The Medsphere OpenVista® Clinical Information System (CIS) is a suite of applications and modules enabling the safe and efficient delivery of patient care. The CIS electronic medical record (EMR) enables the entire healthcare team to access and update pertinent patient information any time and any where throughout the healthcare enterprise. Fully integrated with all OpenVista products, CIS automates workflow processes and brings clinical information traditionally partitioned in paper records to a single point of access.

• Improved Patient Care. Decreased variance and automated care delivery processes enhance workflow, creating more time with patients and limiting error-causing scenarios.
  
• Enhanced Communications. Electronic documentation and information exchange allow more efficient communication and create an audit of all clinical activity at the point of care, and
  enables internationalization and language translation (For example; Spanish, French, German, etc…).

• Increased Efficiency. A single repository for clinical information based on an integrated architecture provides real-time access to information, eliminating redundant documentation and many manual tasks.
  
• Quality Improvement. Technological support for best-practices enhances the ability of facilities to comply with performance measures and other health-promotion and disease‑prevention guidelines.
  
• Reduced Costs. Facilities save time and money by curtailing medical errors, eliminating duplicate tests and procedures, automating clinical processes, and limiting the use of paper.

The OpenVista Clinical Information System features the following modules:

The Patient Summary

• Provides a snapshot of the overall clinical state of a patient, including updates to the patient’s current and historic cross encounter condition

Clinical Alerts and Reminders

• Alerts providers of clinical findings, including abnormal/critical laboratory tests, completed consults, expiring orders, unsigned charts, and other communications that require provider attention. Providers can sign orders, remove viewed items, or defer action until later.
  
• Provides comprehensive health maintenance reminders to assist with disease management protocols
  
• Provides tools for the creation of point-and-click reminder dialogs that conform to clinical guidelines
  
• Provides robust reporting on performance measures

Consults Tracking

• Enables users to track consults, enter new consults, enter results, and generate reports for existing consult requests
  
• Allows consults to be created as Quick Orders, streamlining the ordering process
  
• Produces a permanent record of requests and resolutions for the patient medical record
  
• Allows all relevant parties to see consult reports in the context of patient integrated notes
  
• Allows use of Clinical Documentation templates and boilerplate templates to report findings
  
• Provides clinicians and patients with access to consult data

Clinical Documentation

• Includes a Patient Summary designed to provide an overview, or dashboard, of all pertinent clinical patient information: problems, allergies, medications, lab results, vitals, and clinical reminders
  
• Permits import of documents using different data capture methods: transcription, direct entry, scanning, or upload of ASCII-formatted documents such as surgical records/notes
  
• Allows users to enter, edit, and sign documents; add addenda; and browse documents
  
• Includes robust templating utilities for creating point-and-click, component-based, standardized notes that are easy to assemble and use
• Embedded spell checking with custom dictionary functionality and Internationalization/Localization support.
• Integrates previously documented information into progress notes related to vital signs, problems, and medications
  
• Coordinates the process of care through interdisciplinary notes comprising multiple clinician comments
  
• Conforms with HL7 interface and other communication standards

Computerized Provider Order Entry (CPOE)

• Provides an ordering process that improves patient safety by incorporating informative clinical alerts: out‑of-range lab values, duplicate orders, maximum order frequency, allergies, potential negative drug interactions, other potential conflicts
  
• Offers patient safety and time-saving functions such as quick orders and disease or service-specific order sets
  
• Provides workflow functions such as the ability to place preadmission, discharge, and transfer orders for a future date and time
  
• Allows electronic signature for multiple simultaneous orders

Orders Communication/Results Reporting

• Minimizes administrative workload by enabling users to enter, edit, and route clinical information inquiries
  
• Enables the creation of interdisciplinary order sets and lists customized by provider, location, and order status with an audit trail
  
• Provides a graphical results display for vital signs, lab results, pain scores and other physiological measurements.
  
• Conforms with HL7 interface standards

Intake/Output & Vital Signs

• Allows users to electronically document all patient intake and output
  
• Supports documentation of IV intake via single or multi-lumen catheters; contains the multiple protocols associated with intravenous therapy
  

• Allows for inputting, editing, viewing, graphing, and printing various types of measurements: temperature, pulse, respiration, height, weight, central venous pressure (CVP), circumference/girth, pain levels, oxygen saturation
  
• Accommodates vitals measurements qualifiers, including position (e.g., blood pressure sitting, standing, and lying) and text modifiers providing detail
  
• Incorporates abnormal patient values into vitals measurement reports

• Incorporates pediatric growth charts

Clinical Image Viewer

• Captures, stores, and displays images created by digital input devices, including video cameras, digital cameras, document and color scanners, X-ray scanners, and DICOM-compliant devices like CT scanners, MR scanners, and digital x-ray machines
  
• Displays images through OpenVista Imaging or CIS, allowing clinicians to automatically view images associated with procedures, exam reports, or progress notes