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

Revision as of 05:27, 20 September 2009

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.

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).

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 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

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

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

Jonathan M.Teich. Advanced Clinical System in a Hospital Environment: The Brigham Integrated Computing Systems (BICS).PubMed Central. PMCID: PMC2579875