Melbourne Health Breast Cancer Services moves to Phase II/HL7

Melbourne Health Breast Cancer Service Phase II/HL7

The Melbourne Health Breast Cancer Service RUTH II system has moved to Phase II of the implementation with the successful addition of the HL7 module.  The module enables integration to the hospitals’ Patient Administration Systems (PAS).

A key advantage of the extra functionality is the ability to process HL7 A40 merge messages to update each patient’s medical record number to the new Parkville Precinct Unique Record Number (PURN) shared across all three hospitals (including the Peter MacCallum Cancer Centre where the joint weekly Multi-Disciplinary Team Meetings take place).

The integration, coupled with iCIMS’ workflow engine, reduces cognitive load, lowers ‘click fatigue’ and increases accuracy by pre-filling form entries from the PAS and from patient clinical details held within RUTH II. This functionality reduces the time taken by staff to enter data and prepare for Multidisciplinary Team Meetings. Figures from usage data indicate that the RUTH II system has saved over 20% of interns’ data entry time.  Time that is now available to work directly with patients.

iCIMS Ticks the Boxes for a Good EMR/CIS

A colleague recently wrote on a professional group list a set of deficiencies of the contemporary EMR in this vein:

All current EMRs get a maximum of a D- degree. They miss:

  1. The adaptive adding of data elements in compositions (Detailed Clinical Models);
  2. Adaptive creation of integrated pathways to support better co-ordination between different disciplines such as medical and dental treatment, plus nursing care, psychology and social care;
  3. A data element / valueset binding to standardised terminology;
  4. Options for standardised electronic data communication for various purposes, such as continuity of care, quality, decision support, management data, epidemiology, clinical trials, etc.

iCIMS can be judged by this list and comes out in good shape. Our real-time adaptability covers items 1 and 2, our in-built coding covers item 3, and we satisfy 4 — there might be more intended here by the author than what we can read in the words — by our ability to use HL7 messaging, and also our in-built analytics functions and the API for reading the data stores.