CRIS

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CRIS 
  Introduction
  Products/Solutions

  CRIS EHR

  Patient Portal

  Decision Support Engine

  CNS Single Source

  CNS Data Services

  Evidence-Based Medicine

 

Introduction
The CRIS Suite: Clinical Research Information System (CRIS) is a comprehensive electronic behavioral health care management system. CRIS seamlessly integrates clinical care at all levels, clinical and regulatory management, and clinical research.  CRIS also employs a clinical rules  engine  to help guide clinical practices and creates a clinical outcomes data warehouse for retrospective decision support

CRIS fits the caregiver’s workflow and creates efficiencies and high user satisfaction through the “write-once” application design.  

PRODUCTS-SOLUTIONS

 

CRIS Electronic Health Record (EHR)

CRIS EHR seamlessly integrates clinical care at all levels to improve the quality of care and staff productivity. Our EHR embeds industry evidenced-based content and the research and practice knowledge from Duke University, one of the top behavioral health departments in the nation (U.S.News and World Report).

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Features:

  •       All Levels of Care: Triage/Crisis Intervention, Emergency Room, Outpatient, Inpatient, Adult Child/Adolescent Psychiatry, Substance Abuse,  and Case Management

  •       Registration and Scheduling 

  •       Evaluation and Diagnosis: Psychiatric Diagnosis, Review of Systems, Physical Exam, Medical Diagnosis, Mental Status Exam, Mini-Mental Status Exam, Substance Abuse Evaluation, Psychiatric History, Social History, Family Psychiatry History, Stressors, Nursing Evaluation and Diagnosis, Vitals Management, Axis I-V, and over 35 standard scales

  •       Multi-Disciplinary Treatment Planning

  •       Medication Orders, Prescription Writer, and Side Effects

  •       Vitals Management

  •       Restraint and Seclusion

  •       Note Types for all Levels of Care: Triage, Evaluation, ER, Admit, Progress, Group, Case Management, Phone, Import, Transcription, Discharge, and Transfer

  •       Over 80 knowledge tables including DSM-IV, ICD-9, and Extensive Medications Formulary (over 5000 medications with all psychotropic medications incorporating behavioral health prescribing practices)

  •       Security Complete Audit Trial Functionality both HIPAA and 21 CFR part 11 compliant

  •       Lower Total Cost of Ownership through thin-client technology

  •       Health Information Management Support Regulatory Compliance, Standard Coding (CPT, ICD-9), UA

  •       Services include full implementation and customer support

  •       Full Utilization Review Functionality – Authorizations, Certifications and Re-certifications

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Patient Portal 

Patient and family involvement in their evaluation and treatment is a key to successful outcomes and patient and family satisfaction. Our Patient Portal allows patients and/or family members to participate in diagnostic scales and questionnaires as well as satisfaction surveys.  Patients and families may access Patient Portal through the web or at kiosks located at the customer facility. Upcoming modules include 

  • Medication Compliance

  • Patient and Family Behavioral Health Advance Directives

  • Pre-registration

  • Access through the telephone -> Interactive Voice Response (IVR) 

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Decision Support Engine 

The Decision Support (clinical rules) Engine enables customers to establish and enforce clinical practices and guidelines.  This tool allows the customer to set rules on any field within the system (e.g., require selected tests, scales to be performed on patients) in order to improve clinical care, meet regulatory requirements, and achieve pay-for-performance and other financial guidelines.

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CNS Single Source  - Electronic Data Capture (EDC)/EHR 

CNS Single Source seamlessly integrates clinical research and clinical care to create the industry’s first Single Source EDC/EHR product. CNS Single Source simultaneously functions as a full electronic medical record (EMR) and an electronic data capture system (EDC). Our “enter once” logic results in study data and source data are the same exact data. Current EDC products do not provide this dual-functionality and result inconsistencies in data capture between the source document and the case report form (CRF), higher costs and poor efficiency.

 Features

 

  • Automates the design, documentation, and implementation of clinical trials. Designs the clinical trial according to the business rules of the protocol by allowing the study

  •  administrator to use “pick lists” to select common clinical trial elements (e.g., demographics, medications, side effects, scales, procedures).

  • Deploys rapidly using ASP model; User-friendly for investigative sites

  • Provides prompts and screens that follow clinical workflow and ensures capture of study-specific data

  • Enforces protocol design at the visit level through alerts to ensure all data is captured

  • Facilitates quick response to protocol amendments and redeploys revised study protocol

  • Creates ability for on-going data clean-up during the study and immediate data transfer and database lock

  • Develops Case Report Form (CRF) from source data extracts

 Benefits

  • Decreases start-up costs – ASP deployment and user friendly system requires minimal training

  • Lowers monitoring costs – reduces visits

  • Improves Quality: single entry results in less data entry errors

  • Eliminates double (or triple) entry at sites

  • Eliminates need for double entry for Pharma or CRO data management

  • Data is immediately available for trending and resolving data issues at sites

  • Enhances Decision-making

  • Data for DSMBs is available real-time for transfer to SAS and quick analysis

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CNS Data Services

Description

From defined data fields across all patients’ encounters, the CRIS captures discrete data elements on every aspect of a patient’s medial record from social and developmental history to physical exams to create a fully anonymized, HIPAA-compliant and IRB-exempt data repository. 

 

Features

  •       Unique:  No other known clinical outcomes database for Psychiatry available worldwide; data in the repository is “real time” and clinically relevant.

  • ·     Anonymized:  HIPAA compliance and IRB exemption means that data is analysis ready.

  •       Large:  As of Fall 2005, over 200, 000 qualified clinical visits.

  •       Timely:  Data repository is populated as the CRIS EMR is utilized. 

 Benefits

  • ·     Easy production of management reports regarding clinical utilization, adherence standards for regulatory and hospital reporting

  • ·     Retrospective clinical analyses in a real treatment setting quickly and cost-efficiently

  •       Quick investigations aid design of prospective clinical trials

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Ultimate Solution - True Evidence-Based Medicine

CRIS provides customers with all of the tools to seamlessly integrate, manage, evaluate and improve behavioral health treatment at all levels. Clinicians administer scales, assessments and diagnostic instruments and combine it with information collected from patient self-administered questionnaires, surveys and scales to identify problems, develop treatment plans, and implement interventions. Customers employ the Decision Support Engine to establish and enforce clinical practices and guidelines. Customers use CRIS’ clinical outcomes data warehouse for retrospective decision support, and the CRIS Global Database (all customers) to share anonymized data for research and benchmarking purposes.

 

Evidence-Based Medicine.pdf


  • The informatics division has over 200 hundred optical scan scales/survey in our library.  (i.e. CGI, SF-36,etc.)
    New scales take about 8-10 hours per page to create.

  • Who do I contact
         Contact Ken Gersing (919) 684-0103 or gersi001@mc.duke.edu

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CRIS - Comments /  Questions 


  • A. Deo Garlock
    Director Operations and Sales
    Duke Dept of Psychiatry Medical Informatics Group
    Office/home tel: 919-303-9704
    C: 919-889-2279
    e-mail: deo.mplus@earthlink.net;     garlo001@mc.duke.edu

or
  • Ken Gersing, MD
    Medical Director of Information Services
    Duke University Medical Center
    Box 3018 
    Durham, NC 27710
    (919) 684-0103 Phone
    (919) 681-7668 Fax
    gersi001@mc.duke.edu

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