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  • This case study outlines and discusses KMGs achievements in implementing various

    MEDITECH based applications for multiple hospitals consisting of thousands of

    physicians, nurses and supporting staff providing medical care, outpatient services,

    and extensive community health education and screening programs.

    Case Study

    MEDITECH Related Applications

    Healthcare professionals and organizations around the world recognize the potential and importance of information technology in enhancing patient care and the overall healthcare outcomes. Today integration of information technology in healthcare is not a luxury but a necessity. Patients are getting more involved in their well-being and demanding better care. Hospitals and providers must keep up with the ever evolving health care reforms.

  • The programme involved complexity in terms of integrating various applications into the hospital

    management system in an effort to facilitate their day-to-day workflow and enhance patient care.

    With multiple departments involved in a single function in many ways, it was crucial to have integral

    systems to organize processes and perform accountability and notification related functions.

    The objective, however, was also to improve cross-departmental communication, better

    coordination of care, and provide an automated mechanism that facilitates various activities

    pertaining to the overall hospital operations.

    1. Notification System

    The challenge

    There are various ways of notifying a clinician.

    Paging is one of the most traditional ways. But

    paging sometimes incurs excessive labour and

    inefficiency. Moreover, valuable time is

    wasted. Today, whether in clinics or in

    hospitals, fast and efficient communication is

    an absolute necessity. Our client needed a

    comprehensive notification system in order to

    manage alerts and notify the right people on

    the basis of their alert preferences.

    The challenge

    There are various ways of notifying a clinician.

    Paging is one of the most traditional ways. But

    paging sometimes incurs excessive labour and

    inefficiency. Moreover, valuable time is

    wasted. Today, whether in clinics or in

    hospitals, fast and efficient communication is

    an absolute necessity. Our client needed a

    comprehensive notification system in order to

    manage alerts and notify the right people on

    the basis of their alert preferences.

    The solution

    KMG built a notification system that helped in

    automating and managing alerts to reach the

    right people based on their alert preference i.e.

    Desktop, Email, or Mobile. As a result, the

    system enabled:

    Automatic escalations in case of response

    failure

    Ability to identify and reach the physician

    promptly

    Flexibility in devices to receive the alerts

    More streamlined coordination resulting in

    enhanced patient care

  • 2. Bed Tracking

    The challenge

    In hospitals, bed tracking is a crucial process

    involving time tracking, management and

    allocation of beds to another patient as soon as

    the previous patient is discharged. In leading

    hospitals it is imperative to maintain high

    occupancy.

    Due to lack of coordination and time between

    patient bed turnovers, only a small percentage of

    hospitals are able to effectively manage their

    patient flow processes. Many hospitals report of

    the following issues with their system:

    Bed tracking applications are too expensive

    Training takes too much time

    Little or no innovation in current products

    Platform restrictions and non-integrations

    with other applications

    Little or no flexibility

    Cant address new issues

    The benefits

    The application can be seamlessly integrated into

    the hospitals existing management system and

    perform the following the functions:

    Tracking of time taken by each department/

    person throughout the turnover process

    Provide status of the process in real-time

    Email and Desktop notifications to concerned

    department/ persons

    Better communication and coordination

    Enable assessment of performance metrics

    based on turnover times

    Reduced wait time for patients

    Increased effectiveness in providing patient

    Admittance and Discharge services

    The solution

    KMG Bed Tracking is a systematic tool that aids

    in tracking the time taken from the moment a

    physician discharges a patient until the time the

    bed is allocated to the next occupant. In

    between the changes, the application tracks and

    notifies the concerned person/ department in

    real-time regarding the status of the bed. This

    results in enhanced coordination and more

    streamlined communication between the

    different departments involved in the process.

    The benefits

    KMG's hospital notification system improves quality and operations by timely notifying doctors and staff

    regarding any critical situation that requires their attention. Doctors are able to respond more rapidly

    and provide better care to patients without internal communication lags. The system is also equipped to

    notify appropriate persons/ departments in cases where patients are re-admitted because of a

    previously treated disorder. As a result, the physician conducts a thorough check on the previous

    practices, medication administered to the patient and take corrective action.

  • 3. NPR Reports

    The challenge Over 50% of hospitals in U.S. employ MEDITECH applications to help them carry out a wide spectrum of operational, clinical, and financial activities within the hospital. But in order to extract data from MEDITECH, a Non-Procedural Representation (NPR) report needs to be written that accesses data from individual MEDITECH modules. These customized reports are generated through the existing databases of patient information and accounts through the MEDITECH interface. Healthcare providers realized the need for a versatile report generation tool in order to utilize the rich collection of information captured within MEDITECH. Another obstacle is the need to write cumbersome and time consuming NPR reports in order to gain access to MEDITECH data.

    The solution KMG has expertise in providing NPR reports and custom programming services. KMG helps providers in accessing the data needed from MEDITECH HIS and generate effective reports that meet the special requirements of healthcare organizations. KMG enables providers with the ability to output data in a variety of formats such as:

    On Screen Reports

    Download Reports

    Printable Reports

    The benefits

    NPR or Non-Procedural Representation tool allows MEDITECH programmers to represent procedures

    using pictures, which it then translates into MAGIC code. The NPR reports help hospital administrators

    evaluate their current systems and find areas for improvement or cutbacks. A health IT professional

    familiar with the MEDITECH NPR options can generate reports utilizing specific selection criteria, indexes,

    and custom logicall of which can be adjusted to suit departmental and entire organization needs.

  • 4. Fall & Ulcer Risk Assessment

    The challenge

    Ulcers and fall risks are quite common issues,

    particularly among people who are elderly or

    physically impaired. In addition to patient

    suffering, these can impede patients return to

    full functioning and can add to the length of

    hospitalization. The length of hospitalizations

    for people who have fallen or have pressure

    ulcer issues is nearly three times longer than

    hospitalizations without diagnosis of the same.

    Although prevention and care for improving

    patient fall related injuries and pressure ulcers

    is quite confusing, caretakers need quality

    improvement reports, and visual representation

    of evidences, to help them deliver better

    patient care and predict and prevent situations

    that cause fall and ulcer related issues. A list of

    standard interventions and precautionary

    measures must also be taken in case of ulcer

    related patients.

    The solution

    To address such concerns, KMG developed an

    application that automated Fall & Ulcer risk

    decision making process and supports clinicians

    and nurses in tailoring prevention interventions

    based on patient characteristics and needs.

    The application is used to calculate fall and ulcer

    risks and generates a visual report that makes it

    easier for healthcare professionals to prescribe

    recommended interventions based on several

    strategies and the risk score of the patient.

    The application is also capable of tracking

    whether the various interventions prescribed for

    the patient are being administered or not. In

    case of any issue, the application will

    automatically trigger an email/ desktop

    notification to the concerned persons so that

    corrective actions can be taken.

    The benefits The application helps in assessing and evaluating identified fall and ulcer risk factors in patients. Correctly identifying risk factors helps the hospital staff in implementing the required preventive care interventions, including additional support and care. The staff can thus take all measures to prevent any damage to the patient.

  • 5. Crit