Misys signs agreements with hospital and PACS partners and sponsors JCAHO seminar events

Tucson 19 February 2003Misys Healthcare Systems has signed an extensive agreement with Kindred Healthcare Operating Inc., located in Louisville, Kentucky. The agreement covers Misys Pharmacy and Misys Insight implementation across Kindred's 65 hospitals nationwide. Misys also has expanded its partnership with Cathedral Healthcare System, located in Newark, New Jersey. The addendum contract involves the addition of several new Misys clinical products and consulting services to four Cathedral member hospitals. On top of this, the new Misys Radiology PACS Integration Module (PIM) has been launched, which is designed to integrate Misys Radiology information system (RIS) with nearly any PACS solution, and Misys and eRAD/ImageMedical have closed a joint, strategic alliance to develop and deliver a fully integrated RIS-PACS solution that will be marketed and supported by Misys. Finally, Misys will sponsor six seminar series events, organised by the Joint Commission on Accreditation of Healthcare Organisations (JCAHO), during 2003.


Kindred Healthcare provides innovative approaches in the treatment of patients suffering the consequences of catastrophic illness in 65 hospitals and four pulmonary units across 25 states. Kindred's hospitals use a team approach to provide high-quality, cost-effective care. Its hospitals are designed to allow health care professionals the time and resources for monitoring and clinical analysis of patients.

"The Kindred Healthcare Hospital Division network demanded a Pharmacy system that will not only address our current enterprise needs, but that will scale with our future growth", stated Sean R. Muldoon, MD, MPH, Kindred Healthcare Hospital Division Chief Clinical Officer. "With the combined Misys Pharmacy and Misys Insight product solution backed by Misys Healthcare Systems' strong services capabilities, Kindred Healthcare is well-positioned to further improve patient safety and care and gain the operational efficiencies and cost savings necessary for us to succeed in the expanding markets we serve."

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 Insight is a clinical decision support system that monitors, integrates and analyses HL7-compliant data from disparate hospital and clinical information systems and provides clinicians, physicians and other medical personnel with immediate delivery of critical data via pager, cell phone, e-mail, or other specified devices. Data are filtered so that only relevant information is sent and received, empowering clinicians to reduce or prevent medical errors.

Cathedral Healthcare System is a non-profit, multi-hospital system sponsored by the Archdiocese of Newark. It operates Saint Michael's Medical Center, Saint James Hospital and Columbus Hospital in Newark, New Jersey, and Hospital Center at Orange and Saint Mary's Life Center in Orange, New Jersey. Cathedral hospitals provide care for over 30.000 inpatient admissions, 100.000 ambulatory care visits, and over 90.000 emergency room visits.

Cathedral Healthcare is building a new Core Laboratory at the Saint Michael's site, where Microbiology and Histology services will be centralised. This site will implement Misys Laboratory order and container management software while the remaining three hospitals will become rapid response laboratories maintaining haematology, chemistry, and blood bank services on site. Additionally, all four hospitals will implement the CoPathPlus from Misys anatomic pathology system.

CoPathPlus is an industry recognised anatomic pathology information system designed for the unique work flow requirements of the anatomic pathology department. The system provides health care providers with convenient, comprehensive patient and specimen information views, and reports. Health care providers are able to tailor report formats and incorporate images and diagrams for a clear picture of diagnostic findings. Its robust billing features ensure accurate, complete and timely billing to save time while increasing revenue and improving cash flow.

Order and container management software integrated with Misys Laboratory enables laboratory personnel to define Specimen Points of Tracking (SPOTs) locations where containers are routed for processing and testing. By linking SPOTs in a hierarchy that represents the set-up and work flow in the health care enterprise or hospital, the system can automatically route containers through the laboratory system, expediting the entire process, reducing errors, and increasing staff productivity.

Misys Healthcare Consulting helps develop and/or redesign information networks and outreach programmes. Utilising a customised, cost-effective approach, consultants facilitate all stages of development, from planning to implementation to post-install. Consultants have hands-on experience in the laboratory and diagnostic imaging settings. Misys consultants help create profitable outreach services to compete in a changing market; operational plans to maximise efficiency and effectiveness; business plans to support integration and networks; and implementation plans to ensure timely project management.

The Misys Radiology PACS Integration Module assists in the delivery of powerful image management services, eliminates the need for a PACS broker, offers DICOM services, and supports the "Integrating the Healthcare Enterprise" (IHE) guidelines. It is scheduled for general availability in the second quarter of 2003.

Integration between a Radiology Information System (RIS) and a Picture Archiving and Communication System (PACS) is an important concern in the diagnostic imaging market. In order to meet this need and also to improve patient care, Misys has developed a RIS/PACS Integration Module (PIM) that aims to provide radiology departments with a valuable solution to their work flow problems. By offering hospitals the availability of electronic data and images throughout the health care enterprise, the Misys Radiology PIM will reduce the movement of health care personnel, eliminate data entry processes, improve synchronisation between information systems and PACS, and enhance bi-directional work flow.

