A video on the same Care Connect EMR system in the blog “Hospital makes connection with patient records” post, May 19, 2012 – an ideal solution to our ailing paper-based manual systems
Monthly Archives: May 2012
It’s seamless
“The system is so advance and detail oriented, even housekeeping will know which rooms need to be cleaned after a patient is discharged” – Dr. Arun Nagpaul, medical director, on Care Connect, an Electronic Medical Records (EMR) system using EPIC software at Newark-Wayne Community Hospital, N.Y.
Hospital makes connection with patient records
Care Connect, an Electronic Medical Records (EMR) system using EPIC software at Newark-Wayne Community Hospital, will allow doctors and technicians to access patient records, with permission, at any location. Doctors will be able to look at lab results, x-rays and a patient’s medical history at the click of a button, thusconnecting patients and their records virtually anywhere a patient might be seeking medical care. The EMR system was jointly launched with ts affiliate, Rochester General Hospital.
Care Connect is a 2-year project, costing $65 million.The project was to convert the entire Rochester General Health System from a combination of independent paper-based and computer-based patient record systems to a single, fully-integrated electronic system that will significantly enhance quality and patient safety as well as the efficiency and effectiveness of care provided to all patients.
The launch of the new system at Newark-Wayne went smoothly largely due to years of planning, extensive training and testing. Doctors affiliated with Rochester General Health System have been equipped with the software to allow them to access the records as well. In addition, Rochester General Health System is partnering with Wayne County physicians to assure they have, with the patient’s explicit permission, access to the patient’s most up-to-date records to further improve clinical outcomes and quality of care. And with other hospitals in Rochester transitioning to electronic medical record technology, sharing of patient information between Systems will be greatly simplified. Physicians from throughout the Rochester Region can now access records at Newark-Wayne when needed for specific patient treatment.
The system is so advance and detail oriented, Dr. Arun Nagpaul, medical director at Newark-Wayne said, even housekeeping will know which rooms need to be cleaned after a patient is discharged.
“It’s seamless,” he said.
Exceptional features of Care Connect:
- to help prevent medical errors it warns if a prescription interacts with another medication the patient is on; the system will issue a warning pop up and the doctor must then review the information to determine how to proceed
- will allow them to schedule the follow up appointment with the patient’s general physician, to ensure patients continue recommended follow up care
- should injury occur while traveling, patients can still get proper care, as any doctor who has the software can access a patient’s medical records
- all of the data in the EMR is encrypted and password protected, so access to a patient’s information is strictly limited only to those who are authorized. The system also tracks who is accessing records and, fully monitored, alerts officials when abuse is suspected.
- the system is also protected against the loss of patient information through a robust back-up system that is readily available, in the event of a computer malfunction
Abridged, from an original article by Tammy Whitacre, staff writer Messenger Post, Posted, May 19, 2012
‘Just in Case’ book
In most Malaysian homes, I am sure the scernario is that the vast majority of us store and/or hoard important documents away in the weiredest places, or documents simply scattered all over the home as there is no vision to orgainise and store in any pre-defined place in the house.
So it is no surprise that we face difficulty tracing and retrieving documents when the need arises, just as we face similar situations when medical records and reports go missing or not found in our medical records offices.
I am happy I found this rather good simple innovation in this news item, a homemade creation entitled “Our Just In Case Book.” This book is a simple binder of information that the next of kin or others need, and know where it is located, if either spouse is incapacitated.
Examples of crisis situations can be :
- of a very specific demand, when the father who developed an emergency health issue, the son or the spouse may not know where to find legal documents that grant him the right to take action on the his father’s or spouse’s behalf, respectively.
- when an unexpected trauma is enough to deal with, and the next of kin are unable to trace relevant documents
- facing legal, financial or end-of-life decisions without any input from people you love is devastating.
The notebook could contain the basics :
- a copy of both spouses’ birth certificates
- Social Security (SOCO card, in our local settings) cards
- Medicare cards (eg MedicaGen 200 Medical Card from Zurich Insurance Malaysia Berhad), and insurance cards
- hospital/clinic appointment cards, home-based records etc.
- important phone numbers
- durable power of attorney for health care (this legal document lists who is designated to make medical decisions when they are no longer able)
- a copy of their living wills in case of an irreversible terminal illness
- details regarding health and death decisions that are personally important (for non-Muslims I guess, for example – “When I die, no money on flowers. I want any memorial donations for my favorite charity”)
- information about their burial locations and pre-planned funeral arrangements, as well as Bible readings and hymns for their funerals (for non-Muslims, again).
- a copy of their power of attorney and last will and testament are included (the power of attorney allows a designee to make financial decisions for them if they are not able. It cannot be put into effect unless they are legally judged to be incompetent).
- information on life insurance policies, bank accounts, stocks, bonds and CDs, along with their locations
- in the case of this news item author, “my mother has signed a simple bank document that allows me access to her bank accounts on her behalf”
Abridged, from an original article by KATHY MARTIN, newsroom@wcfcourier.com wcfcourier.com | Posted: Friday, May 18, 2012
A Catalog of War Wounds’ Details Is Useful but Isolated
American military officers say, the amassed information on combatants over the last 10 years amounts to the most detailed data ever assembled on battlefield trauma and its care. But the records are scattered, as the Defense Department’s trauma registry has information on roughly 66,000 patients largely – of those who survived, and the Armed Forces Medical Examiner’s Office maintains separate sets of records.
So far these disparate storehouses of information have not been joined in a permanent place, much less made widely available for cross-disciplinary study.
Col. Jeffrey A. Bailey, a surgeon who directs the Joint Trauma System at the Institute of Surgical Research at Fort Sam Houston, confirmed there as yet is no standardized medical database that enables researchers to look back comprehensively on the experiences of Afghanistan and Iraq.
Against this background, Col. Michael D. Wirt, a doctor (a neuroradiologist ) volunteered for duty in an infantry brigade, set out in 2010 to make his own record of one brief but bloody chapter of the Afghan war.
Col. Wirt created a database which could be read like a catalog of horrors. His database is part of a vast store of information recorded about the experiences of American combatants. In it, more than 500 American soldiers are subjected to characteristic forms of violence of the Afghan war. Colonel Wirt was a brigade surgeon from the 101st Airborne Division during the American-led effort in 2010 and 2011 to dislodge the Taliban from their rural stronghold along the Arghandab River. His database was one part official record and one part personal research project.
He was intent on documenting how soldiers were wounded or sickened, how they were treated and how they fared. For those seeking to understand war and how best to survive it, the doctor on his own initiative created an evidence-based tool and a possible model.
“If you don’t take data and analyze it and try to find ways to improve, then what are you doing?” Colonel Wirt asked in an interview at Fort Campbell, where he is a deputy commander at Blanchfield Army Community Hospital. “In my humble opinion, a consolidated database with standardized input consisting of mechanism of injury and resulting wounds, classified by battle and nonbattle injuries, would be something you could actually use.”
Abridged, from an original article by C.J. Chivers, The New York Times, 17/05/2012
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