Thailand’s first int’l private hospital goes ‘all the way’ with EMR

BNH Hospital, the first worldwide private hospital in Thailand, has absolutely gone paperless following its implementation of an built-in HIS and EMR system.

Based by King Rama V 127 years in the past as a contemporary hospital for overseas expatriates, BNH now gives tertiary-level care identified for its Backbone Middle and Mom and Youngster care.

25-year journey

It was solely over 20 years in the past the hospital started utilizing digital information, BNH assistant director Dr Apichai Chaiyaroj informed Healthcare IT Information. When it opened a contemporary constructing in 1999, it adopted MedTrak to document knowledge in funds and laboratories whereas all different medical information remained on paper. 

Then round 2011, it ran the Well being Object program which had most medical doctors do outpatient analysis entry and drugs orders for nearly a decade. It was in 2016 when BNH began encouraging medical doctors to enter medical information into the HIS.

A yr later, the medical documentation software Quippe by Medicomp Programs was applied. The BNH IT and medical information groups retrofitted the software to the wants of the medical doctors and nurses. “From 2016 to 2019, we had pushed all nurses’ outpatient information and about 70% of medical doctors’ outpatient information to be entered in Quippe. As for inpatient information, we solely had 20%-30% of medical doctors’ information on the system, whereas most of the nursing information had been on it,” shared Dr Chaiyaroj.  

Going all the manner

Ultimately, the HIS reached its peak and “couldn’t develop additional.” Provided that, and the new coverage of the hospital group it’s underneath, BNH determined to transition to a unique system. 

“The intention was to go all the manner with an EMR. We initially centered on our foremost customers, and obtained key medical doctors on board to make it most fitted for our tradition,” mentioned Dr Chaiyaroj, who led the EMR change administration program with heart specialist Dr Natthinee Mattanapojanat and informatics nurse Sareeyanan Sasiyabhand. They labored with InterSystems and IT marketing consultant Lansing to arrange for this transition. 

Following the preliminary implementation of the new EMR system (it adopted InterSystems TrakCare), BNH noticed 100% clinician adoption – as in comparison with the 70% adoption price of the earlier system.

“The end result was satisfactorily rewarding. As soon as we went dwell, all medical doctors tried and ultimately used the new TrakCare for each inpatient and outpatient information,” Dr Chaiyaroj famous.

In addition to document preserving, BNH can now additionally analyse imaging knowledge for lung most cancers and coronary heart illness screenings.

In response to InterSystems, BNH makes use of the newest native model of TrakCare with no customisations, permitting it to innovate extra simply. 

“We’re trying ahead to utilizing extra structured knowledge for additional use. With the present AI availability, I imagine we will go even additional,” the assistant hospital director mentioned. The hospital additionally appears to develop closed-loop remedy administration, combine cell gadgets, and discover knowledge analytics. 

THE LARGER TREND

BNH’s adoption of TrakCare additionally comes as different hospitals in the Samitivej Hospital Group, which it is part of, have deployed the built-in HIS and EMR system to standardise knowledge administration. Samitivej Hospitals is a part of Bangkok Dusit Medical Providers, the largest private hospital operator in Thailand. 

Different private hospitals in Thailand have digitised hospital and medical document preserving in recent times. Final yr, Bangkok Hospital ditched the paper and guide administration of affected person circulate for AI-powered self-service kiosks, whereas its check-up division additionally transitioned to a digital system.

In the identical yr, Princ Hospital Suvarnabhumi, a part of Precept Healthcare Group, was validated for the highest stage of the HIMSS Digital Medical File Adoption Mannequin, demonstrating superior EMR functionality. 

Siriraj Piyamaharajkarun Hospital launched late final yr an AI-driven pathology info system, that includes good types and speech-to-text AI that simplify knowledge entry. 

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Dr Chaiyaroj’s responses have been edited for accuracy’s sake.