Authors (including presenting author) :
Ku BPS(1), Lo FMY(1), Cheung NT(1), Pang JYW(1), Hui HL(1), Tsui WCH(1), Cheng DCT(1), Cai KY(1)
Affiliation :
(1)Information Technology and Health Informatics Division
Introduction :
Clinical Management System (CMS) is an indispensable tool that clinicians utilize daily in their clinical practice. It is a very common phenomenon that many clinicians need to serve more than one hospitals within or even across cluster. Vivid examples include neurosurgeon, ophthalmologist, oncologist who may need to take care of patients in several hospitals. In addition, there are clinicians who see patients in many clinics. Circumstances often arise for these clinicians physically located in hospital A needing to access, review, update or even place clinical order to patients in hospital B. Inevitably, valuable time and effort has to be spent on travelling just to access CMS of a distant location. As such, keen request has been received to enable clinician to access CMS of a remoted hospital or clinic.
Objectives :
(1) To improve clinician’s accessibility to CMS who needs to access clinical information in different hospitals; (2) to enhance clinical efficiency as clinicians can timely review, update clinical records and place clinical orders
Methodology :
With the advancement of technology, CMS has successfully migrated to Web Based platform. This technological breakthrough unleashes the limitation of traditional CMS access. The design and building of CMS Cross Hospital Logon began in late 2015. The design focused both on accessibility; convenience and also emphasized heavily on the safety aspect of such function. Consultation and detailed workflow study were carried out. During the design phase, special attention was devoted to: 1)To overcome the workstation concept in system logon and allow smooth logon to CMS of distant location; 2)Special User Interface to alert clinician he/she is accessing CMS of a remote hospital which included disclaimer; distinct colour theme and special indicators etc. Special emphasis was put on good clinical communication if a clinician altered clinical information through CMS cross hospital logon. Clinicians must have valid access right of the remote hospital before he/she can access the CMS of that hospital through Cross Hospital Logon.
Result & Outcome :
Pilot trial was commenced to one hospital since November 2016 and Cross Hospital logon to CMS to all HA hospitals was enabled in May 2017. Utilization Statistics: (1)Hospitals utilized the function in Sept 2017: 39; Hospitals utilized the function in Oct 2018: 40 (2)No. of utilization per month in Sept 2017: 8544; No. of utilization per month in Oct 2018: 19548 (3)Maximum utilization from a hospital in Sept 2017: 417; Maximum utilization from a hospital in Oct 2018: 1386 (4)Average utilization per day in Sept 2017: 290; Average utilization per day in Oct 2018: 651. Encouraging results demonstrate that the utilization since introduction of this function has soared rapidly. Figures in Oct 2018 has more than doubled than that of Sept 2017. Conservatively, if 30 minutes of travelling time can be saved by one remote logon, the total time saved can add up to 9774 hours per month. These saved hours can be used productively in clinical services! Needless to say the benefit of timely information review and clinical order placement bring forth by this function. To ride on the benefit of such function, CMS cross clinic logon was piloted to KWC and KEC in Nov 2018.
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