dWise Healthcare Bangalore Basic work flow of Ambulatory EHR and Designing of Help desk of eCS Ambulatory EHR Presented by : Anuj Gaur Pg/11/013

dWise Office Locations & Infrastructure Indian Multinational company having operations in India, USA & South Korea Strong focus in the Healthcare vertical Product Development, IT Services in the USA Significant domain knowledge in the Healthcare IT space In Healthcare, focused in the Electronic Health Record (EHR), Financials and Patient Education Product domains

ONE EHR – Flagship EHR Product One EHR - a comprehensive cloud based Inpatient EHR solution being marketed to Hospitals in the USA Developed as a response to the “Meaningful Use” criteria established by the US Dept of Health & Human Services as part of The Health Information Technology for Economic and Clinical Health (HITECH) Act. Attained certification from the Office of the National Coordinator (ONC) for Healthcare IT, as a complete Inpatient EHR Solution Solution has inbuilt complete Financial Module

What Is ELECTRONIC HEALTH RECORD (EHR)

Electronic Health Record (EHR) Systematic collection of electronic health information Captures data on Compliant to standards Electronic Health Records (EHR) patient demographics medical history progress notes problems medications and allergies immunization status laboratory test results radiology images & reports vital signs personal statistics like age, height, weight Can be Shared across different health care setting Generated by one or more encounters over a period of time

Clinical Outcomes Quality of Care. Improves Patient Safety. Standardization of Patient Care. Warns the physician on drug to drug, drug allergy, dose range , lactation, pregnancy, hepatic and renal precaution etc. Decreases Adverse drug events and medical errors.

Physician Outcomes Automates process Reduces Administrative cost Operational Efficiency Financial Improvement Improved Patient Satisfaction “Meaningful” Clinical Experience Automates process Reduces Administrative cost Quick access to patients record (multiple locations) Efficient workflow (Reduced patient waiting time) Captures patient charges Better word of mouth Reminders for follow-up or routine Improved cash flows and enhanced revenues Increases speed of treatment E-Prescriptions Continuity of care Reminders of appointments Fewer repetitive, tedious tasks Improved intra/inter Office communication Demonstrable High Quality care More time for patient care and personal life

The difference between EMR & EHR The legal record of the CDO (Care Delivery Organization) Subset (i.e. CCR or CCD) of information from various CDOs where patient has had Encounters A record of clinical services for patient encounters in a CDO Connected by National Health information Network (NHIN) Owned by the CDO Owned by patient or stakeholder Systems are sold by enterprise vendors and installed by hospitals, health systems, clinics Community, state, or regional emergence today- or nationwide in the future May have patient access to some results info through a portal but is not interactive Provides interactive patient access as well as the ability for the patient to append information

eClinical Station Ambulatory EHR

eClinical station Home Page

Report User management Patient Registration Consulting Reports e-Prescribing Reports User management User , User role, Privileges, Reports, User management, Patient Registration, Setting Audits, Results Patient Registration Patient search New Registration

Setting Audits Appointment & consult Site Site Settings Site Level Setting  Physician Level Setting Audits Search data Audits Appointment & consult New Appointment ,Appointment Nursing chart ,Consult Vitals ,Allergies Immunization ,Diagnosis CPOE(Clinical Decision Support System ) - Pharmacy ,Lab, Radiology, Referral Consult Activities ,Diet ,Procedures, Admit,CCR

Patient demographic Patient chart

Key Features ….. WHO/International Standards ICD, LOINC, UMLS, NANDA, NIC, NOC, DICOM, HL 7 etc Master patient registry Physician documentation Appointment & Patient encounter management CDSS & Clinical reference toolkit CPOE e-prescription Drug information Framework NIC ( Network interface card) LOINC ( Logical Observation Identifiers Names and Codes) ICD ( International Classification of Diseases ) HL7(High Level 7) DICOM (Digital Imaging and Communications in Medicine) NOC (Not Objection Card) UMLS (Unified Medical Language System) NANDA (North American Nursing Diagnosis Association)

Key Features ….. Pharmacy/ lab & radiology management. Medication reconciliation Electronic medical record Order set management Messenger User management Local settings

App Views

Application for Tablets The application also works on Tablets running on Operating systems such as Windows, Android etc.

Summary eClinicalStation is a complete Ambulatory EHR compliant to International Standards with all the mandatory Modules of a True EHR: Administrative System Components Clinical Decision Support System (CDSS) Computerized Physician Order Entry (CPOE) Clinical Documentation Pharmacy, Laboratory, and Radiology System Components Ability to connect to a Central Health Information Exchange (HIE)

Help Desk Designing of Help Desk eCs Ambulatory EHR

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