• Patient Lists

• Questionnaires

• Orders

• Clinical Summary

• Patient and Patient Episode allows healthcare professionals to define a list of regularly accessed patients or specific, regularly accessed patient episodes.

• Care Provider Patient List allows clinicians to build lists of current patients according to their specifications based on various filtering criteria, such as specialty, care provider, patient type, and patient location.

• Intuitive Assessment and Information-Gathering Process can be defined by the clinical speciality to suit individual requirements and attached to workflows in the system. Answers from previously completed questionnaires can be used as defaults for faster entry.

• Unique Decision-Tree Assessment Tools are triggered by the selection of a category of consultation generating decision-tree questions that can result in the selection of the appropriate clinical pathway/care plan.

• Flexibility of Workflow Location allows questionnaires to be entered directly from the EPR or defined as an integral part of a clinical workflow, allowing healthcare professional’s access at the right time and ensuring all required information is collected. Current processes with Questionnaires include: order entry, order administration, diagnosis, clinical pathways, and patient assessment.

• EPR View makes all completed questionnaires available in the EPR for review and can be defined against the patient’s episode of care or an individual order item.

• Order Entry.

• Frequently Requested Items can be set up by healthcare professionals to enable these items to be quickly selected.

• Questions can be defined for display at various points in the order entry workflow, ensuring relevant clinical information is collected.

• Order Sets enables healthcare professionals to quickly order a group of order items, rather than selecting each item individually.

• Order Entry Alerts are triggered for combinations of events.

• Security Restrictions are a standard feature throughout TrakCare. Security group restrictions limit the user’s ability to order items and view sensitive orders and results.

• Configurable Format and Content can be designed (using Business Objects Crystal Reports or Microsoft Word) to meet a range of clinical settings. Patient information provided in the report can include principal diagnosis, other conditions and complications, procedures, medications, clinical opinion, and management plan.

• Multiple Document Types supports different types of summaries. For example, inpatients discharge summary, an inpatient or aged-care transfer, or a nursing discharge summary.

• Multiple Episode Summaries can be produced for one or more episodes, including nondischarged episodes, statistical discharges, and statistical readmissions. Episodes can also be identified as not requiring a summary.

• Automated Distribution of the Clinical Summary supports electronic transfer, automatic faxing, printing, and e-mailing to the recipients selected by the user. The distribution list can include external healthcare professionals or organizations.

• Security Features ensure only authorized users can modify the Clinical Summary. Flexibility exists to retain previously created discharge/transfer/ clinical summaries and produce a new version, which can then be updated.

• Workload Tracking enables nurses to build patient-centric work lists according to various filtering criteria such as specialty, care provider, patient type, patient location, orders and results status, and priority.

• Scanning and Image Association allows document and image files to be placed directly against a patient’s episode of care or selected order items.

• Drug Administration makes medication and fluid that are ordered for the patient visible in the Nurses Workbench. The workbench displays what is required to be administered to the patient and then provides a streamlined process to register the administration of those medications.

• Observations allow the recording of a patient’s clinical observations throughout the episode of care. TrakCare allows clinicians to enter patient measurements such as weight, heart rate, and blood pressure directly into the EPR. Measurements can be graphed to show changes over a period of time and can be printed for inclusion in the patient’s record.

• Abnormal results can be highlighted when they fall outside hospital-determined reference ranges. The observations may be defined to suit the clinical requirements of the site or users and can be accessed from the EPR or from the nurses’ work list or other functional workflow.

• Specimen Collection allows the viewing and collecting of specimens as required for ordered laboratory tests.

• Clinical Pathways allows the clinician to define the tasks required for the care of a patient with a particular admission diagnosis or referral reason.

• Care Plans supports the planning of care tailored for the individual. Interventions derived as a result of care planning are matched and scheduled into the clinician’s diary. Standard Care Planning templates can be created.

• Doctor’s Patient List allows healthcare professionals to define a list of regularly accessed patients or specific, regularly accessed patient episodes.

• Orders and Results Work lists deliver current laboratory, radiology, and medication data to the point of care. The work list allows the clinician to access a list of patients’ results online and review orders according to specified defaults and sort criteria. A clinician’s own specific defaults and preferences can be defined and saved.

Patient Assessments and Consultation includes:

1. Patient History

2. Subjective Findings for the entry of chief complaint and additional easy lookup fields

3. Objective Findings for the entry of observations and questionnaires

4. Assessment for the entry of diagnosis and clinical notes

5. Plan for the generation of orders

• Clinical Pathways allows the clinician to define the tasks required for the care of a patient with a particular admission diagnosis or referral reason.

• Generic or Brand.

• Frequently Requested Items can be setup by healthcare professionals to enable these items to be quickly selected.

• Priority Assignment.

• Questions can be defined for display at various points in the order entry workflow, ensuring relevant clinical information is collected.

