Methods Inf Med 2003; 42(01): 08-15
DOI: 10.1055/s-0038-1634204
Original article
Schattauer GmbH

Cerner Millennium™: The Innsbruck Experience

G. Lechleitner
1   TILAK, University Hospital Innsbruck, Austria
,
K.-P. Pfeiffer
2   Institute for Biostatistics, University of Innsbruck, Austria
,
I. Wilhelmy
1   TILAK, University Hospital Innsbruck, Austria
,
M. Ball
3   Healthlink Inc., Baltimore, USA
› Institutsangaben
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
07. Februar 2018 (online)

Summary

Objectives: A Clinical Information System, serving more than 2,000 users was to be implemented at three hospitals of TILAK (Tiroler Landeskrankenanstalten GmbH), including the University Hospital of Innsbruck. The system was intended to integrate data from radiology, laboratory, and pathology subsystems with patient data.

Methods: Using Cerner Millennium™ software and Health Level 7 standards, the first stage of an Electronic Patient Record (EPR) was built. Direct data entry was facilitated using either a Microsoft Word text processor (with subsequent authentication workflow) or structured forms. An enterprise-wide scheduling module allows coordination and storage of patient appointments directly in the EPR. As required by security policy, the Cerner software regulates the varying degrees of information exchange among organizations and departments within the enterprise.

Results: First experiences indicate satisfactory acceptance of system functionalities. The introduction of Cerner Millennium at TILAK has achieved essential goals defined at the beginning of the project. Basic functionalities – free text documentation, standardized documentation, scheduling, and some parts of order entry – are offered in a user friendly manner. Integration with existing systems to complete the EPR has been successful using standard interfaces (HL7).

Conclusion: TILAK concluded that it was possible to successfully implement a Clinical Information System (CIS) developed mainly for the American market in a European healthcare environment. Some adaptations and functional extensions were necessary (e.g., the discharge summary “Arztbrief”). The system had enough flexibility to meet the requirements and specifications of European healthcare processes. A key factor of success was the establishment of a basic level of understanding and communication between the software vendor and the TILAK user community.

 
  • References

  • 1 Amatayakul M, Aney E, Hoehn B, Buxbaum J, Newell L, Siwicki B, Cavanaugh FJ, Rishe W, Brown L, Tomes JP. Comprehensive Guide to Electronic Health Records. New York, Faulkner & Grey: 1998
  • 2 Drazen EL, Metzger JB, Ritter JL, Schneider MK. Patient Care Information Systems. New York: Springer Verlag; 1995
  • 3 Shortliffe EH, Perrault LE, Wiederhold G, Fagan LM. Medical Informatics. 1st edn. Addison-Wesley Publishing Company; 1990
  • 4 International Medical Informatics Association. WG 10 on Health Information Systems. www.imia.org.
  • 5 Arbeitsgruppe Klinische Arbeitsplatzsysteme, Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (GMDS), www.gmds.de.
  • 6 Pfeiffer KP. Case mix in Austria: Five years of experience with a new hospital financing system. in: Roger France FH. et al. (Eds.) Case Mix: Global Views, Local Actions IOS Press; Amsterdam: 2001. pp 25-30.
  • 7 Dick RS, Stehen EB, Detmer DE. eds. The Computer Based Patient Record: An Essential Technology for Health Care. rev. edn., National Academy Press; Washington DC: 1997
  • 8 Callegari V, Pfeiffer KP, Lechleitner G. Introduction of a new hospital information system at the Innsbruck University Hospital. in: Medical Informatics Europe. 1999. IOS Press; Amsterdam: pp. 135-9.
  • 9 Cerner Products www.cerner.com/Products.
  • 10 Callegari V, Pfeiffer KP. Planning and introduction of clinical documentation in a university hospital,. in: Medical Informatics Europe 2000. IOS Press; Amsterdam: pp. 870-4.
  • 11 Kuhn KA, Giuse DA. From hospital information systems to health information systems: Problems, challenges, perspectives. Methods Inf Med 2001; 40: 275-87.
  • 12 Committee on Quality of Health Care in America, Crossing the Quality Chasm: A New Health System. for the 21st Century National Academy of Sciences; Washington, DC: 2000. www.nap.cdm/openbook/0309072808.
  • 13 President’s Advisory Commission on Consumer Protection and Quality in the Health Care Industry. Investing in information systems, Chapter 14 in: Building the Capacity to Improve Quality www.hcqualitycommission.gov/final/chap14.html
  • 14 Millennium Health Imperative. Cerner Corp; Kansas City: 2002