Health · Order sets

The standard of care has to reach the order a clinician signs.

Clinical experts

You share what you know. You work it through committee. You create the standard of care.

Evidence changes constantly. Review is annual, and biannual where the risk requires it. Compliance with current evidence is the objective. When an FDA alert arrives, or guidance changes, you answer.

Clinical quality

Order set build and change management is a regulatory requirement. You need that process responsive, auditable, and self-documenting, with validation in the work rather than reconstructed after it.

Point of care

You use the order sets in the EHR.

A robust library simplifies order entry. What you need is there, and it is relevant to the patient in front of you. You spend less time on order entry. Adherence to the evidence and to best practice rises, because the order set you sign was built to the standard. That compliance is the mechanism. The Plexina Platform Advantage helps you effectively build and maintain a library that is built to your standard.

Plexina has done this work for twenty-one years from Calgary. The order set platform is patented: US 8,346,698 and US 8,666,785, both active through 2031. Where-used impact search is live and deterministic. AI-assisted monitoring, assessment, prioritization, and incoming-evidence matching are in development.

Where the library is asked to work.

Order entry comes on.

Paper order sets, local variations, and order sets already living in an EHR come into one inventory.
After a transition.

Content that arrived from more than one source is consolidated, so the library you maintain is the library clinicians see.
Kept current.

A guideline moves, or a drug leaves the formulary. The order sets that depend on it are found and brought up to the evidence.
Downtime.

The approved order set is published, so clinicians can still read it when the system is down.
Where a change lands.

Before you edit, you see every place an item is used. The search is live and deterministic. It does not read the literature.
Dev, test, production.

A validated order set moves across environments, with the comparison in view.
Written once, used in many order sets.

The same orders are written once as a reusable group or section, then used in many order sets, for convenience, for a stage of care, for a panel, and for the drugs that manage one problem. Those groupings are what the literature calls order panels and order set sections.

Governance

Clinical knowledge governance sits at the table.

Six facets of the standard sit around it: research and development, clinical audit, clinical effectiveness, education and training, transparency and accountability, managing risk. Clinical services and technology services are the room. The work the table commissions runs along the near edge.

Lifecycle

Governance oversees the change-management lifecycle.

It runs from the evidence to an order set a clinician can use in the EHR.

How it works

Governance oversees the clinical content lifecycle.

The platform supports both the clinical governance, build and change management workflow from evidence to actionable order sets in the EHR. Catalogs and third-party content come in. Analysts and clinicians design and review. Approved order sets go out to the EHR layers clinicians actually use, including a downtime PDF. Research on outcomes and effectiveness comes back as the next pass. At the point of care, the mechanism is compliance with the designed standard.

The work

What changes for the analysts who keep the library, and for the clinicians who sign it.

Keeping order sets current

Maintenance is manual, error-prone, and never-ending.

Challenge. The queue runs a year or two behind. When the queue of changes cannot be kept up with as fast as issues are logged, the team is overwhelmed. Content stays outdated, so practice does not change, and the intervention does not reach the clinician. Adoption falls. Evidence and best-practice changes get missed. That is what slow change management costs. Tools that let the team keep up, efficiently and safely, are how that cost comes down.

Capability. Start from a template. Copy a section within an order set, or bring one across from another order set. Import the configuration in one action.

Benefit. The build and maintenance cycle accelerates the schedule by 50 to 70 percent, and productivity gains are 5-10 times the output.

Several times the content

Demand rises when order entry turns on. The team does not.

Challenge. Hundreds of order sets are still maintained by hand, by the same analysts and clinicians who now have a live EHR to feed.

Capability. Templates, copy and paste, and mapping dynamic variables across a grid in one action. The designer shows the outline and the order detail together, including a preview of how the order set will look in the EHR.

Benefit. That team produces several times the content. On a large library, the productivity gains have run from five to twenty times the output.

Cover all areas of care

Your library should cover the care you deliver.

Challenge. Go-live shows you the library you actually have. Without an inventory you cannot tell what is new, what is in maintenance, or which environment holds it.

Capability. Import builds the inventory. Work packages track the order sets one issue touches. Assignments hand the work to a person or a team. Checklists compare the designed order set with each environment.

Benefit. Plexina enables clients to quickly create and effectively maintain thousands of evidence-based and best-practice order sets covering all areas of care.

Effective Reviews & Governance

Review the order set, collaboratively, the way you would view it in the EHR.

Challenge. Seeing what the order set will look like in the production environment before committing to build anything.

Capability. Rapid construction of real order sets with real information that look the same when deployed. The Review Board lets specialists and subject matter experts review that realistic order set together and capture their feedback.

Benefit. Clinicians spend less time ordering, and adherence to the evidence is higher, because the order set they sign is the order set the reviewers saw.

The Plexina Platform Advantage: Customized for your Environment

A guideline moves. A drug leaves the formulary. An FDA alert arrives. Content can be out of date in days or weeks.

Challenge. Before you change an order, a drug, or a guideline, you need to see every order set that uses it.

Capability. Where-used semantic impact search is live and deterministic. It answers where an item is used. AI-assisted monitoring, assessment, prioritization, and incoming-evidence matching are in development.

Benefit. You see the footprint of a change across the order sets you maintain, and you can compare the versions around it. Rapidly make the change, review appropriately, and self-document. Then deploy the latest current version to the EHR for the clinicians to use at point of care to improve outcomes.

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