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HIS Project 1 Surgical Information Systems 3/22/00. Tanaz Dutia Debby Keller Emily Zajano. Objective: To evaluate surgical information systems from a clinical vantage point Expected results: Drastically improved effective resource use in the surgical environment -Decreased costs

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His project 1 surgical information systems 3 22 00 l.jpg

HIS Project 1Surgical Information Systems3/22/00

Tanaz Dutia

Debby Keller

Emily Zajano


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Objective:

To evaluate surgical information systems from a clinical vantage point

Expected results:

Drastically improved effective resource use in the surgical environment

-Decreased costs

-Increased satisfaction of providers& patients

-Improved quality of care


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Outline

  • Description of problem

    • Highlight the problems of not having unified information systems in surgical units

  • Analysis of Requirements

    • Determine what a complete information system should address

  • Evaluate Surgical Information Systems

    http://www.smartor.com

  • Gaps in SIS and solutions

  • Conclusion/Lead in to project 2


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Description of Problem

  • OR is the highest cost center and revenue generator.

  • Pressure to cut costs leads to information systems solutions.

  • Could save 30-40% by

    using an IS that captures

    all data – both clinical

    and administrative.


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Problems withPrevious IS Solutions

  • No standardization of data elements.

  • Data elements had different meanings to different services.

  • Database development and maintenance was dependent on user’s knowledge.

  • When the developer/maintainer left, the hospital was left with difficult task.

  • Need complete software packages to address all data produced and needed in OR.


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Why Use an SIS?

  • Manage schedule of surgical cases to maximize resource utilization

  • Capture all clinical data at point of care

  • Eliminate redundancies in data entry

  • Generate real time clinical reports (as needed or automatically scheduled)

  • Staff spends less time on non-clinical paperwork and more time on patient care


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Analysis of Requirements

  • A source of standardized and comprehensive content and format the transmission of procedure-related risk and complications;

  • Captures and archives clinician behavior relating to use, modification and disclosure of standardized knowledge sources;

  • Provides just-in-time access to procedural descriptions information relating to risks and complications.

  • Captures, archives and makes available to the clinician patient use of procedure-related knowledge resources.


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Surgical Data Flow Diagram

Anesthesia Data Entry

Anesthesia

Surgical Service

OR Coord.

Nursing Data Entry

Operating Room

Nursing

OR

Surgical Service Data Entry


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How an SIS Manages the Flow

Anesthesia Data Entry

Anesthesia

Surgical Service

OR Coord.

Nursing Data Entry

Operating Room

Nursing

OR

Surgical Service Data Entry

Streamlined into One!


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Scheduling Patient Care Plans

Recovery Room

Pharmacy

Clinical Data

Patient Assessment

Medical Records

Pre/Intra Operative Data Management

Resource Use

Surgeon Preference Case Card

OR logs

Anesthesia

Staff Records

Infection Control

Case Costing

Analysis of RequirementsMandatory Functions


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Evaluation of Vendor

  • Surgical Information Systems (SIS).

    http://www.smartor.com.

  • Why SIS is our vendor of choice:

  • System captures all clinical, financial, administrative, and archival data needed to manage surgical services and comply with JCAHO quality monitoring requirements.


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Function of SIS

  • Manage your schedule of surgical cases.

    • maximize resource utilization.

  • Captures all clinical data at the point of care.

  • Integrates into existing HIS.

    • saves time in working with existing systems and saves money for future IS scalability.

  • Eliminate redundancies in data entry;

    • information need only be entered once, and will then appear throughout the system wherever appropriate.

  • Generates real time clinical reports (as needed or automatically scheduled).


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Vendor’s Tools

  • Used by SIS to deliver these solutions and streamline the operating suite.

  • Patient scheduling data management.

  • Nurse anesthesia interoperate management.

  • Anesthesia interoperate management.

  • Reporting modules.


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Patient Scheduling Data Management

  • The system is integrated with pre-admission, pre-operative, intra-and post-operative modules.

  • Block scheduling accommodates specialty block definition, practice block definition, and surgeon block definition.Utilize integrated preference cards and pick lists.

  • Access room, materials, personnel and equipment availability.

    Facilitate real time conflict checking.

  • Graphical User Interface (GUI) format.


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Preoperative Nursing Data Management

  • Records info on patient history, medication names, handicaps, patient valuables, and a recall feature for patients who have had previous procedures.

  • Preoperative data is stored for anesthesia and intraoperative providers to review.


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Intraoperative Anesthesia Data Management

  • The patient interview is verified and released to other providers throughout the hospital.

  • Simultaneously monitor up to 125 vital signs from as many as 25 patient monitoring platforms.

  • Non-physiological data including the administration of drugs, anesthetic events, patient demographics, event timing, and involved staff is recorded quickly and easily using a GUI.

  • Voice response, touch screens, light pens, or bar coding are available for SIS users.


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Screenshot:SIS Anesthesia IntraOp Module


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Gaps in SIS & Solutions

  • EDI v. XML

  •  Price

  • Age of Vendor

  • Solutions to problems


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Looking Ahead to a Clinical DSS

  • We conclude that surgical information systems can help save costly time and money, as well as increasing the quality of care.

  • Inclusion of surgical DSS will intensify the savings and satisfaction in the surgical environment.

  • Computer-based decision-aids are hardly used.

  • Successful implementation of decision-aids in the clinical environment must integrate the future users.


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