coded alert flags on the patient lists and results • Alert Manager – view all your patient’s critical results on one page • Two-way integrated secure messaging between physicians and medical records staff • Ability to read, approve, and e-sign patient documents in one system • Alerts for delinquent, ready to approve, and ready to e-sign documents • Ability to access reference information on-line from the same application • Designed by physicians for all healthcare providers, with ease-ofuse and built-in personalization capabilities • Personalization available to accommodate the unique needs of each hospital • System utilization and audit reports available • Print capability from any tab/page/web part • Scalable, portable, easy to deploy, and much more
• Private and confidential viewing of comprehensive patient information from hospital and/or off-site locations, such as home, physician’s office • Easy to use, intuitive, web-based, browser front end • Customization and personalization available • Integration with Meditech and any other Hospital Information System • Dictionary synchronization with Meditech (including MIS)
ABOUT PHYSICIAN/PROVIDER PORTAL
About Physician/Provider Portal
• Alert notification • Real time patient information • Unifies the electronic health record
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THE SHAMS GROUP
Physician/Provider Portal Usability
PHYSICIAN/PROVIDER PORTAL USABILITY
Medical software is often hard to use, causing productivity to drop. The SHAMS Group puts usability at the center of our healthcare software development process. Our usability experts ensure that people who use your system don’t need to be software experts.
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THE SHAMS GROUP
• • • • •
PHYSICIAN CENTRAL HOMEPAGE
Physician Central Homepage
My Patient Lists – the physician has several list criteria to choose from – customizable Alert Manager – view all critical, abnormal, or new results for My Patients from one central location Rounds Report – view/print a list of My Patients, My Groups Patients, or as a covering physician Deficiencies – E-sign, addend documents References Links – research drug or disease treatment information
Home Page/Dashboard/Physician Central
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THE SHAMS GROUP
Results Review – Lab Reporting and La b Trending
RESULTS REVIEW- LAB REPORTING AND LA B TRENDING
• Date time frame selection or use the default • Select results and view on single or multiple graphs • View spreadsheet format and graph on the same page
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THE SHAMS GROUP
Results Review - Patient Information Content
• The number of web parts and content contained on this page is configurable to the unique needs of each facility • Note the tabs available for review of results, reports, and clinical documentation
• The Marquee notifies the physician of Alerts and Delinquent documents
RESULTS REVIEW – PATIENT INFORMATION CONTENT
• Last 24 Hours of Patient Information – patient’s present health status at a glance – on one page
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THE SHAMS GROUP
The biggest challenges for any organization is physician adoption of CPOE technology. Secondly, how effective is the CPOE workflow across key stakeholders like Nursing and Pharmacy? Lastly, is it built on Intelligent Clinical Decision Support? Following are some key questions to ask for CPOE success in a hospital environment:
• Is CPOE browser-based & easy to use like ‘Google’ technology? Physician Adoption
• Does it behave the way a physician thinks? • Can it be personalized for various types of physician specialty?
• Is the CPOE product built on a collaborative architecture which includes nurses and pharmacy?
CPOE Workflow
• Does CPOE product come with real-time dashboards for nurses and pharmacy for order and workload management to enhance patient care and safety?
• Is the CPOE built on a true clinical data repository with intelligent alerts? Intelligent Clinical Decision Support
ORGANIZATIONAL CHALLENGES - CPOE
Organizational Challenges – CPOE
• Does the CPOE uses best available knowledge base platform in the marketplace? • Can order sets based on diagnosis be sent to order templates with minimum keystrokes?
CPOE Workflow
Patients List
View Alerts
Results Review
Clinical Decision
CPOE Orders
Outcome
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THE SHAMS GROUP
About Computerized Provider Order Entry (CPOE)
ABOUT COMPUTERIZED PROVIDER ORDER ENTRY (CPOE)
• • • • •
Reduction in medication errors at the point of entry reducing patient risk Increased patient safety with robust alert checking system Increased provider efficiency in a single view(orders are entered while viewing results/reports) Improvement in patient care (tells a patient story) Unification of patient chart via Portal technology with full interoperability
Features
Key Strengths
• CPOE is conveniently launched at the patient level from the Home page or from any page within the portal – no additional login is necessary
• Browser drive, intuitive, and easy to use
• Current Orders and Current Medications are in view while entering new orders
• Improves patient safety
• Personal order sets created by the physician plus standard order sets and protocols may be utilized
• Extensive clinical decision support
• Medication orders are transmitted to Pharmacy with all alerts that physicians saw for processing • My Orders Queue contains the last N days of orders this physician has entered so that reorder, renew is easily accomplished • Orders are placed in a ‘shopping cart’ until submitted, just like ‘Amazon.com’
• Robust functionality
• Ability to link health issues to orders • Alerts at result, medication, allergy, and disease level
• Orders interfaced to the ancillary systems • Personalized at the user level or by role
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THE SHAMS GROUP
CPOE Usability
CPOE USABILITY
Medical software is often hard to use causing productivity to drop. The Shams Group puts usability at the center of our healthcare software development process. Our usability experts ensure that people who use your system do not need to be software experts.
