02 — Capability · BC-1820
Clinical Care Delivery
Give clinicians what they need to deliver care to each patient, in person or virtually, by documenting it, ordering and acting on results, planning and coordinating it across the team, managing medications at the bedside and moving patients through beds and departments. This is the organization's ability to deliver care, not clinical guidance on how to treat anyone.
- Clinical Operations
- Patient Care Delivery
- Point of Care
- EHR Clinical Workflows
In scope
- Clinical documentation, orders, results and clinical decision support content
- Care plans, consults, handoffs and discharge planning within an episode of care
- Medication reconciliation, prescribing and medication administration recording
- Patient flow, bed management and virtual care
Out of scope
- Laboratory, imaging, pharmacy and surgical services that fulfill orders (see BC-1830)
- Longitudinal care management programs across episodes (see BC-1860.20)
- Measuring and reporting quality of care (see BC-1850.10)
- Maintaining the legal health record and its release (see BC-1880.10)
Realized by · 13
- ServiceNow · Healthcare and Life Sciences Service Managementpartial via BC-1820.30.40
- Epic · Clinical Recordcore via BC-1820.10.10
- Epic · Inpatient Nursingcore via BC-1820.10.20
- Epic · MyChartcore via BC-1820.60.20
- Oracle Health · Oracle Health EHRcore via BC-1820.10.10
- Oracle Health · Clinical AI Agentstrong via BC-1820.10.50
- Oracle Health · Health Information Management and Acute Case Managementstrong via BC-1820.30.50
- Oracle Health · Service Line and Department Solutionsstrong via BC-1820.50.30
- MEDITECH Expanse · Expanse for Physicianscore via BC-1820.10.10
- MEDITECH Expanse · Expanse Patient Carecore via BC-1820.10.20
- MEDITECH Expanse · Expanse Pharmacystrong via BC-1820.20.30
- MEDITECH Expanse · Care Setting Solutionsstrong via BC-1820.50.30
- MEDITECH Expanse · Surveillancepartial via BC-1820.20.30
Used in · 8
- Admit-to-Discharge · 01 Admit via BC-1820.50
- Admit-to-Discharge · 02 Assess & Plan via BC-1820.10
- Admit-to-Discharge · 03 Treat via BC-1820.20
- Admit-to-Discharge · 04 Medicate via BC-1820.40
- Admit-to-Discharge · 06 Discharge & Hand Off via BC-1820.30
- Order-to-Result · 01 Order via BC-1820.20
- Order-to-Result · 05 Deliver & Act via BC-1820.20
- Encounter-to-Cash · 02 Code via BC-1820.10
Build it · 1
- technology Electronic Health Record Systems via BC-1820.10
Decomposes into · 6
- BC-1820.10Clinical DocumentationLet every clinician record what was observed, decided and done for a patient, quickly and in a form others can find and trust, so the record supports care, coding and defense of the claim. Coding the record and managing it as a legal record are owned elsewhere.
- BC-1820.20Clinical Orders & ResultsLet clinicians order tests, treatments and services electronically, with decision support at the moment of ordering, and get every result back to the person who must act on it. Performing the test or exam is clinical support services.
- BC-1820.30Care Planning & CoordinationKeep everyone caring for a patient during an episode working to one plan, from consults and shift handoffs to a safe discharge with the next provider informed. Programs that manage patients across episodes and over months are population health.
- BC-1820.40Medication ManagementKeep each patient's medication list right and every dose accounted for, from reconciliation on arrival to prescribing and recorded administration at the bedside. Verifying, preparing and dispensing medications is pharmacy operations.
- BC-1820.50Patient Flow & CapacityMove patients from arrival to discharge without avoidable waits by admitting, placing, transferring and transporting them, and see the capacity of every unit in time to act on it. Cleaning beds and running the buildings are facilities work.
- BC-1820.60Virtual CareDeliver care at a distance through video visits, asynchronous messaging, provider-to-provider teleconsults and remote monitoring, with the same record, consent and billing as in-person care. Engagement campaigns and portal outreach are population health.