University of Michigan Health System and IBM to Create Advanced "CareWeb" Clinical Information System

Online Order Entry, Wireless, Intranet and Internet Communications Planned

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Jimmy is a very sick little boy & his doctor is ordering medicine that will help make him better. She orders Jimmy's medicine using a new electronic system that immediately alerts her to Jimmy's allergy to the medicine she was about to prescribe, without the need to check the paper medical record. So, she selects another effective drug & instantly transmits Jimmy's prescription to the hospital pharmacy in a clearly readable format - 08 Dec 2000: -- The University of Michigan Health System (UMHS) and IBM today announced a joint initiative to develop an advanced, Web-based, clinical information system designed to reduce medication errors and further improve its high level of patient care.

The UMHS CareWeb Clinical Information System will provide comprehensive information throughout the continuum of care. An enterprise-wide, Web-based infrastructure will provide electronic physician order entry of prescriptions and other clinical procedures that can improve clinical outcomes. The goal is to increase patient satisfaction and to support UMHS' ongoing work with local and state partners to create healthy communities.

"We are known throughout the world for our excellence in medicine and research," said Lloyd Jacobs, M.D. COO UMHS. "Together with IBM, a global leader in technology, we will develop a cutting-edge, comprehensive, clinical information and care management system. We are proud of the excellent care we now provide, but we know it can be even better through the use of technology tools that bring information to our physicians and nurses, where and when it is most needed - at the point of care."

The first phase of the program, currently in progress, is to design and build a new, Web technology based infrastructure to support medication management. This will help ensure fast, accurate transmission of medication orders. Secondly, UMHS and IBM are building an enterprise-wide clinical data repository. This repository will incorporate an advanced medical lexicon to standardize clinical nomenclature. Such standardization in medical terminology also supports patient care research to determine the effectiveness of medical and nursing treatments and other clinical interventions, and provides support for clinical decision making.

CareWeb and the enterprise-wide data repository system was created by the University of Michigan in 1997. IBM is now helping to enhance that with physician order entry.

Future applications may include consultation management, coordination of care and outcomes, patient records, patient charge capture, clinical data capture and patient/partner/payor documentation.

Mikelle Streicher, PhD, RN, IBM Client Services Principal at UMHS and Senior Clinical Solutions Consultant for the CareWeb CIS project, noted, "This is an ambitious project that will draw on IBM's vast expertise in developing complex clinical solutions. As a team we will combine the deep clinical expertise at the University of Michigan Health System with IBM's broad technology experience. IBM is providing clinical and technological expertise from its consulting organization and its research labs to create, test and integrate, the new systems."

The solution will use IBM Websphere™ Advanced Edition, version 3.5and IBM VisualAge® for Java 3.5 and Websphere Studio with a phased deployment targeted for 1Q, 2002.

About The University of Michigan Health System

The University of Michigan Health System includes University Hospital, founded in 1869 as the first university-owned hospital in the US, C. S. Mott Children's Hospital; Women's Hospital; 30 health centers and 120 outpatient clinics. The University of Michigan Health System consistently ranks among the best health care institutions in the nation. In 2000 it was named to the honor roll of the "best hospitals" in the United States by U.S. News & World Report. Further information is available at

About IBM

IBM is the world's largest information technology company, with 80 years of leadership in helping businesses innovate. IBM Global Services is the world's largest information technology services provider. IBM Global Services Clinical Solution Group integrates IBM's healthcare expertise with the services, hardware, software and research to help healthcare organizations companies of all sizes realize the full value of information technology. For more information visit

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