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[email protected] | www.shamsgroup.com
THE SHAMS GROUP
CPOE Features & Functions
• Enter Orders – All order types supported with real-time integration with ancillary applications • Enter Rx – All Medication orders with real-time integration with Pharmacy Module • Alert Point of Care (POC) – Point of care alert checking for medication orders • My Order Sets – Use standard or personalized order sets and protocols • My Orders – Orders entered by this use in the last N days – review, reorder, renew • Manage Order Sets – upload already created order sets, upload order sets from evidence based order set vendor, create custom order sets or use our order set partner Order Optimizer
Enter Non-Rx Orders
CPOE FEATURES & FUNCTIONS
TSG’s CPOE Base System Software is built on Microsoft .NET Framework with web part modules that sits on a real-time MS SQL based clinical data repository (CDR) that consolidates data from a variety of clinical sources to present a unified view of patient orders.
Enter Rx Orders PO Alerts Order Sets Protocol My Orders Create Manage Order Sets
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THE SHAMS GROUP
CPOE BASE SYSTEM – STANDARD FUNCTIONALITIES - ENTER ORDERS
CPOE Base System – Standard Functionalities - Enter Orders
• Category, mnemonic, description, and wild card type ahead procedure search
• Current Orders are in view while new orders are entered
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THE SHAMS GROUP
CPOE BASE SYSTEM – STANDARD FUNCTIONALITIES ENTER RX
CPOE Base System – Standard Functionalities - Enter Rx
• • • •
Drug search by Drug, Therapeutic Category, or Disease Selection of most commonly ordered drug strength and route Drug to disease, result, allergy, lactation, and pregnancy alert checking Current Medications are in view while new orders are entered
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THE SHAMS GROUP
OMS is a dynamic component of CPOE designed for Nurses for reviewing and completing orders that lack certain data filed that are needed for placing final order in the ancillary system. Since most orders have data requirements above and beyond what a physician is willing to enter, the OMS module provides a workflow for orders that require nurses attention plus gives them a status dashboard on where things are. Team collaboration and communication is enhanced utilizing CPOE’s Order Management System (OMS). Physicians, clinicians, pharmacists, and clerical staff work in unison to complete the order in a highly automated and evidence-driven manner. The patient benefits from prompt diagnosis and treatment. Hospital length of stay and costly errors are reduced.
