eNATAL - Electronic Prenatal Records System

eNATAL - An Internet-Based Prenatal Care System

Read the "White Paper" below that discusses the rationale for a specialized digital prenatal record

Prenatal Care: A Strategic First Step Toward EMR Acceptance

The Journal of Healthcare Information Management, Spring 2003 - Volume 17, Issue 2

Journal of Healthcare Information Management

 

 

"Internet-Based"

Since eNATAL is Internet-based, it opens up an entire world of possibilities to improve prenatal care. Also, since the Internet is a ubiquitous and universally accessible network, eNATAL has compelling advantages over local, wide-area network, or office-based electronic records.

  • Access to prenatal records from almost anywhere with just a browser
  • Access to prenatal records 24 hours a day, seven days a week
  • Collaborative care across city, county, state, or national boundaries
  • Easy-to-use and familiar Internet browser user-interface
  • Unprecedented opportunity for patient online access to her own prenatal record
  • Eliminates the need for in-house servers, or configuring every computer to accommodate proprietary software
  • All eNATAL software is maintained and upgraded centrally, eliminating the need for periodic maintenance and upgrades of proprietary software locally
  • Complements and coexists with other proprietary office systems
  • Since eNATAL software is "rented", subscribers only pay for the services they use without huge upfront licensing fees or long-term commitments

"Prenatal Care"

eNATAL was designed from the very beginning to focus on only one area of clinical practice, and that area is prenatal care. Rather than build systems that have to accommodate the generic needs of all medical care, eNATAL was free to create technologies that fill the unique needs of prenatal care.

  • The eNATAL application is completely centered around a patient's EDD and gestational age rather than on calendar dates
  • Information displays revolve around and automatically display gestational ages eliminating entirely the need for an analog obstetric "wheel"
  • Built-in, accurate, and easy-to-read digital obstetric "wheel"
  • Care reminders are activated by gestational age rather than dates (which is especially important when the EDD changes)
  • Almost all eNATAL clinical data is tagged as to whether that data is important in determining a patient's EDD
  • An EDD Reconciliation view aggregates all clinical data whether from significant dates, ultrasounds, history, or physical, and then calculates and compares them to the "working" EDD and highlights discrepancies
  • Default care plans for both routine and Risk-Activated Care™ are based on common prenatal care standards
  • Text and graphic lists of patients are sorted by EDDs

"System"

In order to provide quality and consistent prenatal care every practice must develop some sort of system to make sure that the care that is intended is actually delivered. eNATAL provides such a system that provides structure, checklists, and includes advanced clinical decision support features.

  • The clinical data elements included in eNATAL are a superset of any prenatal record system available, including ACOG's Antepartum Record
  • All clinical information is structured, discrete, and completely legible
  • What has been done in the past, what needs to be done today, and what needs to be done in the future can be comprehended at a glance
  • All abnormal values are dynamically highlighted and positioned so that abnormal values cannot be missed
  • Obstetric risks are automatically identified as a by-product of simply recording demographic, flowsheet, testing, history, and physical findings
  • Care plans for individual patients are created from both a routine care plan designed for all patients as well as from Risk-Activated Care™ care plans that are specific to a patient's individual risks
  • Persistent reminders of desired care items are automatically presented to providers at the appropriate gestational age and are not removed until those care items are completed
  • All proposed care, whether routine or risk-based, must be validated by a provider and the provider's entire clinical thought process is date-time stamped and is documented in the record
  • All test and ultrasound results must be "signed" by a provider and that action is documented in the record
  • Plus, all of the other benefits of any other electronic medical record system
 


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