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Landmark Medical Center implements Forerun EDDashboard to provide hospital-wide connectivity

InterSystems : 26 February, 2008  (New Product)
Landmark Medical Center, a full-service healthcare network, has implemented Forerun EDDashboard utilising InterSystems Ensemble as its integration engine.
The EDDashboard went live at year-end 2007 and is already delivering major improvements in patient management and care delivery.

'This system provides a global view of what's happening in the Emergency Department (ED) in real-time,' said Dr Victor Pinkes, Landmark Medical's chairman of emergency medicine. 'In addition to tracking the true time that a patient spends in the ED prior to hospital admittance or discharge after treatment, the EDDashboard enables rapid identification of life-threatening conditions that must be addressed immediately. The result is optimal response and care delivery as well as improved patient management.'

The leading database provider in healthcare, InterSystems develops and markets innovative database and integration software. The product line includes the InterSystems Cache high-performance object database, InterSystems HealthShare platform for regional and national electronic health records, and InterSystems Ensemble rapid integration platform.

Forerun, an InterSystems application partner, develops and markets integrated clinical support systems, tools, and services that enable providers to deliver high quality outcomes and the highest patient satisfaction at the most efficient cost.
Approximately 70 percent of Landmark Medical's hospital admissions come through the ED, which treats about 47,000 patients annually, according to Dr Pinkes. 'We use a mid-level triage model where the patient is first registered, then triaged by mid-level clinicians and then treated by a physician,' he explained. 'It is extremely important to know how many patients are waiting for treatment and exactly where they stand in the treatment process.'

Using Ensemble, information from the hospital's registration, laboratory, pharmacy and radiology systems flows to the EDDashboard. 'With the Ensemble-based EDDashboard, we have a global awareness of what's happening with each patient,' Pinkes continued. 'Everything that is clinically relevant - tests ordered and completed, prescriptions ordered, and clinician notes, for example - is visible on a single screen for each patient. This builds confidence among clinicians that they aren't missing critical information while simultaneously improving the ED workflow.'

'It is too soon after implementation to do a comparative study of workflow improvements since the EDDashboard went up,' said Colleen Ryan, director of IT at Landmark Medical. 'However, we can already see a positive impact on communication among caregivers and faster patient discharge or patient admittance, depending on what is appropriate. And, from a technical viewpoint Ensemble has made it easy to rapidly integrate the hospital systems with the EDDashboard to enable a smooth flow of critical patient information at all times.'

'In addition, the Ensemble-enabled EDDashboard is helping to identify and eliminate bottlenecks by providing the objective data needed to verify what I may already intuitively know to be true,' said Pinkes. 'The result is faster delivery of quality care with significant benefits for both providers and patients that we plan to quantify with comparative data by the end of 1Q08.'

In addition to supporting quality care delivery, the EDDashboard also has a positive effect on each provider's bottom line, according to Ken Wolfe, Forerun chief executive officer.

'Just 15 years ago, an estimated 2,000 people were treated per ED bed,' said Wolfe. 'Today, hospital executives plan on serving just 1,300 people per ED bed annually due to the amount of work needed to process each patient. Technology such as the EDDashboard makes it possible to increase patient throughput while simultaneously providing top-tier care.'

'Based on input from ED physicians and administrators, Forerun's EDDashboard combines innovative design with emphasis on information presented in a form that clinicians find very helpful in delivering quality care,' said Paul Grabscheid, InterSystems vice president of strategic planning. 'In contrast to older style departmental software, for which integration was often an afterthought, the EDDashboard was designed from the start to operate as a fully connected application. Its use of Ensemble’s extensive connectivity capabilities enables ED workflow improvements needed to support a hospital network's economic model in the increasingly competitive healthcare sector. We are excited about working with Forerun as they deliver this comprehensive, highly anticipated software to EDs nationwide.'
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