CliniComp|EHR Critical Care
Transcription
CliniComp|EHR Critical Care
CliniComp|EHR Critical Care CONNECTING Every Patient. Everywhere. For Life. One of the first steps any hospital or health system can take is to offer the most powerful, most effective tools available for physicians and nurses. CliniComp|EHR Critical Care, CliniComp’s worldclass clinician documentation and EHR system, helps hospitals and health systems achieve this goal while promoting multi-discipline charting such as Respritory Therapy, Social Work, and Nutrition. It has an unparalleled record of clinical information system reliability and scalability. The broad, deep clinical functionality of CliniComp|EHR serves all care settings throughout the enterprise. An Innovative Solution for Data Intensive Environments At CliniComp, we understand the demands of critical care, a very complex care setting. You need a system which is always available, that accommodates complex workflow with charting, ordering tools with continuity of data; that allows instant and remote access to all patient data all the time; while implementing efficiently with little disruption. That is the configurable CliniComp|EHR Critical Care. Scope The ICU represents a dynamic healthcare environment characterized by complex charting, intricate calculations, and hundreds of types of devices including ventilators, pumps, and monitors. Clinical documentation is just the beginning. CliniComp has built interfaces to thousands of medical parameters. CliniComp|EHR Critical Care brings data types together, spanning Critical Care environments from Neonatal through adult populations, to form the backbone of the electronic health record. CliniComp|EHR Encounter Navigator Summary Screen* CliniComp|EHR Critical Care Fast, Integrated Clinical Documentation With CliniComp|EHR Critical Care, clinicians automate repetitive tasks and complete them efficiently and effectively. • Faster, easier charting Simplify data capture with a variety of available flowsheet templates and device interfaces for faster, easier charting. Thereby, staff may input, edit, or access vital signs, medications, intake and output readings, patient education materials and much more. • Integrate intelligent data access Access orders, results, and other data from a limitless range of systems, including physiological monitors and devices, fetal surveillance systems, and viewing support of other medical images. • Streamline structured workflow Capture each encounter with speed and accuracy using interface features that prompt the user according to configurable predetermined rules or knowledge bases. • Regulatory compliance Document and control access to sensitive data for compliance with HIPAA and other emerging standards. “ Functional Capabilities In addition to automation, CliniComp|EHR Critical Care transforms your processes, letting clinicians work in new and different ways to enhance care and improve workflow. • Integrated Computerized Provider Order Entry: Effectively manage the entry, classification, screening, and review of medication and therapeutic orders to identify prior adverse reactions, potential interactions with other drugs or foods, and duplicate orders or therapies. Integrating with clinical documentation, CliniComp|EHR automatically transfers orders to flowsheets and medication administration records for charting as appropriate per configurable specifications. • EMAR: Completely automate and manage your medication delivery processes with the CliniComp|EHR electronic medication administration record, including medication management and drug cabinet controls. • Clinical calculations: Let the system automatically perform time-consuming calculations - such as fluid balance or severity scoring - based on the full range of available patient data. • Task list: Create, view and print task lists, based on all approved order information, for organizing patient care. The CliniComp system has been great for us because documentation now is much more accurate and timely. In addition, the nurse can now pull information such as vital signs or ventilator settings from the monitors without having to stop hands-on care of the patient.” Colleen Rodriguez, RN Nurse Manager Neonatal Intensive Care Unit South Miami Hospital Baptist Health South Florida • Plan of care: Individualize all plans of care to specific patient needs. Use the notes function to track expected outcomes. Tailor plans of care in multidisciplinary settings or within a specialty. • Reference capabilities: Access an on-line library for reference material or standard of care information. Apply either facility-specific or industry-wide standards. CliniComp|EHR Critical Care CliniComp|EHR EWD* Clinical Decision Support Powerful Clinical Decision Support (CDS) Alerts Based on any and/or all data in the entire patient record, the CliniComp|EHR has user modifiable rules - that are based on a real time CDS engine to monitor continually and efficiently. Notifications of patients and providers alerts clinicians of changing conditions. CPOE takes advantage of CliniComp’s CDS ability to use data from the entire patient record. For example, laboratory values are used for medication ordering. If lab values subsequently change to contraindicate the existing order, an alert will be routed to the relevant clinician. Laboratory, problem lists, vital signs, I/O, and other transactional and charted data are available to CliniComp’s CDS. CliniComp’s CDS rules engine is configurable using evidence-based clinical guidelines, scoring systems (e.g. SOFA, Diabetics Score, Carl Schulman’s Traumatic Brain Injury Score, Rapid Response Team score, MEWS, etc.)**, and/or any logical functional combination of the patient’s data or omission of data. In clinical use, these rules can be modified per environment. CDS offers multiple modalities of real-time results displays and tracking boards, such as, Early Warning Dashboards (EWD) from individual facility to large global population monitoring or individual patient oriented screens. Configurable Data Presentation A highly configurable platform, CliniComp|EHR Critical Care helps your organization use information more effectively to minimize errors, meet regulatory demands, follow best practices, or implement clinical protocols. • FlowSheets: Quickly and easily enter common data types such as vital signs, medications, intake and output, within a variety of configurable flowsheet formats. Take advantage of CliniComp, Intl.’s integrated software to populate the electronic medication administration record directly from the order entry application. • Notes: Create, edit, and navigate a range of multidisciplinary clinical notes, including ADT records, progress notes, history & physicals and more. This enhances patient-centered communication and collaboration. • Summary Screens: View comprehensive patient data customized for specialized clinical disciplines - formatted in easy to read tables, graphs, or plots. This facilitates trending and analysis. • Trending: Visualize and graph critical values in realtime versus tabular data. • Remote access: Use CliniComp|EHR on the floors, at bedside, from the office, or via mobile device - all simultaneously. CliniComp|EHR Critical Care Comprehensive, Convenient Patient Information - Enterprise-Wide Medical Record Access In Critical Care Units and other critical care settings, physicians and nurses need reliable access to comprehensive, accurate patient records and clinical data to gain a complete picture of patients’ status. They value easy-to-use, effective tools for charting and ordering that allow them to accelerate workflow. The components of the CliniComp|EHR establish a comprehensive clinical patient story for seamless communication among providers - both inpatient and outpatient. Together, the CliniComp|EHR forms a fully integrated, enterprise-wide medical record system. “ CliniComp, Intl. is the best system, it is so easy for the nurses to use. Nurses had to have developed this system!” Lerna Perez, RN Pediatric Intensive Care Unit Bellevue Hospital • Longitudinal medical record Monitor, submit to or edit a permanent patient record - as appropriate - including medications, procedures, physiologic monitor readings, progress notes, and other charted information. Easily review a patient’s past ecounter timeline across different sites. • Functional foundation Establish a solid foundation for order entry, decision support, outcomes measurement, compliance and regulatory reporting, analytics and population health statistics. * NOTE: All names stated in screenshots are fictitious. Any replication is coincidental and is not related to any site or living indivudual by CliniComp, Intl. ** References available upon request. For full ONC Health IT certification disclosures on CliniComp|EHR v213.02 Complete Inpatient and Ambulatory EHR Certification, and CliniComp, Intl. Essentris® v213.01 Modular Inpatient EHR Certification, visit http://www.clinicomp.com/meaningfuluse.html. 9655 Towne Centre Drive © 2016 CliniComp, Intl. All rights reserved. 20160429 P/N260-00023 RevB San Diego CA,92101-1964 +1 [800] 350 8202 www.CliniComp.com
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