Electronic patient record (ePR) and real-time vital signs monitoring for efficient patient care.

Ortivus MobiMed Screendump

Ortivus MobiMed is a comprehensive software for ePR and real-time monitoring of vital signs. It is packed with features and functions that facilitate better, safer and more efficient patient care.

In the case of acute illness, such as myocardial infarction or stroke, it is necessary to have a quick and correct diagnosis and to start an individually adapted treatment. The sooner the right treatment starts, the better the outcome – “time is muscle.”

MobiMed makes it possible for the paramedics to reduce the time for diagnosis and start of treatment in those critical situations, improving the safety and quality of patient care, and overall patient experience.

MobiMed also benefits the ambulance staff and allows them to manage documentation efficiently and to monitor vital signs. However, above all MobiMed introduces a structured approach, decision-making support, pre-hospital care chains and triage that can be easily adapted to the needs of the operations, making sure that the entire chain of care resources get utilized most efficiently.

Right care at the right time

The implementation of MobiMed helps save lives and provides significant benefits for the entire continuum of care, from the ambulance to the hospital. It allows the patient to receive the right care at the right time, which is essential both for the individual patient but also to ensure that the entire chain of care resources get utilized most efficiently. MobiMed helps document clinical and quality indicators and helps to secure better medical outcomes as well as improved efficiency throughout the pre-hospital healthcare system.

Electronic Patient Records (ePR) with real-time monitoring of vital signs

The core functionality of MobiMed is real-time monitoring of vital signs and electronic patient records (ePR).

The Electronic Patient Record (ePR) provides paramedics with a structured workflow and support that enhances the clinical decision-making process and reduces time spent on administrative tasks. The ePR, together with vital signs monitoring and the ability to remotely consult with hospital teams before arrival, ensures that the patients get the right care, at the right time, in the right place.

Electronic Patient Records (ePR)

The Electronic Patient Record (ePR) is highly configurable and uses a structured model of examination and assessment. It captures clinical interventions and incorporates validated assessment tools, which enhances the clinical decision-making process.

Clinical decisions based on current general medical-standard’s guidelines can be made immediately in the ambulance. The decision support ensures that the patient is transported directly from the scene of the accident to the right level and place of care. Through a user-friendly interface, the ambulance staff can utilize all combined clinical competence and securely document the treatment in MobiMed. All necessary patient information can be transferred automatically upon handover from the ambulance to the hospital.

Structured and intuitive patient documentation

The documentation is intuitive and follows international standards for work processes in ambulances, for example, according to PHTLS and AMLS. It has a user-friendly interface based on multiple choice questions and integrated decision support instead of open answer alternatives, resulting in increased efficiency and patient safety.

Paramedics can use the ePR to support the clinical assessment and ensure that patients are sent to the most appropriate level of care.

Captured patient data can be transmitted in a controlled manner in the form of highly configurable and dynamic output forms. TIA Clinic Referrals, Safeguarding Referrals, Falls Referrals, and other clinical outputs can be created and auto-populated from data already entered, which further enhances patient experience and the patient outcome. The forms can also be emailed to the GP of the patient.

MobiMed adheres to the Information Governance (IG) requirements, ensuring the appropriate use of patient data and personal information.

Automatic entry of vital parameters

One of the significant advantages of the MobiMed patient record is that the patient’s ongoing monitoring in MobiMed is always readily available in the same interface as the patient record. The Vital parameters are also automatically added as the basis for triage, calculation of NEWS / MEWS, for example.

Triage

MobiMed’s triage module supports the triage of both adults and children. Limits for vital parameters as well as available Emergency symptoms and signs are automatically adjusted depending on the age of the patient. The triage color is automatically calculated based on vital parameters.

Patient Pathways / Resource management

Hospital-specific pathways can easily be added to the patient record for quicker and more efficient transportation. The ambulance staff is guided through questions that are dynamically adapted based on given answers, which leads to a conclusion and a decision where to convey the patient. The receiving unit can be alerted and prepare before the arrival of the patient.

Pathways support various processes that the hospital may have, for example, geriatric patient tracks, stroke tracks, PCI tracks, hip tracks, leave home, or patient not provided.

Features of MobiMed’s ePR

  • Access to aggregated information concerning the patient as in Summary Care Record (SCR)
  • NEWS / MEWS automatic calculation based on vital parameters
  • Vital signs can be automatically transmitted from the monitor to the ePR
  • Configure and adapt to many clinical standards, such as JRCALC, SNOMED, to mention a few
  • Drug module that proposes dosing and warns at wrong doses
  • Based on the patient’s chief complaint, the system proposes medical measures, and care processes
  • Personal data lookup against Personal Demographics Service (PDS)
  • Dynamic reports for Hospital and General Practitioner output form.
  • Smart-card login
  • Camera- take images and incorporate them into the ePR and reports

The video above gives you a short overview of the ePR.

Real-Time Monitoring of Vital Parameters

The monitoring in MobiMed provides paramedics and receiving units at the hospital with the information they need to determine a patient’s status, by delivering a secure, accurate, real-time view of the patient’s vital signs; ECG up to 12 channels, SpO2, NiBP, EtCO2 and Respiration.

MobiMed includes trend monitoring of ST-values and advanced arrhythmia analysis in ECG monitoring.

Monitor vital signs, regardless of location

MobiMed includes clinical workstations at the hospitals, where hospital clinicians get an accurate, real-time view of the patients’ status before their arrival. It also incorporates an instant messaging functionality to allow for rapid review of ECG and to support communication between the hospital and pre-hospital clinicians.

