Physician Reminder System The Western Pennsylvania Hospital 10/3/00 95-750 Earl Crane Hap Huynh...

Physician Reminder SystemThe Western Pennsylvania Hospital

10/3/00

95-750

Earl Crane

Hap Huynh

Jeongwoo Ko

Koichi Tominaga

http://www.westpennhospital.com/index.htm

10/3/00 Physician Reminder System, 95-750 2

Location


A history of firsts

Then•1848First public hospital chartered in Pittsburgh

•1937First hospital to develop and use time-lapse photography for research purposes

•1959First in Pittsburgh to open an intensive care unit

Now•1971First hospital in Pittsburgh to build a heliport

•1982First teen and young adult Spina Bifida clinic in Pennsylvania

•1997First Burn Trauma Center to receive verification from the American College of Surgeons and American Burn Association


Physician Reminder SystemMission

• Proactive patient management• JIT physician reminders• Compliance with practice guidelines

• Result:– High quality outpatient care and follow up– Improved patient outcomes and reduce

variations in care


•Physicians

•Reminders or suggestions for preventive care, treatment changes or referrals, patient education at time of visit

•Patients

•Reminders regarding appointments and compliance

•Office Staff

•Reminders of actions during current appointment and of future appointments

Services provide to users


User Requirements

• Most important is response time• JIT Reminders: remind physicians to enforce

clinical best practices for treatment of three diseases

• Identify time-driven reminders• Identify visit-driven reminders• Maintain patient’s medical history


• Demographic data from patient registration system• Specific clinical data entered by physicians• Secure data from unauthorized viewing• System functionality

• Diagnosis• Visit• Test Data• Billing and lab system

System Requirements


Hardware Architecture

• Client– MS Windows 95/98

• Server– MS Windows NT

• Database– Oracle 8i

• User Interface– Visual Basic 6.0

• Database Connectivity– ActiveX Data Objects


Software Architecture

PatientManagement

ReminderSystems

ReportEngine

AdministrationSystems

User Interface

Time-driven

Front End

Business LogicBack End

Common Database

Security Logic

Visit-driven


Usage Architecture

Physician Reminder System

Physician Reminder System

Patients

Nurses

Labs

Hospital Information

System

Doctors

Staffs

Notification from reminders

Test data Management

Reminder & Response

Patient & Reminder Information

Interconnectivity with other systems


Usage Scenario for Physician


Login and Function Selection


View “Patient List” Form.


See Reminders


Respond to reminders


Visit Details


Test Results


View and update diagnosis


Add new diagnosis


Project Timeline

Client Meetings

9/26 Meeting 1- Prof. Padman, PRS developer, provided system documentation

10/6 Meeting 2-West Penn Medical Director and IS staff review the hospital’s network architecture

10/23-10/27 Meeting 3-Identify vulnerabilities and discuss intrusion scenarios

11/13-11/17 Meeting 4-Review findings and recommend mitigation strategies

11/27-11/29 Meeting 5-Client response and feedback

Class Presentations

10/3 Project Briefing 1





Team Activities

Team Meetings to Date

9/23 Initial team meeting-Project discussion and assignment of roles

9/28 Client debriefing and presentation discussion

Weekly Meeting

•Standing Team Meetings- Tuesdays 11am-1pm

•Additional Meeting will be schedule as needed

Physician Reminder System The Western Pennsylvania Hospital 10/3/00 95-750 Earl Crane Hap Huynh...

Documents

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