HIM 500 Technology Information Featherfall Medical Center has an existing admission discharge transfer (ADT)/master patient index (MPI) system that was developed in-house and implemented over 20 years ago. By now, all of the original programmers have resigned or retired. The system is cumbersome to manage and update to meet the current needs of the center. This has also led to the compliance, ethical, and governance issues previously stated. An RFP was sent out to two vendors: Intel (SOA Expressway for Healthcare) and Alert (Admission Discharge and Transfer [ADT]). Key portions of the RFP have been summarized to allow for easy comparison. The responses to the functional requirements have also been provided for review. Demonstrations were conducted at the Center, and both systems looked good. The MPI module is preferred on Intel, and the ADT system is preferred on Alert; however, both systems were received favorably. The committee went to see both systems in operation and liked them both. References were checked on both systems. The references for Alert were glowing. All of them said that the system was good and the people were great to work with because they wanted their new company to succeed and grow. However, given their small size, they might lack the resources of a larger company. The references on Intel were excellent as well. The only negative about Intel was that the company is quite large and was sometimes slow to respond to what the company saw as minor problems. The next release of Alert is due out in 6 months and of Intel is due out in 8 months. The Committee has used the following tables to summarize and compare the information that was gathered and is awaiting your recommendation before final decision is reached. System Comparison Topic Intel (SOA Expressway for Healthcare) Alert (Admission Discharge and Transfer [ADT]) Cost of interface Cost of software Cost of hardware Implementation costs Other costs Annual maintenance Training costs Number systems in use in hospitals Length of time in business Stability of company $378,000 $465,000 $375,000 $275,000 $110,000 $75,000 $350,000 364 $238,000 $325,000 $400,000 $175,000 $120,000 $65,000 $264,000 12 30 years Good 3 years Good RFP Response from Intel (SOA Expressway for Healthcare) System Functions Admit patient to ER Admit patient to inpatient status Admit patient to outpatient status Transfer patient from room to room Transfer patient from inpatient to outpatient Transfer patient from outpatient to inpatient Transfer patient from ER to inpatient status Discharge patient from ER Discharge patient from inpatient status Discharge patient from outpatient status Notify housekeeping when patient discharged Notify HIM when patient admitted Meets UHDDS requirements Meets HIPAA requirements Contains required demographics Automated verification of insurance GUI technology User friendly Delete patient from system Multiple levels of security Password protected Audit trail Biometric capable Reads barcodes Edit demographics Edit insurance Allow for 4 insurance providers Prints standards reports at specified periods Ad hoc reporting Admission list Discharge list Transfer list Standard X X X X X Next Release Not Available Custom X X X X X X X X X X X X X X X X X X X X X X X X X X X Looks for potential duplicate medical records Quality edits built into system SQL/Oracle database Runs on Windows 8 Enterprise-wide ready Merge medical record numbers Allows for aliases Maintains old medical record numbers Maintains former names Allows at least 999 patient visits Data dictionary Three-character service field Allows housekeeping to notify admission that room is ready Online no-bed list Sends out announcements to employees/staff Generates list of patients by physician Generates lists of patients by unit Calculates census statistics Performs medical record number queries Performs patient name queries Standardizes, secures, and governs access to master patient records Standardizes, secures, and governs access to master provider indices Standardizes, secures, and governs access to document exchanges Services for building interoperable healthcare networks Authentication and authorization Management and monitoring Transport Layer Security X X X X X X X X X X X X X X X X X X X X X X X X X X X RFP Response from Alert (Admission Discharge and Transfer (ADT)) System Functions Admit patient to ER Admit patient to inpatient status Admit patient to outpatient status Transfer patient from room to room Transfer patient from inpatient to outpatient Transfer patient from outpatient to inpatient Transfer patient from ER to inpatient status Discharge patient from ER Discharge patient from inpatient status Discharge patient from outpatient status Notify housekeeping when patient discharged Notify HIM when patient admitted Meets UHDDS requirements Meets HIPAA requirements Contains required demographics Automated verification of insurance GUI technology User friendly Delete patient from system Multiple levels of security Password protected Audit trail Biometric capable Reads barcodes Edit demographics Edit insurance Allow for 4 insurance providers Prints standards reports at specified periods Ad hoc reporting Admission list Discharge list Standard Next Release Not Available Custom X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Transfer list Looks for potential duplicate medical records Quality edits built into system SQL/Oracle database Runs on Windows 8 Enterprise-wide ready Merge medical record numbers Allows for aliases Maintains old medical record numbers Maintains former names Allows at least 999 patient visits Data dictionary Three-character service field Allows housekeeping to notify admission that room is ready Online no-bed list Sends out announcements to employees/staff Generates list of patients by physician Generates lists of patients by unit Calculates census statistics Performs medical record number queries Performs patient name queries Standardizes, secures, and governs access to master patient records Standardizes, secures, and governs access to master provider indices Standardizes, secures, and governs access to document exchanges Services for building interoperable healthcare networks Authentication and authorization Management and monitoring Transport Layer Security X X X X X X X X X X X X X X X X X X X X X X X X X X X X • Required Resources Links Article: The Right Balance – Technology and Patient Care • Library Article: Selecting Healthcare Information Systems Provided by Third-Party Vendors: A Mind Map Beyond the Manuals • Article: 9 Steps for Healthcare Organizations to Choose the “Right” EHR
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