Sandy LumUniversity of TorontoCandidate MHSc in Clinical Engineering

The Totally Integrated Electronic Patient Record (EPR)

Problem

Unconnected islands of hardware, software and

data ADT PACs, RIS Cardiac Data Management Systems Medical Devices

ADT PACS

CLINICAL FUNCTIONALITY

CLINICIANFRUSTRATION

NAVIGATIONALCOMPLEXITY

CARDIOLOGYDATAMngt.

Problem

Access to patient information isn’t quick or easy Multiple user ids/passwords to remember Not all available clinical information is being used

Solution

A Totally Integrated EPR

Integrated EPR - Goals

Complete and dynamic clinical information Real-time access to ALL information and active

clinical functionality any time, anywhere, and from any device

Efficient workflows and processes that adapt to a changing health care environment

Improve security and privacy of health records   Improved quality of care and patient safety

Barriers

Information stored in silos Vendor Compliance

Proprietary protocols Legacy systems

Incompatible standards

Achieving Integration

DICOM

IHE Integration

CCOW

HL7

CCOW

Applications are visually integrated when they work together in ways that the user can see in order to enhance the user's ability to incorporate information technology as part of the care delivery process.

Integrating Health Enterprise (IHE)

Promotes coordinated integration of information systems throughout the healthcare enterprise (IHE Technical Framework)

Defines implementation profiles for the transactions between information systems

Patient synchronized applications Enterprise User Authentication

Demonstrate efficiency and increased functionality of interoperability

Current Integration Options

Portals Web based integration of disparate systems

Current Integration Options

Visual Based Integration

Medical Devices

Infusion Pumps Patient Monitors Dialysis Equipment Bar-coding Applications

Medical Administration Records

Significance

Increasing need to capture information electronically Need to be aware of IT constraints in equipment

selection How are we going to get vendor compliance?

Conclusions

A fully integrated information system will provide caregivers with tools :

Improve patient safety Support the delivery of effective patient care Facilitate management of chronic conditions Improve workflow efficiencies

Increase utilization of Patient Records by reducing user frustration

Questions?