For Clinical Content Designers…
My key responsibilities with respect to clinical content in the EHR include:
1. Importing clinical content into the system
Challenges:
Source content for order sets comes in many electronic forms, e.g. Microsoft Word and Excel, text, database, PDF, XML, HTML, faxed or scanned documents, etc..
Solution:
Plexina can import virtually any text or electronic data format. Intelligent import framework enables rapid integration with virtually any content provider, including ones publishing content on the web, as PDFs, or Word documents.
2. Translating the order set content to standard terminology of the EHR system
Challenges:
The terminology of the clinical content supplied is different from the terminologies we use in the EHR system.
Solution:
Plexina uses intelligent translation techniques to map from common, uncoded text into standardized order terminology use by the EHR.
As an example, if you are building an order set, the clinical translator automatically structures your clinical orders from your text and translates it to the orders available in the master order inventory. The translator can handle synonyms, typos, and misspellings so you don’t have to be perfect.
Plexina will suggest the most likely order and allow the designer to validate the suggestion, or find the correct alternative, to be sure it is 100% correct. Once identified, the full details behind the order are available for design, refinement, and review.
3. Aligning order set content with local policies, clinical workflows and care practice standards
Challenges:
Evidence-based and best-practice content purchased from publishers must be aligned to your environment and alternative practice where service capabilities and/or policies are different.
Solution:
Plexina enables the creation of localized variation of content. Once a variation is identified, advanced search capabilities can find instances of in the content in which the variation that should occur. The variation is maintained in a library, and substitutions can be quickly applied.
Plexina eliminates manual searches across databases and spreadsheets from various departments, brings together important details for design (access policies, special instructions) to enable rapid integration of local practice standards and workflows.
4. Designing a clinical screens that are safe, usable, and consistent
Challenges:
The design of content screens for the EHR is an art. It balances policy, system capabilities, and preferences of departments. For clinicians to adopt the system, the content has to complete, accurate, and in a usable layout that aligns with clinical workflow.
Solution:
Plexina enables rapid visual design using standardized design “templates”. These templates ensure consistent layout of information from one order set to the next, facilitating adoption, eliminating errors as a result of design inconsistencies. The application of templates enables even complex order sets to be visualized in hours instead of days and weeks.
Plexina’s rapid design features enables creation of several alternative designs, real-time design during review, and accelerated time to consensus on content and screens.
5. Finding order sets affected by catalog changes
Challenges:
The order sets and order catalogs continually evolve. The evolving content and catalog in a distributed development environment inherently encounters inconsistencies.
Solution:
Plexina supports a distributed development team thus allowing for order catalogs to be managed and changed by other teams.
Plexina’s rapid design features enables creation of several alternative designs, real-time design during review, and accelerated time to consensus on content and screens.