Development of a Mobile Electronic Health Record (EHR) System to Enhance Clinical Decision-Making and Care Coordination

Healthcare providers face difficulties accessing complete and accurate patient data at the point of care, leading to potential delays in diagnostics and suboptimal health outcomes. Existing systems may disrupt clinical workflows or lack mobile support, hindering timely decision-making and care coordination.

A mid-sized healthcare organization seeking to improve clinicians' access to patient data through a mobile platform to support real-time decision-making and streamline workflows.

• Create a user-friendly, intuitive mobile platform that provides clinicians with instant access to comprehensive patient information.
• Enable real-time synchronization of patient data across multiple sources to ensure updated and accurate information.
• Support integration of structured and unstructured data, including medical histories, test results, clinical notes, images, and videos.
• Design the solution to align with clinical workflows, minimizing disruption and ensuring high user adoption.
• Implement robust security measures to protect sensitive patient data while ensuring compliance with relevant regulations.
• Develop features such as appointment management, e-prescribing, clinical notes, and billing to facilitate end-to-end clinical operations.
• Optimize the platform for tablet devices, particularly iPad, for ease of use in various clinical settings.

• Integration of multiple data sources, including patient demographics, medical history, treatment plans, lab results, and unstructured data like notes and imaging.
• Real-time synchronization of patient data across devices and systems.
• Uncluttered, easy-to-navigate user interface optimized for tablets such as iPads.
• Features for quick search and data autofill to facilitate rapid data retrieval.
• Access to detailed, aggregated patient charts with appointment scheduling, medication management, and clinical summaries.
• Support for custom medical forms and templates, including multimedia inputs (video, audio, text).
• Secure storage and transmission of sensitive data adhering to relevant healthcare security standards.
• Business process features such as e-prescribing, medication administration, billing, and analytics dashboards.

• Electronic health data sources (lab systems, imaging repositories, historical records)
• Medical billing and scheduling systems
• Clinical decision support tools or modules
• Authentication and identity management systems

• High usability with an intuitive interface supporting rapid data entry and retrieval
• Real-time data synchronization with minimal latency to support timely decision-making
• Data security compliance with standards such as HIPAA or equivalent
• Scalability to support increasing user base and data volume
• Device compatibility and responsiveness across tablet devices, especially iPads

The implementation of the mobile EHR system is expected to streamline clinical workflows, enabling clinicians to access and update patient data instantly. This would lead to faster diagnostics, improved patient care decisions, and better care coordination, ultimately enhancing health outcomes and operational efficiency. The project aims to support real-time data access for healthcare providers, reducing delays and errors, and increasing user satisfaction with the clinical data management process.