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National Health Data Systems, Inc.
National Health Data Systems, Inc.

Continuity of Care Document-Plus™

A third RAHN™ app is the Continuity of Care Document-Plus™ (CCD+™). It's a continuity of care document with advanced decision-support capabilities, which helps improve care by fostering information sharing and care coordination between primary care physicians and specialists working with the same patient.

In addition to managing essential patient data, CCD+ adds two important functions missing from all other continuity of care documents. These added functions:
  • Identify associations between lab results, signs/symptoms, and medication side effects to help clinicians determine if prescribed drugs are having an adverse effect on a patient
  • Display many lab test panels and imaging studies in a unique (patented) manner that is the most clinically useful way to understand a patient's health problems, risks, and trends.


CarePathWays Plus™ (CPW+™)

A fourth RAHN™ app is CarePathWays Plus™. It is an advanced clinical pathway tool.

In clinical pathways, a patient's healthcare events--such as treatments, consultations, medications, diet, assessments, teaching, and preparing for discharge--are mapped on a timeline and inform clinicians about what to do and when to do it. CPW+ takes clinical pathways to the next level by:
  • Using expert systems to help determine an initial diagnosis and treatment regimen, provide daily assessments of the patient's condition, and make subsequent adjustments to the regimen as necessary
  • Collecting and analyzing outcome data, including patients' clinical condition at discharge/termination, length of stays, expenditures, unplanned readmission rates, and satisfaction levels
  • Tracking compliance with, and noncompliance (variance) from, recommended pathway processes (protocols) and identifies why each process variance occurred (e.g., as a result of patient, provider, internal system, and/or external system factors)
  • Showing how the variance relates to outcome measures; that is, how deviations from the pathway affect patients' health, functionality, length of stay, expenditures, readmission rates, and satisfaction levels
  • Specifying the nature of variance, including whether each variant process was done late, early, or not at all, or if new processes were added to the pathway at time of care.

With this information, it can determined if compliance with a particular pathway results in positive outcomes with particular patients and, if it doesn't, how the pathway may best be modified (e.g., it may show that when medication X is administered to patients with diagnosis Y earlier in the pathway than originally recommended, the outcomes are significantly better). This information also identifies why particular pathways are not followed precisely, so that action can be taken to enhance compliance to pathways bringing about positive outcomes.

Note that CPW+ can use any clinical pathways/guidelines, rules, analytic processes, and logic for any health problems/conditions.

The current application uses a pathway designed by a team of physicians for diagnosing and treating acute myocardial ischemia. And the variance analysis content was developed in conjunction with Harborview Medical Center, University of Washington.


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