"Our Misys Data Warehouse project supports the vision of Dr. Benjamin Chu, president of HHC, to evaluate and provide best practices in delivering care to our patients", stated Jonathan A. Leviss, M.D., assistant vice president and chief medical informatics officer, HHC. "We intend to improve patient care and operational processes across the health enterprise based on analysis of patient data stored in Misys CPR, a longitudinal computer-based patient record system featuring computerised physician order entry (CPOE)."
Misys Data Warehouse is a powerful, on-line clinical data warehouse that provides outcomes measurement tools for critical data analysis. The system helps health care providers to continually monitor, report on and improve clinical practice across the health care enterprise. This is achieved through a rich set of advanced clinical decision support functions including case mix analyses, outcomes analyses, and other population studies.
Misys Data Warehouse works with Misys CPR, enabling clinicians to analyse the captured clinical and operational data according to patient populations and perform data mining and retrospective clinical decision support. For example, the data warehouse will examine clinical outcomes in patients with diabetes mellitus to assist with outcomes analysis.
In 2001, HHC pilot tested the Misys Data Warehouse, previously Decision1 - Clinical Analyzer, at Bellevue Hospital Center in New York City. The health care system is currently integrating Misys Data Warehouse with Misys CPR at its remaining six health care networks. In addition to analysing extracted clinical and operational data, the system will measure and monitor the use of diagnostic tests and medications to support patient safety and quality improvement initiatives.
"An important goal of implementing Misys Data Warehouse is to present information from multiple sources to the clinician via the CPR", continued Dr. Leviss. "Clinicians need information in an organised and efficient manner and at multiple points during clinical care delivery to support best practices."
"Computer-based record systems are on the verge of becoming widely implemented in health care organisations", stated Andrew Lawson, president of Misys Healthcare Systems, Hospital Systems business unit. "The success of these implementations will be measured by hospital systems such as HHC who embrace the CPR with advanced CDS capabilities. The end results are reduced medical errors, enhanced patient safety, decreased unwanted practice variation, improved patient outcomes and accelerated practice of evidence-based medicine."
The New York City Health and Hospitals Corporation (HHC) was created by legislation in 1970 as a public benefit corporation, governed by a Board of Directors, to oversee the City's public health care system in all five boroughs. The Corporation consists of 11 acute care hospitals, 6 Diagnostic and Treatment Centres, 4 long-term care facilities, a certified home health care agency and more than 100 community health clinics.
Through its wholly owned subsidiary, MetroPlus, HHC operates a managed care organisation that has approximately 170.000 enrollees. HHC facilities treat nearly one-fifth of all general hospital discharges and more than one third of emergency room and hospital-based clinic visits in New York City.
Misys Healthcare Systems designs, develops and supports a comprehensive suite of information products, and currently serves over 85.000 physicians, 1200 hospitals, 600 home care providers and hundreds of commercial laboratories, clinics, managed services and other related organisations. More news on Misys is available in the VMW August 2003 article Cleveland Clinic Florida selects Misys Laboratory for two member hospitals.