The healthcare system of tomorrow today
Hospitals and clinics have many different clinical systems (e.g. patient administration system, radiology, pathology, etc.). There are lots of different logins to remember, and you often have to wait for a workstation to be available.

Our M-Stat mobility application suite allows you to access the information in your current clinical systems as if it were in a single light weight electronic health record (EHR) system, specifically designed to support mobile clinical workflow. M-Stat mobility applications run on mobile phones, tablets, laptops or workstations. They have a single coherent user interface with a single login. Information about clinical events (like patient test results) drop into the practitioner In-Box automatically and a notification message is sent to the practitioner device in real time, to let them know it has arrived.

The modules in the M-Stat mobility suite are: Patients, Pathology Results, Radiology Results, Cardiology Results, and Collaboration. M-Stat is designed specifically to integrate the modules with a number of clinical back-end application systems.

There are no huge up-front costs. Leverage the investment in your existing clinical applications and add M-Stat over the top of them. You can choose the individual M-Stat mobility application modules that you require over time, and pay for them as you go.
Patient Information

The Patients module records real-time patient locations that are fed from multiple back-end clinical systems. The M-Stat patient summary includes:
  • Key demographic patient information (e.g. name, date-of-birth, sex, etc.)
  • The details of each of the patient encounters (visits) are listed in historical order.

Patient Lists

The Patient module provides the practitioner with a series of tailored patient lists:
  • My Patients - Based on the relationships that the user may have with the patient (e.g. admitting, consulting, etc.).
  • Care Team - Based on a the practitioner teams (e.g. Cardiac Team).
  • Location - Based on a location in the facility (e.g. Floor 3 Ward 6). This can be at any level in the location hierarchy.
  • Search - Patients may be searched by their clinical ID (MRN), or by their basic demographics.

Direct Scanning

M-Stat also uses the latest features of mobile devices to display patient lists, by scanning a bar code tag or by scanning a Near Field Communication (NFC) tag. Scan the wrist band of a patient to obtain their details. Scan a tag to list the patients at any location in the hospital - a bed, a room, a unit/ward, a department, a floor or whole building.
   Clinical Results
There are three (3) M-Stat Clinical Results modules for: Pathology, Radiology and Cardiology. M-Stat can receive clinical test result information from many different clinical back-end systems. Clinical results automatically drop into the practitioner's In-Box and they are notified on their mobile device.

Individual results may be:
  • Simple value based result items (e.g. 9.7 mmol/litre).
  • Text reports.
  • Document reports.
  • Diagnostic images (for Radiology and Cardiology).

Abnormal results may be flagged as Significant, Serious or Critical. This is aligned with the recommendations of the 'Massachusetts Coalition for the Prevention of Medical Errors'.

Multiple versions of results are captured. The latest version of the result is shown to ensure patient safety. Full result version history is available.

Event based workflow states are visible to all related practitioners. Events that are actioned by you and by your colleagues are flagged in the In-Box and the result summary.
The M-Stat Collaboration module provides secure practitioner-to-practitioner (P2P) messaging. Patient details may be attached directly. There is no need to visit external systems. Messages may be sent to individual practitioners or care teams. It has the familiar send, reply and forward operations that users are familiar with.

The full range of clinical attachments are supported:
  • Patient clinical results (pathology, radiology, cardiology).
  • Text messages.
  • Mobile device photographs.
  • Mobile device voice messages.
  • Mobile device videos.

The Collaboration module provides a secure messaging environment where:
  • All messages are encrypted.
  • Messages have guaranteed delivery.
  • This eliminates the non-repudiation problem.
  • M-Stat has a central secure log of all messages.
  • Patient consent is supported for photos and videos of patients.
Key benefits of M-Stat:
  • Improves patient safety and satisfaction
  • Promotes active collaboration between clinical practitioners which improves the quality and efficiency of patient management.
  • Increases the speed of treatment and may decrease the length of the patient stay.
  • The busy practitioners no longer need to fit their working day in with the ICT system. The ICT system now fits in with them.
  • The practitioner no longer needs to find the patient information on a workstation. The patient information follows them wherever they go.
  • Removes the 'check for patient results' activity from the busy practitioner's daily workflow.
  • Streamlines patient journey through the hospital.
  • Improves awareness and collaboration between clinical staff who manage the care of the patient.
  • Provides the practitioner with a single window view onto patient data, regardless of the underlying source clinical systems.
  • Enables a single point of action for clinical workflow in the palm of their hands.
Convergent Mobility Platform (CMP)
The CogentiX Convergent Mobility Platform (CMP) is a health care specific software platform for the delivery of mobility applications, such as M-Stat. The CMP brings together a comprehensive understanding of the healthcare business and its systems.

