Hitch-Playford Exploring Focus Enhancements

22nd Annual Midas+ User Symposium • June 2–5, 2013 • Tucson, Arizona

Exploring Focus – Enhancements and Practical ApplicationsTuesday, June 4, 1:00 pm

Participants in this session will explore the newest functionality inMidas+ Focus Studies, including new available SmarTrack variables,secured comments, expanded dictionary look-up, and the NewVersion Testing Process Focus Study. This session will also providecurrent examples from Midas+ colleagues who are using the featuresof Midas+ Focus Studies to the max!

Presented By:

Mary Joan Hitch, Midas+ Implementation Consultant

John Playford, Midas+ Implementation Consultant

Copyright ©2013 MidasPlus, Inc. All Rights Reserved.

Contact us at:Midas+ Solutions4801 East Broadway, Suite 335Tucson, Arizona 85711(800) 737 8835

Visit our Web site at: http://www.midasplus.com/

Exploring Focus

Enhancements and Practical Applications

Stephanie S. ThomasMidas+ & Statit System Manager

The Ohio State University

Mary Joan Hitch RNImplementation Consultant

Midas+

John PlayfordImplementation Consultant

Midas+

Ben TruittIS Analyst

DCH Health System

- 2 -2013 Midas+ User Symposium

Exploring Focus - Enhancements and Practical Applications

22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013 1

Consider Enhanced Functions

• Improve completion compliance

• Improve completion accuracy

• Provide greater Focus opportunity

• Broaden community of end-users


Remote Data Entry - Focus StudiesRisk & Patient Relations, too!

Stand-alone data Entry & Inquiry using iPad

• Authenticated and non-authenticated users

• For RDE Risk/Patient Relations and Focus only

• Speech recognition for iPad 3



2 22nd Annual Midas+ User Symposium - Tucson, Arizona - June 2-5, 2013

Remote Data Entry - Focus StudiesRisk & Patient Relations, too!

Patient Lookup for non-authenticated users will include encounters from associated facilities sharing a single database

• Encounter Facility: MMC

• Event Facility: MGH


Also New in v2012

Expanded dictionary look-up

and

Is Like search




Plan

• Make every Focus a mini project

• Make decisions for the Focus

• Create reporting “while your head is still in the game”


Consider Content

• Focus study?

• User fields?




Decision-making

Patient• The highest level - a 1:1 relationship

Encounter• One to many

Process• Non-patient data


Decision-making

• Care Management Access

• Remote Access

Opportunity for both!




Decision-making

Authenticated • Midas+ Care

Management Sign on required

Non-Authenticated• Midas+ Care

Management Sign on not required


Draft Mode

• Keeps Focus from distribution during initial build and design

• Use of certain fields may require moving in/out of draft mode during the build

– Calculated fields

– Use of Encounter variables

• Once active, draft mode can be re-instated for needed modifications




Response types• Categorical

• Checkbox

• Combined date & time

• Computed

• Date

• Drop down single

• Elapsed combined

date & time

• Elapsed days

• Elapsed time

• Radio group

• Select multiple

• Select single

• Time

• Word processing

• Yes/No

• Yes/No/Blank

• Yes/No/NA/Blank


Comments

In v2012 there is Security!

Build into the individual Focus Study when Response Type selected is Comments




Numeric

Available in v2011


Text

Available in v2011




Formatting

• HTML code

• Image

• Label

• Line

• Space


Containers

• Groups

• Grids

• Tabs




Expose Focus Study Grids to SmarTrack

Indicators


Rules








New Variables - v2012

Added to Focus and User Field Rules

• Encounter Admitting Physician

• Encounter Attending Physician

• Encounter Discharging Physician

• Primary Care Physician


In case you missed it!

V2011 – Current User and Role




A Manager will see

A Risk Manager will see





Creativity with Process Focus

• Authenticated• Hand Washing

• Safety Rounds

• New Version Testing

• Non-authenticated• Flu Vaccine Declination Forms

• IT Request Forms


New Version Testing Process Focus Study

• Distributed in Test area

• Reflects major enhancements that affect both functional users and System Managers

• Can be modified to match unique workflow




Memorial Hospital - Fremont, Ohio





Early Reporting


Results at a Glance




Graphing is a click away

Received at Memorial

Received Elsewhere

Not Received


Using Process Focus

Streamlining the usually complex and confusing landscape of……

IT REQUESTS




I/S Service Request Process


Before the I/S Service Request

• All work was requested by phone or email

• No consistent way to aggregate what type of work was requested

• No consistent way to track how much work was done

• No way to prove to management that more employees were needed in I/S




Help Desk Stats

6 AM – 7 PM - seven days a week


Making it Available for Everyone• Focus Study is unauthenticated so anyone can enter a

request through a web Focus Study

• Quick links and instructions were put on our intranet page




A Smart Focus StudyBuilt skip logic with rules to only show fields that are needed


A Smart Focus Study (Security)

• Used Current User and Role rules to allow entry through the web focus (un-authenticated) and review through the client (authenticated)

• All I/S Managers have access to review and assign work to their employees.




Design of the FocusOriginally designed only for projects and tasks, but later saw a need to include help desk requests


Design of the Focus (Tabs)




Design of the Focus Tabs (cont.)

• A request Tab and Prioritization Tab are controlled by rules

• User puts entry in through Request Tab and Manager assigns work and documents information in the Prioritization Tab


Who is Responsible and When?

• Added section to track who the Manager, Employee Assigned, System Impacted, Task Assignment Date, Department, and Dates to track timeliness

• Have reports generated off of these fields




Use Your Built-in Search Abilities


Document Generation

Document Generation is used to pull information from focus study to email to users




Service Request Statistics


Reports




Reports (cont.)


One-Click Graphs




Graph with Breakdown by Category


Daily Updated Reports

• There are daily updated reports for:

• Tasks in progress

• Projects in Progress

• Projects for Review

• All users can quickly pull reports for any of their tasks/projects




Creativity with Encounter Focus

Let’s see how far we can go!!!

ENCOUNTER FOCUS


Quality Mortality Review

The Ohio State University

Wexner Medical Center




Mortality Review• Perform 100% Mortality Review

• Process built around a Focus Study

• Focus Study

• Focus SmarTrack rule initiates the focus study

• Incomplete Mortality Review Report is run to assign cases for review

• Worklist rule to notify Peer Review Coordinator of any quality of care issues


Mortality Review (Cont.)

• Comprehensive study to track the reviews and results of peer review

• A Detailed Document Generation Incorporated into Focus

• MIDAS+ Profile created from Focus

• Statit Scorecard created from Profile




Focus StudyComprehensive Focus tracks up to 3 peer reviews


Focus Study (cont.)




Focus Study (cont.)


WORKSHEET

Document Generation








Profile - Focus


Profile – Focus(cont.)




Statit Scorecard from Profile


Thank you for attending.

Questions?

Stephanie S. ThomasMidas+ & Statit System Manager

The Ohio State [email protected]

Ben TruittIS Analyst

DCH Health [email protected]

m

John PlayfordMidas+ Implementation Consultant

[email protected]

Mary Joan HitchMidas+ Implementation Consultant

[email protected]




Documents

Hitch-Playford Exploring Focus Enhancements