Jimmy Mitchel

UK

#22 May 5, 2010
That Centricity Anaesthesia from GE is a great product. As I have understood it is designed especially for Anesthesia documentation. Those guys in GE seems to be genius, since the product is extremely fast and easy to use (I saw it in our local Anesthesia congress). What comes to flexibility it looks like all display layouts can be modified according to our needs because system is built up to ultra modern technology.
Do you know if GE really means General Electric (One of the biggest companies in the world)?
Chris Collins UK

Europe

#23 May 6, 2010
Jimmy Mitchel wrote:
That Centricity Anaesthesia from GE is a great product. As I have understood it is designed especially for Anesthesia documentation. Those guys in GE seems to be genius, since the product is extremely fast and easy to use (I saw it in our local Anesthesia congress). What comes to flexibility it looks like all display layouts can be modified according to our needs because system is built up to ultra modern technology.
Do you know if GE really means General Electric (One of the biggest companies in the world)?
Yes GE is General Electric. I look after sales of Centricity Anaesthesia within the UK. If anyone wants more information please feel free to contact me directly at christopher.collins@med.ge.com .
For people outside of the UK if they drop me a mail I'll pass their contact details onto the appropriate person for their country
Guy Kuo

Sammamish, WA

#24 Aug 10, 2010
TrueEMR, which I mentioned earlier, has become...

Cosalient™ Electronic Health Record

We are now in commercial release after successfully completing nearly 10,000 anesthetic cases.

http://www.cosalient.com/ for more information and demonstration videos.
Cerner User

Charleston, SC

#25 Aug 17, 2010
This message here is actually not true at all. Cerner is not winning the majority of their oppourtunities fo aneshtesia in existing customer sites. Be careful adn talk to an existing Cerner customer about their AIMS system if considering to go the Cerner route.
Jackie Wild wrote:
<quoted text>
Most Children's Hospitals have gone to Cerner's Anesthesia module which also has bugs like almost any one of the other Anesthesia applications. Cerner's product is tightly intergrated with their EMR Powerchart documentation. One thing to keep in mind is going with an App that is open source (XML based) so that when regional records networks are developed, then the data translation to another facility or when you want to refer a patient out, that whole record can be transfered seamlessly and with open source documentation customization is a faster and this is key in keeping up with regulations and anesthesia studies. So integration with the EMR documentation in open source is your best option.
Plexus IS

Waltham, MA

#26 Oct 24, 2010
After reading through the posts on this site, I would encourage all of you to consider Anesthesia Touch by Plexus Information Systems. Our system was designed by a large group of anesthesiologists on the east coast who were dissatisfied with existing systems because of their complicated user interfaces, inability to communicate with other hospital systems, lack of mobile applications for remote locations, lack of usable reporting software, etc....the list goes on and on.
This system was designed to be a complete charting solution that is faster to use than paper (why else would you buy an EMR?) and to require a minimum of training prior to first use. It is also designed to be easy to interface with existing hospital systems, requires minimal IT support and is user configurable at the level of the practice, or the individual provider. The same EMR is available on the iPad with wireless download of vital signs for remote locations. The system also includes a reporting software package that is vastly superior to anything else that is out there, and doesn't require any prior software knowledge to operate.
We are a system built BY anesthesiologists FOR anesthesiologists that was originally built for a single practice, but is being offered to the anesthesia community at large based on all the positive feedback we got. You can get more information on this system at http://www.plexusis.com .
Steven Haken

Goole, UK

#27 Nov 28, 2010
Data_Integration wrote:
As a technical consultant to the implementation of anesthesia data integration solutions, I can vouch for the above comment that iMDSoft is a toy product. For nontechnical users, all they see is the front end, which is advertised as very customizatble. True. However, from a technical perspective, it is a data disaster. This is because it is written in Visual Basic (as this suggests, this is a primitive language whose origin is over 30 years old, and prevents modern coding and maintenance methods; it also suggests the less than sophisticated level of programming expertise of the company). Each anesthesia data record is fragmented into over 200 files, making it IMPOSSIBLE to extract any data or integrate the data with any other information system. The data is also in no standard (HL7 or XML) form, again, making it impossible to integrate to our hospital systems. Our interactions with the engineers at iMDSoft has been thus far less than satisfactory, with information requests for specifications and technical details denied or given evasive answers. With this lack of trust, it bodes poorly for any kind of long term relationship with the company. The company itsself is heavy on management and marketing, and very sparse on techical substance in our dealings. An implementation requires a serious investment and full time support staff to get it off the ground. The implementation at their model installation (on their website) took a FULL YEAR to install and get working, and reqired a CRNA to work half time during this time on 'customization'. Actually, this is something that the company needed to provide out of the box, rather than having the customer continue to pay for features and addons by supplying their own personnnel to do this work. In summary, do your due diligence, get under the hood to the specifications and data file formats, and do not rely on the marketing brochures and websites. You MUST get under the hood and understand how these software works, or you are asking for a data disaster.
Would you be interested in seeing the system from Australia described earlier Winchart
GasMan

