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Intelligent Software and Systems

RALS data collection video

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The RALS team at Monash Health have specified a WebQI project that tracks the status of a patient as they transfer to Subacute.

A demonstration video has been put up on vimeo, here.

The video shows how to use the WebQI RALS data collection project:

  • Add a patient
  • Update the status of patients in the list
  • View the current Status Reports.

It is demonstrated on an iPad, which will be the principle input device used. It is similar in other browsers - Internet Explorer and Firefox, etc.

 

Conference Presentation on LOS Management in WebQI

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An oral presentation at The Australian and New Zealand Society for Geriatric Medicine Annual Scientific Meeting, June 2013  discussed Length Of Stay management within WebQI. The paper was 'Length of stay management in a subacute service within the activity based funding framework' / Barbara Workman and Keith Stockman.

The page shows all presentations, so search for 'WebQI' to find the paper itself.

 

Online HL7 Viewer

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You can access the online HL7 viewer here.

The viewer allows you to paste in a HL7 message, which is then parsed and presented in breakdown. The names of the fields, segments, etc are shown.

It is intended as a means of quickly assessing a message. Its particularly helpful when you need to look at unfamiliar message types, as the schema lookup is done for you.

 

Patient Location now automatically updated: extended HL7 integration

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WebQI is now capable of close integration with a hospital PAS. A WebQI HL7 listener can now receive any broadcast messages from a PAS and process them appropriately.

At Monash Health, this integration has resulted in:

  • Immediate updates to patient location (i.e. ward and bed).
  • Discharges are immediately indicated on active WebQI records.
  • Admissions to a speciality are placed on that Units 'Quick Pick' list: a WebQI record can be created from this list with a single click.

This integration follows from the earlier HL7 messaging, which allows a query of patient demographics for a given patient. This can be used to partially populate a patient record.

 

Length Of Stay Review and Management

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WebQI now includes Length Of Stay (LOS) Management and Review functionality. The functionality has been deployed within Subacute units at Monash Health.

The expected data of discharge is recorded after initial review of a patient's admission - this is a clinical assessment that is determined after discussion within the clinical team.

The FIM (Functional Impairment Measure) score on admission (and discharge) is also recorded. This allows a determination of an expected length of stay. This expected LOS is in comparison to a national cohort.

At suitable intervals (eg. fortnightly), the LOS of all patients is reviewed. The patients are listed in priority order, with those patients whose LOS is above a threshold listed first.

The functionality is being expanded to include ANSNAC classifications, in direct association with a patient's impairment.

 

WebQI

WebQI is on online clinical management system. Initially designed for use by clinicians working in hospitals, WebQI can be used in a range of health record management settings.

  • Web based: works in any browser on any device.
  • Clinical Handover and Clinical Audit
  • Full range of analysis and reporting options.
  • User-definable reporting
  • Full and complete audit trail of user access.
  • Full and complete history of all changes to data entered.
  • Automated report scheduling.
  • Forum and issues reporting.

Flexible hosting options:

  • Hosted on your intranet
  • Hosted externally at you.webqi.org

Clinical handover

  • electronic admission
  • electronic patient handover
  • electronic discharge summary
  • Multidisciplinary Team (MDT) meeting reporting
  • Grid listing (electronic whiteboard)

Clinical audit

  • Operation reports
  • Weekly / Monthly / Quarterly / Annual audit reporting
  • Powerful ad hoc clinical audit reporting
 

Cabrini Health to use WebQI

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Cabrini Health have selected WebQI for use within its Breast Cancer Service. The WebQI project includes the following structures:

Patient record

  • Medical history
  • Family and Psychosocial History
  • Presenting Problem
  • MDT Results
  • MDT Recommendations
  • Follow-Up records
  • Recurrence records

Breast Surgery Operations

  • Operation Details
  • Pathology Results
  • Complications

Medical Oncology

  • Palliative Chemotherapy
  • Adjuvant/Neoadjuvant Therapy

Radiation Oncology

  • Radiotherapy Treatment
  • Radiotherapy Toxicity

This project is compatible with the Brast Surgery project at Southern Health, which will encourage the collection of common data sets.

 

Southern Health Projects

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WebQI is now being used as the basis for electronic clinical admission, handover, audit, referral, progress notes, operation reports and discharge summaries at Southern Health. The sites include Monash Medical Centre Clayton, Dandenong Hospital, Monash Medical Centre Moorabbin, Casey Hospital and Jessie McPherson Hospital.

Electronic Admission, Clinical Handover and Discharge Summary

WebQI is being used for electronic Admission, Handover, Multi-Disciplinary Team (MDT) Meeting reporting and Discharge in the following Units. These projects are in production, with more being developed for rollout this year.

  • Breast Surgery
  • Consultation-Liaison and Primary Care Psychiatry
  • Colorectal Surgery
  • Endocrine Surgery
  • ENT Head and Neck
  • General Medicine
  • General Surgery
  • Hospital In The Home
  • Infectious Diseases
  • Neurosurgery
  • Nephrology (Renal Unit)
  • Paediatrics (Monash Children's)
  • Sub-Acute Care
  • Upper GI Surgery
  • Urology

Anaesthesia

  • Obstetric Anaesthesia
  • Cardiac Anaesthesia

    Gastroscopy and Colonoscopy have also been developed.

Electronic Clinical Audit

WebQI is being used for electronic clinical audit in the following Units. All of these projects are being used to generate operation reports, post operative reports (where applicable) and clinical audit analysis.

  • Breast Surgery
  • Colorectal Surgery
  • ECT
  • Endocrine Surgery
  • ENT Head and Neck (and ENT referral)
  • General Surgery
  • Gynaecology
  • Neurosurgery
  • Oral and Maxillofacial Surgery
  • Orthopaedic Surgery
  • Paediatric Surgery
  • Plastic Surgery
  • Renal Access Surgery
  • Thoracic Surgery
  • Urology
  • Upper GI Surgery

Outpatient Clinic

  • Asthma and Allergy Clinic
 
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