HIM 500 Technology Information

Featherfall Medical Center has an existing admission discharge transfer (ADT)/master patient index

(MPI) system that was developed in-house and implemented over 20 years ago. By now, all of the

original programmers have resigned or retired. The system is cumbersome to manage and update to

meet the current needs of the center. This has also led to the compliance, ethical, and governance

issues previously stated.

An RFP was sent out to two vendors: Intel (SOA Expressway for Healthcare) and Alert (Admission

Discharge and Transfer [ADT]). Key portions of the RFP have been summarized to allow for easy

comparison. The responses to the functional requirements have also been provided for review.

Demonstrations were conducted at the Center, and both systems looked good. The MPI module is

preferred on Intel, and the ADT system is preferred on Alert; however, both systems were received

favorably. The committee went to see both systems in operation and liked them both. References were

checked on both systems. The references for Alert were glowing. All of them said that the system was

good and the people were great to work with because they wanted their new company to succeed and

grow. However, given their small size, they might lack the resources of a larger company. The references

on Intel were excellent as well. The only negative about Intel was that the company is quite large and

was sometimes slow to respond to what the company saw as minor problems. The next release of Alert

is due out in 6 months and of Intel is due out in 8 months. The Committee has used the following tables

to summarize and compare the information that was gathered and is awaiting your recommendation

before final decision is reached.

System Comparison

Topic Intel (SOA Expressway for

Healthcare)

Alert (Admission Discharge and

Transfer [ADT])

Cost of interface $378,000 $238,000

Cost of software $465,000 $325,000

Cost of hardware $375,000 $400,000

Implementation costs $275,000 $175,000

Other costs $110,000 $120,000

Annual maintenance $75,000 $65,000

Training costs $350,000 $264,000

Number systems in use in

hospitals

364 12

Length of time in business 30 years 3 years

Stability of company Good Good

RFP Response from Intel (SOA Expressway for Healthcare)

System Functions Standard Next Release Not Available Custom

Admit patient to ER X

Admit patient to inpatient status X

Admit patient to outpatient status X

Transfer patient from room to room X

Transfer patient from inpatient to

outpatient

X

Transfer patient from outpatient to

inpatient

X

Transfer patient from ER to inpatient

status

X

Discharge patient from ER X

Discharge patient from inpatient status X

Discharge patient from outpatient status X

Notify housekeeping when patient

discharged

X

Notify HIM when patient admitted X

Meets UHDDS requirements X

Meets HIPAA requirements X

Contains required demographics X

Automated verification of insurance X

GUI technology X

User friendly X

Delete patient from system X

Multiple levels of security X

Password protected X

Audit trail X

Biometric capable X

Reads barcodes X

Edit demographics X

Edit insurance X

Allow for 4 insurance providers X

Prints standards reports at specified

periods

X

Ad hoc reporting X

Admission list X

Discharge list X

Transfer list X

Looks for potential duplicate medical

records

X

Quality edits built into system X

SQL/Oracle database X

Runs on Windows 8 X

Enterprise-wide ready X

Merge medical record numbers X

Allows for aliases X

Maintains old medical record numbers X

Maintains former names X

Allows at least 999 patient visits X

Data dictionary X

Three-character service field X

Allows housekeeping to notify admission

that room is ready

X

Online no-bed list X

Sends out announcements to

employees/staff

X

Generates list of patients by physician X

Generates lists of patients by unit X

Calculates census statistics X

Performs medical record number queries X

Performs patient name queries X

Standardizes, secures, and governs access

to master patient records

X

Standardizes, secures, and governs access

to master provider indices

X

Standardizes, secures, and governs access

to document exchanges

X

Services for building interoperable

healthcare networks

X

Authentication and authorization X

Management and monitoring X

Transport Layer Security X

RFP Response from Alert (Admission Discharge and Transfer (ADT))

System Functions Standard Next

Release

Not Available Custom

Admit patient to ER X

Admit patient to inpatient status X

Admit patient to outpatient status X

Transfer patient from room to room X

Transfer patient from inpatient to

outpatient

X

Transfer patient from outpatient to

inpatient

X

Transfer patient from ER to inpatient

status

X

Discharge patient from ER X

Discharge patient from inpatient status X

Discharge patient from outpatient status X

Notify housekeeping when patient

discharged

X

Notify HIM when patient admitted X

Meets UHDDS requirements X

Meets HIPAA requirements X

Contains required demographics X

Automated verification of insurance X

GUI technology X

User friendly X

Delete patient from system X

Multiple levels of security X

Password protected X

Audit trail X

Biometric capable X

Reads barcodes X

Edit demographics X

Edit insurance X

Allow for 4 insurance providers X

Prints standards reports at specified

periods

X

Ad hoc reporting X

Admission list X

Discharge list X

Transfer list X

Looks for potential duplicate medical

records

X

Quality edits built into system X

SQL/Oracle database X

Runs on Windows 8 X

Enterprise-wide ready X

Merge medical record numbers X

Allows for aliases X

Maintains old medical record numbers X

Maintains former names X

Allows at least 999 patient visits X

Data dictionary X

Three-character service field X

Allows housekeeping to notify admission

that room is ready

X

Online no-bed list X

Sends out announcements to

employees/staff

X

Generates list of patients by physician X

Generates lists of patients by unit X

Calculates census statistics X

Performs medical record number queries X

Performs patient name queries X

Standardizes, secures, and governs access

to master patient records

X

Standardizes, secures, and governs access

to master provider indices

X

Standardizes, secures, and governs access

to document exchanges

X

Services for building interoperable

healthcare networks

X

Authentication and authorization X

Management and monitoring X

Transport Layer Security X