Bi-directional Occupancy Management

For July of 2013 we have bundled a pretty large update, which includes some advanced interface features.  One predominant feature is the bi-directional occupancy management between the EHR system and the HIS system.  For our inpatient facility, end-users have the option to make patient location changes in either system, and so we needed to make sure both systems have the most current information.  Prior to this release, the discharge operation happened only in the Medical Records department, and often not until several days after the patient had left.  Consequently, we added a discharge wizard to the EHR system that allows the clinical staff to indicate that the patient has left, and remove the entry from the inpatient list.  But wait, there’s more…

In addition to discharging the patient, the nurses will add a discharge note at the same time, and they can also provide information pertinent to Clinical Quality Measures (CQM), too.  So, we made a dynamic wizard for discharge that allows the nurse to do all three at once upon discharge.  This, again, is like the CPOE wizard we created, which creates a single document but multiple separate placeholders for the items therein.  First, the discharge information impacts the encounter placeholder.  Then, the discharge note creates an electronic nursing note that is added to the note list with a focus word of Discharge.  Finally, the CQM information updates its own list and portlet.  To preserve the integrity of the data, if the nurse nullifies the discharge event (because it was entered in error), then the system will locate and nullify any discharge note or CQM data that was entered as part of the discharge.

All of these events automatically generate interface messages through our Mirth-based interface to the HIS system and other ancillary systems (lab, radiology, etc).  All the systems get the information in real-time and everyone is up-to-date.  This is a good example of using technology to help make a job easier.