Care Order Management System™ and Agent 9-1-1™

A fifth RAHN™ app is the Care Order Management System™ (COMS™), which is a component of the Agent 9-1-1™ software system.

Care Order Management System™

COMS™ is an extension of the CarePathWays Plus™ (CPW+™) software program (see tab to left). This patent pending application combines the CPW+’s clinical pathways functions with alerting and resource management functions. The result is a multifaceted software tool that promotes care quality in two ways:

  1. It helps establish and monitor plan of care implementation and alerts clinicians when orders are not carried out in a timely manner, thereby enabling adjustments to be made in the care plan to avoid adverse events. 
  2. It enables the efficient allocation of time and hospital resources--including staff, facility and space--by helping assure plans of care are carried out as ordered with minimal disruption. It tracks each procedure for every patient, computes resource requirements against current capacities, and provides staff real-time information needed to accommodate all plan of care orders in a timely manner.

When COMS determines that care is not being delivered according to the preferred practice guidelines--thereby putting a patient at risk--it triggers a process by which clinicians working with the patient are notified in a timely manner about the situation, and given the information they need to rectify the problem.

Agent 9-1-1™

COMS can be used in large-scale emergencies (such as pandemics, natural disasters, and terrorist attacks) by working in conjunction with first responder software tools found in the Agent 9-1-1. This combined software system:

  • Delivers real-time decision support for rescue & transport of victims, and for critical care of patients 
  • Helps first responders and other emergency personnel manage dangers 
  • Facilitates coordination of command and control 
  • Provides a survivable communication network.

Managing Dangers

AGENT 9-1-1 helps manage dangers, including:

  • Threats to 1st responder units as they attempt to locate and extract victims from buildings, etc.
  • Threats to public health and safety from hazardous materials or a building that has been reconstructed without 1st responder awareness of changed building structures and/or stored materials. 
  • Threats to victims in jeopardy of not being located in a timely manner,
    not be extracted safely, and not being transported to appropriate trauma centers. 
  • Threats to patients (hospitalized victims) from inadequate resources and other problems with plan of care delivery. 
  • Threats to care quality by failure to gain evidence-based knowledge and use it effectively.

Assisting Personnel

Agent 9-1-1 assists 1st responder units and critical care personnel prepare for and deal with chaotic emergency environments by:

  • Streamlining building intelligence gathering. 
  • Supporting 1st responders in the search & rescue process. 
  • Enabling timely and stable communication between 1st responders and critical care providers about victims’ conditions, from first encounter
    through transport to the nearest equipped trauma center. 
  • Facilitating the establishment, delivery and evaluation of plans of care, as well as managing facility resources (including staff, beds, equipment and materials).