the protocol centric information system

Where Patient Care, Clinical Research

and Enterprise Management Meet

eSphere is a new paradigm for healthcare information systems – a single integrated system designed to create models that describe processes, from the most simple process to the most complex research algorithm. These models become the basis for data collection, monitoring, and analyses of the processes, forecasting resource utilization and determining costs.

Esprit’s unique Care Module™ methodology provides the capability to model processes into hierarchical groupings enabling the ability to create complex and sophisticated structures. The system design incorporates a branching decision tree algorithm with dependencies and conditional decision points that can trigger other processes. With the sequence and timing of all events defined, the system creates a “schedule” for all activities.

The result is a model that is used to collect all data eliminating errors of omission and accounting for unexpected processes. Simply, eSphere “knows” what needs to be done, by whom, where, how, when and why.

eSphere is a new paradigm – one system that can be used to meet all of the needs of physicians and clinicians for patient care, principal investigators for clinical protocol research, as well as for safety, regulatory, and administrative needs.

Hierarchical Display of Process

Modeling Processes

	Describes the entire process, decision tree branches and paths, the sequence and timing of events (i.e. workflow), and the relationships between data elements
	A central repository of clinical elements that are used and re-used in the creation of all of the processes and maintains version control

Data Collection

	Errors of omission are eliminated from the data collection process because eSphere “knows” what should be collected and when
	Incorporates instructions, reminders and warnings into the data entry screens improving patient safety
	Workflow driven data collection improves timeliness and accuracy of care
	Charting by exception capability streamlines charting process while increasing comprehensiveness and quality of patient’s health record

Monitoring

	Provides tools for real-time monitoring of the data collection process and of the documentation of patient care.
	Facilitates quality management checks from remote locations
	Chart status (e.g. Not documented, incomplete) communicated at a glance using color and symbols (circles, check mark, etc).

Data Analysis

	Standard and customized reports draw from patient demographic data, event/encounter data, and clinical data
	Transform data into information with powerful, easy to use wizards for ad-hoc queries, data extraction and export (e.g. XML, Excel, etc)

Information Management

Powerful web based “personal portals” enables clinicians to view the data they want, where and when it is needed.

Comprehensive. Relevant areas of the patient's clinical data presented in the format best suited to each practitioner

Customizable. From content to "look and feel" everything can be designed (and easily updated) to reflect needs.

Web enabled. Web pages generated using Esprit's unique technology for rendering database driven HTML.

Color coded icons provide compliance status at a glance

A New Paradigm

eSphere's new paradigm for healthcare information systems is built on the following core principles and concepts:

Protocol Centric Design

Creates a seamless infrastructure that gives researchers, clinicians and management timely data to successfully complete scientific investigations, empower decision-making and forecast personnel, material and capital needs.

Longitudinal Patient Record

Enables a single longitudinal patient record, encompassed by the research protocol, which integrates all data across current and prior encounters.

Seamless Workflow

Integrates processes across clinical, nonclinical and departmental boundaries for efficient research and care.

Multidimensional

	Emulates the multidimensional and multidisciplinary nature of the healthcare process.
	Researchers, caregivers and administrators require the capability to shape and view a patient’s health information as needed.

Knowledge Based Decision Support

	Provides access to clinical references and resources.
	Incorporates a simple yet powerful If / Then rules engine and outcome dependencies to provide real time decision support on the basis of both clinical data and physician directed decisions.

Data Model

A comprehensive set of linked data dictionaries and metadata that provides a common language for improved communication among all participants in the care process.

Access to Data

Enable real time access to ALL data and export to specialized databases

Applications

Clinical Documentation

	Nursing Documentation
	Multidisciplinary Documentation
	Physician Documentation
	Emergency Department Documentation
	OR Management (including Documentation)
	Special Procedures

Clinical Processes

	Order Entry (Single, Standing Order Sets, Protocol based)
	Results Reporting
	Medication / IV Administration
	Workflow
	Discharge Planning

Education

	Education Program Management
	Patient Handouts

Administrative

	Resource Volume Forecasting and Costing
	Admission process including Patient Consent Forms
	Patient Registration and Encounter Management
	Compliance Checklist
	Employee Evaluations
	Case Management
	Disease State Case Management
	Quality / Outcomes Management

Research

	Clinical Trial Data Management
	Protocol Authoring, Tracking and Monitoring
	Serial Sampling
	Adverse Event Tracking & Reporting
	Cohort Accruals and Tracking against IRB Ceiling
	Simulations for Resource Determination, Sample and Cohort size

Technology

System Platforms

	Scalable SQL Database: Oracle
	Server: Unix, Windows NT, 2000, Citrix
	Client: Windows 98, 2000, NT, MAC
	LAN: TCP/IP, 802.11b
	Web enabled
	HL7 Interfaces

Architecture

	Object Oriented technology
	Three tier design
	Data Warehouse

Security

HIPAA Privacy & Confidentiality

Fully compliant with latest rules

User authentication, automatic logoff

Role & context security access

Audit trail

A PDF version of this eSphere brochure
is available for viewing by clicking on the following link:

eSphere System Overview

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