Historically, healthcare deployed a decentralized care delivery model that was built using disparate systems and equipment that created data and clinical silos. Those data and clinical silos adversely impacted the standardization of care from an enterprise wide perspective. As a result of changes in the healthcare laws, healthcare organizations are transitioning away from the legacy decentralized model to a centralized care delivery model that strives to ensure compliance, reduce costs, improve efficiencies and improve the standardize care which ultimately improves the patient care experience and clinical outcomes.
When considering an Anesthesia Information Management System (AIMS), it’s important to understand the various business and technology models and the impact on successfully executing a centralized care delivery model. There are essentially 4 business and technology models for an Anesthesia Information Management System (AIMS).
The first model is a solution that is a part of the enterprise Electronic Health Record (EHR). This model may make sense if an organization makes the strategic decision to use one (1) EHR for all of its inpatient and outpatient facilities. AIMS within this model are selected often times because of their prepackaged integration and not necessary for their ease of use.
The second model is a solution that is tethered to the anesthesia machines and patient monitors. To achieve the centralize care model using this model, it requires an organization to choose the same hardware (i.e., G.E.) for all its inpatient and outpatient facilities.
The third model is a solution that is tethered the facility’s operating room management system. This model required that facilities deploy their operating room management system in all of their inpatient and outpatient facilities. This model is becoming more problematic because EHR companies offer an operating room management system the fully integrates with the enterprise EHR.
The fourth model is a mobile solution that can be used as an enterprise wide deployable solution. This model is a fully modular solution that is not tethered to an EHR, hardware and/or an operating room management system. Because of the decentralized approach that resulted in disparate equipment and EHRs that are still used in both hospitals and ambulatory surgery centers, to truly provide an enterprise wide solution, a mobile AIMS has to integrate with those disparate systems in both cloud and hybrid cloud environments. Additionally, that integration process has to be centralized in order to reduce costs as well as to standardization.
Selecting an AIMS is becoming more of a strategic decision and not a tactical one. As such, below are some additional goals that should be factored into the strategic decision.
- Ergonomically designed for anesthesia providers.
- Allow providers to focus on their patient.
- An AIMS solution that is designed to create a mobile replicable point of care experience that is NOT tethered to a particular EHR, device and/or workstation.
- An AIMS that facilitates the care team model for anesthesia.
- Seamlessly integrate with the facilities’ and providers’ RCM, QCDR and AQI.
- Leverage advanced analytics to improve decision support thus improving outcomes.
- Allows providers to synchronize their anesthesia and pain management services.
- Ability to provide both consolidated and longitudinal data.