Charleston, SC

#28 Jan 12, 2011
I have seen the Plexus system mentioned about at the ASA and happen to know of this anesthesia group who developed it. They are well funded but gave the product away to get their first install and are losing deals because of the risk IT departments would have to take to install an applicaiton with no user base, not techncial expertise or trackrecord. It is made for apple devices which hospitals will have a nightmare supporting and is lacking in any and all substance. Nice user interface without any substance. No decision support, customer base and the founder lack experience in running an IT company. Seems to basically be bunch of guys who like apple devices making little webaps. This is not going to last long. There are only a few AIMS vendors that are actually left after the economic troubles recently, Cerner, Drager and iMDsoft. All other products were week in the buisness department and could not sustain in a downturn or are small mom and pop systems that will wither under the stresses of healthcare IT demands. It would be interesting to see Winchart in Australia. All I can find about recent AIMS purchases in Australia is Queensland and Sydney using iMDsoft.
Dennis Gundersen

Silverton, OR

#29 Jan 12, 2011
The IT companies and monitoring companies have had 3 decades to develop a user friendly AIMS program that anesthesia providers view as an improvement to a hand written records. Something that will automate our tasks, improve vital sign capture and allow us to concentrate on our patients and the procedure. I am encouraged by both Plexus and Cosalient anesthesiologist designed approach, with the anesthesia provider focus, not data mining and matrix this or that crap.

A successful anesthesia record keeping system that makes documenting anesthetics easier, more accurate and more legible and is intuitive will gain widespread acceptance from anesthesia providers. The bells and whistles can be added later.
Mr Edgar Lugo CRNA MS

United States

#30 Jan 23, 2011
we are using drager recorder and its ok. not great.
check the one that maine med uses. their non anesthesia one is great!

good luck!

Since: Jan 11

Location hidden

#31 Jan 29, 2011
Hi all.
This is an interesting discussion, thanks for all the input. We are also looking to install an AIMS in our hospital.

I've seen SaferSleep in the UK and it looks good. Has anyone had experience with them?

I also like the idea of the Docusys system that measures the drugs delivered. Does anyone have thoughts on this? Does it work well? Is it worth it?

Thanks.

Since: Jan 11

Location hidden

#32 Jan 29, 2011
Thank you all for this interesting discussion. We are looking for an AIMS in our hospital also.

We've seen the SaferSleep system going into some UK hospitals now - does anyone have experience with them?

Also, the Docusys system is appealing for the drug measurement system. How accurate and easy to use is it?

Thanks!
Gas Man

Charleston, SC

#33 Feb 5, 2011
Dr. Dave,

Safer Sleep left the US becuase of the inability to sell, I used to work for them. I would be a little wary of the system. Secondly, prior to the advent of HIMSS and responsible systems deployment in the US, hospital departments installed whatever neat system that the department found an wanted. There was little undersatanding into the industry that would eventually become a billions dollar machine. My advice to you an all is to look at how all systems compare to eachother from an independant source. KLAS Research does an in depth evaluation and rating of all healthcare software systems from Anesthesia to ADT to Laboratory systems. The customers are allowed to evaluate their vendor independant of vendor involvement. My opinion is that I would look at the top rated KLAS systems. This will give you some level of confidence that you will get what you purchased based upon the vendors track record as reported by the customer.
Now the new fly by night AIMS companies:
A driving reason that Healthcare IT is a billion dollar industry is due to the fact that highly trained persons build state of the art systems that automate the documentation that is historically lacking in legibility, proper billable elements and accuracy needed to get hosptials reimbursed, prevent errors and report on the level of quality that their doctors give.
Every time I have gone to a doctors office, It is evident that doctors know how to make diagnosis and write scripts but generally lack the training to run a fast, effecient business. Hence the chronic wait times.
Lately some of these MD's, such as the guys at Plexis, have begun to triple dip stating that they know how to treat patients, write software, develop software business, and solve the Anesthesia documetnation market.(I would not trust my wife's GYN doc is he showed up at my house selling frozen steaks)I would be very wary of any fly by night, unproven, understaffed, startup who has only installed their homegrown product in their practice. There is an attempt to think that they know how to solve the problems for every hospital becuase of their MD degree. The fact is they are the problem adn they are coming up with fnacy gadgets to automate those problems. I know of Plexis, their focus is growing their anesthesia billing business, they have a fat wallet but no experience in software systems design, implementation, project management, 24/7 support, human resource management, quality assurance and compliance etc. etc.
They offer a cheaply priced tool(I will not acknowledge it as a system for 3 reasons, 1: no customers except themselves, 2: one of their own hospitals chose to implement another system instead of theirs, 3: no experience in this business) and also offer to do your billing at a discount.
Similar story with Cosalient which was not origionally operating under that name, I believe that it was rapid sequence origionally and was free on teh internet for a while. But they too are small, unproven etc. etc.
The HealthCare IT indusrty is not a place for fly by night software systems. I would trust a valid, indepeendant resource like KLASresearch.com
Gas Man

