Electronic Patient Record Enables Analysis of Clinical Data
NEW DELHI, India & SYDNEY, Aust. – September 21, 2011 – InterSystems Corporation today announced that Sir Ganga Ram Hospital, a 675-bed multi-specialty state-of-the-art hospital in New Delhi, has deployed the electronic patient record (EPR) within the InterSystems TrakCare™ advanced Web-based healthcare information system, enabling analysis to be performed on clinical data captured from 89% of inpatient visits.
This significant breakthrough builds upon a TrakCare implementation already delivering a wide range of benefits. These include increased outpatient throughput, savings through better inventory and medical package control and support for pharmaceutical substitution, more rapid access to laboratory results, and reduced adverse allergy and drug interaction incidents.
Further benefits enabled by the new EPR include dashboards supporting key performance indicators (KPIs) and clinical governance, analyzable clinical data for enhanced quality of care and medical research, automated discharge summaries and improved data protection of medical records. Many of these benefits are designed to drive EPR adoption among clinicians, all of whom already use TrakCare to access laboratory results and medical imaging.
The main incentive driving clinicians to adopt the EPR is the automated discharge summary for patients. Hospital departments previously typed discharge summaries on a word processor. This information is now entered directly into the TrakCare EPR and TrakCare automatically creates and prints out the discharge summary.
“The immediate return offered by automating discharge summaries, while smaller than the returns from data retrieval at a later date, has enabled us to achieve an EPR capturing 89% of inpatient visits,” said Dr. Karanvir Singh, Consultant Surgeon and Head of Medical Informatics for Sir Ganga Ram Hospital. “The successful design of the discharge summary module – which takes granular ICD-10 coded data and converts it into something readable by patients – was a very important factor in the EPR’s success.”
According to Dr. Singh, the return on investment (ROI) from TrakCare has come from using healthcare information to define, guide and measure enterprise process improvements.
“Essentially, analytics is what provides the ROI on healthcare information system investment,” said Dr. Singh. “Our first tangible ROI was when we analyzed the various patient treatment packages offered by the hospital. Another ROI was identifying workflow bottlenecks and streamlining processes as a result. All this has been possible because decision-makers are now getting data within minutes or hours, which used to take weeks or months to deliver.”
The new TrakCare-based EPR has enabled Sir Ganga Ram Hospital to perform analysis of clinical data to support improved quality of care and clinical governance. This includes defining key performance indicators (KPIs) and scorecards, and building dashboards to display them to hospital decision-makers.
According to Dr. Singh, KPIs and scorecards are a valuable clinical governance tool. “A series of KPIs in a dashboard are included in the opening screen for the hospital’s CEO. At any stage, the CEO can click on a displayed KPI speedometer and drill down to see details of the underlying data. More complex scorecards are ideal for displaying the ‘health of the hospital’.”
When designing the EPR screens in TrakCare, Sir Ganga Ram ensured all data was captured in a structured fashion so it would be suitable for data analysis. Data is entered from pre-populated lists using the International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) coding standard. Entry of unstructured text is restricted as it is of little value for subsequent data analysis or future clinical decision support systems.
“The availability of analyzable data was a further incentive offered to clinicians to encourage them to adopt the EPR,” said Dr. Singh. “India has a huge population and the volume of patient throughput is something not available in many western hospitals. If doctors can analyze this volume of data they can also obtain more research material and therefore gain more opportunities to be published.”
Improved data continuity of medical records is also an important benefit. Before entry in the EPR, patient data was lost over time as it was often impossible to locate word processor files after a few months. The central EPR now backs up all clinical data, ensuring medical records remain available for years or even decades if required.
“TrakCare enables us to capture, store, share and act intelligently upon patient data,” said Dr Singh. “This enables us to provide better care to our patients, while improving our operations.”
InterSystems Corporation is the worldwide leader in breakthrough solutions for connected care. With headquarters in Cambridge, Massachusetts, and offices in 23 countries, InterSystems provides advanced technologies for breakthrough applications.
InterSystems TrakCare™ is a Web-based unified healthcare information system that rapidly delivers the benefits of an Electronic Patient Record (not available in the United States). InterSystems DeepSee™ is software that makes it possible to embed real-time business intelligence capabilities in transactional applications. InterSystems HealthShare™ is a strategic platform for healthcare informatics and the creation of an Electronic Health Record on a regional or national scale. InterSystems CACHÉ® is a high performance object database that makes applications faster and more scalable. InterSystems Ensemble® is a seamless platform for integration and the development of connectable applications. For more information, visit InterSystems.com.
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