Misys announces RIS/PACS integration strategy and demonstrates enhanced pharmacy and clinical decision support systems

Tucson 09 December 2002Misys Healthcare Systems has highlighted its product strategy for PACS integration with the Misys Radiology information system (RIS) at the Radiological Society of North America's (RSNA) Conference in Chicago, which was held December 1st through 6th, 2002. As part of a continuing commitment to its ambitious product development programme, Misys also has demonstrated enhanced versions of its Misys Insight clinical decision support system and Misys Pharmacy information system at the 2002 ASHP Midyear Clinical Meeting.


The new product strategy includes the delivery of a solution for RIS-voice-PACS integration, which supports the IHE Guidelines utilising DICOM services and eliminates the need for a PACS Broker. The strategy is a key element of the company's overall health care information systems' clinical suite offering and firmly positions Misys as an industry provider of comprehensive RIS solutions. The Misys solution is expected to be available in quarter 1 of 2003.

"The current shortage of radiology professionals, reduced reimbursements, and cost containment issues in health care are driving our clients to achieve maximum productivity and efficiency in the health care enterprise", stated Andrew Lawson, Chief Operating Officer, Misys Healthcare Systems. "Our integrated solution is designed to provide clients a broad choice of third party PACS solutions and eliminates the need to re-enter data and minimise paper and film use. Data and images are available as part of the radiologist work flow, anywhere and at anytime electronically within the health care enterprise so our clients can achieve their goals while delivering quality patient care."

Misys Healthcare Systems RIS-voice-PACS Integration Strategy Patient related data and images reside and are managed on multiple and separate databases, such as the Hospital Information System (HIS), the Radiology Information System (RIS), the Clinical Information System (CIS), and the Picture Archiving and Communications System (PACS).

These databases, especially the RIS and PACS must interchange data bi-directionally and seamlessly if radiology is to provide optimum patient care in a timely, productive, and cost-effective manner. Misys Healthcare's new solution will integrate and deliver bi-directional data and image communication between its newly enhanced Misys Radiology RIS and any PACS that supports the IHE Guidelines and DICOM services.

"Misys Healthcare Systems' RIS/PACS integration strategy creates an open environment for PACS vendors to integrate seamlessly without an external interface connected to Misys Radiology", stated Edward M. Smith, ScD, FACP, a Professor of Radiology at the University of Rochester, New York, School of Medicine and Dentistry. "This open environment allows Misys Radiology users to select the PACS vendor of their choice without being concerned about RIS/PACS integration issues."

The 2002 ASHP Midyear Clinical Meeting which was held in Atlanta, Georgia, December 8th through the 12th, 2002, at the Georgia World Congress Center, consisted of a series of educational programmes. These were focused on maintaining and enhancing the knowledge, skills, and abilities of pharmacists and associated personnel in health care systems through instruction on important issues relevant to contemporary pharmacy practice.

"Medication-related error reduction is a critical issue for health care providers striving to improve overall patient safety within their organisations", stated Andrew Lawson. "Our Misys Pharmacy dose range checking and Misys Insight adverse drug event modules were developed to address this important issue. Our enhanced systems deliver safe, cost-effective medication distribution for a broad spectrum of patient populations and track both potential and actual adverse drug events to enhance patient safety."

Expanding CDSS to the Healthcare Enterprise, Misys Insight is a Clinical Decision Support System (CDSS) that integrates data from nearly any pharmacy, radiology, laboratory or hospital information system (HIS), then instantly sends critical signals via PDA, pager, cell phone, e-mail or fax to caregivers wherever they are. It complements computerised physician order entry systems (CPOE) by closely monitoring results and other clinical activities throughout the enterprise after order entry to reduce medical errors where CPOE systems can not. The system runs on a low cost Windows server connected to a WAN or LAN that collects HL7 messages from a variety of different systems, servers, and departments throughout the health care enterprise.

Misys Pharmacy enables hospital pharmacies to cost-effectively facilitate safe medication usage by minimising side effects and toxicity risks. A key factor to achieving these clinical drug therapy goals is consistent, proper dose selection. A Dose Range Checking (DRC) feature uses advanced technologies to monitor dose appropriateness while considering patient demographic information including height, weight, age, and the medical indication for each medication during order entry.

DRC compares the dose, frequency, and duration of a medication order against an established dose range in conjunction with the patient-specific information. If the dose is out of range, the clinician is notified to take appropriate clinical action. Clinicians have the option to turn "off" or "on" alerts globally for all drugs or specific drugs. DRC includes a dose range record that establishes reference values and a dose range analysis window that displays out of range values with prescribed and reference values. Misys Pharmacy users can also create customised dose range records with DRC.

Misys Healthcare Systems is a division of Misys plc, an independent application software products company. Misys Healthcare Systems was formed with the convergence of three industry leaders: Medic Computer Systems, Sunquest Information Systems, and Home Care Information Systems (HCIS). More news about Misys is available in the VMW December 2002 article Misys enhances Radiology Information System and signs strategic alliance with Eclipsys.

Leslie Versweyveld

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