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Physician Reminder System The Western Pennsylvania Hospital

Physician Reminder System The Western Pennsylvania Hospital. 10/3/00 95-750. Earl Crane Hap Huynh Jeongwoo Ko Koichi Tominaga. Location. A history of firsts. Now 1971 First hospital in Pittsburgh to build a heliport 1982 First teen and young adult Spina Bifida clinic in Pennsylvania

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Physician Reminder System The Western Pennsylvania Hospital

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  1. Physician Reminder SystemThe Western Pennsylvania Hospital 10/3/00 95-750 Earl Crane Hap Huynh Jeongwoo Ko Koichi Tominaga

  2. Physician Reminder System, 95-750 Location

  3. Physician Reminder System, 95-750 A history of firsts • Now • 1971First hospital in Pittsburgh to build a heliport • 1982First teen and young adult Spina Bifida clinic in Pennsylvania • 1997First Burn Trauma Center to receive verification from the American College of Surgeons and American Burn Association • Then • 1848First public hospital chartered in Pittsburgh • 1937First hospital to develop and use time-lapse photography for research purposes • 1959First in Pittsburgh to open an intensive care unit

  4. Physician Reminder System, 95-750 Physician Reminder SystemMission • Proactive patient management • JIT physician reminders • Compliance with practice guidelines • Result: • High quality outpatient care and follow up • Improved patient outcomes and reduce variations in care

  5. Services provide to users Physician Reminder System, 95-750 • Physicians • Reminders or suggestions for preventive care, treatment changes or referrals, patient education at time of visit • Patients • Reminders regarding appointments and compliance • Office Staff • Reminders of actions during current appointment and of future appointments

  6. Physician Reminder System, 95-750 User Requirements • Most important is response time • JIT Reminders: remind physicians to enforce clinical best practices for treatment of three diseases • Identify time-driven reminders • Identify visit-driven reminders • Maintain patient’s medical history

  7. System Requirements Physician Reminder System, 95-750 • Demographic data from patient registration system • Specific clinical data entered by physicians • Secure data from unauthorized viewing • System functionality • Diagnosis • Visit • Test Data • Billing and lab system

  8. Physician Reminder System, 95-750 Hardware Architecture • Client • MS Windows 95/98 • Server • MS Windows NT • Database • Oracle 8i • User Interface • Visual Basic 6.0 • Database Connectivity • ActiveX Data Objects

  9. Physician Reminder System, 95-750 Software Architecture Front End User Interface Patient Management Reminder Systems Report Engine Administration Systems Time-driven Visit-driven Back End Business Logic Security Logic Common Database

  10. Physician Reminder System, 95-750 Usage Architecture Interconnectivity with other systems Hospital Information System Notification from reminders Patients Physician Reminder System Patient & Reminder Information Reminder & Response Doctors Nurses Management Staffs Test data Labs

  11. Physician Reminder System, 95-750 Usage Scenario for Physician

  12. Physician Reminder System, 95-750 Login and Function Selection

  13. Physician Reminder System, 95-750 View “Patient List” Form.

  14. Physician Reminder System, 95-750 See Reminders

  15. Physician Reminder System, 95-750 Respond to reminders

  16. Physician Reminder System, 95-750 Visit Details

  17. Physician Reminder System, 95-750 Test Results

  18. Physician Reminder System, 95-750 View and update diagnosis

  19. Physician Reminder System, 95-750 Add new diagnosis

  20. Physician Reminder System, 95-750 Project Timeline Client Meetings 9/26 Meeting 1- Prof. Padman, PRS developer, provided system documentation 10/6 Meeting 2-West Penn Medical Director and IS staff review the hospital’s network architecture 10/23-10/27 Meeting 3-Identify vulnerabilities and discuss intrusion scenarios 11/13-11/17 Meeting 4-Review findings and recommend mitigation strategies 11/27-11/29 Meeting 5-Client response and feedback Class Presentations 10/3 Project Briefing 1 10/31 Project Briefing 2 11/14 Project Briefing 3 12/7 Project Briefing 4

  21. Physician Reminder System, 95-750 Team Activities • Weekly Meeting • Standing Team Meetings- Tuesdays 11am-1pm • Additional Meeting will be schedule as needed Team Meetings to Date 9/23 Initial team meeting-Project discussion and assignment of roles 9/28 Client debriefing and presentation discussion

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