New York-based Mount Sinai Health System has found multiple ways to incorporate technology into its practices to improve patient care, according to CIO Kumar Chatani.
Mount Sinai, which consists of a medical school, several research institutes, seven hospitals and a large ambulatory network, is working to migrate all its sites to one electronic medical record platform, Chatani says in an interview with Healthcare IT News. Currently, it has several legacy EHRs connected through the internal and external health information exchanges. It also is creating an enterprise master person index to provide a unique patient identifier across the health system.
Other ways the health system is leveraging new tools and technologies, according to Chatani, include:
- The “Triage Screening Sepsis” best practice alert system, based on standards developed by the Greater New York Hospital Association; the system an algorithm that evaluates eight criteria of sepsis infection. It alerts clinicians when to initiate early, aggressive sepsis care.
- Vaccination compliance, which now is monitored and tracked in the EHR, including reminders every 24 hours. The discharge process cannot be completed until vaccinations are given.
- Clinicians can quickly generate lists of patients meeting particular criteria. This feature was especially useful while treating patients from a subway derailment and a gas main explosion that left many injured, Chatani says. Case managers also use this feature to coordinate care for patients going to nursing homes.
- The ED continues to use various platforms, including a “track board” for patients with pending radiology studies. Nurse practitioners in the ED use this technology to monitor geriatric patients at risk of falling or becoming delirious.
Mount Sinai also is using telemedicine in pilot programs to cut hospitalizations and hospital stays. The system also is tapping into an app from its AppLab that help physicians keep a “finger on the pulse” of each patient suffering from inflammatory bowel disease, and to help deal with the psychosocial symptoms tied to the patients’ quality of life.
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