Ohio State University- Patient Registration System
Transcription
Ohio State University- Patient Registration System
Ohio State University- Patient Registration System In 2003 the Department of Pediatrics at Ohio State University contracted FSM to create touchscreen-based that can be used to collect patient registration information while in the waiting room. Working with Dr. Deena Chisolm, FSM used its ScoreMD platform to create a tool that allowed novice computer users to use a touchscreen kiosk to: • Verify the demographic and billing information that was contained in the office’s EHR • Answer health history questions • Complete a number of risk assessments, which were then scored • Complete a satisfaction survey All of the information was gathered each time the patient came into the office, and the resulting reports were immediately generated and printed out for use by the office staff. A paper about the system was published by Dr. Chisolm et al., with the conclusion being that FSM’s ScoreMD system was well accepted by both the patients and the staff, and showed potential for improving efficiency in clinical office settings. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 National Diabetes Education Outcomes System (NDEOS) and AADE7 IMPACT In 2005 the American Association of Diabetes Educators (AADE) and the University of Pittsburgh Medical Center (UPMC) contracted FSM to create an online tool that can be used by diabetes educators to gather, collect, manage, and report patient data. The National Diabetes Education Outcomes System (NDEOS) was built by FSM on its ScoreMD platform and deployed to a number of UPMC offices in western and central Pennsylvania. It is currently in use by over 25 educators and over 3,000 patients. This system consists of a central web application allowing data to be collected via the internet or on a touchscreen kiosk running in each educator’s office. All information is centrally stored in FSM’s secure application server. Response to the system has been overwhelming, and multiple papers are currently being prepared for publication based on the ongoing results. After the launch and operation of NDEOS, AADE contracted FSM to create a new-generation diabetes management system for national use, dubbed AADE7 IMPACT. At AADE’s 2006 national conference AADE7 IMPACT was launched to the national audience. To date over 1,100 educators have signed up and over 7,500 patients are using AADE7 IMPACT. Some key features of NDEOS and AADE7 IMPACT include: • A secure, password-protected web environment for use by patients, educators, and administrators that complies with HIPAA security and confidentiality requirements. • Advanced features and functionality that can accommodate all of the major web browsers on Windows/PC and Mac platforms, on both high-speed and dialup connections. • Advanced data sorting, viewing, querying, and reporting. • An easy to use system, with embedded tool tips and contextual help, ensures that even users with little computer experience can quickly learn to use the system. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 American Orthopaedic Society for Sports Medicine In 2004 the American Orthopaedic Society for Sports Medicine (AOSSM) contracted FSM to create a touchscreen-based questionnaire and data collection system to be used in multiple offices throughout the country. AOSSM needed to use a number of pre-existing questionnaires in the system, including the SF-36 and others. Patients used the system complete a questionnaire at baseline, and at three, six, and 12 month follow up intervals, thereby building a longitudinal record. Participating doctors could then enter into the system information related to the patient’s impairment, surgery, and recovery over the next year. FSM built the system using its ScoreMD platform, utilizing a number of touchscreen hardware devices including wireless touchscreen tablets and stand-along kiosks. The system operated in 10 offices across the country and collected data into a central repository on FSM’s secure application server. The AOSSM researchers were able to view live collected data, generate summary reports, and download exports of the data for later import into statistical analysis programs. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 Children’s Hospital of Pittsburgh – Interactive Wellness System (IWS) In 2002 Children’s Hospital of Pittsburgh (CHP) contracted FSM to create a wireless tablet touchscreen-based screening, data collection and analysis system for use in CHP office waiting rooms. The questions to be asked were based on the Bright Futures national initiative, but were highly customized for this implementation. FSM used its ScoreMD platform to create the Interactive Wellness System (IWS, later branded as EnterVue:Pediatrics) that allows children’s parents to answer a battery of questions about their child while in the waiting room. The data was collected and analyzed locally, and two reports were instantly printed. The patient report gave information to the parent gave information to the parent about their child and the doctor report gave information to the doctor that could be used when subsequently meeting with the patient. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 Screening, Treatment, Education and Prevention – University of Pittsburgh (STEPUP) In 2004 the University of Pittsburgh (Pitt) contracted FSM to create a touchscreen-based questionnaire and data collection system to be used in multiple offices throughout western Pennsylvania. Laptops running the custom STEPUP software application are used to track, register, screen, assess, and report on patients. Additionally this system included a study recruitment tool that integrated with the office’s existing patient database. STEPUP allows the educator at the office that is running the program (called a preventionist) to send invitation letters to eligible patients and then track their progress through the program. When the patient meets with the preventionist, the patient completes the STEPUP screener, which includes questionnaires for type 2 diabetes risk factors, lipid risk factors, Framingham risk assessment, metabolic syndrome identification, and non-fasting and fingersitck results. The system assesses and evaluates all of the collected data and creates a patient-specific report. All of the data that is collected is stored locally on the laptops and once a week it is synchronized with a central server. This sync process transfers the collected data to the central database, generates and emails status reports to the researchers, and updates the software on the laptop with any newer versions. