Clinical Practice

EHS dynamically reflects and intelligently interacts with clinical practice

The EHS Clinical Information System has been engineered in ways that make it possible for the application to dynamically reflect clinical practice. The application places the control over the way it reflects practice in the hands of the team of clinicians that use EHS.

The primary way that clinical practice is standardised lies within the EHS Care Guides. In EHS a Care Guide is in effect a cascade of events, activities and interventions that the clinical team expect the patient to progress through during a given episode of care. The clinical team exercises complete control over which events, activities and interventions are included in the Care Guide and over the order that they appear in any given care guide.

Electronic Care Guides Direct Clinicians Practice to Reduce Risk

The allocation of a Care Guide to an episode of care for a patient is determined by the principle focus of care during that episode. Importantly, in the case of co-morbidity two or more Care Guides are dynamically and intelligently merged to create a unique Care Guide for that episode. The merging process eliminates duplication of activities and interventions and places the combined activities and interventions in the correct order. In addition, for any given episode, the allocated Care Guide is further customised by the automatic addition of activities and interventions that become relevant because one or more clinical risks are identified during a clinical risk assessment process.

As a result, in any given episode of care, the Care Guide used reflects the practice of the clinical team and the idiosyncratic clinical circumstances of the patient during that episode of care.

In the care delivery process, clinicians make professional judgements based on specific information about the clinical status of the patient. Controlling what information is collected and how it's collected is critical to the clinician. Over the years a great variety of data collection tools or instruments have been developed by clinicians in all specialties and sub-specialties that are either used routinely or in very specific circumstances. How and when these are used has always raised issues about access, management of the information and correlation with other patient data. As interventions are completed clinicians can tick them off and they are automatically recorded within the patient notes. If the intervention is not completed, a variance is recorded and can be tracked within the system.

Clinical Questionnaires Can Be Created To Collect Patient Information For Research Projects

The EHS Clinican Information System provides the facility for clinicians to create Clinical Questionnaires that can encompass any of their existing data collection tools or instruments. These can be used routinely, in specific cases or for specific periods - for example, during the period of a clinical research project. The design and creation of each questionnaire is completed by the appropriate clinician. All questionnaires are embedded in the patient's electronic medical record. The information captured can be viewed in isolation or in conjunction with any or all the information in the patient's electronic medical record. This clinician managed facility provides another level of direct control over the way EHS dynamically reflects the practice of the clinical team.

The clinical team has another level of control over the way EHS both reflects and facilitates their practice through the direct access they have to the built-in rules engine within EHS. The built-in rules engine makes it possible for clinicians to create any number of validation rules and determine when and how those rules apply and determine the consequences for the care delivery process.

Together, the Care Guides, Clinical Questionnaires and Validation Rules, provide any clinical team an unprecedented level of control over the way EHS dynamically reflects and facilitates their practice.

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