"I'm very interested in the future because I plan to spend the rest of my life there."
—Robert Wood Johnson
Change and innovation have been part of the culture of the Luzerner Kantonsspital (LUKS) - always with the aim of implementing the latest medical technology. One way to do this is to launch the new digital Clinical Information System LUKiS, which will go live September 21st, 2019. With LUKiS, all patient-information will be up-to-date and completely at hand. A hospital always deals with the relationship between people, and in a central hospital such as the LUKS, up to 50 specialists care for one patient. It is therefore vital that processes and information are perfectly organized. Thanks to digitalization, not only clinicians, who work at the LUKS, but also external primary care physicians and patients themselves will have access to their information through an App. LUKS is the first German-speaking hospital to work together with the global industry leader Epic.
Why is LUKiS introduced at LUKS? The current Clinical Information System no longer meets the requirements of today nor the future. In addition, digitalization is progressing worldwide and as in other industries, information technology will be of enormous importance in the healthcare sector. It is important to deliver good, patient-oriented, appropriate care in the future. Specifically, the LUKS pursues the improvement of quality, patient safety and efficiency.
A prerequisite for ensuring quality and patient safety is that all information relating to the treatment of the patient converge on one platform, i.e. the data must be up to date, complete and correctly merged at all times. This also means that all departments, institutes and external partners are brought together and connect in the system. This is an important prerequisite for fast and accurate decision making about patient care.
Increasing efficiency involves introducing automation of data collection where appropriate and necessary. This means, for example, that the multiple entry is to be replaced by single entry or that the long information search is replaced by the electronic representation of the data and that paper documentation is replaced by the electronic patient record.
The third goal is to gain time to concentrate on specialist and core tasks by eliminating certain tasks through automation. For example, on the ward, patient data is currently manually recorded by clinicians, whereas in the future this data will be automatically transferred to the system.
The implementation of the Clinical Information System LUKiS thus focuses on the electronic integration of the internal hospital area and external institutions, it is about ensuring patient-safety, data availability and quality, and providing clinicians with more time to care for core tasks. LUKiS offers a patient-centered platform for the evaluation, documentation and provision of all patient data while the patient is actively involved in his treatment.
How does LUKS implement LUKiS? September 21st 2019 the new LUKiS Clinical Information System will be launched at LUKS and its three sites in Lucerne, Sursee and Wolhusen. Both project staff and subject matter experts are involved in the development of the LUKiS.
The project staff is persons who were either recruited externally or internally from the hospital. These project team members were trained by Epic in the various system modules and work closely together with the subject matter experts and Epic throughout the project. The subject matter experts are clinical experts who work at one of the three LUKS sites. The decisions about functions and operations in the system are made collaboratively by project staff and subject matter experts in different sessions.
First, the basic structure of the system is defined, whereupon the refinement of the system takes place based on the SME`s specifications and experiences from their clinical point of view. The project staff is divided into different teams, which specialize initially in outpatient and inpatient areas, as well as specific departments. In the course of the project, the expansion of the system is taking place more and more across teams and across disciplines, which means that hospital workflows are comprehensively reflected in LUKiS. Engaging and empowering the clinicians in the overall development and change is vital to maximize the usability of the LUKiS system.
You can read more about the LUKiS project here (in German).