Per-Se's Java technology used in three hospitals to smooth computerised physician order entry

Atlanta 18 December 2001Per-Se Technologies Inc., a provider of integrated business management outsourcing services, application software, and Internet-enabled connectivity for the health care industry, has signed agreements with three health care delivery systems to implement the Java-based graphical user interface (GUI) order entry module of its Patient1 computer-based patient record (CPR) system. Forrest General Hospital in Hattiesburg, Mississippi; Holland Community Hospital in Holland, and William Beaumont Hospital in Royal Oak, both based in the state of Michigan, will implement Per-Se's Java-based orders to accelerate support and use of computerised physician order entry (CPOE). CPOE supports reduced error risks in medication prescribing, dispensing, and administration.


Per-Se is an early adopter of Java technology to expand the use of Patient1 to support CPOE at all points of the care treatment process. The Java-based orders functionality expedites all phases of inpatient and outpatient orders and is a critical element of Per-Se's clinical desktop strategy for Patient1. Patient1 is an integrated, patient-centred, point-of-care clinical information system that optimises patient care processes across the continuum of care. It provides an enterprise-wide infrastructure which unifies clinical information into a single patient-centred record and achieves the cost-effective delivery of quality patient care and outcomes.

Forrest General Hospital is implementing the first phase of Java-based orders across its 537-bed regional medical centre to accelerate enterprise-wide deployment of CPOE in spring 2002. According to Laura Miley, director of clinical information systems, Forrest General Hospital: "Through Per-Se's Java-based orders, we hope to obtain deeper realisation of scientifically validated decision support and measurable return on investment of quality of care and patient safety in regards to medication-related errors."

Laura Miley expects the Java-enhanced clinical desktop to produce significant benefits in increasing order entry compliance among physicians and improving clinical processes, two critical success factors necessary in automating a busy clinical environment. Forrest General Hospital is a 537-bed regional medical centre serving a 16-county area of South Mississippi offering five centres of excellence. The health care organisation consists of a 429-bed acute care facility; Pine Grove, an 88-bed chemical dependency and psychiatric unit; Rehab Resource, a 20-bed rehabilitation unit; Lowery A. Woodall Outpatient Surgery Facility; and Forrest General Home Care.

"The Java-based orders functionality creates more simplicity in screen design, resulting in a dynamic, intuitive clinical desktop to help physicians and other clinicians more easily and quickly access, navigate and take action upon patient clinical data stored in Per-Se's Patient1 CPR solution", Laura Miley explained. "Physicians will also be able to easily access clinical knowledge resources, as well as view patient laboratory data, and potential interactions. During the Java-enhanced ordering process, the clinical alerts and messages flagging allergies or drug-to-drug interactions significantly improve decision making in medication management."

Bill Van Doornik, director of health information management and information systems, Holland Community Hospital, echoed that optimising clinical decision support and reducing medical errors are key reasons for purchasing Per-Se's Java-based orders. "CPOE, a strategic initiative at Holland Community Hospital, provides a point of interaction for the clinician to make a decision in real time as a more effective process to manage medication administration and prevent errors", he stated. Since 1917, Holland Community Hospital, a private, non-profit hospital, has served the Lakeshore community with extensive care.

Bill Van Doornik expects the Patient1 upgrade to Java-based orders to increase physicians' computer usage, work productivity, and efficiency at the 213-bed health system. "The user-friendly clinical desktop design will ease the burden on physicians, nursing, and other hospital clinicians who access Patient1 daily", he explained. "The enhanced patient record viewing provides easier access to patient information across the health care enterprise. Clinicians can drill down to detailed data more quickly without opening multiple windows."

William Beaumont Hospital includes more than 2200 private-practice physicians, two hospitals with five medical office buildings, a rehabilitation and health centre, primary and speciality care clinics, five extended care centres, a research institute, home care, a hospice, and a fund-raising foundation. Beaumont's 997-bed hospital is a major teaching and referral centre with Level I trauma designation. It ranks among the five top hospitals in the United States for its number of admissions and surgeries. The 226-bed acute care facility in Troy is among the nation's leading community hospitals.

Karen Andrews, president of Per-Se's Application Software Division, commented: "Per-Se's Patient1 CPR-based clinical solution is setting the standard for clinical information systems by enabling physicians and other clinicians to enhance all areas of care, including patient safety." A provider of business management outsourcing services to physicians, Per-Se supports 35.000 physicians and 2000 health care organisations. The company processes more than 240 million medical transactions annually, and its solutions manage 26 million patient lives on-line. More Per-Se news is available in the VMW July 2001 article Doctors speak on equal standardised terms through medical language engine enriched electronic patient record.

Leslie Versweyveld

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