EMR integration with medical devices for improved patient experience

HIMSS October 9th 2019

• Founded September 17,1980 – 39th Anniversary

• JCI since February 2002. Multiple awards since

• 580 beds, 275 examination suites

• Over 1.1 million patients per year – Outpatients, Inpatients, Emergency patients

• About 50% international patients from 190 countries

• Over 4,800 employees

• Over 1,200 physicians / dentists

• Over 900 nurses

EMR integration with medical devices for improved patient experience

Bumrungrad International Hospital

EMR integration with medical devices for improved patient experience

Bumrungrad International Hospital

• Vision: To Provide world-class holistic healthcare by 2022

• Mission: To deliver innovative clinical and service experiences, accomplish

operational excellence and establish transdisciplinary care team with quality

and humanized care.

EMR integration with medical devices for improved patient experience

Bumrungrad International Hospital

• Single legacy HIS for 18 years

• Replaced by TrakCare, SAP and CareStream on 1st March 2018

• Integrated with lab instruments, patient monitors in ICU and outpatient clinics,

radiology modalities

EMR integration with medical devices for improved patient experience

Bumrungrad International Hospital

Carestream PACS/VNA

SAP FI-CO/MM/EAM

iDoctor

Welch Allyn

LabACL500

CobasE411

CobasTaqman96

Abbott Sysmex

IRIS IQ200 No.1

IRIS IQ200 No.2

Nova pHOx

TrakCare

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Nursing Care

Keyoniq

Outpatient Department Experience – Vital Sign Monitoring Solution

Pre-Consultation Workflow – BEFORE Vitals and EMR Integration

Patient taken to pre-examination room

Staff takes measurements

Staff writes measurements on

consultation record

Staff goes back to nursing counter, logs

into system

Identifies the patient in the system

Selects the section of the patient record to

enter the measurements

Transcribes the written

measurements into the patient record

Challenges in ambulatory care

Full Utilization of EMR

Manually entering data into your EMR can result in:• Patient ID and Clinician ID validation• Transcription errors• Reduction in time spent with patients• Adding extra steps in a workflow

Documentation takes anywhere from 20-25% of clinicians time.

Information Technology

Integration of device into current infrastructureService and support after the sale

Pre-Consultation Workflow – AFTER Vitals and EMR Integration

Response

Patient Demographic

Scan Patient ID Barcode

on Wristband

Clinician ID

Authentication

Patient ID

Authentication

Perform Vitals

Measurements

Integration to

Intersystems EMR

Response

Clinician Information

Scan Clinician ID Barcode

Integration to EMR

Vitals in TrakCare

*DoD RMF Security

Approved

Capture Vitals Parameters

NIBP

SPO2

PR

Temperature

RR

Pain

Custom Modifiers

Clinician Validate Vitals

Save Vitals

Sends Vitals in HL7 format

Response

Saved

Pre-Consultation Workflow – AFTER Vitals and EMR Integration

• Nursing productivity and efficiency increased

• Number of errors (incorrect patient ID, Vital values) reduced

• Clinical Staff access to Vitals now at finger tips immediately

Status

o All outpatient units – completed

o All non-critical inpatient units –

near completion

EMR integration with medical devices for improved patient experience

Bumrungrad International Hospital

EMR integration with medical devices for improved patient experience

Bumrungrad International Hospital

THANK YOU