Clinical Pathways System - Evidence-based Tool in Care Quality Management and Improvement
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 – decreased care fragmentation, optimized cost effectiveness, improved patient throughput, and 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.
Our client - a leading Academic Medical Center in the United States, has engaged First Line Software to design and implement a 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 EHR system on multiple levels.
Each pathway depicts the workflow expected of health care practitioners, establishing the time frame for an 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.
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 system include:
Flexible infrastructure for any pathways
Clinical Pathway platform is designed to support a wide range of multidisciplinary pathway flows that 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.
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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