The value of clinical mobility applications can only be realised when the data they access is complete, correct and understandable. Having access to the multiple back-end clinical systems is an important factor. In fact, for mobile applications to truly succeed and provide real business benefit, the information from separate systems must be brought together under a single common understanding before it is delivered out to them. This is the mission of the CMP.

Mobility applications need to be light weight, secure and flexible so they can be deployed on a variety of different mobile devices. The CMP enables this capability by combining the information from multiple back end clinical systems and provides mobile devices with a single holistic view of the business data, regardless of its source.

For customers adopting CogentiX mobility applications, the transition is simple. Existing clinical back end systems remain in place. There is no need to replace, decommission or migrate them. These systems continue to operate without functional change, and stakeholder business processes can also remain. The CMP is simply integrated with the target clinical systems to obtain the required feed of data for the mobility applications.
Q & A

Q: Don't large multinational vendors lower my risk?
A: Definitely not.
In the past, traditional thinking pushed clients toward large commercial off-the-shelf (COTS) product suites from large multinational vendors, in the belief that they had 'been there and done that' before. The real world experience is quite different. Large multi-national vendors are generally based off-shore. Their products are developed off-shore for off-shore business models. Usually local business clients require significant changes to these products. Unfortunately, the required changes in monolithic off-shore products are often very difficult to implement. The pathway to agreeing the changes is often tortuous, owing to competing international customer requirements. The changes must be fitted into off-shore and often international build cycles. The changes are generally performed by off shore development teams and tested off shore before becoming available to the client for testing. All of this takes time, effort and added expense, with a resulting outcome that may only satisfy a portion of the original requirements.

Q: Can I be confident using a smaller local vendor?
A: Definitely yes.
CogentiX uses state-of-the art software manufacturing techniques to produce premium quality industrial strength applications. CogentiX mobility software applications are low impact. There is no requirement to replace, migrate or decommission any of the client's existing software applications. The CogentiX CMP platform is simply plugged into the existing systems. The client is able to control the number of its systems that become connected onto the CogentiX CMP platform over time, at their own pace. This approach provides our clients with an adoption model, which is much lower risk than the traditional monolithic approach of our multi-national competitors. CogentiX also adopts a progressive service based pricing model, which allows the client to expand their software licences over time as required.

Q: Do I have to migrate all of my existing software application systems?
A: No.
Existing clinical software application systems remain in place, and are used just as they have been. The CogentiX Convergent Mobility Platform (CMP) is either hosted locally at the client location, or is hosted as a cloud based service. The CMP is either connected onto the client's integration software, or connected more directly onto the clinical software application systems. No changes are required in the existing software application systems.

Q: How do my users get the CogentiX mobility applications?
A: Users are registered in the CMP to be able to access the CogentiX mobility applications.
The CogentiX mobility applications (such as M-Stat) are downloaded from a secure website and installed onto the mobile device. The users log onto the CMP via a secure WiFi network connection and start using the mobility applications immediately.

Q: What if a mobile device is lost or hacked, or a user behaves maliciously?
A: Any device that uses the CogentiX mobility applications does so within strict security controls.
The CogentiX mobility applications are extremely light weight and have been engineered from the ground up to be secure. No sensitive information (such as patient information) is ever stored on the device. The CogentiX mobility application on the device can only access the CMP platform and sensitive data when it is connected to the secure WiFi network. Once out of WiFi network range, the connection is lost. The information traffic passing between the mobile device and the CMP is encrypted using TLS/SSL. A user session on the mobile device can only be established by the CogentiX mobility application creating a secure connection with the CMP. Successful user connection of a CogentiX mobility application with the CMP creates a secure session token (which is aligned with the OAuth2 standard). Secure user session tokens are time sensitive and must be regularly refreshed in the CMP. If a device is lost, then it can be immediately disabled in the CMP. If a user behaves maliciously, then the user account can be immediately disabled in the CMP. Once disabled, the mobility application can no longer be used on that device.

Q: Can I audit user activities?
A: Yes.
The Convergent Mobility Platform (CMP) automatically records the details of all significant user processing events. This includes (but is not limited to) the following events:
  • User log in and log out.
  • Every user request for data from the CMP.
  • Every notification message sent to user devices.

  • The details of the event are recorded in a secure transaction log in the CMP database. The log may be interrogated and audited at any time.