Challenges of the ED
Alcidion understands well the challenges of the busy the ED environment.
- High demand and time pressure
- Increasingly complex patients
- Large staff turnover, particularly of junior staff
- Managing patient flow
- Communicating with specialist units, allied health, radiology
- Supervising junior staff
Time is of the essence, and IT that gets in the way will simply frustrate your staff. The Miya ED Suite has been specifically designed to assist EDs achieve high performance by integrating into their workflow, letting them work faster, and supporting continuous improvement.
The Miya ED Suite specifically targets:
- Improving time to critical results
- Reducing or eliminating missed results and critical post-discharge results
- Improving patient flow due to both demand and outflow delays
- Implementing best practice guidelines at the point of care
- Super fast and secure access to IT systems with customised views for clinical staff
- Dramatic reduction in staff time for information access and in time spent monitoring junior staff
Introducing the Miya ED Suite
The Miya ED Suite allows you to pick the right combination of tools to innovate and improve efficiency in your ED. The Miya EDIS incorporates Miya Registration and the Clinical Dashboard for full clinical notes, observations, discharge letters, checklists, guidelines, active monitoring for clinical risk, flow management and workflow automation.
If you already have an ED information system, you can choose the products you need to augment your existing IT investment.
Clinical Dashboard
The Miya Clinical Dashboard is carefully designed to present risk-rated clinical information to staff quickly. The Clinical Dashboard is extensible; it can incorporate lab results, flow KPIs, patient observations, right up to complete clinical documentation for full electronic health records. It integrates with Clinical ID to provide fast log in and customisation.
Miya Registration
Miya Registration supports expects, triage and registration, including checklists for specific presentations and guidelines so treatments can start as soon as possible. Assemble a team and send out notifications alerts for specific problems such as trauma. Miya Registration also tracks each case for data completion and correctness.
Cubicle Editor
Keeping track of where your patients are and their status is made easier with the Miya Cubicle Editor. Drag and drop patient icons to change bed allocations, track when patients are out of the department, and monitor which beds are ready at a glance.
More Features in the Miya ED Suite
Clinical Notes
Miya supports both structured notes entry with templates and free text. Custom templates can be activated for specific presenting complaints, pathways, or diagnoses (e.g. trauma). The Miya platform stores notes using standardised terms and generated free text notes automatically. Decision support can be integrated to recommend treatments and automate orders.
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Flow Management
Miya Flow Tracker tracks patient flow through the department. Each patient is monitored for time to treatment and length of stay. Each delay is monitored so you can quickly see reasons for delays. Miya Flow Tracking can send alerts automatically to the appropriate unit or individual to mitigate flow problems.
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Results Tracking
Manually checking that every significant result is seen for your patients in time consuming and often impractical. Configure Miya Results Tracker to monitor important lab results and radiology. Results that are missed while the patient is in the department, or those returned post-discharge home are tracked and managed quickly. A full audit trail is maintained, and workflow automation provided for letter generation and notifying GPs or risk managers.
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Discharge Letters
Miya’s Discharge Summary system outputs customised letters, patient information sheets and follow up instructions. Condition-specific checklists can be incorporated to ensure clinical staff comply with best practice and don’t forget important discharge steps. Transport notifications can also be automatically generated.
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Clinical ID
The goal of Clinical ID is to present clinical staff with the information they want in under 1 second of walking up to the computer. Clinical ID allows clinical staff to log in to Miya with a simple swipe of a card, or using any other biometric or token technology. Clinical ID integrates with organisational directory services to authenticate users, and then allows them to access Miya using RFID cards, for example. Higher level security can be placed over specific activities, such as medication ordering.
Smart Forms
Alcidion’s Smart Forms technology drives Miya Checklists and Guidelines. These interactive forms support numerous question types and sophisticated branching logic. Use Smart Forms to implement national or local best practice guidance at the point of care, health assessments, and reminder checklists. The system is designed to be fast to use, has a full audit trail, generates clinical documentation and can automate tasks such as ordering. Checklists and guidelines can be implemented at triage, registration, diagnosis, discharge, or in response to clinical conditions.
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Order Entry & Sets
Miya’s QuickPicks allow you to configure the most common orders for fast access. To control ordering behaviour and costs restricted orders are clearly visible can be configured to require senior clinician approval — quickly using Clinical ID. Orders can be printed or sent electronically with full tracking of the order lifecycle. Order sets can be configured and recommended by condition or other patient factors.
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Notifications
Messages to allied health, referrals and any other member of the care or hospital team are sent via Miya and tracked for follow up. Reminders can be escalated to ensure patient flow is not compromised. Workflow steps can be configured for each type of notification, e.g. radiology order status, transport, cleaning.
Handover
Miya Clinical Handover allows the clinical team to keep track of risks and notes for handover. Transferring over all your patients to other staff is managed efficiently using a handover view on the Clinical Dashboard.
Medication Management
Miya Medications integrates with MIMS interaction checking and customised business rules to manage safe prescribing. Common formulary items are accessed via QuickPick shortcuts, and administration tasks are generated automatically for nursing staff. You can view medication orders on a standard medication chart, or a task-oriented display with full administration recording capabilities.
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Observations
Miya can incorporate multiple types of observations and present them in an intuitive way so clinical staff can detect trends quickly. Like all data in Miya, observations can be risk-rated and notifications sent if thresholds are breached. Key observations can be displayed on the main Clinical Dashboard if required.
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Referrals
Clinical referrals to other units and allied health will be sent to the appropriate staff based on their preferred communication method (SMS, page, other). Miya Referrals tracks the waiting time before the units respond, and when they see the patients if they use Clinical ID. Automatic escalations can remind units of delays that effect patient flow, or if the number of patients waiting exceeds thresholds.
Task Management
In the busy ED environment it’s easy for jobs to slip. To reduce the strain on memory Miya Task Management is a distributed to-do list with reminders, escalation and automatic completion. For example, checking a result on Miya automatically completes the associated reminder task — you don’t have to manually check tasks off. You can also create tasks for other members of the care team.
Alerts & Decision Support
The Miya Decision Support Engine (DSE) monitors all data flowing through the system and can trigger alerts and notifications. We call this active monitoring. Miya plays an active role in supporting clinical staff. The Miya DSE can be configured to monitor and alert for clinical and organisational risks.
Performance Monitoring
Miya captures KPI performance and risk data in real-time. Measures include occupancy, length of stay, clinical activity and costs. You can add additional metrics as. Managers and clinical heads can get a real-time view of the organisation and respond to changes as they occur, rather than months after the event. As with all parts of the Miya Platform, alerts can be attached to any data or thresholds.
Staff Board
Miya Staff Board is configured with staff scheduled for work, their roles and their preferred communication method. It captures their arrival when they log in with Clinical ID and can be used to automate messaging to staff, with full audit trail of messages sent and responses.
Bedside Dashboard
Miya Bedside is a configuration of the Miya Clinical Dashboard specifically designed for a patient centric view with integration with Clinical ID. When not in use Clinical ID locks out unauthorised users to display health messages. When presented with a RFID card (or other token) Bedside presents the clinical staff with the key information required for that patient in under 1 second.
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