Electronic Health Record System

The Vendor is required to provide electronic health record system should provide a user friendly and efficient experience, support the delivery of clinically sound and efficient care across department hospitals and facilities, and offer easily accessible, real-time data to meet reporting and decision-making needs.
- Enterprise platform and architecture
1. Architecture approach
•    Modern, scalable architecture for inpatient psychiatric care, long-term care (LTC), and residential care settings across the enterprise. 
•    Configuration-first approach to minimize customization and technical debt; system should meet needs with minimal customization and reflect vendor understanding of behavioral health. 
•    Micro services and service-oriented architecture (SOA) for modularity, flexibility, and maintainability.
2. Developer and integration tooling
•    Application programming interface (API) ecosystem, software development kits (SDKS), integration middleware; offline and mobile capabilities. 
•    Support for backend databases or regular structured data extracts for data analysts (tabular, query formats).
•    Enterprise identity and access management integration; active directory and single sign-on (SSO).
•    True unique patient identifiers (enterprise master patient index (EMPI) and identity resolution) used across all facilities.
3. Devices and peripherals
•    Support for desktop, mobile, and tablet devices; kiosk support; peripherals including scanners and label printers. 
•    Clinical device connectivity (e.g., electrocardiograms (EKG), vital signs, glucometers, wearables) via standards-based interfaces.
- Registration, admission, movement and discharge (ADT)
1. Patient demographics and registration
•    Full demographics, payer and benefits capture; pre-admission and pre-registration workflows. 
•    Duplicate medical record merge capabilities.
2. Admission pathways and legal status 
•    Civil, forensic, and NGRI populations; commitments under the code of state; age specific workflows (child, adult, geriatric).
3. Bed and unit operations (capacity management) 
•    Real-time census and capacity visualization; bed certification status; facility-specific rules. 
•    Real-time admission discharge transfer (ADT) data sharing and census reconciliation across facilities. 
•    Guided or automated transfers, movements and leaves of absence, and discharge workflows.
4. Scheduling 
•    Inpatient individual and group scheduling; inpatient consult, and external referral scheduling. Resource and location management. 
•    Advanced multi-provider and multi-location scheduling; reminders and short message service (SMS); waitlists. 
•    Compliance with centers for Medicare and Medicaid services (CMS) access timeliness requirements under the medical final rule.
- Clinical documentation and care delivery
1. Behavioral health and medical care
•    Evidence-based templates and workflows for inpatient psychiatric, forensic, rehabilitative, and medical care. 
•    Developmental disability services; long-term habilitation; restorative care; medical long-term care (LTC). 
•    Applied behavioral analysis (ABA) assessments, reporting, analytics, and visualizations.
2. Treatment planning and documentation
•    Workflow support for interdisciplinary, person-centered treatment planning across clinical disciplines. 
•    Progress notes with configurable templates; individual and group therapy documentation and scheduling. 
•    Risk assessments, suicide screening; clinical decision support (CDS), alerts, and automation. 
•    Standardized psychological assessments, tests, questionnaires, and inventories. 
•    Voice recognition, dictation, transcription, and provider efficiency tools. 
•    Behavioral health seclusion and restraint documentation and workflows.
3. Medication management and pharmacy
•    Prescribing including electronic prescribing of controlled substances (EPCS); PMP and PDMP integration; medication reconciliation. 
•    Psychotropic medication workflows medication over objection workflows. 
•    Barcode electronic medication administration records (EMAR); enhanced medication dispensing; inventory management; multum drug database; external pharmacy history. 
•    Medication automated dispensing cabinet (ADC) integration; inpatient and outpatient pharmacy; pharmacy eligibility and claims clearinghouse. 
•    Pharmacy system integration and clinical surveillance.