"We are impressed with the Misys Healthcare Systems people we work with, their commitment to the radiology market and their plans for an integrated image management solution", stated Tom Brown, Director of Diagnostic Imaging, New Liberty Hospital, located in Liberty, Missouri. "The Misys RIS-PACS solution will enable New Liberty Hospital to choose and integrate the best possible PACS system with our Misys Radiology system to create a comprehensive, long-term solution."

Key Misys Radiology PIM features include:

  • PACS broker functionality, eliminating the PACS broker as a single point of failure
  • Unique bi-directional DICOM communication between the RIS, modalities, and PACS
  • Worklists to PACS workstations using DICOM General Purpose Worklist (GPWL)
  • Procedure worklists to modalities using DICOM Modality Worklist (MWL)
  • PACS updates with demographic and exam procedure data changes using IHE methodology standards
  • Comprehensive support for six DICOM Services including: Store, Query/Retrieve, Worklist Management, Move, Modality Perform Procedure Step, and General Purpose Worklist Management

"Many health care providers today are being forced by vendors to compromise their PACS decision in order to integrate with their existing RIS or vice versa", stated Andrew Lawson, Misys Healthcare Systems Chief Operating Officer. "With Misys, there is no need for compromise. Our Misys Radiology PIM solution delivers a powerful, robust RIS with a broad choice of PACS solutions for RIS-PACS integration now or in the future."

The comprehensive RIS-PACS solution developed by Misys and eRAD/ImageMedical will provide hospitals and health networks with a single source for Misys Radiology information system with a fully integrated PACS all the way to the desktop. Initial release of this solution is expected during the third quarter of 2003.

Incorporated in 1999, eRAD/ImageMedical is a privately held company with its roots in the heart of the Silicon Valley in Palo Alto, California. eRAD/ImageMedical's Web-enabled PracticeBuilder 123 products and services are used to manage medical images over the clients' Intranet and/or over the Internet. Using open systems architecture and standard off the shelf hardware whenever possible, it integrates image management with work flow tools for hospitals, clinics, imaging centres and physician's practices. eRAD/ImageMedical has built an extraordinary level of functionality, security, fault tolerance, and resiliency into its system.

"With this partnership, Misys provides two viable choices for RIS-PACS integration. The first, with eRAD/ImageMedical, is a fully integrated PACS-RIS solution from Misys. The second is for clients that prefer to integrate Misys Radiology with any new or existing third Party PACS", stated Andrew Lawson. "These choices provide the flexibility that hospitals and health networks demand today and Misys is the only RIS vendor to offer this combination."

This integrated solution will provide a seamless approach to accessing both the RIS and PACS from an intuitive, single GUI on a single workstation. There is no need for multiple PCs to accommodate RIS and PACS processes. The solution also eliminates the need for re-entering patient or procedure information in order to access patient data or image information.

The integrated solution highlights include:

  • Single Log-on to RIS and PACS
  • Single GUI for ease of use and access to PACS and RIS
  • 100 percent Web-based, browser independent platform
  • Single, enterprise-wide archive capabilities
  • Single storage support for NAS or SAN
  • State-of-the art work flow: Pull-on-Demand or Pre-Fetch based upon work-list
  • Diagnostic and clinical workstation support from single workstation
  • No interfaces
  • Brokerless
  • Easy maintenance and configuration
  • Misys Radiology "Image-enabled" for viewing images, procedure history within the RIS
  • Integrated radiologist's desktop

"Our clients are demanding the next step in the advancement of an all digital radiology department", stated Peter J. Karoly, Chairman and CEO, eRAD/ImageMedical. "This deeply-integrated solution combines the functionality of PACS and RIS to provide for the ever increasing demands for speed, ease of use, and functionality in today's busy radiology department."

Misys also announced sponsorship of six JCAHO events. The Joint Commission on Accreditation of Healthcare Organisations (JCAHO) evaluates and accredits more than 17.000 health care organisations and programmes in the United States. JCAHO has developed state-of-the-art, professionally based standards and evaluated the compliance of health care organisations against these benchmarks. The seminar series will inform attendees about the impact of the new standards on their organisation-wide safety programmes.

The series, entitled "Executive Briefings on the Joint Commission's New Medication Management Standards", is estimated to attract between 100-150 senior level health care professionals at each event. With the Joint Commission requiring accredited organisations to comply with new medication use standards in late 2003 and early 2004, this event series is aimed at helping hospitals, long term care organisations, and ambulatory care facilities learn and understand the new standards.

Areas of standardisation include error reporting and performance improvement processes for applicable equipment, procedures and practices. All aspects of a medication use system are addressed by the standards, including selection; procurement and storage; prescribing or ordering and transcribing; preparation and dispensing; and administration and monitoring. Attendees will learn proven risk reduction strategies, safe medication use practices implemented by others, and see the technological solutions offered by the corporate sponsors.

Dates and locations for the seminar events are as follows:

  • April 4: Joint Commission Headquarters, Oakbrook Terrace, Illinois
  • August 8: Philadelphia, Pennsylvania
  • September 5: Albuquerque, New Mexico
  • October 24: Los Angeles, California
  • November 10: Joint Commission Headquarters, Oakbrook Terrace, Illinois
  • November 21: New Orleans, Louisiana

Leslie Versweyveld

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