• Functions include the ability to: • View, edit, complete, verify, renew, reorder, review, acknowledge, cancel, hold, resume deactivate, • • • • • • • • • • •
reactivate, and discontinue orders Workload Management System - nurses and unit clerks have tab access and functions defined by role Acknowledge Orders tab – site parameter whether Acknowledge is necessary Renewable Orders Queue Review Orders Queue Transmitted Orders Queue Hold Orders Queue Search orders tab My Orders Queue for physicians All new orders placed that day may be viewed on one screen via the transmitted orders tab. The nurse may check all new orders for his/her patients and ensure they have been carried out. Orders that are coming up for renewal or review are conveniently located on one tab
CPOE ORDER MANAGEMENT SYSTEM (OMS)
CPOE Order Management System (OMS)
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THE SHAMS GROUP
TSG can effectively and fully leverage any clinical evidence based knowledge base the facility utilizes – Drug database content and alert checking capabilities would include: • • • • • •
Drug-to-drug interaction Drug duplication Drug-to-disease interaction Dose range checking Drug allergy and allergic cross-reactivity checking Side effects by organ and frequency and backed up by detail case studies and medical literature • Pharmacology information • Pharmacokinetics • Pregnancy and Lactation precautions
CPOE POINT OF CARE (POC) ALERTS
CPOE Point of Care (POC) Alerts
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THE SHAMS GROUP
CPOE Medication Reconciliation
As defined by TJC is ‘the process of comparing the patient’s current medications with those ordered for the patient while under the care of the hospital’. The reconciliation is done to avoid any discrepancies, such as, omissions, duplications, adjustments, deletions, and additions. It should be done throughout the continuum of care: – at the time of entry to the hospital or admission, – when the patients care is transferred within the hospital – when a patient is referred or transferred from one hospital to another or – when a patient leaves the hospital care
CPOE MEDICATION RECONCILIATION
•
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CPOE Medication Reconciliation – Discharge Meds
CPOE MEDICATION RECONCILIATION – DISCHARGE MEDS 19 1304 West Walnut Hill Lane Suite #240 Irving, TX 75038 | Phone: 469.586.3317 | Fax: 214.292.8841 | Email:
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THE SHAMS GROUP
CPOE Medication Reconciliation – Transfer Meds
CPOE MEDICATION RECONCILIATION – TRANSFER MEDS 20 1304 West Walnut Hill Lane Suite #240 Irving, TX 75038 | Phone: 469.586.3317 | Fax: 214.292.8841 | Email:
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THE SHAMS GROUP
CPOE Medication Reconciliation
•
• • •
Complete list of the medications the patient is taking at home (including dose, route, and frequency) is created and documented) o The patient and the family, as needed, are involved in creating this list
The medications ordered for the patient while under the care of the hospital are compared to those on the list created at the time of entry to the hospital or admission
Any discrepancies (that is, omissions, duplicates, adjustments, deletions, additions) are reconciled and documented while the patient is under the care of the hospital
When the patient’s care is transferred within the hospital (for example, from ICU to a floor) the current provider(s) informs the receiving provider(s) about the up-to-date reconciled medication list and documents the communication
CPOE MEDICATION RECONCILIATION
Elements of Performance
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THE SHAMS GROUP
This integration engine delivers real-time integration communication to all appropriate ancillary applications as well as TSG’s GalacticaRx and Chart Deficiency applications if available.
•
CPOE orders integration engine is capable of providing bi-directional interface with any HIS or other vendor systems. For Meditech, interfaces come pre-built with no Meditech Involvement
First Integration – Session Level TSG pre-builds the CPOE portal with all HIS applicable user names and passwords, dictionaries, and tables so that it is synchronized where the user can log into the portal using the same username and password. IS staff is not required to manage the passwords and therefore no effort is required. Second Integration – Transaction Level TSG integrates every single data element (both structured and non-structured), including Custom Defined Screens (CDS) and fields from the HIS into the Portal for selected application. TSG’s unique integration engine extracts, transforms, and loads real-time data into portal’s clinical data repository (CDR) from HIS applications such as ADM, OE, PHA, LAB, RAD, NUR, etc. Third Integration - Database Level TSG synchronizes your HIS MPI with Portal MPI to offer a high degree of MPI redundancy and functionality. The integration engine also comes with a web module for managing all interface communication with full alert capabilities for high interface performance.
CPOE ORDER INTEGRATION ENGINE
CPOE Order Integration Engine
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THE SHAMS GROUP
CPOE configuration is highly robust and flexible module. It consists of security administration, user preferences and personalization and other tables and dictionaries for CPOE management. By utilizing this module the IS staff can configure the application and workflow to meet its needs:
• • •
Security Administration: By entity, role, location, group, etc Personalization: This is available at various level. You can personalize for each physicians or physicians specialty or groups. Clinical decision support views, order sets and orders templates can all be personalized at any of the above level Pre-built dictionaries from HIS system for Username/PW, provider, locations, service, all procedures, etc. Option exists for keeping these dictionaries synchronized between the HIS systems and CPOE application
CPOE ADMINISTRATION TOOL
CPOE Administration Tool
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THE SHAMS GROUP
CPOE comes with advance reporting tool using Microsoft Reporting Services and Data mining and Analytical Services tool. It also has an option for Microsoft SharePoint Portal.
