Great Patient Care: The Intersection of Clinical Excellence and - - PowerPoint PPT Presentation

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Great Patient Care: The Intersection of Clinical Excellence and - - PowerPoint PPT Presentation

Jun 15, 2023 199 likes •508 views

Great Patient Care: The Intersection of Clinical Excellence and Advanced Technology C. Martin Harris, M.D. Chief Information Officer, Cleveland Clinic My Pr actice My Pr Imaging Solutions Practice of Medicine Paper Chart Observation

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actice MyPr MyPr

Great Patient Care:

The Intersection of Clinical Excellence and Advanced Technology

  • C. Martin Harris, M.D.

Chief Information Officer, Cleveland Clinic

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Observation Testing Analysis Diagnosis Treatment Follow-up

Practice of Medicine

Paper Chart

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Practice of Medicine

Observation Testing Analysis Diagnosis Treatment Follow-up Paper Chart

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Practice of Medicine

Film Libraries and Other Storage Media Paper Chart

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Practice of Medicine

Film Libraries and Other Storage Media EMR Paper Chart Specialized Visualization Technology

= Data Aggregation

EMR

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Encounter

Data Data

Encounter

Data Data

Encounter

Data Data

Encounter

Data Data

Practice of Medicine

EMR Specialized Visualization Technology

= Data Aggregation

Image Aggregation Image Aggregation

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Practice of Medicine

EMR = Data Aggregation

Encounter

Data Data

Encounter

Data Data

Encounter

Data Data

Encounter

Data Data

Image Aggregation

Patient-Specific, Image-Enabled Longitudinal Medical Record

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actice MyPr MyPr

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actice MyPr MyPr Business

and Financial

Operations Care Quality

and Regulatory

Compliance Clinical

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actice MyPr MyPr Operations Care Quality

and Regulatory

Compliance Clinical Business

and Financial

9:45 AM

  • Dr. ___

Patient Scheduled 60 M 11:00 AM

  • Dr. ___

Patient Scheduled 68 F 11:30 AM

  • Dr. ___

Patient Scheduled 62 M

Clinical

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9:45 AM

  • Dr. ___

Patient Scheduled 60 M 11:00 AM

  • Dr. ___

Patient Scheduled 68 F 11:30 AM

  • Dr. ___

Patient Scheduled 62 M

03/26/2013 Office Visit INT MED Rash and Cough G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Telephone FHCSTR Description G10 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Telephone INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Telephone INT MED Description G10 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Telephone FHCSTR Description INT1

Clinical

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03/26/2013 Office Visit INT MED Rash and Cough H11 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Office Visit INT MED Description G10 03/26/2013 Telephone FHCSTR Description G10 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Office Visit FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/25/2013 Telephone FHCSTR Description INT1 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Telephone INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Office Visit INT MED Description G10 03/22/2013 Telephone INT MED Description G10 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Office Visit FHCSTR Description INT1 03/21/2013 Telephone FHCSTR Description INT1

The patient is a 62 year old male with a history of diabetes who complains of a swelling of the middle finger of his right hand, and a mild cough. Patient, presents with swelling of middle finger, right

  • hand. Also describes a moderate, dry cough.

Swelling is warm to the touch and sensitive, including an itching sensation. The swelling began approximately 6 days prior to visit.

Clinical

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The patient is a 62 year old male with a history of diabetes who complains of a swelling of the middle finger of his right hand, and a mild cough. Patient, presents with swelling of middle finger, right

  • hand. Also describes a moderate, dry cough.

Swelling is warm to the touch and sensitive, including an itching sensation. The swelling began approximately 6 days prior to visit.

