Thomas Jefferson University Hospital upgrades to IDX Carecast

Philadelphia 16 November 2004Thomas Jefferson University Hospital in Philadelphia, Pennsylvania will upgrade to the next-generation IDX Carecast enterprise clinical system from IDX Systems Corporation to support its facility-wide use of computerized physician order entry (CPOE) and on-line clinical documentation. Using IDX LastWord, Carecast's predecessor, Jefferson University Hospital successfully launched and established computerized physician order entry (CPOE) with 90 percent of patient care units now live on electronic ordering, including the critical care environment.


CPOE helps prevent medication errors by replacing physicians' handwritten orders for medications, tests and other clinical procedures with an electronic communication system that links physicians, pharmacists, nurses and other clinicians. Organisations such as the Institute of Medicine cite CPOE as an important patient safety milestone.

"CPOE is essential to our organisation's commitment to patient safety and the highest quality care", stated Stephen Tranquillo, Vice President and CIO of Jefferson University Hospital. "With IDX enterprise clinical technology and the HP NonStop platform, we've had the benefit of extraordinary performance and reliability. With Carecast, we look forward to even more comprehensive functionality within CPOE and to expanding our on-line clinical documentation and electronic health record use as well."

Jefferson University Hospital has trained more than 900 physicians including residents, fellows and attendings, on CPOE. "Use of CPOE and on-line documentation enables our physicians to more closely monitor their patients, without the phone calls and searching for paper charts previously required", stated Dr. Jonathan Gottlieb, Chief Medical Officer and Senior Vice President for Clinical Affairs for Jefferson University Hospital. "For example, physicians can securely and remotely access their hospitalized patients' vital signs on-line from their offices. As a result, our physicians save time and have convenient access to timely information, supporting quality patient care." Dr. Gottlieb commented that the organisation looks forward to even greater flexibility and comprehensive capabilities with Carecast orders.

"We developed a strong interdisciplinary team to drive our organisation's roll-out of CPOE. Physicians, nurses, pharmacists, Information Services staff and many others collaborated closely to tailor LastWord for Jefferson University Hospital's care environment and to manage the transition to automation", stated Mary McNichol, Director of Application Integration and Support.

During the organisation's CPOE roll-out, each patient care unit first went live on clinical documentation, including an on-line medication administration record (MAR) for each patient, which has been a vital tool for nurses. In addition, nurses benefit from the IDX flowsheet charting tool, which automatically pulls information from the electronic patient record to show each hospitalized patient's progress over time. More than 700 nurses have been trained on clinical documentation capabilities.

With Carecast, nurses look forward to such features as the Patient Summary View, an "at-a-glance" summary of the patient's problem list, recent vital signs, and information about all the clinicians on the care team, as well as the patient's contact information. In addition, nurses can review and filter the patient's active orders, including just those for medications.

LastWord patient tracking capabilities also support clinicians in managing patient flow through the hospital's Emergency Department (ED), which draws approximately 80.932 patient visits a year. The ED team relies on LastWord tracking screens to monitor patient wait times, progress through the ED, and to co-ordinate patient care with ancillary departments such as Lab and Radiology. "Clear, continually updated patient information is essential for supporting patient satisfaction and the highest quality care in the Emergency Department, and we anticipate additional benefits in these areas with our Carecast upgrade", commented Dr. Gottlieb.

"The Jefferson University Hospital team has pursued their goal of organisation-wide CPOE with commitment, drive and focus", stated Mike Raymer, Senior Vice President and General Manager, IDX Carecast Operating Unit. "As a prestigious teaching facility, Jefferson University Hospital is also instrumental in introducing a new generation of doctors to CPOE. We are proud to be associated with this visionary organisation, and look forward to continued partnership as we support their commitment to patient safety and to providing comprehensive, timely patient information to their clinical team."

Thomas Jefferson University Hospital, Philadelphia, is one of only a few hospitals in the United States that is both a Level I Trauma Center and a federally designated regional spinal cord injury centre. The Kimmel Cancer Center at Jefferson is designated as a clinical cancer centre by the National Cancer Institute. Over the years, U.S. News and World Report has consistently ranked many of Jefferson's services as among the best in the nation. These include cardiology/cardiac surgery, orthopaedics, rehabilitation, cancer, digestive disorders or gastro-enterology, geriatrics, gynaecology, neurology and neurosurgery, which are both based at the Jefferson Hospital for Neuroscience, otolaryngology, head and neck surgery, and urology.

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 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.

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 software solutions are installed at 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 facilitate 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 worldwide. More company news is available in the VMW October 2004 article Iowa Health System upgrades to IDX Carecast to support patient safety and nursing informatics initiatives.

Leslie Versweyveld

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