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 American Association of Diabetes Educators – ABCs of Diabetes Education In 2007 the American Association of Diabetes Educators (AADE) contracted FSM to develop a media-rich online education tool to provide diabetes information to users. The ABCs of Diabetes Education (ABCDE) is divided into a number of modules, with each module containing live-action video, an extensive educational presentation, a interactive case study discussion, quizzes related to the educational content, and downloadable resources. All video was shot by FSM on-location at a local hospital with selected actors. Post production, editing, and voiceover recording was done at FSM’s studio. The content was produced in Adobe Flash format, and incorporated into a SCORM 2004 conformant web infrastructure. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 InforMedx Group / Conemaugh Health System – Health E Control (HEC) In 2005 The InforMedx Group (a partner of Conemaugh Health System) contracted FSM to create a diabetes screening and educational system to provide services to members of the surrounding high-risk, yet underserved, community. Utilizing the ScoreMD online screening platform and the TEACH:diabetes education videos, FSM developed the Health E Control (HEC) system. HEC is a touchscreen-based kiosk system that delivers a short diabetes risk assessment (with printed results report) and also provides the user with a selection of diabetes education videos. This HEC system has a web-based architecture that allows multiple kiosks to connect via the internet to FSM’s central server that runs the ScoreMD/HEC system, allowing it to be centrally administered. In 2006 HEC was deployed with great fanfare on 13 kiosks around the Johnstown area, and to date over 6400 people have used the system. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 Mount Aloysius College – Framed Diabetes Education In 2005 Mount Aloysius College contracted FSM to create a system that would allow the researchers to determine the effect that “framing” has on diabetes education. For example, is it more effective for education to be delivered (framed) in a way that scares or shocks the patient (e.g. showing the results of poor foot care) or is it more effective to encourage the patient (e.g. highlight the benefit of proper foot care)? Flipside worked the researchers to develop educational videos with different framings, and then created touchscreen software that would randomize the study participants and place them into a study group. Each patient used the touchscreen kiosks to complete a baseline evaluation of his or her knowledge and understanding of diabetic foot care. The kiosk then presented the patient with a number of framed diabetes education videos. Finally, the patient completed the evaluation questions a second time. The patient also came in for three, six, and 12-month follow-up touchscreen evaluations to gauge retention and change of knowledge. All of this was remotely administered on the internet-connected kiosks and the data was gathered centrally on FSM’s secure servers. Mount Aloysius College – Diabetes Education for High School Students, via Internet In 2006 Mount Aloysius College contracted FSM to create a diabetes education web portal that provides secure, private education to high school students who have diabetes. Over the course of the 18-month program, students would log into the education portal on a weekly basis and receive educational content. After reviewing the content, the student answers a few brief questions to gauge understanding. Additionally, prior to the start of the project, school nurses and some other school personal received basic diabetes education, which was made available to them via the portal. All of the administration of the system was done via FSM’s central servers, and all data is automatically gathers for the researchers. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 Special Olympics of PA (SOPA) – Athlete & Volunteer management system In 2004 the Special Olympics of PA (SOPA) contracted FSM to create an online tool that can be used by SOPA administrators, coaches, volunteers, and athletes (collectively referred to as “delegates”) to manage all of the data for these groups. An initial version of the SOPA Web Based Delegate Management Software (DMS) was launched in 2004 and adopted by all of the county-based SOPA programs. The DMS allows permission-based internet management of all delegates in a SO Program. It facilitates the effective organization of thousands of delegates’ information, positions, and requirements. Since its launch, FSM has maintained and supported the DMS, while continuing to expand and improve the system to meet the evolving needs of all of the SOPA programs. As of 2010, there are over 50,000 delegate records in the system. Some key features of the SOPA Web Based Delegate Management Software include: • Permission based access model • Secure, centralized data for thousands of users across the state • Customizable reports generated as printable html, PDF, or Excel format • Ad-hock data searching and reporting, with multiple pre-defined reports: o Delegate Report by Position o Certified Coaches Reports o Program Information Report • Mailing labels printable based on the results of delegate searches Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 Body Quest – Online Professional Training Tools In 2007 a certified personal trainer contracted FSM to develop an online suite of tools targeting the personal training industry. This web-based system, called Body-Quest, is a commercial product offered to professional trainers to assist in their daily client and data management needs. Every subscribing trainer can create a profile for each of their clients and use Body-Quest’s integrated tools to guide and document their daily workouts. The system’s tools include fitness assessments, exercise libraries, progress trackers, and report generators. Customized workout templates can be created, and integrated video ensures that each exercise is being done correctly. In addition to traditional desktop PC access, Body-Quest also includes a mobile interface to allow streamlined entry of data as well as the viewing of instructional videos on iPhones and other mobile devices. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 American Association of Diabetes Educators – AADE7 System In 2008 the American Association of Diabetes Educators (AADE) contracted FSM to create a new online tool that built upon the success of the previous NDEOS and AADE7 IMPACT systems. This new tool, AADE7 System, was developed to give diabetes educators across America a single system for managing patients, documenting services, and collecting all of the data required for diabetes self management education (DSME) accreditation. AADE7 System leverages FSM’s ScoreMD platform as a proven platform for rapid development. The system includes patient communication tools and allows patients to complete initial assessments online prior to their DSME visit. Complete patient records are maintained, including demographic, health status, goal setting, clinical data and medications. The FDA’s Orange Book medication database has been integrated for quick and standardized data entry. Powerful reporting features allow administrators to mine their program’s data to extract detailed information. AADE7 System launched in 2009 at AADE’s national conference, and within the first year almost 1,000 educators had signed up and entered nearly 30,000 patients into the system. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 American Association of Diabetes Educators – DEAP Portal In 2009 the American Association of Diabetes Educators (AADE) contracted FSM to create an online tool for AADE’s new national Diabetes Education Accreditation Program (DEAP). In order for DSME programs to receive reimbursement from Medicare and other third-party insurers, the program must receive accreditation, which requires tracking a wealth of information about the program. The DEAP portal was designed to allow DSME programs seeking AADE accreditation to register and submit the required data. Tools were incorporated to allow AADE administrators to manage the entire accreditation process. The DEAP portal was also integrated with AADE7 System so that programs that are using AADE7 System are able to import the required data into DEAP in a seamless manner. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 Puyallup Tribal Health Authority - Educational and Screening Kiosks In 2009 Puyallup Tribal Health Authority (PTHA) contracted FSM to create a screening and educational kiosk system focused on diabetes, depression, and smoking cessation. PTHA desired to provide a large volume of video education to their community, and to deliver it via multiple touchscreen kiosks. FSM’s ScoreMD platform was used to allow for rapid development in a proven environment. In order to provide the variety of education required, FSM partnered with Milner-Fenwick, an educational video provider with hundreds of available titles. Multiple screening surveys were incorporated to allow users to determine their health risks and receive printed reports with follow-up information. A centralized management interface was created so PTHA administrators could control and collect data from each of the kiosks. Four kiosks were deployed in 2009 and within the first six months 3,000 people had used the kiosks. Steps to a Healthier PA - Educational and Screening Kiosks In 2008 Steps to a Healthier PA Fayette County (StepsPA) contracted FSM to develop a turnkey kiosk system that included screening and education components. As part of an initiative by the Department of Health and Human Services, StepsPA was created to promote healthier lifestyles on a local and community level. FSM incorporated the ADA’s diabetes risk assessment and FSM’s own TEACH:diabetes educational videos into a system that could be quickly deployed at various locations. FSM utilized SeePoint kiosk hardware and partnered with Prime Computer for delivery and installation services. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448 University of Pittsburgh Medical Center - Rethinking Eating and Activity In 2009 the University of Pittsburgh Medical Center (UPMC) contracted FSM to develop a diabetes education portal with extensive tracking, data collection, and patient communication capabilities. UPMC was beginning a project called Rethinking Eating and Activity (REACT) to determine the difference in efficacy of video education delivered via a DVD versus web-based delivery. The Moodle framework was used for the web-based portion of this project to allow for rapid development. FSM converted this Moodle framework to meet the unique needs of the project. Communication tools were developed to allow program managers to interact securely with project participants. At the portal, participants viewed educational content that had been extracted from the existing DVD and converted into a web-friendly format. Existing paper-based literature was reproduced and incorporated into the portal. A food and exercise logging and tracking application was built to allow participants to record their daily progress. Weekly interactive “to do” lists ensured that participants stayed focused on the prescribed tasks. All of the collected data was available to program managers in real time so they could monitor the participants’ progress and intervene when appropriate. Flipside Media, Inc. www.flipsidemedia.com (412) 492-9448