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ATKOSoft Web >> Products >> Medical >> aMedLine >> Workflow

aMedLine  Workflow

All data included in the MHRs of patients constitute a common point of reference for usage from all medical and administrative personnel of the organization like:

  • Administrative Personnel

  • Doctors

  • Nurses, Therapists and Paramedical Personnel

  • Clinical Labs

  • Department of Medical Materials and Drugs

  • Scientific Committees and / or Clinic Directors

  • Organization Management

  • System Administrator

  • Admissions Department

The tasks implemented by the above personnel via the system, can be divided into the following broad axes:

  • Administrative Services

  • Medical Services

  • Management of information (MIS)

The type and level of system usage by different departments and roles within the healthcare service provider organization, across the three axes mentioned above, is presented at the Tables of the following pages.

Finally, given that all organization employees work on the same MHRs, a very significant software feature that relates to data security and protection of use from unauthorized personnel, is the capability to hide or disable specific fields on MHR tabs for specific users or group of users. In this way, tasks are facilitated since personnel views only data relevant to their specific tasks, and the organization security policy is reinforced.

For example, the access of the nursing personnel user group can be fixed by the System Administrator in such a way so that when a nurse opens the MHR, he or she sees the patient name and attendant doctor name but not other personal patient data such as address, telephone, e.t.c., or medical data such as medical history, e.t.c.

The workflow under the system is as follows:

  • As soon as the patient gets admitted by the organization, the administrative personnel opens his or her existing MHR οr creates it - if this does not exist - by filling his or her personnal data (name, address, telephone, e.t.c.). In case that he or she are to get hospitalized, the administrative personnel uses the bed management feature of the software to automatically check bed availability and make bed reservation for the patient.

  • Upon the initial, first visit with the attendant doctor, the doctor completes the past medical history of the patient in textual form in the MHR. This past history includes past treatments, surgical operations, e.t.c.

  • The doctor also records symptoms and conducts a preliminary diagnosis based on which he or she order clinical tests to be conducted by the patient via the MHR. The order is accompanied by degree of priority and any specific directions to the labs.

  • The Clinical lab automatically accesses this order of tests along with all other pending tests by all other doctors of the organization accompanied by their degree of importance. In this way they can effectively schedule their tasks.

  • As soon as the patient conducts the tests, the actual test results in the form of biosignals, images, sounds, video (i.e. ECG, X-Rays) are automatically integrated into the patient MHR and thus are automatically accessible by the doctor.

  • Based on these actual results that are accessed via the patient MHR, the doctor conducts the diagnosis and orders a care plan - comprising of medical treatment and pharmaceutical prescription - again via the MHR of the system.

  • The actual entries of the doctor orders to the system may be physically entered by his or her assistant and be electronically signed by the doctor at a later point in time. So the actual working practice of the organization is supported.

  • The care plan may consist of predefined sets of care actions and services that are accompanied by the timing and frequency of conducting each action. The organization may have predefined care protocols, that is, complete care plans consisting of groups of care services, for each medical case. In this way the doctor may, either automatically choose a ready care plan, adapt it to the particular patient or create a new one based on the patient.

  • Αll medical examination actual results, all diagnoses and all treatment plans of the patient get integrated in the MHR in a structured way and are automatically accessible in the future by any authorized doctor in the organization.

  • In case that the customer gets hospitalized, paramedical and nursing personnel automatically access all pending care plans for patients and thus, all pending care actions and services to be administered accompanies with patient name, room and timing. In this way, they can effectively schedule their tasks.

  • The department of medical materials and drugs also automatically accesses all pending care actions accompanied with timing and the required medical materials and drugs to be utilized for each care action or service. In this way, they can schedule more effectively the ordering of new materials and drugs based on the program of pending care plans of the organization.

  • The doctor can monitor specific patients' health based on advanced monitoring profiles whereby he or she defines a set of actual medical data or diagnoses or prescriptions, e.t.c. to be automatically correlated via the system. This correlation may display the patient progress over a period of time and appear in the form of list, table or graphical presentation. If the data includes actual medical readings, the doctor may with the press of a key, access these actual medical readings on his or her computer monitor. In this way, monitoring the patient gets much facilitated and the doctor may have at his or her disposal sophisticated correlations of all data comprising patient history.

  • All care services provided to the patient are automatically charged and processed based on any insurance scheme that the patient may have with any affiliated insurance organization. The organization may, thus, issue automatically insurance clearance reports for any affiliated insurance institution.

  • Scientific committees or clinic directors may conduct clinical studies by correlating anonymous actual medical information selected by themselves.

  • Managers of the organization may issue effectiveness and quality statistical reports that measure the effectiveness and quality of specific care services, departments, types of patient, e.t.c. or any other parameter they select

  • All of the above functions may be implemented even if different departments of people of the organization are located in different physical locations. For example, a doctor of the organization may access his or her patients' MHRs and order medical tests from his or her home PC. The system will record the order and automatically transfer it to the Clinical Labs as if this order was given from the doctor's office at the organization. Additionally, the doctors of the organization may cooperate on the same medical information with medical experts in other areas, cities or even countries in a structured and documented way.

 

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Last Modified: 07/01/2008