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● Workflow


An e


An elegant so tion


solulution t to iimp


By Stephen S. Hau By Stephen S. Hau T


oday’s health applications have made strides in capturing valuable health information, such as waveform data from monitoring instrumentation and medication regimen adherence reporting


from patients. By providing clinicians and patients with fast, familiar documentation tools – or what we call “natural input” tools – the documentation becomes an automatic byproduct of the patient encounter rather than an extraneous, time- consuming task. Whether iPad, digital pen or online forms, each clinician or patient can select the tool that best suits his or her personal style and work environment, thus preserving workfl ow in an elegant manner. With that said, there remains much work to be done in our


industry to help support more intuitive clinical documentation, particularly when it comes to preserving a clinician’s workfl ow preferences with an eye toward enhancing it by evaluating effi ciency gaps. T ere are three key tenets that can help achieve this: 1. Facilitate clinically rich documentation; 2. Liberate the data for sharing; and 3. Predict the needs of the physician and patient. Let’s focus on the fi rst one.


Facilitating clinically rich documentation


T e proliferation of EHRs has exposed a lack of structured data – a new challenge for healthcare, but an important one as it is required to power analytics for both historical reporting (retrospective analytics) and prediction (prospective analyt- ics). T e legacy approach of a traditional EHR user interface


20 December 2013


incorporates drop-down lists and numerous input screens that make documentation cumbersome. As a result, many clinicians often type or dictate unstructured, free-form text into comment fi elds to simplify the process and preserve workfl ow. T e lack of structure and discrete data elements, however, mean that the ability to use such information for analytical purposes is extremely limited, despite its convenience. An elegant solution to this workfl ow challenge is one in which clinicians can use their skills in conjunction with cap- turing data at the point of care. For example, our enterprise (“private”) cloud platform empowers analytics, personalized decision support and existing healthcare IT investments. We can do this because we capture structured, clinically rich data by supporting documentation using natural input tools, includ- ing iPad and digital pen and paper. All input modalities are powered by the same cloud-computing platform; information provided in the on- line portal may be used to populate forms printed on digital paper or in the iPad.


mHealth can be a liberating tool for clinicians, but it’s only half of the solution.


The promise of liberation


mHealth can be a liberating tool for clinicians, but it’s only half of the solution. T e ideal mobile documentation solution covers numerous hospitals across the country and supports the demanding needs of individual clinicians, who are often tasked to care for patients at multiple facilities. T at makes it


HEALTH MANAGEMENT TECHNOLOGY www.healthmgttech.com


mprove w capture st


Stephen S. Hau is founder and chief technology officer, Shareable Ink.


T is EHR enab s clR enables cliniciia cap


e workfl ow ans to


e structured d a at t e POC ed data at the POC.


For more on Shareable Ink: www.rsleads. com/312ht-204


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