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Trauma database improves remote access with new web interface: clinical data management facilitates data entry with revelation's openinsight for web.

CLINICAL DATA MANAGEMENT (CDM) is a company headquartered in Colorado that provides clinical information database software, enabling medical institutions to report and compile data on patient care. The company was established in 1986 by Skip and Beverly Tinnell, Registered Nurses. Its flagship product, TraumaBase, is a trauma care registry used by healthcare providers to input data for collection by corporations and government agencies as well as for the evaluation of care by the medical teams themselves. Details such as a trauma patient's initial vital signs, how fast treatment is begun, and other aspects of a patient's care from the point of arrival at a medical facility are all recorded in the TraumaBase database.

A longtime user of Revelation Software, dating back to Revelation G and continuing through OpenInsight, CDM was pleased with both the quality of the products and the service from Revelation. However, CDM had come to realize it needed to provide a web interface for data entry to better support its customers and also stay current with evolving technology requirements, says Jody Summers, director of technical services and software engineer at CDM.

Summers contacted Revelation in late 2009 and said that in order to facilitate web access, his company would have to make a sizable financial commitment to hire a web developer who knew nothing about the Revelation software on which the company was based--unless Revelation could offer an alternative. "And that's when they said yes, we have this O4W we have been working on and it is about to be released," recalls Summers. Revelation's O4W is a web development toolkit that makes it possible for OpenInsight developers with limited or no HTML, XML or JavaScript experience to develop featurerich web pages.

O4W has made it possible for CDM to offer eTraumaBase, a new web-enabled version of TraumaBase that allows remote clinics and facilities to input their data easily online. While large Level 1 and 2 Trauma Centers typically have a local installation of the software and are able to submit flat files into the database that they create on their own, rural and low-volume facilities have IT environments that are not stable or well supported. "People might get a new computer and not realize that they have disposed of a computer with a database that they touched maybe only once a quarter, but then that machine is gone," Summers explains.


The reason O4W stood out "was that it was web development that Revelation programmers could do," says Summers. "Our longtime programmer who goes all the way back to Rev G and AREV and who had very little web development training was able to grasp it and program with it and make changes that function."

The ability to dynamically update choice options is a big benefit as is the ability to set up yes or no fields, he points out. "It is actually set up dynamically within our system so we have one lookup table." For example, he notes, "Let's say a state wants to start tracking a certain type of injury for a new type of vehicle such as a motorized scooter. With O4W, we can go to one place to change the choices and because O4W is dynamic we don't have to touch the web side. Those choices appear as soon as the next person refreshes the screen."

And, in addition to helping CDM reach remote clinics with its trauma registry, the availability of eTraumaBase has also helped CDM retain the clients it has. "The nature of the industry is that you have to keep growing and adopting new technologies," Summers says. Not providing webbased data entry, for example, was an issue when CDM had to submit an RFP or an RFQ and found it necessary to explain how, despite its lack of a web interface, its software was still beneficial. "Everybody is moving to a web and cloud mentality and if they don't hear the right buzz words, they wonder if you are not keeping up," he observes.

Looking back at its adoption of O4W, which CDM implemented in the first quarter of 2010, Summers says the only surprise has been how fast it has taken off. "The project initially started out with us needing just a very simple data entry screen so someone could plug in data and hit 'save' and then maybe run a couple of reports." But the more it has gone on, the more requests the company has had for features such as additional autopopulate fields and specialized trauma coding built into the software in a userfriendly way. "And we have been able to make it all happen," Summers says, "because it is all Revelation-based and we have a great Revelation programmer who knows Revelation so well."

An expanded version of this article appears in the March E-Edition of DBTA.
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Title Annotation:MV SOLUTIONS
Author:Wells, Joyce
Publication:Database Trends & Applications
Article Type:Company overview
Date:Mar 1, 2012
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