radalert - mentorship award winning concept at hacking health vancouver 2014

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HACKING HEALTH > < + HACKING HEALTH Vancouver 2014 #HHVan2014 RADIOLOGY ALERT Helping radiologists track patients through the diagnostic process alert * [Health Professional]: Jeff Hu [Designers]: Georgina Chaplin, Vivien Lo, Gareth Wee Team Members: RAD

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RADalert: An app to help radiologists assure quality and continuous improvement by allowing them to track patients throughout the diagnostic process #HHVan2014 Credits: Dr. Jeff Hu (concept), Georgina Chaplin, Vivien Lo, Gareth Cj. Wee With help from: Pat Wrigley, Pat Hennessy, Hacking Health Vancouver 2014 mentors, and Vancouver health care professionals

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Page 1: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

HACKING HEALTH

><+ HACKING HEALTH Vancouver 2014 #HHVan2014

RADIOLOGY ALERTHelping radiologists track patients through the diagnostic process

alert*

[Health Professional]: Jeff Hu[Designers]: Georgina Chaplin, Vivien Lo, Gareth Wee

Team Members:

follow up of imaging has been implemented Howeverlack of follow up of reports/imaging

RAD

Page 2: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

Radiology Controversies Across Canada

https://flic.kr/p/7oNESU

British Columbia launched a massive review of 8,000 diagnostic tests performed by four unqualified radiologists

in 2011. Three patients died and another nine were harmed after being misdiagnosed.

...review of the quality of medical scans in British Columbia launched in February by Dr. Doug Cochrane, chair of the BC Patient Safety and Quality Council, after concerns were raised around the quality of medical scans interpreted by four radiologists....he concluded that

gov.bc.ca 2011HLTH0068-001211 Sept 27 2011

similar events could occur in the future unless steps are taken to help close the gaps in the existing safeguards around physician practice.

~on.thestar.com/U8kDf6

Page 3: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

https://flic.kr/p/DyYV

Radiologists need better tools that allow them to better understand the accuracy of their diagnoses.

Currently, there is no tool in place that allows for feedback of medical scans.

The ability to track specific patients' outcomes throughout the diagnostic process would help both new and established radiologists learn from experience and improve the quality of their practice

Better Radiology Quality Assurance

Page 4: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

RADIOLOGY ALERTHelping radiologists track patients through the diagnostic process

alert

Wireframe Demos

RAD

><+ HACKING HEALTH Vancouver 2014 #HHVan2014

Page 5: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

System Architecture

EMR 1 EMR 2 EMR 3

API 3rd Party Integration API

RADalerts API

(Push notifications; MRN, Short Desc, User Mgmt, Subscriptions, Alerts, Timestamp) Database

Data Layer

Radiologist etc.

alertRADCredit to Giancarlo De Lio

Page 6: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

Username:

Password:

remember me forgot my password

RADalert

login

If you are having difficulty logging in or do not now your credentials, please contact your IT department

photo by ISOtob from https://www.flickr.com/photos/photo-addict/5181592995

Page 7: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

Username:

Password:

remember me forgot my password

RADalert

login

If you are having difficulty logging in or do not now your credentials, please contact your IT department

tschoellerman

********************

photo by ISOtob from https://www.flickr.com/photos/photo-addict/5181592995

Page 8: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

stat. MRN Date Added Notes Reports Requested

*02013459 Aug/18/2011 pathology

pathology, imaging

?RCC vs atypical AML

Complex cystic R ovary massFeb/04/201183432476

logoutnew entry mark unread delete Dr. Thöre Schöllerman

RADalert

Page 9: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

stat. MRN Date Added Notes Reports Requested

02013459 Aug/18/2011 pathology

pathology, imaging

?RCC vs atypical AML

Complex cystic R ovary massFeb/04/201483432476

logoutnew entry mark unread delete Dr. Thöre Schöllerman

RADalert

*

Complex cystic R ovary mass

MRN:

Reports requested:

Notes:

All

Laboratory

Microbiology

Pathology

Consulation

Imaging

Discharge Summaries

Feb/04/2011 Jun/3/2014Date added: Last Updated:

Surgical

83432476

*

savecancelmark as unread_____________

Complex cystic R ovary mass

Page 10: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

stat. MRN Date Added Notes Reports Requested

02013459 Aug/18/2011 pathology

pathology, imaging

?RCC vs atypical AML

Complex cystic R ovary massFeb/04/201183432476

logoutnew entry mark unread delete Dr. Thöre Schöllerman

RADalert

Page 11: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

stat. MRN Date Added Notes Reports Requested

02013459 Aug/18/2011 pathology

pathology, imaging

?RCC vs atypical AML

Complex cystic R ovary massFeb/04/201483432476

logoutnew entry mark unread delete Dr. Thöre Schöllerman

RADalert Complex cystic R ovary mass

MRN:

Reports requested:

Notes:

All

Laboratory

Microbiology

Pathology

Consulation

Imaging

Discharge Summaries

Jun/03/2014 Jun/03/2014Date added: Last Updated:

Surgical

92546375

save

ground glass nodule

cancel

Page 12: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

stat. MRN Date Added Notes Reports Requested

02013459 Aug/18/2011 pathologyall

pathology, imaging

?RCC vs atypical AML

Complex cystic R ovary massFeb/04/201183432476

logoutnew entry mark unread delete Dr. Thöre Schöllerman

RADalert

92546375 Jun/03/2014 ground glass nodule

Page 13: RADalert - mentorship award winning concept at Hacking Health Vancouver 2014

Use Flow DiagramLaunch app (URL or direct link from

PACS)

Logged on?

Display logon screen Credentials

valid?

Enter credentials

N: Append error msg

N

Display subscriptions and associated alertsY

Add a subscription (opens new screen)

Y

User: A radiologist who wants to flag specific patients for follow up to understand the results of diagnosis for his/her own learning

Subscription: Record of a patient for which the user wants to receive alerts when a subscribed report has been added to that patient’s file (tracked by MRN)

Alert: A notification that indicates to the user that there is a new report available for the subscribed patient

View/edit subscription (click on existing subscription; opens new

screen)

Batch delete / mark unread (in main [list] view)

Log Off & Exit

Refresh

Enter detail (MRN, short note, checklist of reports to subscribe to, subscription created date &

updated date [auto timestamp])

* Pre-existing subscription would also display history of updates

with timestamps *

Mark unread Delete Close

(no edit)alertRAD