pathway navigator - gp cme patel - pathways... · pathway navigator from a static clinical pathway...
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![Page 1: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/1.jpg)
Pathway Navigator From a static clinical pathway to a specific patient management tool
Dr Ashwin Patel
John Anthony Williams
June 2012
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 2: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/2.jpg)
• Multitude of guidelines and pathways available
• Limited improvement in variation and cost reduction
• Success limited by implementation
• Published guidelines and algorithms are inadequate
• We need a Pathway Navigator at the point of care
A Pathway Navigator will improve
compliance with best practice
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for
commercial release. The software and its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 3: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/3.jpg)
Guideline Process
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The
software and its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 4: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/4.jpg)
Published and localised
Disclaimer: Please note this software `Pathway Navigator' is in beta
testing, this version is not intended for commercial release. The software
and its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 5: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/5.jpg)
• Gap exists between guideline development and
utilisation
• Recommendations from guidelines are not followed
• Improved outcomes (reduced variation and cost) not
achieved
• Falls short because inability to implement
effectively
Utilisation Gap
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 6: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/6.jpg)
• Publication alone with/without educational program
is ineffective
• Locating and looking up guidelines is time-
consuming
• Enhanced by using computers at the point of care
• Simply displaying guidelines does not increase
adherence
Guideline dissemination
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 7: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/7.jpg)
• Guidelines of variable quality
• Conflicting recommendations, clinician
disagreement
• Inertia associated with traditional practice
behaviours
• Lack of incentives to change
• Patient-specific and community-wide factors
Barriers to adoption
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
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• In order for clinicians to follow recommendations,
they must agree with the guidelines
• Balance of positive and negative incentives
• “it is in my best interests to do this”
• Capability
• “I have the ability to do this”
• Understanding
• “I understand what I need to do”
Making change happen
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software
and its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 9: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/9.jpg)
• Lobach’s Model for Consensus Building
• PRESENTATION (specialist)
• SURVEY (all clinicians)
• ADAPTATION (opinion leader and specialist)
• REPEAT SURVEY (all clinicians)
• FURTHER ADAPTATION(opinion leader and specialist)
• DISTRIBUTION (opinion leader and specialist)
• GROUP DISCUSSION(all clinicians)
• CONSENSUS.
Agreement with the guidelines
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for
commercial release. The software and its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 10: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/10.jpg)
Map to GPS Navigation
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software
and its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 11: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/11.jpg)
• Next specific action
• Patient
• Current phase of care (initial presentation, therapy, follow up)
• History, examination and investigations
• Previous treatment and outcome
• Actions taken by other providers
• Resources available (localised)
• Judgement of provider
What should I do next ?
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 12: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/12.jpg)
Spans time and place
Multiple Visits
Multiple Sites
Multiple providers Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not
intended for commercial release. The software and its development are confidential to Pathway
Navigator Ltd. (c) 2012
![Page 13: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/13.jpg)
One dimensional flow
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software
and its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 14: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/14.jpg)
Multi dimensional , Concurrent
Concurrent streams
Many options,
variable
sequence
Not restricted to
one dimensional
flow
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version
is not intended for commercial release. The software and its development are
confidential to Pathway Navigator Ltd. (c) 2012
![Page 15: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/15.jpg)
• Complex process
• Models and tools for extracting and
organizing knowledge
• Gaps and inconsistencies need to be
addressed
• Rules validated against original
guidelines
• Limited published experience with
automating EMR-integrated complex
algorithms
• Arden, GEM, Protégé, GLIF, EON, Prodigy
Pathway Navigator
Process ©
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 16: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/16.jpg)
Guideline to patient centric view
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 17: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/17.jpg)
EMR Integrated access
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 18: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/18.jpg)
Seamless, shared information
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software
and its development are confidential to Pathway Navigator Ltd. (c) 2012
HISO e-forms
interface
standard
Pre-populated
Write back
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Smart Presentation
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and its
development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 20: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/20.jpg)
Supportive information available
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 21: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/21.jpg)
• Practitioner may
• apply judgement
• change order
• Share pathway
• Maintain audit trail
• Usage information
Enables
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
![Page 22: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/22.jpg)
Disclaimer: Please note this software `Pathway Navigator' is in beta testing, this version is not intended for commercial release. The software and
its development are confidential to Pathway Navigator Ltd. (c) 2012
Demo
![Page 23: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/23.jpg)
—
Pathway Navigator :
• Will ease utilisation of any clinical pathway
• Is patient specific
• Is relevant to the patient's current phase of illness
• Fits in with a GP/Health professionals work flow
• Takes account of the patient's history/results
• Will resume from the last interaction
• Is able to be shared with other health professionals
• Can be integrated with PMS/ Hospital systems
• Helps with —Implementation and uptake of agreed guidelines
Summary
![Page 24: Pathway Navigator - GP CME Patel - Pathways... · Pathway Navigator From a static clinical pathway to a specific patient management tool Dr Ashwin Patel John Anthony Williams June](https://reader031.vdocuments.us/reader031/viewer/2022020122/5cab38b588c993e3548d0f5f/html5/thumbnails/24.jpg)
• Pilot system
• User Acceptance Testing
• Measure performance /behaviour change
• Refine
• Extend range of pathways
• Deployment options
For further Information: Contact John
[email protected] or (09) 630 0828
Implementation Plan
Disclaimer: Please note this software `Pathway Navigator' is in
beta testing, this version is not intended for commercial release.
The software and its development are confidential to Pathway
Navigator Ltd. (c) 2012