GoKawiilMost hospitals and health care providers use electronic health records instead of paper charts to note patient vaccinations, diagnoses, and procedures. AthenaOne, Epic, and Oracle Health are some of the systems employed around the world. Many patients can access their electronic medical records from home.
The platforms exist thanks to pioneering efforts such as the Medical Information System (MIS-I). The first hospital-wide computer system, it was developed in the 1960s by Lockheed Martin (then known as Lockheed Missiles and Space Co.) in partnership with El Camino Hospital, in Mountain View, Calif. Doctors and nurses used MIS-I (pronounced miss-ONE) to admit patients, order lab work and imaging, schedule follow-up appointments, and issue hospital bills, according to a 1973 article published by Datamation.
Although many people now know how to type on a keyboard, in the 1960s, most did not. Therefore, MIS-I included a light pen, which worked like a stylus for today’s touchscreens.
MIS-I was recognized as an IEEE Milestone during a ceremony on 14 May at El Camino Hospital. The IEEE Santa Clara Valley Section sponsored the Milestone.
“The medical information system was more than a technological breakthrough; it was proof of what can happen when clinicians, engineers, administrators, and community leaders unite around a common goal: improving care for patients,” Dan Woods said at the event. He is chief executive of El Camino Health, the nonprofit organization that maintains the hospital.
“This pioneering work helped establish the foundation for the modern medical informatics industry,” Woods said. “The legacy of Lockheed’s innovation continues to benefit patients and health care providers around the world, making this achievement truly worthy of lasting recognition.”
Bringing technology into clinical care
Prior to Lockheed’s effort, health records remained paper-based. They often were stored in dedicated rooms within the hospital. Files were kept in heavy-duty manila folders organized on mechanized open-shelf filing systems, revolving rotary files, or locked steel filing cabinets, according to EO Johnson Business Technologies. The process of retrieving a patient’s medical history was cumbersome and could hamper decision-making in a life-or-death situation. Paper records were prone to human error, according to an EHR in Practice article. In addition, upkeep could be costly due to administrative expenses such as transcribing doctors’ notes, storing patient charts, adding medical codes, and managing insurance claims.
Companies and universities including General Electric, IBM, and Harvard began exploring how to use computers to improve clinical care. They developed several systems for hospital laboratories to track test orders and results, as explained in the Milestone webpage.
In 1964 Lockheed was looking to diversify its portfolio, Melville Hodge, who helped lead the MIS development, said at the dedication ceremony. The company decided to apply its expertise to health care, and later that year this focus-area became part of a new information systems division. Hodge, who at the time oversaw multiple R&D efforts, became the driving force behind the MIS program.
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