Clinical Information Systems: Connecting Clinical Information across the enterprise

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Patient care and safety took center stage at HIMSS ’07. Vendors rolled out an array of systems designed to meet the dual (and sometime competing) goals of boosting productivity and increasing patient safety. New solutions provide caregivers with a streamlined and comprehensive view of the patient and patient history to allow them to provide the right care at the right time to the right patient. Automated bar-coding and CPOE were evident as were an array of state-of-the-art department systems such as laboratory information systems and emergency department information systems.
Cardiology figured prominently on the show floor as well. New solutions connect data from disparate sources such as imaging modalities, bedside devices and lab systems to meet that elusive dual objective of improving patient care and accelerating productivity. Many of the new systems offer customizable and configurable user portals to provide appropriate clinical information to the array of cardiac caregivers.
Other new technologies recognize the trend toward consumer-directed care, providing patients with the tools to create personal health, determine financial responsibility and pay bills. 

Agfa HealthCare unveiled ORBIS and ORBIS CARE.

ORBIS is designed to collect real-time clinical and administrative data as well as images along specific clinical paths to enhance the quality of care while reducing costs. It provides an intelligent solution to deliver patient 'flow' through the appropriate clinical path as efficiently as possible with high quality results. The system enables the implicit clinical knowledge through process automation to handle dynamic clinical pathways that trigger multiple clinical interventions per individual care episode.
The company shared its vision of an integrated EMR. “Agfa plans to take a multi-year phased approach to delivering a full product portfolio to connect the enterprise,” explained Stuart Long, executive director, enterprise solutions. The Agfa approach includes Clinical Paths, Enterprise Clinical Portal, Enterprise Scheduling and Clinical Data Center.
Clinical and operational paths need to be maintained and streamlined if the institution is to advance and provide high levels of patient care, said Agfa. This requires automation throughout the ancillary clinical disciplines such as Radiology, Pharmacy, Laboratory, Therapy Services, Nursing Management and Critical Care. ORBIS provides over 80 separate modules to address needs across the continuum and create patient-centric Clinical Paths.
Agfa’s Enterprise Clinical Portal simplifies physician and nurse access through a unified view to relevant patient information, relieving the clinical care team of the need to manage multiple log-on IDs and passwords across various patient information databases. The Enterprise Clinical Portal also incorporates user authentication, authorization and audit control options to address security requirements and streamlines workflow when integrated with a clinical information system.
Enterprise Scheduling lets staff schedule appointments with ease to reduce training time, optimize process workflow and help foster better patient relationships.
Clinical Data Center (CDC) is a real-time database of structured and unstructured data collected from disparate clinical sources. It enables management of large data volumes (beyond terabytes to petabytes) to satisfy permanently growing archives long term while allowing sites to fully take advantage of existing disparate legacy enterprise systems. Agfa's CDC offers the capability to leverage clients' current Clinical Informatics solutions by providing a single ubiquitous view of all clinically relevant data, results, assessments and images across the patient's continuum of care.
ORBIS Care is a clinical module for point of care documentation, flow sheet charting and care planning. It enables the community hospital to manage clinical data and patient flow through all departments. Agfa is signing pilot sites for ORBIS Care, which is the first component its ORBIS EMR solution. “The goal,” said Long, “is to help customers drive down the price of healthcare by removing inefficiencies and connecting data and users.”

Cerner launched the “Smart Room.”
Cerner’s Smart Room is powered by the CareAware architecture, which integrates multiple devices with the EMR while maintaining a patient-centric focus. The Smart Room is the intersection