Manage Complexity with Miya
The Miya Platform assists inpatient units to automate workflows, manage clinical risk and deal with the many tasks of caring for increasingly complex patients. The Miya Clinical Dashboard can be customised for each unit to display and quickly access the key information for their specific types of patients at every stage of their journey. For example, an Orthopaedic Unit may want to alert if a patient is not mobile post-operatively, where a Rheumatology Unit may set alerts for low white cell counts.
Units can use Smart Forms to implement complex assessment forms with branching logic and scoring. The resulting data from Forms is incorporated into the health record and can generate automatic notifications for other members of the care team and an update of the patient’s pathway status: Less paging and more time to focus on patient care. The Miya platform also supports tasks that are monitored by the decision support engine, and handover notes to ensure that important jobs don’t fall through the cracks when the Unit is busy.
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.
Electronic Health Record
The Miya EHR is a modern, scalable and accessible platform for storing clinical data no matter from where it is generated. Alcidion has experience in integrating multiple data types into the Miya EHR from different vendors. The Miya EHR is a flexible data store that can be accessed from the Miya Clinical Dashboard, web pages, and mobile devices. It’s your data, you should be able to access it securely in any way that improves patient care.
In contrast to other clinical data stores on the market that simply aggregate data, the Miya EHR is designed for integration with decision support and its specific needs. Any structured data in the Miya EHR can drive decision support to monitor for unhandled risk, assess patient progress, automate tasks and alert clinical staff before preventable patient harm occurs.
Innovation
Health IT is traditionally regarded as inflexible and difficult to implement. Miya has been built with the understanding that health care practice and knowledge will evolve. Miya is designed to be flexible and comply with open standards. Your organisation can add clinical exams, assessment forms, alerts, notifications easily.
Miya is a platform for innovation.
Features for Inpatient Units
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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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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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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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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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.
Patient Outcomes
Miya Patient Outcomes monitors outcome indicators, observations, lab results and assessment scores and displays them so clinic staff can quickly see how a patient is progressing. Units can set thresholds for alerts or notifications to parts of the clinical team to monitor key outcomes and automate workflows. For example, if a patient on a high risk medication that develops signs of renal impairment then this is displayed on the Clinical Dashboard, and can generate notification to the unit pharmacist to review medications.
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.
Pathways
Miya’s pathway system tracks patients at each stage of a designated pathway, and can automate tasks at each step, such as generating reminder checklists and order sets. Lab results and clinical data entry can automatically trigger the next step in pathways. Miya will also track if patients are no longer on a pathway so you can track the number of pathway appointments and ad-hoc appointments.
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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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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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.
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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Portal
Get risk rated information, notifications, tasks and results from web browsers and mobile devices inside and outside the hospital. Miya Portal uses the latest web technologies to create a highly visual and responsive experience for modern web browsers and mobile devices. (Coming soon)
