Difference between revisions of "Brigham Integrated Computing System (BICS)"

From Clinfowiki
Jump to: navigation, search
Line 1: Line 1:
BICS originated as a part of the Beth Israel Hospital (Center for Clinical Computing) Meditech Interpretive Information System (MIIS) in 1984. Brigham and Women’s Hospital (BWH) started working on independent development off of BICS since 1988 to support BWH’s continued expansion (Teich).  
+
The '''Brigham Integrated Computing System (BICS)''' is an [[EMR|electronic medical record system]] for the Brigham & Women's Physician Hospital Organization (BWPHO), an organization of more 700 outside clinics distributed around the greater Boston area. (Sittig et al., 1999).
  
BICS was created using the MUMPS and HYPER-M for the graphical user interface, and is designed to assist in clinical, administrative, and financial services (Sittig et al., 1999). Its applications support direct physician order entry, scheduling operations, critical event detection, and most importantly clinical decision support (Teich et al., 1999).
+
== History ==
  
BICS clinical referral system covers the whole Brigham & Women's Physician Hospital Organization (BWPHO), an organization of more 700 outside clinics distributed around the greater boston area sharing the responsibility for patient care and financial risk stemming from it(Sittig et al., 1999).
+
The Brigham Integrated Computing System (BICS) originated as a part of the Beth Israel Hospital (Center for Clinical Computing) Meditech Interpretive Information System (MIIS) in 1984. Brigham and Women’s Hospital (BWH) started working on independent development off of BICS since 1988 to support BWH’s continued expansion (Teich).  
  
As part of BICS, major clinical systems and subsystems developed at BWH include the following: Ambulatory Medical Record, Physician Order Entry, Event Engine (processing logic to detect unusual patterns in data flowing into BICS and to generate appropriate alerts), Handbook System, Sign-Out System, and Coverage List (Teich).
+
BICS was created using the [[Hospital Computer Project|MUMPS]] and HYPER-M for the graphical user interface, and is designed to assist in clinical, administrative, and financial services (Sittig et al., 1999). Its applications support direct physician order entry, scheduling operations, critical event detection, and most importantly clinical decision support (Teich et al., 1999).
 +
 
 +
== Features ==
 +
 
 +
As part of BICS, major clinical systems and subsystems developed at BWH include the following:
 +
 
 +
* Ambulatory Medical Record
 +
* Physician Order Entry
 +
* Event Engine (processing logic to detect unusual patterns in data flowing into BICS and to generate appropriate alerts)
 +
* Handbook System
 +
* Sign-Out System
 +
* Coverage List (Teich).
  
 
The initial focus of development was to create a new client-server technical platform that would support the hospital's continuing expansion and provide the processing power and scaleability needed for future developments (Teich, et al. 1999).  A secondary focus was to change the role of computers in healthcare by creating new clinical informations systems.  
 
The initial focus of development was to create a new client-server technical platform that would support the hospital's continuing expansion and provide the processing power and scaleability needed for future developments (Teich, et al. 1999).  A secondary focus was to change the role of computers in healthcare by creating new clinical informations systems.  

Revision as of 19:45, 19 October 2011

The Brigham Integrated Computing System (BICS) is an electronic medical record system for the Brigham & Women's Physician Hospital Organization (BWPHO), an organization of more 700 outside clinics distributed around the greater Boston area. (Sittig et al., 1999).

History

The Brigham Integrated Computing System (BICS) originated as a part of the Beth Israel Hospital (Center for Clinical Computing) Meditech Interpretive Information System (MIIS) in 1984. Brigham and Women’s Hospital (BWH) started working on independent development off of BICS since 1988 to support BWH’s continued expansion (Teich).

BICS was created using the MUMPS and HYPER-M for the graphical user interface, and is designed to assist in clinical, administrative, and financial services (Sittig et al., 1999). Its applications support direct physician order entry, scheduling operations, critical event detection, and most importantly clinical decision support (Teich et al., 1999).

Features

As part of BICS, major clinical systems and subsystems developed at BWH include the following:

  • Ambulatory Medical Record
  • Physician Order Entry
  • Event Engine (processing logic to detect unusual patterns in data flowing into BICS and to generate appropriate alerts)
  • Handbook System
  • Sign-Out System
  • Coverage List (Teich).

The initial focus of development was to create a new client-server technical platform that would support the hospital's continuing expansion and provide the processing power and scaleability needed for future developments (Teich, et al. 1999). A secondary focus was to change the role of computers in healthcare by creating new clinical informations systems.

In year 1999, a study was performed to determine whether the time required to initiate a referral decreased using the BICS email referral system versus the traditional paperwork. The results showed that the process was shorter using BICS emailing, proving the efficiency and productivity of this system (Sittig et al., 1999).

References

  1. Teich, JM, Glaser JP, Beckley RF, et al. The Brigham integrated computing system (BICS): advanced clinical systems in an academic hospital environment. Int J Med Inform. 1999; 54(3):197-208
  2. D. F. Sittig, G. J. Kuperman, and J. Fiskio. Evaluating physician satisfaction regarding user interactions with an electronic medical record system.Proc AMIA Symp. 1999; 400–404
  3. Jonathan M.Teich. Advanced Clinical System in a Hospital Environment: The Brigham Integrated Computing Systems (BICS).PubMed Central. Proc Annu Symp Comput Appl Med Care. 1995; 1024. PMCID: PMC2579875