› sites › himss... using algorithms and patient data for identification of ...problems to...
TRANSCRIPT
![Page 1: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/1.jpg)
@louise_weile
Using algorithms and patient data for identification of special needs in antenatal careLOUISE KATRINE KJÆR WEILEPhD student, Midwife, MHSc.Dept. of Obstetrics & Gynaecology, Odense University Hospital
![Page 2: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/2.jpg)
2
Individualization of antenatal care
![Page 3: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/3.jpg)
3
• At pregnancy recognition, the
woman seeks GP,
• GP records medical history and
refers the woman to a birth
facility, and
• Birth facility makes a
personalized plan for antenatal
care program.
Problems to individualization of antalnatal care
![Page 4: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/4.jpg)
4
Problems to individualization of antenatal care
• GP reports under time constraints, and
• The procedure is not systematically conducted, entailing:
– Clinicians need elaboration of the medical history,
– Neglect of non-medical aspects,
– Late identification of special needs.
![Page 5: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/5.jpg)
5
Problems to individualization of antenatal care
![Page 6: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/6.jpg)
6
Solution 1.0
• We developed a digital solution to collect information by self-report
• Include the patient’s perspective, and overcome clinical time constraints.
• We integrated algorithms to extract ‘the essence’ of the
(overwhelming amount of) self-reported information:
• Generation of a resume (only including relevant information),
• Screening for factors indicating special needs according to
recommendations/guidelines (triggers).
![Page 7: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/7.jpg)
7
Solution 1.0
![Page 8: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/8.jpg)
8
Interface: planners
Special needs
Search patient
Create List patients Family Clinic
Condition
Drugs
Violence
Cervical surgery
![Page 9: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/9.jpg)
9
• Implemented December, 2017
• So far >7,700 records created
• Response rate: 90%
Evaluation: Solution 1.0
![Page 10: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/10.jpg)
10
Evaluation: Solution 1.0
We now identify all women with
risk factors for gestational
diabetes vs. GP: 50% (sample:
n=100)
~1,800 cases referred to OGTT before the
clinical meeting with the woman
Survey among midwives
(response rate 65%)
• 100% base the first meeting with the
patient on information in the resume,
• 93% agree that the resume gives
additional, relevant information not
reported in the referral from GP.
![Page 11: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/11.jpg)
11
Evaluation: Solution 1.0
• 4 levels of care according to the Danish Health Authority
![Page 12: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/12.jpg)
12
Development: Solution 2.0
Special needs
Condition
Drugs
Violence
Cervical surgery
Special needs
Drugs
Violence
Cervical surgery
Level 3
Level 4
Version 2.0
Condition
![Page 13: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/13.jpg)
13
Development: Solution 2.0
![Page 14: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/14.jpg)
14
Development: Solution 2.0
![Page 15: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/15.jpg)
15
Development: Solution 2.0
Search patient
Create List patients Family Clinic
Special needs
Drugs
Violence
Cervical surgery
Level 3
Level 4
![Page 16: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/16.jpg)
16
Individualization of antenatal care
![Page 17: › sites › himss... Using algorithms and patient data for identification of ...Problems to individualization of antenatal care • GP reports under time constraints, and • The](https://reader033.vdocuments.us/reader033/viewer/2022041820/5e5d3184dd012456a1079954/html5/thumbnails/17.jpg)
Thank you!
LOUISE KATRINE KJÆR WEILEPhD student, Midwife, MHSc.Dept. of Gynaecology & Obstetrics, Odense University Hospital
@louise_weile