AWARDS & RECOGNITION
2002 Awards: Innovative Use of Technology
RECIPIENT:
Texas
ClinicStation: Improving the Healthcare Enterprise with Web Services
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Front
row, L-R: Jeanne Fragnoli, Catherine Schranz, Stan Hildebrand |
A critical aspect of effective delivery of healthcare is the instant
availability of timely and complete patient information. Given that no
commercially available system was judged to provide an integrated method
of results review, image display, and dictation, the Diagnostic Imaging
Informatics teams decided to develop one. In this process, rather than
create an entirely new Electronic Medical Records system, the team leveraged
existing legacy systems through the utilization of web services.
ClinicStation, developed at the University of Texas M. D. Anderson Cancer
Center, utilizes a web services data access model to leverage existing
clinical databases into an integrated clinical display. Web services are
software applications that create an XML-based method to access databases
or other programs. Enabling legacy database access via web services bypasses
the traditional resource intensive complexity of replicating existing
clinical information databases in a central repository. The web services
model also allows an extensible development environment to efficiently
implement customized versions of ClinicStation for a variety of display
devices.
| "My
congratulations to The University of Texas M. D. Anderson Cancer Center
and the ClinicStation Project Team for receiving the 2002 NASCIO -
Innovative Use of Technology Award. As a web services-based application,
ClinicStation has deployed innovative technology which clearly improves
the efficiency of patient care at the nation's top ranked cancer hospital."
Governor Rick Perry, State of Texas |
A critical component of ClinicStation is the integration of medical image distribution. Formerly, clinicians needed to request the film jacket or travel to the film library to review patient's images. Delays in patient care occur while the film jacket is located. With ClinicStation, clinicians can instantly review studies throughout the healthcare enterprise. The availability of digital images is not unique. However, at institutions with Electronic Medical Records (EMR), the image display application is usually not integrated but available as a separate application.
With Clinic-Station, M. D. Anderson already largely fulfills the upcoming HIPAA confidentiality requirement. The requirement states that all accessions of patient's medical record must occur by authenticated users with a role in the patient's care and an audit trail of these accessions must be maintained. Financial penalties for non-compliance are substantial.
ClinicStation was internally developed with a core development team of just three individuals. Development cost is estimated at approximately $200,000. Annual return on investment is estimated at a minimum of $2.5 million annually accounting only for improved efficiencies of digital image review compared to film based image review.
ClinicStation received over 300,000 patient queries per month and over
1,000,000 clinical documents reviewed per month on the system in June
2002. Over 6,000 clinical personnel access ClinicStation with peak utilization
at over 1,100 simultaneous users.
SECOND PLACE:
Kentucky
TRIMARC
- Automatic Incident Recording System
THIRD PLACE:
North Carolina
Flood
Plain Mapping
OTHER NOMINATIONS:
Click on the link to download program submission.
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