The odd posting on this list has dwelt on the subject of workflow management but certainly this is an area that is overlooked as it may be more mundane that the holy grail of the medical record.
A team I worked with at DEC in '96 used an object oriented content management framework with multimedia workflow capability to develop the kind of application you describe in less than two weeks for a community health network pilot. It had access security determined by role, time of day, location etc. Care paths were developed using a graphical interface and progress was monitored via a full audit trail and changes in the graphical representation of the workflow. We could also program alarms based on user set criteria and interface with beepers, faxes etc. The tool we used was called LinkWorks...don't what happened to it after the Compaq then HP acquisitions...it ran on Unix and MSwindows and could use most of the robust commercial databases that were around then as the data store. I think I still have a video we took of the prototype somehwhere. There is an interesting open source project called openflow http://www.openflow.it/ which looks like it will be a good platform as it allows dynamic rerouting etc. Joseph On Tue, 2002-12-24 at 12:46, david derauf wrote: > I could hardly care about my progress notes (my malpractice insurer may feel >somewhat differently). > What matters to me and what so little effort seems devoted to in thinking this >process through is the monitoring and closing of feedback loops electronically: ie I >send Mrs Jones for a mammogram: does she go? Is the result normal? Does it require a >follow -up? Has she been notified? > > Well, Happy Holidays To ALL here! > David Derauf > -- +=======================================================+ | Joseph Dal Molin | E-mail: [EMAIL PROTECTED] | | President | Web: http://www.e-cology.ca | | e-cology Corporation | Phone: 1.416.232.1206 | +=======================================================+
