Best of Breed ICU/CCU EMR systems

[ORISpilot]

Just starting to do a search for some of the best of breed (bob) EMR systems on the market today for cardiac care and ICU environments.

Suggestions anyone?

Thanks for any feedback.

[HITman]

Just starting to do a search for some of the best of breed (bob) EMR systems on the market today for cardiac care and ICU environments.

Suggestions anyone?

Thanks for any feedback.

I don't understand why you would want an EMR specific to CCU and ICU. If you are going to implement an EMR, why not look for one that is capable of meeting the needs of the entire organization? A good EMR is going to allow for department specific flowsheets, eMAR, etc.

[Javaturtle]

Okay, bob or enterprise has been the question of the decade...here is the deal. There are several areas of care that can not afford to have clinical content compromised for ease of functionality and and true "enterprise integration" with HIS. These areas of critical care are perinatal, ICU, NICU, Perioperative, and Anesthesia. These areas of care ... when you are under the knife ... in labor ... have a one pound baby to nurture, or have been in a horrible accident...have little if not NO margin for error and a truely robust clinical application must be used with a BOB focus. Does that make sense?

In addition, Patient monitor interfacing, extremely customized and flexible workflows demand the BOB product...NO HIS comes even close at this point in time. Instead of a truely "integrated HIS" product...you get a BOB product which, if it is BOB and the HIS cooperates, can be interfaced bi directionally to the HIS. As i stated prior these areas of care leave no margin.

GE makes an excellent L / D product that can also be used in NICU and ICU. Inbound and Outbound interfaces work well as well as l/d and phys. monitor interfaces /device capture and it's a #1 Klass product. There are several excellent periop/anesthesia products on the market. Does that make your decision easy? All of the HIS type products that i have dealt with in this area have promised development in these areas for years...the fact is they are more focused on keeping doctors and it people happy and being a "technically effective" scalable application than being a truely "clinically effective" application that shows ROI from a patient outcomes perspective, as well as from a litigation standpoint.

I have given up on the HIS in these areas. Each HIS has its own story about why the content for these products "is coming" and we have been waiting for years with seemingly no progress.

ciao,
java

[Art_Vandelay]

I will exclude the NICU and OB areas because you didn't ask for these.

ICU:
* Clinicomp
* Picis
* iMDSoft
* Philips (old HP CareVue) - still around?
* GE Centricity Clinisoft

Cardiac:
* GE
* Philips
* AGFA HeartLab
* Lumedx
* Emageon (Vericis)
* Siemens Soarian Cardiology
* Goodroe (cath only from my memory)
* 10Fold used to have a system??????
* McKesson Horizon Cardiology
* OptiMed (PACS)
* SciImage (PACS)
* CVS (PACS)
* MedInfo (unique system that was really a build your own documentation system - still in business???????)

I think the Cardiac area is differentiated by those that are documentation centric as opposed to being image management (PACS) centric. The documentation-centric products usually differ in the pedigree - that is, the product started with catheterization or the diagnostics.

Good Luck

[InformaticsDoc]

[QUOTE=Javaturtle;118]There are several areas of care that can not afford to have clinical content compromised for ease of functionality and and true "enterprise integration" with HIS. These areas of critical care are perinatal, ICU, NICU, Perioperative, and Anesthesia.

I would add the Emergency Department to your otherwise comprehensive list of high acuity/high intensity areas with specific clinical needs that has been left holding a bag full of empty promises by the enterprise vendors