Department of Medicine, Indiana University School of Medicine, 545 Barnhill Dr #305, Emerson Hall, Indianapolis, IN, 46202, USA; Regenstrief Institute, Inc., 1101 West 10th Street, Indianapolis, IN, 46202, USA.
Regenstrief Institute, Inc., 1101 West 10th Street, Indianapolis, IN, 46202, USA.
Int J Med Inform. 2021 May;149:104433. doi: 10.1016/j.ijmedinf.2021.104433. Epub 2021 Feb 23.
As the coronavirus pandemic progressed through the United States, Indianapolis Emergency Medical Services (IEMS) identified a gap between the health system capacity and the projected need to support an overwhelmed health care system. In addressing emergencies or special cases, each medical institution in a metropolitan area typically has a siloed process for capturing emergency patient records. These approaches vary in technical capabilities and may include use of an electronic medical record system (EMR) or a hybrid paper/EMR process. Given the projected volume of patients for the COVID-19 pandemic and the proposed multi-institutional team approach needed in case of significant provider illness, IEMS sought a simple, efficient, consolidated EMR solution to support planning for the potential capacity gap. IEMS approached Regenstrief Institute (RI), an established partner with experience in supporting OpenMRS, a global good EMR platform that had been deployed in multiple settings globally.
The purpose of this project was to determine if OpenMRS, a global good, could be used to quickly stand up a system that would meet the needs for health emergency data collection and reporting.
The team used an "all hands on deck" approach, bringing together technical and subject matter experts, and a human-centered and iterative process to ensure the system met the key needs of IEMS. The OpenMRS Reference Application was adapted to the specific need and deployed as Docker containers to servers within the Indiana Health Information Exchange.
In less than two weeks, the Regenstrief team was able to install, configure and set up a working version of OpenMRS to support the desired electronic record requirements for the IEMS disaster field clinics. Using a human-centered approach, the RI team developed, tested, and released a user-friendly, installation-ready solution complete with an end user manual and a base support plan. IEMS and RI are sharing this approach to demonstrate how a global good can quickly generate a solution for COVID-19 and other disaster responses.
Open source global goods can rapidly be adapted to meet local needs in an emergency. OpenMRS can be adapted to meet the needs of basic emergency medical services registration, triage, and basic data collection.
随着冠状病毒在美国的传播，印第安纳波利斯紧急医疗服务（IEMS）发现，医疗系统的能力与支持不堪重负的医疗系统的预期需求之间存在差距。在应对紧急情况或特殊情况时，大都市区的每个医疗机构通常都有一个孤立的流程来捕获急诊患者记录。这些方法在技术能力上有所不同，可能包括使用电子病历系统（EMR）或混合纸质/EMR 流程。考虑到 COVID-19 大流行期间预计的患者数量，以及在大量医务人员患病时需要多机构团队的方法，IEMS 寻求一种简单、高效、整合的 EMR 解决方案，以支持潜在能力差距的规划。IEMS 联系了 Regenstrief 研究所（RI），这是一家在支持 OpenMRS 方面具有丰富经验的成熟合作伙伴，OpenMRS 是一个全球良好的 EMR 平台，已在全球多个地区部署。
本项目旨在确定全球良好的 OpenMRS 是否可用于快速建立一个满足卫生应急数据收集和报告需求的系统。
该团队采用了“全员参与”的方法，汇集了技术和主题专家，以及以人为中心和迭代的过程，以确保该系统满足 IEMS 的关键需求。对 OpenMRS 参考应用程序进行了调整，以满足特定需求，并将其作为 Docker 容器部署到印第安纳州卫生信息交换所内的服务器上。
在不到两周的时间里，Regenstrief 团队成功安装、配置并建立了 OpenMRS 的工作版本，以支持 IEMS 灾难现场诊所所需的电子记录。RI 团队采用以人为中心的方法，开发、测试并发布了一个用户友好、安装就绪的解决方案，其中包括用户手册和基本支持计划。IEMS 和 RI 正在共享这种方法，以展示全球良好的资源如何能够快速为 COVID-19 和其他灾害应对生成解决方案。
开源全球资源可以迅速适应紧急情况下的本地需求。OpenMRS 可以适应基本紧急医疗服务注册、分诊和基本数据收集的需求。
