Post on 19-Apr-2020
EMR integration with medical devices for improved patient experience
HIMSS October 9th 2019
• Founded September 17,1980 – 39th Anniversary
• JCI since February 2002. Multiple awards since
• 580 beds, 275 examination suites
• Over 1.1 million patients per year – Outpatients, Inpatients, Emergency patients
• About 50% international patients from 190 countries
• Over 4,800 employees
• Over 1,200 physicians / dentists
• Over 900 nurses
EMR integration with medical devices for improved patient experience
Bumrungrad International Hospital
EMR integration with medical devices for improved patient experience
Bumrungrad International Hospital
• Vision: To Provide world-class holistic healthcare by 2022
• Mission: To deliver innovative clinical and service experiences, accomplish
operational excellence and establish transdisciplinary care team with quality
and humanized care.
EMR integration with medical devices for improved patient experience
Bumrungrad International Hospital
• Single legacy HIS for 18 years
• Replaced by TrakCare, SAP and CareStream on 1st March 2018
• Integrated with lab instruments, patient monitors in ICU and outpatient clinics,
radiology modalities
EMR integration with medical devices for improved patient experience
Bumrungrad International Hospital
Carestream PACS/VNA
SAP FI-CO/MM/EAM
iDoctor
Welch Allyn
LabACL500
CobasE411
CobasTaqman96
Abbott Sysmex
IRIS IQ200 No.1
IRIS IQ200 No.2
Nova pHOx
TrakCare
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Nursing Care
Keyoniq
Outpatient Department Experience – Vital Sign Monitoring Solution
Pre-Consultation Workflow – BEFORE Vitals and EMR Integration
Patient taken to pre-examination room
Staff takes measurements
Staff writes measurements on
consultation record
Staff goes back to nursing counter, logs
into system
Identifies the patient in the system
Selects the section of the patient record to
enter the measurements
Transcribes the written
measurements into the patient record
Challenges in ambulatory care
Full Utilization of EMR
Manually entering data into your EMR can result in:• Patient ID and Clinician ID validation• Transcription errors• Reduction in time spent with patients• Adding extra steps in a workflow
Documentation takes anywhere from 20-25% of clinicians time.
Information Technology
Integration of device into current infrastructureService and support after the sale
Pre-Consultation Workflow – AFTER Vitals and EMR Integration
Response
Patient Demographic
Scan Patient ID Barcode
on Wristband
Clinician ID
Authentication
Patient ID
Authentication
Perform Vitals
Measurements
Integration to
Intersystems EMR
Response
Clinician Information
Scan Clinician ID Barcode
Integration to EMR
Vitals in TrakCare
*DoD RMF Security
Approved
Capture Vitals Parameters
NIBP
SPO2
PR
Temperature
RR
Pain
Custom Modifiers
Clinician Validate Vitals
Save Vitals
Sends Vitals in HL7 format
Response
Saved
Pre-Consultation Workflow – AFTER Vitals and EMR Integration
• Nursing productivity and efficiency increased
• Number of errors (incorrect patient ID, Vital values) reduced
• Clinical Staff access to Vitals now at finger tips immediately
Status
o All outpatient units – completed
o All non-critical inpatient units –
near completion
EMR integration with medical devices for improved patient experience
Bumrungrad International Hospital
EMR integration with medical devices for improved patient experience
Bumrungrad International Hospital
THANK YOU