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Electronic Medical Records to ensure better patient care
Data unification and a core application in the path to Smart Health
The HUB for all critical patient data
A medical record is probably the most critical and sensitive information aggregator. The correct and secure management of a folder of this type with appropriate medical records software is certainly a distinguishing feature for hospitals.
The value of the project to implement an electronic medical record system, which Lutech has developed for a major Italian pediatric hospital, is therefore self-evident. The hospital’s healthcare offering covers all medical specialties and represents a European center of excellence for a class of specific treatments.
The hospital is divided into four recovery and care structures, has more than 600 beds, more than 3,000 professionals, admits almost 30 thousand patients per year, has over 80 thousand ER visits and almost 2 million outpatient services provided annually.
Smart Health means, above all, integration between applications
The introduction of a framework allows data from different application environments to be centralized without jeopardizing their use and operation
In partnership with Lutech, the Hospital has started a process to implement the Electronic Medical Record system. For this project, Lutech proposed its wHospital solution, the first configurable and modular web-based medical record designed specifically for full digitization and dematerialization of hospital hardcopy medical data.
The Electronic Medical Record project carried out by Lutech
The project originated from the need to overcome the extreme fragmentation of applications present: different software, with many legacy and internally developed solutions. It was time for the IT managers at the facility to have a single tool that could comprehensively manage the entire clinical path of patients digitally and harmonize the process when the use of other software was needed.
From the very beginning, the activity involved a multidisciplinary team composed of the healthcare management, information systems, clinical engineering, and data management areas, and some key users – doctors and nurses – belonging to various disciplines. Their end-to-end involvement, typical of Lutech’s approach, was necessary to understand the real needs of end users in each procedural step.
Some difficulties were already encountered in the early stages of use of the system by healthcare professionals, more precisely in the transition from paper to software. This predictable problem was overcome by immediately intervening with specific plenary training sessions for doctors and nurses, together with on-the-job training sessions on the use of the Electronic Medical Record.
“The involvement of key users from the very beginning of the project is key to immediately identifying issues with the interfaces and the usability of the application.”
The project implemented by Lutech included an initial definition of the minimum clinical dataset and clinical process management, which required about 3 months of preparation, followed by a rollout phase of about 4 months, in which the electronic medical record was distributed to all long-stay and day hospital wards. Subsequently, outpatient reports were activated in two months.
Agile and competitive project implementation timeframes, thanks to the Lutech team’s expertise and active involvement of the healthcare professionals.
wHealth, Lutech’s solution for a single patient view
Lutech Smart Health solutions
wHospital is a product of wHealth, the web platform developed by Lutech specifically for the management of medical content, which provides security and control over data access, in full compliance with current privacy and security regulations.
It is a modular and highly configurable solution, which has allowed the lifecycle of change releases to be streamlined in the delivery phase. Indeed, thanks to the wHealth framework product specialists were able to configure the new medical records without being slowed down in the process by the typical application development lifecycle, i.e. analysis-design-development-testing-release.
Lutech’s technology allows the Product Specialist in the field, who is in contact with the clinical staff, to implement requests directly on the framework and release clinical forms specific to the clinical discipline, control alerts, checklists for verification and movement of data across forms in a few hours of work, avoiding unnecessary and problematic transfers of requirements and specifications with the developers, as well as the entire testing phase.
The ability of the wHealth platform and of the specific wHospital record product to automate controls and processes has also reduced clinical risk thanks to the integration of the framework with other hospital systems and the presence of alerts, dashboards and dossiers.
Thanks to these features, it has been possible to obtain a uniform and single view of all patient records, making consultation easier and creating a de-facto reduction in errors.
Reduced clinical risk and faster information searches
With the adoption of the new Electronic Medical Record system, the main objectives of the hospital were to improve the traceability of medication and to reduce errors and adverse events. In addition to achieving these results, the introduction of wHospital has provided:
- Uniformity of clinical documentation thanks to the creation of a minimum dataset of information collected in a consistent and uniform manner in each ward/outpatient department. In this way, doctors and nurses immediately have all the necessary information.
- Reduction of clinical risk associated with the human factor through the creation of alerts that allow staff to precisely monitor the situation and the activities to be carried out on the patient.
- Increased patient time with dossiers and Clinical Views that reduce time spent searching for and sharing information.
- Efficiency in sharing and retrieving clinical history information from the patient, through a single point of view and access to the patient dossier.
- Automatic checks on correctness and completeness of medical records through thorough data checks to simplify the control process.
- Single point of access to clinical software that makes it easier for the physician to find information.
- Single point of access to clinical documents that provide a complete view of the patient’s medical records and reports.
The implementation of the computerization project of the hospital system has shown how, through the introduction of a single application and the use of integration tools, it is possible to launch a modular path towards Smart Health that does not negate previous investments and does not jeopardize operations during the rollout phase.
Reduced clinical risk
Security, flexibility and access to information
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