1. 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

2. 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

3. 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

4. What Is ELECTRONIC HEALTH RECORD (EHR)

5. 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

6. 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.

7. 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

8. 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

9. eClinical Station
Ambulatory EHR

10. eClinical station Home Page

11. 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

12. 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

13. Patient demographic
Patient chart

14. 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)

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

16. App Views

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

18. 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)

19. Help Desk
Designing of Help Desk
eCs Ambulatory EHR

20. Thank you