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Intelligent Software and Systems

Epworth HealthCare selects WebQI

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Epworth HealthCare has selected WebQI for use as an electronic clinical audit tool. WebQI will be used across Epworth sites and specialities.

A WebQI project will be developed for each particpating Epworth speciality, allowing doctors and other clinical users to create a WebQI record for each operation or admission that occurs within each speciality.

The record will include a structured data set, representing all of the information pertinent to clinical audit within that speciality.

Intelsoft will work closely with Epworth staff to develop and implement the detailed information structures required.

About Epworth HealthCare

Epworth HealthCare is Victoria’s largest not for profit private health care group, renowned for excellence in diagnosis, treatment, care and rehabilitation. Epworth is an innovator in Australia’s health system, embracing the latest in evidence-based medicine to pioneer treatments and services for patients.

Epworth has a number of locations across the Melbourne metropolitan area, including Epworth Brighton, Epworth Camberwell, Epworth Cliveden (East Melbourne), Epworth Eastern (Box Hill), Epworth Freemasons (East Melbourne), Epworth Hawthorn and Epworth Richmond, as well as specialist centers in Melbourne city, Berwick and Lilydale. In 2016 Epworth will open its new teaching hospital, Epworth Geelong, in partnership with Deakin University.

 

WebQI selected for use at La Trobe Regional Hospital

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Latrobe Regional Hospital has selected WebQI to provide electronic clinical audit to all surgical speciality units. The service provided will include development of clinical audit content for all specialities and ongoing maintenance.

The service also includes interfaces with third party systems. These interfaces will utilise HL7 messaging for integration with the local PAS and Active Directory for user account management.

 

Workflow Engine

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The Intelsoft Workflow Engine is used to coordinate, control and report on the activities in a complex workflow.

Example domains

  • Processing of applications
  • Controlling Job Status

Workflow Engine functionality

  • Allow easy specification of a set of activities in a workflow.
    • Consistent and easy to use data entry.
    • Smart forms used to maintain data quality (eForms).
  • Easy definition of rules for coordinating activities, based on the information collected in each activity.
    • Use information collected during any activity to control handling of each record.
    • Define rules for processing records and specifying what activity is to occur next.
    • Define rules to record current status, depending on information collected.
  • Provide real time reports of current status of all records.
  • Flexible role definition capability.
    • Each user is assigned a user role (eg admin, senioradmin, assessor, engineer, etc).
    • Permission to view or edit each activity type based on role.
    • Define rules to record current status, depending on information collected.
  • Full audit trail of user activity (login, actions performed, date/time).
 

Electronic Taskboard: Trialling in Paediatrics

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A Electronic Taskboard module has been deployed within WebQI. It is currently being trialled by the paediatrics team at Monash Childrens.

Taskboard is a web based communication system that replaces paging of after hours cover doctors for non-urgent tasks.

A typical workflow would be as follows:

  • A nurse creates a task on taskboard, eg 'review antibiotics'.
    • Patient details are retrieved by WebQI from the patient administration system.
    • Patient unit, cover, ward and bed are assigned by the system (based on PAS details).
    • Background and task detail are added by the nurse.
  • The task is added to taskboard, showing the list of tasks for a given cover doctor.
  • Taskboard users can filter tasks by cover (eg front, back, surgical and paediatric cover), ward and unit.
  • The assigned after hours cover doctor can acknowledge the task in a single click.
    • Acknowledged tasks are time stamped, so the requestor knows the task has been seen.
    • A 'reply' function allows the cover doctor to ask any clarifying questions, or supply a status update for an ongoing task
  • Once the task is completed, the cover doctor marks the task completed.

All staff can view the list of current tasks and can track the staus of individual tasks, as well the current task load.

The user interface has emphasised simplicity, so as to make creating, tracking and completing tasks as straightforward as possible.

Communication of current task activity is transparent, leading to all staff being more informed. As a result, paging is reduced to urgent tasks only and less time is wasted on unnecessary communications (e.g. no status checks are needed).

 

Program for Students with Disabilities (PSD)

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Under contract to AHA, Intelsoft has developed and is supporting a system that is managing the administration of the Program for Students with Disabilities (PSD). The PSD is a program of the Victorian Department of Education and Early Childhood Development (DEECD).

The PSD provides a range of supports and initiatives to assist government schools to support students with disabilities. The objective is to help maximise students’ potential growth in education and learning, and ensure that students with disabilities are valued and participate in all aspects of school life. The PSD is one of a suite of programs and interventions designed to meet the diverse educational needs of students with disabilities in Victorian government schools.

The PSD administration system is a purpose built web based system, designed to implement a complex workflow that parallels the application assessment process of the PSD.

The PSD system specifies a set of assessment activities that are undertaken for each application. Based on the information entered within each activity, the workflow management sub-system then directs the user to the next activity.

For each application, the system indicates:

  • the current status of each application
  • the activity history of the application (activities undertaken, including user and date/time and activity outcome)

For all applications, the system reports on the number of applications at each stage of the assessment process.

The system includes a permissions model, which allows the specification of which user types can view or edit each of the activity types. This allows the separation (for example) of administration and assessmenta activities.

In addition, the system manages the large volume of documentation that is associated with each application.

Further details about the PSD are available from the DEECD website

 

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
 

Monash 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 Monash 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.

  • 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
 

WebQI in use at St Vincent's Private Hospital, Melbourne

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WebQI is being used as a platform to implement the Quality In Action program at St Vincent's Private Hospital, Melbourne (SVPHM).

Developed by Affinity PL, the program is a front line focused program utilised at SVPHM to build staff engagement and continuous improvement in all functions and at all levels of the organisation.

One of the key elements is the use of visual management tools.  Key functions of these tools includes enabling teams to keep track of issues and actions and enabling teams and managers to track and trend measures and identify improvement opportunities.

The electronic implementation of these tools involved a collaboration between Intelsoft, Affinity and SVPHM staff.

A key aspect of the implementation was the development of innovative User Interface tools and components, which enable quick and easy recording of data combined with powerful reporting and summary functions.

 
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