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Many pre-built reports are provided with CPOE Portal
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Reports are easily generated in different output formats such as PDF, Excel, TIFF, etc
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OLAP cubes can be used for data mining and slicing and dicing information
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Single or multiple user audit trail reports are available at your fingertips
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All reports may be exported/printed and/or saved for future reference
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Reports may be automatically generated and scheduled to e-mail to multiple addresses
•
All data is available in real time
•
Report audit trail available – report ran, user, date, time, etc
•
User access is definable - assign specific reports to a user
CPOE REPORTING AND ANALYTICS
CPOE Reporting and Analytics
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THE SHAMS GROUP
CPOE Medication Allergy List
• •
well as medication allergy history for longitudinal care. The default is to Active Allergies; inactive allergies may be viewed with one click. Free text allergies may be added and are color coded.
CPOE MEDICATION ALLERGY LIST
• The Allergy List enables the user to electronically record, modify, and retrieve a patient’s active medication allergy list as
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THE SHAMS GROUP
CPOE Problem List
CPOE PROBLEM LIST
TSG EHR Suite provides the capability to maintain an up-to-date problem list of current and active diagnoses, symptoms, conditions, findings, etc., based on ICD-9-CM to enhance care delivery and outcomes.
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THE SHAMS GROUP
Legal ECM - Physician E-Sign Dashboard
•
The system provides – a parameter to allow the physician to select all documents to sign without viewing the charts in the system (TSG Audits this feature) –
a parameter which mandates the physician to view the chart before completion
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a feature to display a warning message alert to the physician regarding the number of charts that will become delinquent based on the criteria specified
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a way to display indicators to the physician when a chart is deficient and delinquent
•
The system provides – the ability for a physician reject a deficiency and add a rejection reason – a comprehensive Search Criteria – sorting Features on fields – easy navigation through screens – secure messaging – Discreet Transcription Editing
1304 West Walnut Hill Lane Suite #240 Irving, TX 75038 | Phone: 469.586.3317 | Fax: 214.292.8841 | Email:
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THE SHAMS GROUP
LEGAL ECM - PHYSICIAN E-SIGN DASHBOARD
The dashboard provides clinical documentation that has been archived from various systems to review a patient’s legal chart and identify how many deficiencies are pending for completion. The dashboard also allows the physician to review charts within their physician group based on the facility workflow requirements.
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Physician E-Sign Discreet Editing
Users will have the ability to edit discrete documents and annotate image documents prior to e-signing them in the portal. They will be able to perform edit and e-sign actions from any tab that contain these documents such as– Reports, Radiology, Lab Pathology etc.
1304 West Walnut Hill Lane Suite #240 Irving, TX 75038 | Phone: 469.586.3317 | Fax: 214.292.8841 | Email:
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THE SHAMS GROUP
PHYSICIAN DISCREET EDITING
Discrete Transcription Editing provides the ability to Physicians and other clinicians such as Physician Assistants and Nurse Practitioners, to edit documents before they electronically signed in Physician/Provider Portal.
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Clinical Decision Making
CLINICAL DECISION MAKING
Enough information has been gathered to make an informed decision:
Critical, abnormal and new Laboratory results
PACs images and radiology reports
Consultation reports
Clinical documentation (vital signs and intake and output)
Lab and clinical documentation have been seen in trend view for quick assessment
Now it is time to enter orders and expedite patient care
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THE SHAMS GROUP
Physician/Provider Portal & CPOE System Diagram
HIE Health Information Exchange
Diagnostic Systems
Electronic Document Management
ASTRO
Integration Engine
GE-EKG
Medical Record Cleanup (MRC)
EnterpriseWide Master Person Index (EMPI)
GE-QS Perinatal
Scanned
WoundExpert Quinton Q-Stress
MEDITECH/HIS
TSystem Philips EDCO
ADM MRI ABS
BAR AP GL HR PP MM
OE ITS RAD PCS NUR
LAB PHA EMR PCI
EDM EMV CM LTC
1304 West Walnut Hill Lane Suite #240 Irving, TX 75038 | Phone: 469.586.3317 | Fax: 214.292.8841 | Email:
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PHYSICIAN/PROVIDER PORTAL & CPOE SYSTEM DIAGRAM
Physician/ Provider Portal & CPOE
30 THE SHAMS GROUP
How To Arrange a Product Demonstration
email
•
[email protected]
Phone
• 469.586.3317
Website Address
• www.shamsgroup.com
Questions ?
Please feel free to contact us by either method above and we will be most happy to answer any questions you may have.
HOW TO ARRANGE A PRODUCT DEMONSTRATION
Demonstrations of the Physician/Provider Portal & CPOE Portal Suite can be scheduled in either of the following ways:
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