Charleston, SC

#34 Feb 5, 2011
Dr Dave,

Docusys could not sustain during the down economy along with EKO, SIS and PICIS. EKO is gone, Merge bought them and Docusys and PICIS was bought out for their ED business from what I hear.
CRNAbiz

Silverton, OR

#35 Feb 6, 2011
Gasman,
As you admit to having worked for a failed AIMs company, your attacks on both Plexus and Cosalient, certainly does not qualify you as non-biased, and comes across as sour grapes.

Claiming they are fronts for billing companies and fly by night simply because they are new, and designed by anesthesiologists, is atrocious.

Your argument appears to be that one should choose only big companies with AIMs systems designed by IT professionals (such as yourself ?)- the same companies that have failed to deliver a user friendly system for the past 30 years and countless of millions of dollars ?

Having recently viewed a demo of one of those big companies and its dated technology and cumbersome interface, I have found both Plexus and Cosalient's approach refreshing and encouraging. Perhaps we will transition to digital anesthesia records if AIMS systems actually focus on making documentation easier. What a concept.

Dennis Gundersen
www.CRNAbiz.com

PS: I attempted to post a similar response yesterday, so if it eventually is published my apologies for making the same arguments.
Guy Kuo MD

Sammamish, WA

#36 Feb 17, 2011
Cosalient™ EHR (originally, TrueEMR) is not to be confused with Rapid Sequence. That is a completely different product with no relationship to Cosalient™ EHR.

The operating room is a vastly different environment from a doctor's office. In our work, seconds count. Minutes kill. EHR usability critically matters, but we need to convince administrators and OR managers who never will struggle with a clumsy EHR while trying to keep someone safe during an anesthetic.

Guy Kuo MD CTO
www.cosalient.com
informaticsnurse

Jamestown, TN

#37 Apr 2, 2011
Look at Acuitec. It was created by clinicians for clinicians and has been used at Vanderbilt with great success for 10 years or more.

acuitec.com
Dr Steven Haen

Pershore, UK

#38 May 4, 2011
The best system is made in Australia if you need anymore information email me on catheve@btinternet.com
Anesthesia Record wrote:
I am looking for information for colleagues who may be using, looking for, or interested in electronic anesthesia records. I have been casually interested in teh past but now feel that we should begin to really pursue one of these things. I have talked wth one company, iMDsoft, but know little in general from anesthesia professionals about preferences. I look forward to your advise
Dr Steven Haen

Pershore, UK

#39 May 4, 2011
The best system is made in Australia if you need anymore information email me on catheve@btinternet.com
Dr Steven Haen

Pershore, UK

#40 May 4, 2011
Dear All

I have worked around the world in many theatres and the best system I have ever seen is an Australia. Please feel free to contact them or me as I have placed it in the NHS for them some time ago.

My email is steven.haken@gmail.com
Jimmy Mitchel wrote:
That Centricity Anaesthesia from GE is a great product. As I have understood it is designed especially for Anesthesia documentation. Those guys in GE seems to be genius, since the product is extremely fast and easy to use (I saw it in our local Anesthesia congress). What comes to flexibility it looks like all display layouts can be modified according to our needs because system is built up to ultra modern technology.
Do you know if GE really means General Electric (One of the biggest companies in the world)?
Dr Steven Haen

Pershore, UK

#41 May 4, 2011
Dear All

I have worked around the world in many theatres and the best system I have ever seen is an Australia. Please feel free to contact them or me as I have placed it in the NHS for them some time ago.

My email is steven.haken@gmail.com

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