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IT for HM

The Hospitalist. 2007 February;2007(02):

The overall solution from MedAptus also includes the ability to receive lab and radiology results, as well as clinical notes, electronically at any time, anywhere. “We help leverage and extend existing IT assets in a mobile form factor,” summarizes Dr. Delaney. “We’re on version seven; we’ve had the opportunity to figure out how to fit in with a physician’s work flow.”

Learn More about IT

Visit the Web sites of the application vendors mentioned in this article.

Hospital Management System (HMS), BMA Enterprises, Inc.

https://medical.bmaenterprises.com

IM Practice Manager 1.0, Ingenious Med, Inc.

www.ingeniousmed.com/practice_manager.htm

MedAptus Point-of-Care Solution Suite, MedAptus, Inc.

www.medaptus.com/solutions/overview.php

PatientKeeper, PatientKeeper, Inc.

www.patientkeeper.com

PatientKeeper (PatientKeeper, Inc.)

The most established software for hospitalists, PatientKeeper is a single integrated system designed to support a physician throughout the entire day. At any time, from any location, physicians can access their patients’ electronic records, write prescriptions, enter charges, dictate notes, document encounters, place orders, or send secure messages to other caregivers.

Stephen S. Hau, founder and vice president, marketing and business development, agrees that charge capture is the most requested utility. “This is a huge financial advantage for an institution, plus it increases physician satisfaction,” he says. “In three taps, you can capture a charge, and there are 900 rules [in the software] that help ensure the charge is correct and a clean bill is entered.”

But getting back to the daily tasks of hospitalists, “Our whole take is trying to fill the void where institutions have purchased information systems but there’s nothing to support the physician,” says Hau.

For example, Hau says, “One of the tasks that eats up a lot of time is finding information—the ‘chart chase,’ along with communicating with other providers. We help make it easier to send information to each other. You can send a patient-specific instant message, saying, ‘waiting on lab results for patient Molly Doe.’ Now more providers are in play per patient, so communication is more important.”

This improves patient care and even quality of life for working hospitalists. “One physician said he used to get calls at home about discharges,” recalls Hau. “Now he can access the information and discharge a patient over the phone if it’s appropriate. That shortens length of stay.”

PatientKeeper also allows individual users to customize the utility. “The exciting, challenging thing about [designing software for] physicians is that one size does not fit all,” says Hau. “One thing we provide is the ability to easily manage your own patient list; you can organize it by your schedule or by location or rounding path. We call features like that ‘physician delighters.’ These are what has made us so successful.”

Perhaps because of the physician delighters, or perhaps because they’ve been around the longest, PatientKeeper is currently the most widely used technology solution in hospital medicine. “We’re in 350 hospitals across the country, so I guess we’re the market leader,” says Hau. “We just announced two new patents, so we believe we’re also the technology leaders.”

Conclusion

Programs like the ones outlined here are definitely the future of healthcare, but the first step might be the most painful. “The investment is sizeable,” warns Dr. Rosenbaum. “The main problem is that it’s expensive. You need an upfront investment with no real guarantee of the returns.” TH

Jane Jerrard has written for The Hospitalist since 2005.

IPC’s In-House Application

How one hospital medicine group maximizes technology with a proprietary practice management tool

Another technology choice may be available someday for hospital medicine groups. IPC-The Hospitalist Company (North Hollywood, Calif.) has developed its own comprehensive practice management solution called IPC-Link System, used by its 200+ facilities around the country. IPC is currently assessing how to deploy this technology product to outside groups.

“We feel there’s a tremendous need for a complete package,” says Adam D. Singer, MD, chairman, CEO, and chief medical officer of IPC. “Our system is comprehensive, and is built around two core pieces. The first: “[It allows] clinical communication from the bedside to any number of constituents, including the primary care physician (PCP), insurers—anyone involved with that patient’s care.”

The second core feature is the ever-popular charge capture. “The hospitalist simply ticks off billing,” says Dr. Singer. “The tool is directly linked to the billing system electronically, so it’s instantaneous.”

Another essential tool that IPC has built in to its application is a post-discharge process. “Data is exported to a nurse call center,” explains Dr. Singer. “A customized survey is created for each patient; certain drugs will elicit certain questions” on that survey, for example. The call center will contact the patient’s PCP and ask questions and gather information based on the personalized survey.

As for IPC-Link’s virtual office capabilities: “Hospitalists don’t have an office or even desk; this feature provides that to them, in an Internet world. It’s essentially an Internet portal,” says Dr. Singer.

With the virtual office, a hospitalist can use file storage for protocols, pharmacy lists and referral lists she might need; can access the billing system; can pull up any available data reports; and can communicate through e-mail and a blog.

Another Plus: Data Collection

The software system makes hospitalists work more efficiently, but an equal benefit is the data it assimilates and stores. “There’s a whole suite of management reports that provide a window into the group, clinically and otherwise,” says Dr. Singer. “A few examples are: You can look at length of stay by doctor, by practice, or by region; review re-admission rates, check encounter data so that you know your doctors aren’t being overwhelmed or underwhelmed. You can also see which PCPs are still referring patients and which aren’t.”

Dr. Singer stresses that the IPC-Link System can help run a more profitable practice, and that it is designed for a practice that is a “true hospital medicine program” focused on improving quality of care. That’s part of the reason that IPC is very selective about the outside practices it allows to use the application.

“We’re in an exploratory phase,” explains Dr. Singer. “We have some relationships in place. One L.A. practice is using it for charge capture, and another is using the charge capture and communication tools. A third is using the full suite to implement a brand new hospital medicine program. We want to see if it can be used this way.”

Keep your eye on the technology applications on the market—someday there may be a new player in town.—JJ