Order: Order: Order: Order:

White Cell Count Chest X-Ray Antibiotic

Clinical

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Diabetes Care Checklist

Visit Recommendation: Up-to-Date 4 times per year Laboratory Tests: Up-to-Date

Click for Result List

Eye Care Exam

Click for Result List

Blood Pressure: Up-to-Date

Click for Result List

X X X Order: Order: Order: Order:

White Cell Count Chest X-Ray Antibiotic

Clinical

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Diabetes Care Checklist

Visit Recommendation: Up-to-Date 4 times per year Laboratory Tests: Up-to-Date

Click for Result List

Eye Care Exam

Click for Result List

Blood Pressure: Up-to-Date

Click for Result List

X X X Order: Order: Order: Order:

White Cell Count Chest X-Ray Antibiotic Fundoscopic Eye Exam

Clinical

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Laboratory Test Result:

Evaluation of laboratory blood differentiation test for patient ___ indicates a normal range, considering age, geographic altitude and other standard, potentially related criteria. Results are: RBC count:

  • 4.9 million cells/mcL

WBC count:

  • 6,500 cells/mcL

Hematocrit:

  • 45.6%

Hemoglobin:

  • 16.4 gm/dL

Order: Order: Order: Order:

White Cell Count Chest X-Ray Antibiotic Fundoscopic Eye Exam

Clinical

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Laboratory Test Result:

Evaluation of laboratory blood differentiation test for patient ___ indicates a normal range, considering age, geographic altitude and other standard, potentially related criteria. Results are: RBC count:

  • 4.9 million cells/mcL

WBC count:

  • 6,500 cells/mcL

Hematocrit:

  • 45.6%

Hemoglobin:

  • 16.4 gm/dL

Chest X-Ray: Result

This is a chest image of a 62 year-old male taken on _____, 2013. On the top portion of the chest is the neck and the collar bones (clavicles). On the bottom, the chest cavity is bordered by the diaphragm under which is the abdominal cavity. On either side of the chest wall, the bones of the shoulders and arms are easily recognizable. Inside the chest cavity, the vertebral column can be seen down the middle of the chest, splitting it nearly in equal halves. On each side of the midline, the dark appearing lung fields are seen. The white shadow of the heart is in the middle of the field, atop the diaphragm and more to the

Fundoscopic Eye Exam: Result

Utilizing a fundoscope, which is an instrument specially designed to serve as a magnifying glass, including a number of lenses that can magnify an object by nearly 15 times, this procedure was performed on ______, 2013. Beginning by anesthetizing the eye with drops of atropine, the exam was performed to identify any existing abnormalities of the

  • ptic disc that, once identified can signal

the onset of such disorders as diabetic retinopathy or glaucoma, and that may also indicate the presence of intracranial pressure. This is important because increased

Clinical

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Clinical

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Radiology VNA Cardiology

Imagine Mgt. System

Viewer

Imagine Mgt. System

Viewer

Women’s Health Image Acquisition Sources (Departments / Devices)

Viewer No Image Acquisition System; Stand-Alone Devices; Not Integrated

Clinical

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Radiology Cardiology Women’s Health

Imagine Mgt. System Imagine Mgt. System

VNA Imaging Clinical Information System (ICIS): Smart Image Library

ICIS Workflow Service

Clinical

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Radiology Cardiology Women’s Health

Imagine Mgt. System Imagine Mgt. System

Viewer

ICIS Workflow Service

Imaging Clinical Information System (ICIS): Smart Image Library

Clinical

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Radiology Cardiology Women’s Health

Imagine Mgt. System Imagine Mgt. System

Viewer

ICIS Workflow Service

Imaging Clinical Information System (ICIS): Smart Image Library

Clinical

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Patient Manag

Clinical

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anagement Enhanced Documentation Image-Enabled Ordering

Clinical

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Clinical Experience Advanced Technology

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Clinical Experience Advanced Technology

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Advanced Technology

MyPractice Imaging Solutions

Consulting Services:

  • Introductory Workshop
  • Project Planning
  • Site and Technology

Assessment

  • Solutions Design and

Planning Project Management and Implementation:

  • Project Management

and Oversight

  • System Implementation

Services

  • Integration
  • Go-Live Support
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Imaging Solutions

actice MyPr MyPr MyPractice Imaging Solutions

Consulting Services:

  • Introductory Workshop
  • Project Planning
  • Site and Technology

Assessment

  • Solutions Design and

Planning Project Management and Implementation:

  • Project Management

and Oversight

  • System Implementation

Services

  • Integration
  • Go-Live Support

Imaging Clinical Information System (ICIS)

Imaging Infrastructure:

  • Imaging Infrastructure
  • Infrastructure-as-a-

Service

  • Application Hosting

Managed Imaging Services:

  • System Administration

and Support

  • Systems Management
  • Application Support
  • Operations Support
  • Image Lifecycle Management