Integrates with external monitoring devices

MobiMed can be used with several external monitoring devices:

Ortivus M531 Portable Measuring Unit

Realtime Measuring Units

MobiMed is compatible with several external monitoring devices. Above you see the Ortivus M531 measuring unit.

12-lead ECG waveforms are automatically and wirelessly transmitted from the monitor to the ePR in MobiMed. Vital parameters like NIBP, pulse rate, respiratory rate, SpO2, EtCO2 can also be transmitted to MobiMed.

The extent of data/category transfer and the appearance on the ePR pages is adapted to client-specific requirements.

What Makes MobiMed Unique

Up and running in weeks

MobiMed gets you up and running in weeks, not months. It is highly configurable and flexible in terms of scope of installation, orientation, and interaction with other systems and applications. Choose which parts of MobiMed to use, build it as large or little as needed and implement your pre-hospital pathways & fast-tracks, checklists, guidelines, and more.

Support and Delivery

Ortivus has experience and knowledge in managing different business models based on customer requirements and demands, from licensing agreements to Managed Service where MobiMed is supplied as a complete service offering.

Future-proof platform

MobiMed uses the latest programming languages and tools (C#/.Net, WPF, WCF, XML, SQL) in combination with standard components, which provides a very efficient and secure development both today and for tomorrow.

Easy integration

MobiMed connects to NHS Spine services such as the Summary Care Record (SCR) and the Personal Demographics Service (PDS). 

Partly because of the integration module, MobiMed is easy to configure and customize and can be integrated with most systems, from vehicle computers and defibrillators in the ambulance to emergency rooms, medical records, and information systems in hospitals.

This enables a cohesive flow of information from the ambulance and into the hospital, resulting in greater efficiency and patient safety.

Secure communication

  • Supports a range of IP-based communication and carriers, such as 4G, 3G, GPRS, TETRA and Satellite

  • Optimized for inadequate coverage and low bandwidths, information is saved locally on the computer if the communication is interrupted and is sent when the connection is restored

  • Encrypted transmission of patient data preventing unauthorized access and preventing data from being corrupted
  • Adherent to Information Governance (IG) requirements, ensuring the appropriate use of patient data and personal information.
  • Full traceability of patient data and events

Audits and Performance Indicators

All ambulance organizations are subject to independent audits. The audits of the Ambulance Services and the scope of its work covers not only the audit of financial statements but also value for money and conduct of public business.

In MobiMed, data is optionally stored in a Data Warehouse, accessible for statistical follow-up and to monitor performance against Key Performance Indicators, helping ambulance organizations making sure that patient care is delivered to the highest standard.

National Frameworks Agreements

Ortivus products and services can be procured via several of the UK’s national frameworks agreements.

Robust and stable system

The installed base of MobiMed solutions is probably one of the most extensive electronic patient record in the world, handling over 140 000 monthly incidents globally.

Summary Care Records – Easy Access to Critical Clinical Information

South Central Ambulance Service NHS Foundation Trust is the first ambulance trust in England to use SCR, giving their staff fast and secure electronic access to essential clinical patient information at the scene.

Access to a Summary Care Record in a pre-hospital setting makes it easier for crews to get reliable information about a patient’s medication, allergies, and other relevant information. It gives the clinicians an increased ability/effectiveness to make informed decisions and increased efficiency in delivering appropriate care to patients. There are currently fifty-two million SCRs in existence.

Ambulance crews are also able to use the Personal Demographic Service, PDS, on MobiMed to identify the doctor of a patient, and if necessary, with appropriate consent, contact the doctor to get information about the patient’s condition.

The SCR in MobiMed has been implemented so that staff smoothly and efficiently can access the SCR without it interfering with patient care. An SCR check is automatically being done on every patient based on their NHS number; the crew is informed whether the patient has an SCR or not and can access it by logging in with a Smart card (subject to consent).

Improving safety, efficiency and the effectiveness of patient care

The possibility for ambulance crews to access vital patient information on SCR at an early stage, via MobiMed ePR on a mobile device, means they are better positioned to ensure patient care of the highest quality is provided when in urgent pre-hospital situations every second counts. The information in the SCR can contribute to the decision-making process, helping to determine the correct course of treatment and guide to an appropriate treatment pathway.

Clinicians in ED have reported that the use of the SCR in ED departments improves safety, efficiency, and the effectiveness of patient care and has a positive impact on the patient experience. The same can be expected for pre-hospital use of the SCR.

Screenshop of Ortivus MobiMed

Screenshot of MobiMed

An example of the clean and intuitive user interface of Ortivus MobiMed.

Related Products and Accessories

Ortivus MobiMed has been designed to integrate seamlessly with several third party vendors and with Ortivus products.

Ortivus M531 Portable Measuring Unit

Ortivus M531 Measuring Unit

Ortivus M531 is a lightweight, portable measuring unit for vital signs that seamlessly integrates with the Ortivus MobiMed software. It is designed to work in rough conditions such as an emergency site or in an ambulance.

Ortivus PM1-1 Patient Monitor

Ortivus PM1-1 Patient Unit

Ortivus PM1-1 patient unit fits nicely into the CS-1 Carrying System.

Ortivus PG1-1 Patient Monitor

Ortivus PG1-1 Patient Unit

The Ortivus PG1-1 is a patient unit, and compared to the PM1-1 it is slightly bigger but also more powerful.

More Information

For more information about the Ortivus MobiMed software, please contact us.

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