Based on the proven functionality of Lorenzo Regional Care, Lorenzo Care Management is fully compliant with international standards and services. At the same time, Lorenzo Care Management offers an enormously flexible approach to implementation, integration and localisation.

Lorenzo Care Management creates a comprehensive electronic patient record (EPR) that combines rich clinical functionality with full care management tools for both inpatients and outpatients in acute, community and mental health facilities.

The comprehensive care management tools offered by Lorenzo lets healthcare organisations improve all facets of their service provision and represents a giant leap forward for the integration of technology into healthcare provision across the UK and Ireland.

Key Benefits

Lorenzo delivers benefits to healthcare professionals, organisations and patients by connecting all areas of the healthcare system and encouraging greater efficiencies and cost savings.

• Lorenzo’s flexibility means there is a solution for every organisation, which can evolve in line with changing healthcare delivery needs, contractual obligations and the lifecycles of existing products
• Lorenzo  directly benefits users by improving communication between professionals and organisations and reducing duplicated effort, ordering and documentation
• the extended integration and interoperability capability of Lorenzo Care Management provides our clients with the tools needed to create service wrappers for legacy applications and integrate them with Lorenzo services in a flexible, service-aware integrated network
• Lorenzo helps clinicians deliver high quality care in a secure and user friendly environment. Shared access to an EPR helps improve decision making and reduces clinical risk
• for patients Lorenzo helps enables consistency of care and helps their carers make informed decisions regarding diagnosis and treatment. Our patient-centric design protects patient privacy while helping improve the quality of front line healthcare
• Lorenzo is built on a modular, flexible and interchangeable Service Oriented Architecture (SOA) that is designed for interoperability. Based on proven international standards the SOA interacts with with other systems to improve communication and support workflows. The Lorenzo solution ensures secure information access and continuity of care across all care settings and multiple devices that is flexible and scalable to ensure changing demands can be met.

Solution Overview

Contact Management
Lorenzo contact management functionality is designed to provide support for health care workers who treat patients typically in a non-hospital setting, through contact type encounters rather than through formal outpatient or inpatient encounters.

The solution provides a staff diary interface through which both patient-based and non patient-based activity can be recorded and scheduled.  Patient based contacts can be on an individual patient face to face level, possibly involving many care professionals, or comprise a group contact at which one care professional has a contact with many different patients.  Individual or recurring (using frequency patterns) contacts can be scheduled.

As well as being able to schedule contacts from the staff diary view, a user is also able to schedule contacts from their caseload view or, for example, from lists of patients present in certain care settings such as from the day care ‘pegboard’ view.

Day Care Management
Lorenzo day care management functionality provides support for the managers of day care services to manage access to day care services, schedule patient attendances at centres and individual sessions and record actual patient attendances.

Day care functionality is supported by access planning functionality which allows a list to be maintained of patients waiting to be booked into the requisite day care facilities and/or sessions.
Day care scheduling facilities allow individual or recurring appointments to be made at both the facility and individual session level. 

The system provides a specifically designed interface which is designed to allow centre managers to easily see patients who are expected at facilities and sessions that they are responsible for.  Other patient activity such as individual or group contacts and clinical documentation can be recorded from this view.
The system also provides capacity management information for centre and day care service managers, by providing access to aggregate numbers of actual and planned attendees at each facility and session, compared with maximum capacity levels.

Inpatient Services
Inpatient services functionality is supported in Lorenzo as a functional area which exploits full integration with other patient management and clinical processes.  This level of integration facilitates the capture of the various aspects of the services provided during the inpatient encounter.

The inpatient services solution is configured with recognition of the associated workflow and necessary mandatory data fields.  There are direct links with other areas such as patient registration, referral management and clinical coding.

The inpatient services reference the Lorenzo scheduling engine.  Session management for wards publish a calendar of availability and allow the definition of various ward types.

Referral Management
Referral management functions in Lorenzo are designed to support the arrangement of assessment or care of patients by additional care professionals either within the same organisation or across organisations (in an instance of Lorenzo which supports more than one organisation).

The functionality supports the recording of received inbound referrals, with linkages on to caseload allocation and with the ability to link all subsequent patient activity, including any forward-on referrals, to the initiating referral.  Also, supported is the electronic communication between care professionals where they use the same physical instance of Lorenzo.  The system also provides facilities to support an electronic dialogue between care professionals regarding a referral and provides the ability for care professionals to acknowledge receipt of referrals and to authorise referrals.

Where referrals are made to organisations or care professionals in other Lorenzo, or non-Lorenzo, instances, then physical referral letters can be produced.  Clinical data capture forms can also be designed by clinical services in order to ensure that appropriate data is captured to support a referral.

Outpatient Services
Outpatient services functionality in Lorenzo Care Management provides a comprehensive set of tools ranging from the definition and management of ambulatory care services through to facilities for recording and monitoring actual patient attendances or DNAs.  It encompasses the various aspects associated with managing care delivered by an ambulatory department in all types of care setting.  The patient management services are fully integrated with clinical services, allowing clinical staff to record structured and unstructured documentation, raise requests for investigations and prescribe medications as part of the patients treatment in an outpatient setting.

The outpatient services reference the Lorenzo scheduling engine to use standard application platform services for tasks such as finding appointment slots.  Session management allows the publication of a calendar of availability and allow the definition of various types of clinics.  A range of views provide the different perspectives of data required by the range of users for operational and management use.
Solution configuration will enable the functionality to be deployed so that it supports workflow and recognises the interactions with areas such as patient registrations, referral management and casenote tracking applicable to the individual organisation.

A range of reports will be provided supporting both operational and management aspects of outpatient services.  The relevant CDS extracts are supported.

Requests and Results
Requests and results within Lorenzo Care Management provides the functionality to be able to electronically request a service (either a diagnostic request or a request for intervention) and to be able to receive and monitor results. 

The requesting functionality provides the following facilities :

• placing requests for one or multiple patients simultaneously
• placing patient based diagnostic and non diagnostic requests (e.g. requests for a porter)
• the ability to use existing clinical information in the generation of the requests
• creation of repeating schedules of requests
• the use of request sets, request forms and image forms to make requesting easy for the user
• users are able to store and manage favourites lists
• configurable decision support to assist the selection of appropriate requests based on data available within the patients electronic record
• the ability to transmit requests via a variety of methods including HL7, printing or to a users in-tray
• the ability to use sets which have time relevant dependencies on them – for example a liver function test may be required 12 hours before a liver biopsy is done
• specimens can be associated to requests and the labels printed

The results management functionality provides the following facilities:

• the ability to receive results electronically via a HL7 interface
• the ability to manually enter a result against a patient
• the ability to capture numeric, textual and image results
• the ability to view results either in a preview mode or via a trend and graph interface
• users are able to view results across an instance of Lorenzo, dependent on security rules and data sharing agreements between health organisations
• the ability to escalate information to users if processes have not been met to an agreed timescale – for example if a result hasn’t been acknowledged within a certain timescale a notification can be sent to the relevant users
• users will be able to create filters and personalised views to be able to support their daily work processes

 

For any enquiries please email uki.info@isofthealth.com