HIS Project 1
Surgical Information Systems
3/22/00
Tanaz Dutia
Debby Keller
Emily Zajano
Objective:
To evaluate surgical information systems from a
clinical vantage point
Expected results:
Drastically improved effective resource use in the
surgical environment
-Decreased costs
-Increased satisfaction of providers& patients
-Improved quality of care
Outline

Description of problem
•
Highlight the problems of not having unified
information systems in surgical units
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Analysis of Requirements
• Determine what a complete information
system should address
 Evaluate Surgical Information Systems
http://www.smartor.com
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Gaps in SIS and solutions
Conclusion/Lead in to project 2
Description of Problem
 OR
is the highest cost center and revenue
generator.
 Pressure to cut costs leads to information
systems solutions.
 Could save 30-40% by
using an IS that captures
all data – both clinical
and administrative.
Problems with
Previous IS
Solutions
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No standardization of data elements.
Data elements had different meanings to different
services.
Database development and maintenance was
dependent on user’s knowledge.
When the developer/maintainer left, the hospital
was left with difficult task.
Need complete software packages to address all
data produced and needed in OR.
Why Use an SIS?
 Manage
schedule of surgical cases to
maximize resource utilization
 Capture all clinical data at point of care
 Eliminate redundancies in data entry
 Generate real time clinical reports (as
needed or automatically scheduled)
 Staff spends less time on non-clinical
paperwork and more time on patient care
Analysis of Requirements
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A source of standardized and comprehensive content and
format the transmission of procedure-related risk and
complications;
Captures and archives clinician behavior relating to use,
modification and disclosure of standardized knowledge
sources;
Provides just-in-time access to procedural descriptions
information relating to risks and complications.
Captures, archives and makes available to the clinician
patient use of procedure-related knowledge resources.
Surgical Data Flow Diagram
Anesthesia
Data Entry
Anesthesia
Surgical
Service
OR
Coord.
Nursing
OR
Operating
Room
Nursing
Data Entry
Surgical Service
Data Entry
How an SIS Manages the
Flow
Anesthesia
Data Entry
Anesthesia
Surgical
Service
OR
Coord.
Nursing
OR
Nursing
Data Entry
Operating
Room
Surgical Service
Data Entry
Streamlined into One!
Analysis of Requirements
Mandatory Functions
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Scheduling Patient Care Plans
Recovery Room
Pharmacy
Clinical Data
Patient Assessment
Medical Records
Pre/Intra Operative Data
Management
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Resource Use
Surgeon Preference Case Card
OR logs
Anesthesia
Staff Records
Infection Control
Case Costing
Evaluation of Vendor
Surgical Information Systems (SIS).
http://www.smartor.com.
Why SIS is our vendor of choice:
 System captures all clinical, financial,
administrative, and archival data needed to
manage surgical services and comply with
JCAHO quality monitoring requirements.
Function of SIS
 Manage your schedule of surgical cases.
• maximize resource utilization.
 Captures all clinical data at the point of care.
 Integrates into existing HIS.
• saves time in working with existing systems and saves
money for future IS scalability.
 Eliminate redundancies in data entry;
• information need only be entered once, and will then
appear throughout the system wherever appropriate.
 Generates real time clinical reports (as needed or
automatically scheduled).
Vendor’s Tools
 Used
by SIS to deliver these solutions and
streamline the operating suite.
 Patient scheduling data management.
 Nurse anesthesia interoperate management.
 Anesthesia interoperate management.
 Reporting modules.
Patient Scheduling Data
Management
 The system is integrated with pre-admission, preoperative, intra-and post-operative modules.
 Block scheduling accommodates specialty block
definition, practice block definition, and surgeon
block definition. Utilize integrated preference cards
and pick lists.
 Access room, materials, personnel and equipment
availability.
Facilitate real time conflict checking.
 Graphical User Interface (GUI) format.
Preoperative Nursing Data
Management
 Records
info on patient history, medication
names, handicaps, patient valuables, and a
recall feature for patients who have had
previous procedures.
 Preoperative data is stored for anesthesia and
intraoperative providers to review.
Intraoperative Anesthesia
Data Management
The patient interview is verified and released to
other providers throughout the hospital.
 Simultaneously monitor up to 125 vital signs from
as many as 25 patient monitoring platforms.
 Non-physiological data including the administration
of drugs, anesthetic events, patient demographics,
event timing, and involved staff is recorded quickly
and easily using a GUI.
 Voice response, touch screens, light pens, or bar
coding are available for SIS users.
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Screenshot:
SIS Anesthesia IntraOp Module
Gaps in SIS & Solutions
 EDI
v. XML
 Price
 Age of Vendor
 Solutions to problems
Looking Ahead to a Clinical
DSS
We conclude that surgical information systems can
help save costly time and money, as well as
increasing the quality of care.
 Inclusion of surgical DSS will intensify the savings
and satisfaction in the surgical environment.
 Computer-based decision-aids are hardly used.
 Successful implementation of decision-aids in the
clinical environment must integrate the future users.
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