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Download Case Study: Clinical Pathways System

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Evidence-based Tool in Care Quality Management




A clinical pathway is one of the main tools used to manage the quality in patient care concerning the standardization of care workflow and processes. Implementation of the clinical pathways reduces the variability in clinical practice and improves outcomes. Clinical pathways aim to promote organized and efficient care based on evidence-based medicine and aim to optimize outcomes in inpatient and ambulatory settings.

A clinical pathway provides the means for clinicians and institutions to achieve 4 common goals:

  1. decreased care fragmentation
  2. optimized cost effectiveness
  3. improved patient throughput
  4. enhanced patient and family education regarding an anticipated treatment course.

Integration of clinical pathways within the Electronic Health record further helps to facilitate evidence-based practice.

The case study on Clinical Pathways System application

Business Goals

Our client - a leading Academic Medical Center in the United States, has engaged First Line Software to design and implement a healthcare software application that would allow the institution to define and execute a range of clinical pathways on a single technological platform that is integrated with EPIC medical EHR system on multiple levels.

Each pathway depicts the workflow expected of health care practitioners, establishing the time frame for evidence-based practice to occur. The pathways provide a standard framework of expectations in the pre-, intra-, and postoperative phases for integrating the practical deliverables from the clinical practice guidelines.

Each pathway would be represented as a sequence of documentation checkpoints that clinicians need to complete in the course of a surgery or a procedure.

The system would consist of two main components:

  • A provider dashboard reflecting the state of the pathway for each enrolled patient
  • A pathway application where providers can enroll/un-enroll patients and update the pathway documentation.

The system would collect and aggregate usage data for subsequent processing and analytics.

Implementation Highlights

Working jointly with clinicians, analytical team, and leadership of the IT organization from the client institution the First Line team has created a flexible Clinical Pathways platform where analysts can author virtually any pathway, define clinical dependencies and business logic, and document the workflow.

Highlights of this healthcare software system include:

Flexible infrastructure for any pathways

Clinical Pathway platform is designed to support a wide range of multidisciplinary pathway flows, which cross boundaries of encounters and institutions.

Seamless integration with Epic EHR

Integration on the User Interface Level: Clinical Pathways application is invoked and provides single Sign-On directly within Epic EHR Hyperspace.

Back-end Integration: The business logic in the system relies on real-time patient data pulled from Epic via the back-end integration services. The same integration service infrastructure is used to present users with the relevant clinical data from the patient’s medical record stored in Epic.

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Client References

I want to express my gratitude for all of your team’s hard work, support and extra help. We are very grateful for all that you have done for us.

Senior Project Manager, a U.S. specialty digital design and web development agency

Your quality of work is exceptional, and your flexible approach has allowed us to build and deploy a large amount of complex functionality in a very short space of time. Kudos to everyone for their professionalism and for delivering results that exceeded our expectations.

CEO, leading social media analytics provider

We have never had a better release that we can think of. And that is all because of your hard and dedicated work. So here is a big THANK YOU to everyone from all of us!

Editor, leading Scandinavian newspaper

For a software vendor like ourselves, picking the right development partner is crucial. First Line’s technical expertise and solid project management, coupled with their proficiency in Agile methodologies, have made them an integral part of our product development group.

VP Product Development, leading enterprise software vendor

Our First Line Team has been doing a great job. All of the guys check in great code, and they have a forward thinking mindset, not a feature-to-feature approach. They are also very open in terms of sharing knowledge, which is critical to running productive distributed teams.

Application Development Director, global marketing company

We've all learned a lot from you, and it is great working with you.

Application Development Director, global marketing company

The First Line team has an excellent process and we can learn from your team and improve.

Product Owner, Strategic Software Consultancy

I would like to thank the First Line development team for their dedication and high level of quality in their work. Despite being thousands of miles apart, we have been able to work quickly, effectively, and intelligently. Your team has been a major part of why we have been successful thus far.

VP Engineering, e-learning startup

First Line is a great technology partner capable of delivering complex, ‘industrial grade’ projects. They have demonstrated strong technical competence and solid understanding of the media and publishing domain. We have also been very impressed by the management team's attention to our needs and commitment to our success.

CEO, leading European digital media company

Your effort is the #1 reason that this project is going so well. I've worked with a lot of teams over the years and there are very few teams that I trust and respect. When you are given a task or feature, I never have to worry whether or not it will be accomplished on time and I never worry about the quality - you always deliver.

Architect, Strategic Software Consultancy

The team we put together in the last half of this year is one of the most productive, skilled and enjoyable I’ve ever worked on. It’s great to see the product brought to life, and I’m proud to work with all you folks.

Senior Architect, Fortune 100 company

The First Line Software team is professional, results driven, and proactive. I know that when we provide requirements for new functionality, they will not only deliver on the scope of what has been asked but will look beyond and give insight into how we can make our product even better. It has been a privilege to work with First Line Software, and I look forward to continuing our partnership in future.

VP, global marketing company
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