Healthcare in the United States suffers from a serious lack of high quality, reliable health care data. In essence, the health care industry has yet to learn how to generate the necessary information to manage itself. Without the right tools, it is argued, healthcare providers cannot find the “right information, about the right patient, at the right time” to make the best medical decisions, thus leading to avoidable and unacceptable medical errors.
Computerized physician order entry (CPOE) systems have been introduced to reduce medical errors, increase safety, improve work-flow efficiency, and increase medical service quality at the point of care. Physicians have been slow to embrace these systems because they don’t adapt to their established work routines. Therefore, when developing a clinical computer system that users interact with in their daily practice, consideration of the users’ professional requirements must be at the core of the system implementation process.
With that said Hyla Soft has developed a CPOE solution that leverages upon digital pen technology so that doctors can continue to work in the same fashion as they do today; that being paper & pen. With Hyla Soft’s CPOE solution there is little to no change in current work flows.
Hyla Soft CPOE systems offer the following functionality:
Hyla Soft’s CPOE solution can be best explained by the following picture and information:
The first component of the technology is the paper that each document is printed on. The paper is nothing more than regular plain white sheets you can buy at any office supply store; the difference is the actual printing of the documents. The first step is for Hyla Soft to recreate the existing documents, that doctors use today, so they can be used with the CPOE system and are printable. Every single paper form that gets printed will have a unique dot matrix printed on it. This matrix gives the paper a grayish tint and is barely visible to the naked eye. This matrix acts like an x/y coordinate plane to not only interpret the handwriting but let the pen know the exact location on the page (text box, bubble, check box etc.) and on what specific document a user is writing. As a user writes the pen captures 70 pictures per second. The pen has the ability to hold up to 200 pages of data before a transfer is needed.
When a user needs to work with a specific document he/she can go into the solution web portal, select the desired document to use and print it off. Then he/she just beings writing on the document just like they would with a regular pen.
As previously stated a pen can hold up to 200 pages before the memory is full. Once the data needs to be transferred, because either the document is complete or the pen’s memory is full, it can be done via Bluetooth or USB docking station. Using Bluetooth the pen can transfer the data to a smart phone and the smart phone can forward the info to the CPOE web application. If a pen is docked in a USB station the info is also automatically sent to the CPOE web application. Once the data has been transferred it is stored in the CPOE database. As soon as the data is in the database two things happen: one, the document text is interpreted by the system and converted to computer text and two, the completed document is then saved in PDF format. Since the PDF is stored electronically, the original form can be discarded assuming it is has been completely filled out.
Once the information has been transferred to the database it has also been converted into machine text. Each text area on a document can have its own tolerance for accuracy. This is set up when the template of the document is being created. For example, if a user is a lab technician and is taking measurements that must be filled out and recorded for compliance reasons, then every area on the page where one would record that info could have a 95% tolerance. This means if the CPOE system is not 95% sure it has interpreted the handwriting correctly the document will be flagged. Flagged documents require additional validation. To do so a user can log in to the CPOE system and view all submitted documents; especially the ones that need further validation. Then when a user is validating the flagged documents the CPOE system shows them which fields need further verification and the system displays an image of the recorded handwriting for that text area. When all text areas in question have been reviewed a user can submit the document with changes.
If a submitted document does not have any questionable data fields or has been validated by a user, it can then be sent to a third party system. By taking advantage of XML, this CPOE system can be set up to export data to other systems such as a Hospital Information System or Clinical Decision Support System.
Below are only some of the business benefits hospitals and clinics can expect to see from Hyla Soft’s CPOE system: