.jpeg "Customize your interaction with RenalReality with user profilies")
Improved User interface
To improve and expand the user experience across a multitude of settings and renal modalities, we improved and added features to the user interface as summarized below. All features are still the same for all users though.
- Scrolling through patient and pop-up notes
- Using patient NHI for searches/filters and additions
- Highlighted links to Critical interventions
- Text alerts on Care plans for color-blind users
.jpeg "Add more action plans to the CarePlan algorithms to guide care workers")
CarePlan ACTION points
In addition to standard care plans directed at the patient, we added action points directed to renal care workers. So, whilst the patient knows what to do, the care provider can also get guidelines directed action plans
- Specific CKD MBD adjusted to renal guidelines
- EPO and iron adjustment for Anaemia management
- Phosphate binders and Vitamin D supplementation
- When to escalate treatment to MDT/Clinician
.jpeg "Optimize the NoticeBoard for reminders and links and audit trails")
Notices, Alerts and Links
From the Patient Summary Page, the users can access and edit notifications and reminders about the patient's upcoming plans and recent progress/updates. care plans updates also showing here.
- Using patient associations to build CaseLoads
- Virology and Social Alerts added to Headlines
- Modality changes subject to Dialysis Access entries
- Red alerts numeric indication per RRT modality
.jpeg "Run more frequent Eclair runs to efficiently update of resu")
Eclair result efficiencies
In preparation for your monthly renal MDT, these reports are updated daily to reflect the burden of disease in each modality. Reports are categorized per modality and per renal parameter, showing Red Alerts first to allow focused management of CKD in each modality.
- Edited results in Eclair retrospectively updated
- Tracking tables of RenalReality uploads
- Opt-out feature and Eclair Audit trails
- Event dates changed from MM-YY to DD-MM-YY
.jpeg "Create patient lists specific to each user")
User CaseLoads and Landings
The Home Page (Landings) shows lists of patients per modality or user preference. From here the user can filter or sort patients according to different measures that include modality, location, ethnicity and associated staff member (which becomes the CaseLoad of the clinicians)
- CASELOADS defined by associated staff/users
- Landings as per user profile and preferences
- Filters (Sorting) per modality, location, and ethnicity
- HD/PD scripts expanded and generalized
.jpeg "Using present forms to enter data additional to the menutree")
More ways to enter events
Other than following a menu tree and entering one clinical event at a time, you can now enter events using FORMS. Data that comes in other formats, can now be uploaded using File Attachments. You also got more Quicklinks customized to your renal unit requirements
- Forms, Referrals, and documents in MainMenu
- QuickLinks to Family meetings and Medication lists
- Attaching a document and link to clinical events
- Using preset FORMS to enter sets of clinical data
additional features added in 2020
Locations
You can now easily filter all pages and patient lists by utilizing predefined locations specific to your local District Health Board (DHB).
Additionally, you can harness patient addresses via mobile Map widgets to conveniently pinpoint your patients in alignment with Alerts and Modality criteria.
Ethnicity
You have the option to refine your patient lists, including CaseLoads and Modality-based work lists, by applying filters based on primary ethnicity.
Furthermore, you can arrange or streamline your lists by considering this aspect of the patient demographic.
Clinicians
Clinicians now have the capability to associate patients with specific users, thereby generating CaseLoads and work lists.
Additionally, filters and sorting options are available to facilitate the organization of patient lists based on the clinician across all RRT modalities.
Accesibility
Your local data will be meticulously safeguarded and encrypted within the MS Azure Cloud, ensuring the highest level of security. This setup also enables seamless communication with third-party applications and registries at your discretion. Furthermore, the data can be exported to various formats and platforms for your convenience.
an itemized list of version 2.0 upgrade released 2020 in northland, new zealand
- The software upgrade implemented at Northland District Health Board (DHB) in New Zealand brought about a multitude of enhancements and improvements. These changes touched upon various aspects of the healthcare system, streamlining processes and providing additional features for both clinical staff and patients. Here's a detailed breakdown of these changes:
- Anaemia and CKD MBD Action Plans: The Anaemia and CKD MBD Action plans were upgraded. This upgrade included the addition of ADVICE for nursing staff, alongside Patient Messages based on the initial 2014 algorithm.
- Scrolling Feature in Electronic Clinical Notes: A scrolling feature was introduced in electronic clinical notes, making it easier for users to view and interact with notes, as the text remains visible on the same screen while scrolling.
- Streamlined Patient Addition Process: The process of adding new patients was simplified. Now, users only need to press the ENTER key to retrieve patient information from the Hospital IT system.
- Auto-Expansion of Free Text Area: When entering new clinical events and encounters, the free text area now automatically expands, making it more convenient to input information.
- Separate Event Style List: A separate event style list for location and users was created, enabling local customizations without impacting the master event ID list maintained at Simcart.
- Flow of Edited Results: Edited results now seamlessly flow through to Eclair results, ensuring that users can access the latest results even after editing.
