electronic referral risk assessment

real-time audit

Dr James McKelvieWaikato DHB

University of Auckland

Cataract surgery

30,000

Quality of life Independence Safety

Web based application1. Instant online referral for cataract surgery

2. Personalised risk analysis

3. Real-time audit

TIME CONSUMINGMULTIPLE DELAYS

DATA CAPTURED = 0

1. Electronic referral for cataract surgery

Two online forms Two minutes

Instant emailed results To: Patient GP Optometrist

CPAC scoringSurgical wait listing

Surgical assessment scheduledAll data validated & captured

NZ census matched

Threshold and subthreshold data

Computer/phone/tablet

MULTIPLE MANUAL CALCULATIONSNO RISK ANALYSIS

DATA CAPTURED = 0

Subjective clinical examinationValidated using evidence based references

Scan and ‘walk away’

Medical and ophthalmic historyMedications and allergies

Online form

Automated

Online form

2. Risk analysis: the data

2. Risk analysis: results

Automated

Customised surgical consent

Theatre ID sheetWHO Safe Surgery ChecklistPrescription

Automated

Automated

3. Real-time audit: the operation note

30 second operation noteOnline or offline

Access to surgery and integration with community careAudit (case mix, outcomes, DHB/ethnic disparities)Visual outcomes

Risk analysis for all patientsSurgery with less complicationsEnhanced surgical training

ReferralsHospital appointment timesTime to surgery

BETTERFASTER

SAFER

Completed prototype DHB dept. on-board

Nationwide uptake

1. Complete the application to allow deployment in a clinical setting

2. Attend and present the platform at RANZCO scientific congress to obtain feedback and encourage uptake

Thank you!