System collaboration and business alliance between Kokusai Kogyo's system "Mefis" and "NEXT Stage ER

This time, a project to link data from inside and outside hospitals will be launched by combining Kokusai Kogyo's emergency medical information system Mefis and our system NEXT Stage ER.

Kokusai Kogyo and TXP Medical will work together to improve the quality of emergency medical care in Japan.

https://prtimes.jp/main/html/rd/p/000000005.000031630.html

Emergency Medical Information System Mefis and Hospital Emergency Outpatient System NEXT Stage ER are linked!

~Data Linkage Demonstration Project to Improve the Quality of Emergency Medical Services Launched~.

Until now, it has been difficult to link the emergency medical information system provided mainly by the government with the in-hospital systems of emergency hospitals.

This time, an internal and external data linkage project will be launched by combining the Mefis emergency medical information system and the NEXT Stage ER emergency room information system.

Kokusai Kogyo and TXP Medical will work together to improve the quality of emergency medical care in Japan.

◆About 2 companies

Kokusai Kogyo Co., Ltd.
(Head office: Chiyoda-ku, Tokyo; President: Satoshi Hijikata; hereinafter Kokusai Kogyo)
They are currently operating Mefis, (https://www.kkc.co.jp/service/admin_support/regional_med_sprt_mefis2.html）an emergency medical information system in 11 prefectures that assists physicians/emergency medical teams in locating a destination during emergency transport.

TXP Medical Co. Ltd.
 (Head Office: Chuo-ku, Tokyo; President: Tomohiro Sonoo)
The company provides Next Stage ER (https://txpmedical.jp/service/ ), a data management system specialized for emergency room care, to 11 emergency centers and designated emergency hospitals nationwide.

◆Background
In the past, it has been difficult to link the emergency medical information system provided mainly by local governments and administrations with the in-house system of hospitals designated as emergency hospitals.This is due to multiple factors, including the following

(1) The emergency medical information system is a cloud system on a public network, whereas the hospital information system, including electronic medical records, is configured on the hospital network.

(2) In contrast to the emergency medical information system, which requires information to be recorded even in situations where individuals are not identified, the electronic medical record, in principle, confirms the insurance card for the calculation of insurance reimbursement.

(3) The emergency medical information system is managed by the government, whereas the electronic medical record is a system under the jurisdiction of each hospital.

Therefore, even if emergency transport information is entered into the emergency medical information system, hospitals need to transcribe it into medical records, and "prognosis information," which records what happened to the patient as a result of emergency/life-saving activities, depends on the "prognosis questionnaire" sent to each hospital in paper form and filled out and returned by the hospital, and the collection rate is not high. The collection rate was not high, and it was not easy to conduct "post-event verification" to evaluate the process of emergency and lifesaving activities, such as "how the patient was judged at the scene, to which medical institution he/she was transported, and what happened to him/her as a result.”

◆Summary of the Demonstration Project
There are three key points to the demonstration project.

(1) Patient information entered into the Mefis emergency medical information system is output in real time to a medium such as a QR code, along with a telephone call to the hospital, and is imported into the NEXT Stage ER in the hospital emergency department as advance telephone call information. This facilitates smooth emergency admission and reduces the workload of posting data to electronic medical records.

(2)The final diagnosis and prognosis data of each patient collected by NEXT Stage ER are structured and categorized by TXP Medical's technology, and then electronically output to Mefis, an emergency medical information system. The prognostic survey, which used to rely on paper-based return, is now more efficient, and highly reliable prognostic data for emergency patients can be compiled.

(3)The burden of inputting information into the emergency medical information system by paramedics during patient transport has been extremely heavy.

TXP Medical will provide various technologies such as voice command input to the Mefis emergency medical information system to reduce the burden of information input.

◆Project Objectives and Future
The combination of the two companies' technologies and know-how will reduce the burden of inputting emergency patient information on both the emergency medical team and hospital side, resulting in the collection of highly reliable emergency patient prognostic data, including history, vital signs, and final diagnosis.

Such data will be extremely important basic data for the development of a better emergency medical care system for local residents. After advancing the demonstration project, Kokusai Kogyo and TXP Medical intend to expand the system to other prefectures in Japan. Kokusai Kogyo and TXP Medical will work together to realize a better emergency medical care system in Japan.