North Carolina Baptist Hospital upgrades to IDX Carecast enterprise clinical system

Burlington 29 July 2004IDX Systems Corporation and North Carolina Baptist Hospital (NCBH), part of Wake Forest University Baptist Medical Center in Winston-Salem, North Carolina have signed an upgrade agreement for the next-generation IDX Carecast enterprise clinical system. NCBH will be upgrading from IDX LastWord to Carecast to expand its use of computerized physician order entry (CPOE), electronic patient records and on-line clinical documentation at the 830-bed North Carolina Baptist Hospital, a North Carolina teaching and tertiary care facility. The agreement also includes the Wake Forest University School of Medicine and its faculty practice plan, Wake Forest University Physicians.


"Our choice of Carecast is an integral part of our ongoing commitment to advancing patient safety and quality of care through use of clinical information technology", stated Paul LoRusso, Chief Information Officer of Wake Forest University Baptist Medical Center. "IDX technology has a track record of helping us achieve significant improvements in patient safety, quality of care and productivity. We look forward to Carecast's advanced functionality to support our goals of enterprise-wide CPOE and on-line, interdisciplinary care planning for our clinical team. Furthermore, use of Carecast provides a continuity of technology that builds on our success with its predecessor, LastWord."

Using LastWord, NCBH initiated CPOE, with the NCBH team documenting a 67 percent reduction in preventable adverse drug events on its pilot unit after implementation. Physicians use wireless devices to support CPOE use at the point of care, and the organisation is continuing to roll out CPOE across its inpatient setting. With Carecast, the organisation intends to continue its comprehensive use of electronic medical records and expand CPOE across inpatient and ambulatory settings. As a result of this expansion, approximately 600 physicians will be able to submit medication orders to NCBH on-line from the clinic setting.

Using LastWord, NCBH has established an electronic patient records system with 100 percent adoption among its physicians, according to Paul LoRusso. The organisation supports more than 14 million weekly transactions on its electronic patient records system. Both Carecast and LastWord are built on the HP NonStop platform, known for its ability to deliver 99,9 percent uptime and to process large numbers of simultaneous transactions with subsecond speed, a crucial characteristic when an IT system supports direct patient care.

NCBH clinicians rely on LastWord for comprehensive clinical documentation, on-line results reporting and viewing, medication charting, assessments and numerous other applications central to direct patient care. NCBH also relies on the IDX Imagecast Radiology Information System and Web viewer for enterprise-wide access to radiology information including full-fidelity radiology image review.

By deploying electronic patient records, NCBH estimates that it has realized $2,7 million in cost savings resulting from increased productivity and efficiencies, and has also benefited quality of care. The health care facility's use of electronic patient records prevents an estimated 65.000 duplicate or conflicting medical tests per year.

Furthermore, the NCBH nursing team uses LastWord as the basis for a number of quality improvement measures. For example, the organisation has implemented a comprehensive screening programme for aspiration pneumonia, a common and potentially life-threatening problem for stroke patients and others with a wide range of medical conditions. Through on-screen alerts during patient assessment, nurses reported that they were able to more quickly identify at-risk patients and intervene to prevent aspiration pneumonia. As a result, the organisation reduced incidence of the condition in hospitalized patients by 48 percent, as documented in an initial study.

"As a Magnet hospital, North Carolina Baptist Hospital is committed to the highest quality nursing care and the professional empowerment of our nurses", stated Mary Ann Anderson, M.S.N., R.N., Director of Nursing, Clinical Systems, Wake Forest University Baptist Medical Center. "With more than 3000 nurses participating in electronic clinical documentation, we have contributed to improved quality of care and built groundwork for CPOE. With Carecast's interdisciplinary care pathways, we anticipate even stronger collaboration across nursing and other disciplines."

Carecast's interdisciplinary care pathways track patient orders, individual activities by care team members and clinical goals. The result is a clearer depiction of each patient's progress along the plan of care, supporting better co-ordination across the team to benefit patient outcomes. "The NCBH team combines a visionary approach with action, dedication and determination", stated Mike Raymer, Senior Vice President and General Manager, IDX Carecast Operating Unit. "We are proud to have supported their successes to date, and value the opportunity to contribute to the NCBH expansion of CPOE and the broader capabilities of the electronic health record."

Wake Forest University Baptist Medical Center is an academic health system comprised of North Carolina Baptist Hospital and Wake Forest University Health Sciences, which operates the university's School of Medicine. The system comprises 1282 acute care, psychiatric, rehabilitation and long-term care beds. North Carolina Baptist Hospital is a designated Magnet facility through the American Nurses Credentialing Center's Magnet Recognition Programme. Recognizing quality patient care and nursing excellence, the Magnet Recognition Programme provides consumers with the ultimate benchmark to measure the quality of care that they can expect to receive.

Founded in 1969, IDX Systems Corporation provides information technology solutions to maximize value in the delivery of health care, improve the quality of patient service, enhance medical outcomes, and reduce the costs of care. IDX supports these objectives with a broad range of complementary and functionally rich products installed at 3300 customer sites. Customers include 138.000 physicians who utilize practice management systems to improve patient care and other work flow processes.

IDX solutions are installed at approximately 380 Integrated delivery networks (IDNs) representing more than 500 hospitals; 175 large group practices with more than 200 physicians; and 665 mid-size group practices with less than 200 physicians. The IDX Web strategy includes browser technology, e-commerce and Web-based tools built using Internet architecture, that facilitates access for patients, physicians and care providers to vital health information and data managed by the IDX clinical, administrative, financial, and managed care products. IDX has approximately 2100 full-time employees.

Carecast is a fully integrated clinical, financial and administrative system, combining core clinical processes for orders, results, pharmacy and clinical documentation with administrative and financial processes for scheduling, registration, admitting, charging and billing. Representing the next generation of electronic clinical information solutions, Carecast delivers unsurpassed response time and reliability to support fast-paced clinical environments. The system automates work flow throughout the health care enterprise and enables rapid access to patient records across the care continuum, from admission to discharge, including inpatient and ambulatory care. The result is a comprehensive lifetime patient record that enhances the quality of care, promotes operational efficiencies, and supports a clinically-driven revenue cycle.

Developed by and for providers in collaboration with leading hospitals, clinicians and health care executives, Carecast builds on 25 years of innovation with the IDX LastWord enterprise system. Customers include health care organisations in the United States, Canada and Europe. IDX also provides its enterprise clinical software as a subcontractor to BT and Fujitsu Services, Local Service Providers for the United Kingdom National Health Service's National Programme for Information Technology, an initiative to establish electronic patient records for 50 million patients. More information on IDX Carecast is available in the VMW July 2004 article OSF Healthcare System continues successful roll-out of IDX Carecast

Leslie Versweyveld

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