HIS Project 1 Surgical Information Systems 3/22/00

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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 users 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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Analysis of RequirementsMandatory Functions

 

• 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

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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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Vendors 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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ScreenshotSIS 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.