Their EMR solution, called Evolve, allows healthcare workers to have immediate online access to information traditionally held on paper, as well as information sourced from other clinical and non-clinical systems. As Kainos developed their technology requirements, several capabilities were identified. For instance, the technology must enable them to: Extract details of people mapped to clinical disciplines such as a particular doctor’s specialty (for example, Dr. Biggsdale would be mapped to Cardiology.); Create powerful visualization tools that visually cluster concepts and search results, to provide intuitive ways for clinicians to handle returned information; Connect to and index information held in other systems without directly ingesting that information. To meet these challenges, Kainos turned to OpenText for a proven, industry-leading solution.
Digitizing paper-based information
A key area of work for Kainos was the digitization of legacy, paper-based patient case notes. The information was scanned into the Evolve solution and held in an enterprise content repository.
The challenge, however, was finding a way to make the information within the documents clinically useful and easy to find and reference. Yet, the business case for scanning only made sense if the file received minimal physical preparation prior to scanning. Using this approach, Kainos would end up with a large single document containing all the underlying paper for the patient, which the clinician would then have to navigate through. This sorting procedure made it hard to obtain information from such an unstructured document.
After implementing the OpenText solution, Evolve can index the unstructured information and create a list of individual documents held within the larger scanned PDF. For example, a scanned “Legacy Correspondence” document may have 250 pages, but now the new system can analyze and index the content within the document, allowing Evolve to individually itemize the documents held within the set. For example, page 13 is a discharge summary letter for the cardiology specialty of Dr. James Biggsdale. This granularity of listings provides Evolve users the ability to quickly pinpoint and find information.
Evolve is now able to access information from multiple systems, both clinical (e.g., Pathology reports) and non-clinical (e.g., billing, HR, etc.). TeleForm enables digitization of information from paper forms, and OpenText LiquidOffice enables data capture directly from electronic forms.