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The Real Value of Electronic Solutions -
Connecting Dissimilar Systems
Efficiency and error reduction are two of the most often discussed
“values” of electronic solutions. Experience and empirical data
support these as two of the most important benefits. However, the
increasing propensity with which small to medium sized businesses
purchase multiple electronic solutions has drastically amplified the
need for exchanging data between systems. The data exchange software
is commonly referred to as a database interface or simply and an
interface. Let’s add “interface” to our list of important benefits
of electronic solutions.
Simply stated an interface provides for data sharing between
computer systems that improves access to valuable information while
reducing the number of times a given data element needs be entered
manually. Ideally there will be a single entry point for each data
item and it will be available electronically to any authorized user.
End users who do not have or cannot access a database interface are
confronted with uncertainty in the integrity of their data,
unavailability of some information, duplication of data entry
effort, limited choices when purchasing new systems and overall
higher costs for automation.
Resellers are faced with decisions about which product lines to sell
and support. Some dissimilar systems “talk to each other” via an
interface and others do not. Resellers who embrace “connected”
products or are willing to find an interface for their clients
achieve higher profits and increased customer loyalty thus insuring
ongoing revenue for years to come.
Data can be accurately and efficiently exchanged between dissimilar
systems. If you are told an interface is not available for your
particular requirement, call a peer in your reseller community or
contact a consultant.
Some pitfalls to be wary of include what I call nested or chained
interfaces. An example is a PMS (Practice Management System) that is
interfaced to an EMR (Electronic Medical Record System). The EMR is
designated as the system of record. Subsequently a lab system is
integrated into the mix and it is linked to the PMS for demographics
and insurance information. On the surface this arrangement looks
okay because the data from the EMR is interfaced to the PMS and thus
is available to the lab system. In most cases this will produce
reasonable results. However, there is a data integrity problem. The
lab system is dependant upon accurate data from the PMS which is not
maintained as the system of record and therefore its data integrity
is questionable. When errors get into the PMS, they are less likely
to be found and/or corrected than errors in the EMR because the EMR
is the functioning system of record and everyone is paying attention
to it.
The same example could also have a timing problem if the EMR-to-PMS
interface is performed daily and the lab-to-PMS interface is
on-demand or real time. Information in the PMS cannot be depended
upon as current or it may be missing. An example is a new patient
whose information is waiting for the once-a-day transfer of data
from the EMR to the PMS.
Other examples can be cited but this is sufficient for our
discussion.
The exchange of data between dissimilar systems is increasingly the
option chosen to solve problems heretofore solved by unnecessarily
replacing dissimilar systems with a “fully integrated” solution.
While resellers may prefer to sell the “integrated solution” because
it means more revenue, the cost to the end user becomes high enough
that the sale is often lost. A long term customer and a nice revenue
stream fall by the wayside.
A carefully thought out interface, based on defined business rules
and practices will eliminate duplicated data entry and all its
associated errors; it will significantly improve efficiency; it will
provide a superior audit trail and backup copies of data in multiple
locations (systems).
The cost of an interface is minimal when compared to the cost of
needlessly replacing a functioning system. The cost of a new system
has to include training, data conversion, depreciating productivity
while the staff comes up to speed on the new system and the loss of
at least some data.
The real value of electronic solutions can grow exponentially when
critical data functions are automated and inter-connected via
reliable database interfaces. Besides efficiency and error
reduction, you can expect better customer relations, ease of data
exchange with external computer systems and the bottom line-improved
profits.
The door is truly open for implementing other workplace improvements
such as the paperless (meaning less dependency on paper not the
elimination of paper), employees working from home or other
locations and other improvements yet to be developed.
Information is power-if you can depend on its availability, accuracy
and timeliness.
Next: Electronic Data Conversions vs “Starting a New System from
Scratch”
KW Norris
Vice President
Technology Consultants, Inc.
4125 SW 185th Avenue
Beaverton, OR 97006
503-356-4105 ext 11
503-939-9223 cell phone
503-356-4109 fax
kw@tech-consultants.com
www.tech-consultants.com
Mr. Norris is not an employee of InvestMed. He
co-founded Technology Consultants in 1995. Prior experience includes
VP of Sales and Marketing for an IT recruiting firm, MIS Manager, IT
Consultant and Software Developer. He earned a BS in Computer
Science from Brigham Young University. He serves as Alumni Chairman
in Portland and is active in fund raising for scholarships.
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