NR 361 WEEK 3 AND WEEK 4 DISCUSSION

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WEEK 3 Opportunities for Improvement with Usability and Interoperability (graded) Usability and interoperability are major issues to consider in the development of healthcare information systems (H... IS). How does your organization address these issues? Does the transfer of information occur smoothly, or do you need to re-enter data from one application to the next—such as patient information from the emergency room that does not transfer—along with the patient who is admitted to the critical care unit? Or what happens when the patient is discharged and the home care nurses have to start from scratch as they prepare the patient’s plan of care? Respond This section lists options that can be used to view responses. Collapse All Print View Show Options Responses Responses are listed below in the following order: response, author and the date and time the response is posted. Sort by Read/Unread Sort by Response Sorted Ascending, click to sort descending Sort by Author Sort by Date/Time* Collapse Mark as Read Usability and Interoperability Deborah Scott Email this Author 1/18/2015 10:30:36 AM I work in a large University system, and we use EPIC, which to me is very user friendly. I work in the Psych hospital, which is in an off-site campus. We have multiple out-patient physician offices and clinics all over town, as well as several other Emergency rooms that are off-site. We have several large hospital buildings, on opposite sides of the main streets, and everyone is linked via EPIC. All patient data is entered, and verified, and goes throughout the system from one site to another. Even if the patient is discharged, their information remains in the system and can be pulled back up. We have had several patients (I work with child/adolescent), that have come back after a recent discharge, and we pull their information back up, along with all their notes from physician and even admitting data. I have had to personally be on the receiving end lately, being in the emergency department twice this past fall, once for a broken wrist and another requiring 5 stitches in my finger. Everything goes very smoothly and efficiently. All of the medications are in there, along with allergies, and updated with every MD visit or ED visit. As far as home care, that I'm uncertain of, but I have a feeling that there is a way that they can effectively access their records through this system, also. I had to come up to Northern KY, from Florida, last week due to a major illness with my mother, and while she was in the hospital I noticed that they also use EPIC. I didn't talk with them about how they liked it, as the only ones that seem very friendly are the NA, and I have too much to do with my mother right now and trying to find placement, but I did think it was interesting, nonetheless. Respond Collapse Mark as Read RE: Usability and Interoperability Robyn Woodman Email this Author 1/20/2015 11:20:57 AM Deborah, I'm so sorry to hear about your mother. I hope she gets better soon. Yes, I agree that EPIC is very user friendly. Is your institution linking with other institutions? I think it's so interesting to see inforation in EPIC saying there is more information available in the Care Everywhere area. I like that I can review information while another person is charting at the same time. Take care, Robyn Respond Collapse Mark as Read RE: Usability and Interoperability Deborah Scott Email this Author 1/20/2015 6:52:39 PM Robyn, We have a couple hospitals within our system that we are able to link up, and another hospital not within our system. They have an older HIS system and we cannot link with them. We now have the ability, as patients, to see our labs, send our doctors messages and make appointments, all through a sister system. I do hope that one day soon we may have the ability to interface with all institutions in our city. Respond Collapse Mark as Read RE: Usability and Interoperability Sarah Lewis Email this Author 1/20/2015 8:45:47 PM Deborah, I hope it goes easy for you with your mom, and she is feeling better soon. Your system sounds wonderful. You would think the government would get on board but we are still using a WWII system (exaggerating) but that is what it feels like. If all systems in every city linked up (within the city) you could identify those frequent visitors looking for drugs. I just keep praying the govt. will catch on. Thanks, Sarah Respond Collapse Mark as Read RE: Usability and Interoperability Tifanee Clark Email this Author 1/20/2015 9:50:11 PM I agree that if the systems are all linked together that it can make everything run so much smoother such as: when a patient sees the doctor and they order a MRI buy entering the information in the computer system. The Imaging department can instantly pull this information up and schedule an appointment with the patient. Makes the transitions smoother and quicker. Respond Collapse Mark as Read RE: Usability and Interoperability Deborah Scott Email this Author 1/21/2015 5:51:22 PM Sarah and Tifanee [Show More]

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