- Efficient SSIS Package: The SSIS package was redeveloped for improved efficiency. It includes a tracking table to upload only changed or new results since the previous successful data load.
- Opt-Out Option for Data Import: An Opt-Out option for patient data import in Éclair was implemented.
- Audit Trail in Éclair Import: The Éclair import process was enhanced to leave an audit trail within Éclair.
- Improved Navigation with Scrollbars: Scrollbars were added to popup notes for easier navigation within the software.
- Care Plan Indicators: Text indicators were included to denote care plan status, and color-coding was introduced for colour-blind users.
- Event Timeline on Summary Page: An event timeline was introduced on the right side of the summary page, displaying past and future events. Noticeboards for messages and reminders, including the date of the last CarePlan update, were also added.
- Event Dates Display: Event dates are now displayed in the small event display at the top of the Patient Summary page.
- Parathyroidectomy Indicator: An indicator in the Bone Disease grid alerts users if a parathyroidectomy event is associated with the patient.
- QuickSearch Feature: A hyperlink to the results page with filtered test names was created, allowing users to quickly search for variables without re-entering search criteria.
- Improved Date Format: The test date format on the Patient Summary Page Grids was changed for improved readability, especially for multiple events per month.
- Ultrasound Report Access: Ultrasound of the kidneys, ureters, and bladder (USKUB) results were added to the Patient Summary Page Biochemistry results Grid, providing access to the actual report for clinical decisions.
- Enhanced Transplant Data: In transplanted patients, the Bone Disease grid columns were updated to include B2MCG and Vitamin D with ALT and Bilirubin.
- Additional Tests for Transplanted Patients: Cyclosporin (CyA) and Tacrolimus (Tac) tests were added to the SSIS import routine for transplanted patients, replacing columns under FBC and Anaemia grids to include these levels.
- Centralized Data Entry: New menu tab items (Forms, Referrals, and Documents) were introduced to centralize Renal data entry.
- Indicator for Actual Results: An indicator on the Patient Summary Page now shows actual results or HIV HepB ESBL and MRSA positivity.
- Patient Safety Rules: Rules were implemented to prohibit patients from starting HD or PD when certain events do not exist, with optional alerts for users.
- Quick Patient Addition: A "New patient" button was added on the Main Landing page and Patient Summary Page for quick patient addition.
- Patient Search Dropdowns: Patient search dropdowns were included on pages containing Reports to simplify patient selection.
- Red Alerts Count: A total red alerts count for each modality was added to the menu item, allowing users to identify high-risk patients marked as Red Alerts/Modality.
- Modality Red Alert Links: A hyperlink from the modality red alert count to the modality report, filtered by red alerts, was created.
- Filtering in Renal Modality Reports: The ability to filter Renal Modality reports by Alert Color and Status was implemented.
- Location and Primary Contact Filters: Location and primary contact filters were added to all patient lists for user and location-specific worklists.
- Document Upload Functionality: Document upload functionality was introduced, including local storage and contextual links to clinical events.
- Document Templates: Document templates were developed to accommodate up to 100 different Forms used in the Northland Renal units, centralizing data entries.
- Medication Notes Display: Line breaks in medication notes were retained for improved readability.
- Read-Only View: A Read-Only view was added, matching and grouping with key ViewPatientRoleMapping.
- Careplan History: Careplan history was incorporated into the grid and Notification Tab on the Dashboard.
- Patient List Filters: Filters were introduced on top of all patient lists, allowing users to filter by location and user/clinician/primary nurse.
- QuickLinks: QuickLinks for Family Meetings and notes were included at the bottom of the QuickLinks New events MenuTree.
- Simplified Critical Event List: The Critical event list was simplified, with each event covering one line and an option to "read more" for additional details. Optional features like combining ACCESS entries and excluding DoB from these lists were introduced.
- Social Alerts: Social alerts were added next to Microbiology Alerts on the Patient ID banner on the Summary page, along with a manual entry option for SOCIAL concerns.
- Notification Boards: Notification boards with single-line entries for FORMS were introduced, aiming to keep notices concise and to the point, with consideration given to displaying Notice Boards in a calendar format.
- MDT Report Improvements: On MDT Report pages, mean values for certain columns were changed to MEAN / AVERAGE for improved clarity.
- Customized HD and PD Prescriptions: The HD prescription was adapted for the local needs of the HD unit, allowing customization for a wide range of hemodialysis units. Similarly, the PD prescription format was adapted to meet the requirements of the local PD unit while accommodating other PD units within the region.
- Enhanced Patient List Filters: Filters were added to patient lists to allow searches by Clinician name associated with each patient, a Location Filter for renal unit searches for Northland DHB users, and an NHI Filter to allow searches using the NHI of the patient in addition to existing Surname and modality searches.
- This comprehensive software upgrade introduced numerous features and improvements, making healthcare management and patient care more efficient and user-friendly at Northland DHB in New Zealand.