InOrder by Elsevier provides seamless order set options

While there are many moving pieces to the delivery of healthcare, arguably the most critical piece is the point-of-care, where doctors strive to diagnose a patient’s condition and make a comprehensive and effective prescription for care. That means coordinating an array of decisions – concerning, among other things, tests, x-rays, administration of medicine, activity and diet – and ordering a course of action based on each decision.

According to Jim Nolin, MD, editor-in-chief for InOrder by Elsevier, the international publisher of science and health information, “Everything in a hospital begins a physician order.”

As a result, he says, focusing on order sets is “the most important area in which you can influence doctors’ behavior.”

With over 200 years of publishing the latest medical information, Elsevier has a lot of experience when it comes to supporting doctors, and now it has combined that experience, as well as its broad and deep library of medical information, with state-of-the art technology to develop its InOrder by Elsevier, a cloud-based order set solution.

InOrder, Nolin says, is Elsevier’s response to the rapid spread of health IT across the healthcare sector.

“Doctors are moving from written orders to EHRs,” he says, but too many “EHRs don’t have the capacity to handle the workflow involved in making and maintaining order sets.”

Moreover, EHRs don’t come already loaded with the storehouse of medical information to which doctors invariably want to refer as they make clinical decisions and issue orders based on them.

According to Patti Ward, product director at Elsevier, three things make Elsevier’s new product unique.  First, there is the depth of content that Elsevier can incorporate into any order set solution, a depth borne, naturally, of the company’s long experience in medical publishing.

Second is the software itself, which, she says, “is what really drives the process.” With InOrder, Elsevier is able to integrate with existing software systems such as a provider’s EHR or CPOE platform.

In a similar vein, the third, and perhaps most critical, distinction Elsevier offers is its method of adapting its solution to existing systems. Jim Nolin points out that, despite the depth of its library, Elsevier doesn’t require clients to switch entirely. Rather, the company assesses the provider’s content and decision making processes and adapts the InOrder solution to it by, among other things, adopting the provider’s specific clinical terminology.

“We can import client order sets,” Nolin explains, “thereby not asking clients to abandon their own.”     

Put another way, he says, Elsevier strives to wrap its software around the client’s content.

“We can dynamically generate their terms and what they’re used to,” he says, so that “they can generate their order sets using their language and format.”

That’s, of course, while also having access to Elsevier’s deep storehouse of medical information.

“Elsevier,” Nolin says, “wants to stand out as providing simple guidance for doctors in the ordering process.”

Noting also that orders affect all members of the care team, Nolin says “our software is meant to support interdisciplinary collaboration that takes place across the entire hospital.”