Transplant

TOTAL PATIENT MANAGEMENT FOR TRANSPLANT CENTERS

This application is a comprehensive Organ and Bone Marrow Transplant Management Information System which offers a refreshing information paradigm by shifting focus to the care giving process. It works the way transplant caregivers think, by capturing and delivering information around all the different types of pre-transplant through post-transplant encounters. The software provides the following information infrastructure:

• Supports the care giving process at the point of care
• Captures and reports information for patient management, outcomes management, and transplant program administration
• Continuously improves the quality and efficiency of care through the integration of user-defined treatment guidelines

General Features

• Management of the general processes for multiple organ transplant procedures, which may include kidney, liver, heart, lung, pancreas and multiple organ transplants
• Seamless integration of validation criteria (financial, clinical, psycho-social, etc.) which consolidates the transplant procedure with recipient and donor details
• Facilitates donor registration and clinical evaluation processes to expedite inclusion onto wait list, decreases accrual time by integrating labs, medications, and coexisting histories into standardized and custom evaluation reports

Total Patient Management

The Transplant Application takes a total-care approach to managing patients. It is designed to optimize the capture and delivery of information pertinent to managing transplant patients using the following modules:

• Patient information
• Scheduling
• Insurance information
• Clinical information
• Orders
• Communications
• Reporting
• United Network for Organ Sharing (UNOS) interface

The application is designed for outcomes-based reporting. Information is presented to facilitate various outcomes analyses, including patient and patient-group comparisons, severity and case-mix adjustments, as well as care-process assessments. Clinical information, orders, and notes are organized around clinical problems. This enables caregivers to better monitor and manage diabetes, hypertension, and other coexisting conditions.

Pre-Transplant Assessment

The software incorporates various pre-transplant assessment tools and modules to process clinical evaluation office visits:

• Initial clinical evaluation
• Preoperative assessments
• Physical examinations
• Pre-transplant lab assessments
• Tracking of core End Stage Disease (ESD) indicators (MELD/PELD)
• Psycho-social assessments
• Personalized referral letters
• Assignment to a waiting list based upon UNOS codes
• Assignment directly to a transplant and a given donor without wait-listing
• Reporting on patients status on different waiting lists for each organ
• UNOS candidate registration forms

Capturing, Accessing and Managing Donor and Recipient Information

Donor information and other data on organs are presented in an independent module accessed through the recipient and/or transplanted patient module. Using the initial search screens, the user can review lists of either donors or recipients to:

• Associate a donor to one or more recipients
• Associate a recipient to one or more donors
• Modify the amount of information required relative to cadaver versus living donors

The system is designed for easy donor and recipient data-capture according to a number of parameters:

• Demographics
• Co-morbidity
• Financial status
• Medication history
• Donor specific assessments
• Recovery information assessments
• Laboratory examinations
• History of procedures
• Graft assessment
• Donor surgery
• Donor reports

Managing the Wait List

Because donors and their organs are scarce, organ allocation is supported with seamless integration of information (labs, medications, histories, substance abuse, etc.) to help identify patients best suited for the donated organs.

Managing the Transplant Procedure

During the encounter, the system guides the nurse or technician through the entire care process from setup through discharge. The user is provided with quick access to key patient information including core indicators, co-existing diseases, medications, etc. While the application provides the infrastructure for managing the transplant procedure, the specifics of each step can be modified and maintained by the user at each center. Information includes the following:

• Intra-operative surgical procedures
• Pre-transplant parameters
• Immunosuppressive medications
• Diagnostics
• Post-transplant parameters
• Patient’s condition at end of surgery or procedure
• Discharge codes and various notes modules
• Blood and usage information
• Organ recovery assessment
• Surgeon assessment and forms
• ICD-9/10 related diagnosis
• UNOS recipient registration

Post-Transplant Management

Designed in cooperation with some leading transplant facilities, this system successfully supervises the process of managing post-transplant patients. Its flexible interface and associated tools allow users to maintain the process in accordance with practice preferences. The software preserves data integrity to allow robust outcomes reporting and benchmarking, such as:

• Patient assessment
• Immunosuppressive history
• UNOS discharge form
• Mental status
• Complications
• Infections
• Biopsies
• Death certification
• Clinical data
• Rejection
• UNOS recipient form
• Long-term patient status

Patient Assessments and Guidelines

The system is equipped with a guideline builder to create and modify assessment instruments triggered during patient encounters. Guidelines are constructed to manage a question-flow that is based on responses, creating a vehicle for collecting structured data at the point of care. Several assessment instruments are already built into the software, and can be easily customized to meet specific user needs:

• Quality of Life Assessment
• Pre-transplant Assessment
• Post-transplant Assessment
• Periodic Assessment
• Complications Assessment
• Custom End User Defined Assessments

These and additional customized assessments are fully integrated and automatically called upon in the patient care process.

Continuous Quality of Care Improvement

Quality care depends on both the process of caregiving activities and their outcomes. Our integrated reporting engine measures clinical and economic outcomes, and the guidelines builder provides tools to continuously improve care. With these, our Transplant application is a powerful facilitator for continuous quality improvement, and has become a standard in transplant patient care software.