H2O Medical Records enables healthcare facilities to work in compliance with clinical and organisational appropriateness criteria, considering the principles of Value-based Healthcare. It appropriately manages the entire clinical patient pathway, in all aspects (Diagnosis, Therapy, Care), in line with intensity of care model criteria:
- supports complex medical decisions
- maintains control of clinical and pharmacological data
- enables multi-professional management of the patient
- creates a safe medicine cycle
- facilitates control of resources and consumptions
Thus Health Direction prepares the facility for future changes, making the work of operators faster, safer and better quality, guaranteeing compliance with prevention guidelines, international standards, privacy legislation; with a significant reduction of paper in circulation. It also maintains precise control over all facility aspects (clinical, administrative, logistical, economic) and increases productivity, thus limiting waste.
The latest-generation interfaces and evolved user experiences of H20 Medical Records enable operators to access different interfaces, based on their role and operative unit, which provide a ward overview (navigation dashboard) and single-patient focus too (patient worklists).
Advantages for the doctor: browse information based on the need for a general overview of the ward situation; an integrated overview of the patient’s clinical situation (logs, assessments, tests, etc.) and their general clinical history (previous episodes).
- Dashboard with multi-patient functions
- Patient Worklists
H20 Medical Records is designed to adapt to the organisational and functional needs of each healthcare facility. This is why all clinical, medical care and rehabilitation records are prepared using Dynamic Document technology, for a flexible and dynamic documentation structure.
- the preparation of all kinds of records with the utmost detail on medical specialisation, nursing care and rehabilitation
- document configuration according to discipline and branch of reference
- guarantee of an adaptive and evolving system, based on the needs of wards and outpatient services
- compliance with international guidelines
- guarantee of utmost professional integration (clinical parameters, planning, assessment)
- the management of algorithms relative to certain clinical processes, like pharmacological risk assessment
- memorising of information entered in a clinical repository with the capacity to store data and translate them into clinical notifications, suggested action plans, measurement of outcomes and multi-dimensional statistics
- Dynamic records for each operator role (doctor, nurse, other healthcare professionals)
- Intraoperative dynamic records (nursing assessment, counting of gauzes and, surgical instruments, etc.)
- Dynamic Document Configurer
H2O Medical Records comes with advanced logging features, which enable medical staff to keep an accurate track of all events regarding the patient’s health, as soon as they happen and all in a single visual space. The integrated log is an easy-to-use and intuitive tool, designed for mobile use. The operator engages with a highly responsive and dynamic interface to prepare their log with ease, sharing their own observations and clinical information on the patient with other doctors and operators.
- the author of notes (nurse, doctor, speech therapist, physiotherapist, etc.)
- Changes made to the text
- Implemented corrections
- Chronological filing, in compliance with relative laws and regulations in force
- classification of log notes (notes for transfusions, deliveries, etc.)
- process status of patient referred to in notes (pre-op., etc.)
Advantages for the doctor: the sharing of information with other healthcare operators, without having to repeat or re-write it, thus avoiding mistakes; an integral vision of the patient’s clinical situation and their general clinical history (previous episodes); work with a greater degree of awareness when completing diagnostic-treatment and care plans.
Advantages for the nurse: an integral vision of patient information, cooperation with other operators, recording of information when doing rounds.
- Integrated log (doctor, nurse, healthcare operators)
- Ward log
In this phase, H20 Medical Records provides a series of functionalities that enable the entire healthcare team to run accurate patient assessments along the entire clinical pathway.
Advantages for the doctor: an integral vision of the patient’s clinical situation; predict certain adverse events (reporting of pharmacological interactions…), assess the patient when doing rounds, avoiding errors in successive transcriptions.
- Physical examination anamnesis
- Nursing assessment sheet
- Anaesthesiologist's assessment sheet
- Risk assessment sheets: Interactions, ADR, Naranjo Algorithm, DIPS Algorithm, Braden Scale
Enables the elaboration of all parameters, both from external sources and from special dynamic documents that interface with the system. A clear vision of the patient’s health in just one visit.
Advantages for the doctor: a complete vision of the patient’s health, easy collection of data for statistical and clinical research purposes, monitor any changes over time
- Measurement of parameters
- Measurement of parameters from dynamic documents
- Automatic measurement of parameters from external sources (IoMT, ward columns, anaesthesiological devices, etc.)
Enables the management and planning of all actions to be carried out on the patient, to ensure traceability; a system of notifications informs operators of any actions that have not been implemented.
Advantages for the doctor: plan and trace all actions on patient, provide accurate and correct prescriptions for treatments and medicines
Advantages for the nurse: streamlines procedures and speeds up their work, leaving more time for value activities (patient care); improves efficiency, reducing the risk of omissions and mistakes.
- Prescription of actions for the single patient
- Prescription of actions for the patient linked to clinical parameters
- Prescription of actions for the patient linked to pharmacological parameters
- Planning of actions (periodic, single, standard)
- Final outcomes
Enables patient management in the operating block through functionalities for the counting of materials used in the operating room (gauzes, surgical instruments, …), and for assessing the patient’s condition.
Advantages for the doctor: monitor the patient’s conditions in the most delicate phase, to ensure clinical pathway continuity; share information on health and response to surgery with team.
Advantages for the nurse: Traceability of consumptions in the operating block.
- Nursing assessment sheet
- Gauze count
- Surgical instrument count