Term: Clinical Management Systems


Clinical Management Systems are designed with the intention of integrating the essential components needed for the automation of hospital management. it is the digitalization of information in healthcare institutions. There are many different kinds of CMS software around the world, but they all maintain the same goal: to improve health information accessibility in healthcare institutions such as hospitals, doctors, physicians, as well as patients, in one integrated system. Hence, reducing the numbers of preventable errors that occur in the health industry every year. Inaccessibility of patient information is one the main factors that cause the occurrence of so many errors. These types of systems can include, but are not limited to, the following services:

Applications


· Maintaining Patient details
· EMRs
· EDI/HCFA claim sending
· Computerized Physician Order Entry (CPOE) and EE-prescribe
· Precautions and Diet advice
· Providing and maintaining all kinds of tests for a patient
· Billing and Report generation
Clinical Trial Management System (CTMS) or Clinical Data Management System (CDMS).
Decision Support System (DSS)



Benefits


• Easy Access to Patient Data to generate varied records, including classification based on demographic, gender, age, etc. It is especially beneficial for out-patient care, enhancing the continuity of care. Internet-based access can further improve the ability to remotely access such data.

• It helps as a decision support system for the hospital authorities for developing comprehensive health care policies.

• Efficient and accurate administration of finance and distribution of medical aid.

• Improved monitoring of drug usage, and study of effectiveness. This leads to the reduction of adverse drug interactions while promoting more appropriate pharmaceutical utilization.

• Enhances information integrity, reduces transcription errors, and reduces duplication of information entries.

CTMS or CDMS may be used by certain clinics participating in any type of clinical trials. These may include but no limited to new drugs, disease studies, side effects of medications among races, gender or by age group. Once a new drug hits the market, if no particular effect was noticed or reported during trials, the CTMS or CDMS may help in identifying those at risk easily should any new concerns be surfaced.

CPOE has been available in the market for about five now: however, certain hospitals have adopted or are in the process of adopting it. It is a software system that allows physicians to enter their order directly into the CMS. It aims at eradicate the errors related to illegible hand writing. The order is then to its designated departments (laboratory, nursing, pharmacy, dietary and etc..

Electronic Prescribing or E-prescribing (E-Rx) is a software that is used healthcare providers to send patients' prescriptions to the community or pharmacy of their choice. This program does not only help reducing medication errors due to poor hand writing but it also helps resolving the issue of delay in medication administration for many times pharmacists experience hard reaching the prescribing provider for clarifications.

Decision Support Systems (DSS) are software programs that are used to help and guide providers in their decision making process for treatments . The system is fed with data from multiple studies and researches. Evidence-based is what is used in the U.S. healthcare system. It is a very important tool for it advices for desired and not desired outcomes. Data from evidence-based medicine journals are at the finger tips of the provider.

Standardization


There is no standardization across the industry of file formats for CMS at this time. This makes information difficult to be shared across establishments and platforms. However, there are many organization responsible for the certification of some of those systems. The ONCHIT, for instance, is the party that is responsible for the certification of EMR's. Before vendors can start marketing their EMR's, they have to meet certain requirements. These requirements are designed to health reduce the problems related to the sharing of health information. Once every single one of these system are regulated, CMS it will be seen as an even greater innovation than what it seen as today.


Technologies used in Clinical Management Systems can help eliminate the many problems that still plague manual systems of healthcare. An error-free electronic management system can reduce mistakes, as well as increase efficiency. When all of the information and services are integrated into one system, less work is require of the patient and physician so that more time can be focused on the care of the patient.



Web Resources:

http://qualsoftservices.com/Healthcare/clinical-management-system.html
http://www.journals.elsevierhealth.com/periodicals/ijb/article/PIIS1386505603001904/abstract
http://www.healthit.gov/sites/default/files/cds/3_5_19_cis_inventory.pdf


Related Terminology:

Clinical Information Management Systems

Citations/References:

Graphics:


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