• Order Sets enables prescribers to quickly order a group of items, rather than selecting each item individually.

• Prescribing Checks and Alerts are integrated into the prescribing process. TrakCare can be integrated with a third-party pharmaceutical drug knowledge database to provide checks and alerts for concerns including:

  1. Allergies provide an alert when current medications prescribed have the potential to create an allergic reaction. The patient’s allergy history can be viewed showing the severity and the nature of the reaction recorded. Where a previous severe reaction was recorded, a mandatory override can be configured as part of the ordering process. Medication allergies can be configured to provide the following alerts:

     • Ordering of the same brand

     • Ordering an item that includes an allergy-related ingredient

     • Ordering an item from the same generic group

     • Ordering an item from the same allergy group (e.g., penicillin)

     • Ordering an item from an allergy group likely to give a cross-sensitivity reaction (e.g., cephasporins)

  2. Duplicate Checking is available at a number of levels including:

     • Therapeutic Duplication Alerts

     • Order Item Duplication Alerts

• Dispensing Workbench

• Electronic Format receives pharmacy prescriptions in electronic format, directly into the dispensing system

• Full Prescription Dispensing

• Unit Dose Dispensing

• Configurable Dispensing Process

• Queuing of Medication Orders with verification, dispensing, and dose reconciliation

• Clear Display of prioritized patient lists with current clinical information

• Patient Alerts

• Drug Manufacture records the manufacturing process and the product formula, specifies the quantity for manufacture, and deducts the quantity of items used automatically when the process is started. The product is also added to the inventory at the conclusion of the manufacturing process

• Medication Review Reporting includes the following features:

  1. Configurable Format and Content can be designed (using Business Objects Crystal Reports or Microsoft Word) to meet a range of clinical settings. Patient information provided in the report can include principal diagnosis, other conditions and complications, procedures, medications, clinical opinion, and management plan.

  2. Multiple Document Types can be configured to support different types of medication review reports.

  3. Automated Distribution of the medication review reports summary can be carried out by electronic transfer, automatic faxing, printing, and e-mailing to the recipients selected by the user. The distribution list can include external healthcare professionals or organizations.

• Pharmacist Clinical Workbench includes the following features:

  1. Prioritized Work list

  2. Single Entry, including therapy notes

  3. Review and Actioning

  4. Access to all relevant patient information and results

• Security Features ensure only authorized users can modify the medication review reports. Flexibility exists to retain previously created medication review reports and produce a new version, which can then be updated.

• Scanning and Image Association and the recording of patients’ clinical observations are available throughout the episode of care. The observations can be defined to suit the clinical requirements of the site or users and can be accessed from the EPR or from the nurses’ work list or other functional workflow.

• Appointment Management allows authorized staff to schedule an appointment, place the patient on a waiting list, or perform a procedure immediately once an order has been approved. The system provides the facility to display available time slots at a resource or departmental level, making the task of scheduling both simple and efficient.

• Departmental Workload Manager provides a prioritized work list of patients and orders, displaying the essential clinical and administrative information for efficient workload management. This is available in standard, diary, and split screen views.

  1. Order Authorization allows authorized staff to review, authorize, or reject requests. Request information or procedures can be updated or changed by authorized staff when required.

• EPR View makes all completed questionnaires available in the EPR for review. They can be defined against the patient’s episode of care or an individual order item.

• Radiology Workbench comprises the following additional functionality:

• Pre- and Post-Examination Details allows authorized staff to record more information on the execution of investigations, including material used and the degree and intensity of the investigation.

• Result Reporting (Dictation, Transcribing, and Verification) allows results of investigations to be recorded through simple entry by authorized staff. Alternatively, results can be entered in discrete steps from digital dictation to transcription to result verification.

• Images can be accessed and annotated directly from the Departmental Workbench or through the EPR via the TrakCare Clinical Viewer or an interfaced third-party viewer.

• Rules and Events functions at the simplest level by having a rule take two different fields and build a ready reckoner reference. Rather than query the database directly each time a decision support condition needs to be evaluated, this index can be referenced, dramatically reducing query times. Events are the triggers set in TrakCare. For example, an event may be as simple as one condition such as, “If the current patient is ordered aspirin,” with only one condition to satisfy this event. Complex events can also be created by attaching multiple conditions: for example, “If the current patient is ordered atenolol” AND “the ordered date is in the last two days” AND “for a patient with an active diagnosis of heartblock.”

• Actions are what we would like to happen if the conditions of our event have been met. For this reason, the action screen offers a broad range of options. Action types include:

  1. Alert (pop-up) can be configured to display:

     • Error Message will not allow the user to proceed

     • Warning Message offers the user the choice of proceeding or aborting the intended event, by way of a pop-up message with “OK” and “Cancel” options

     • Information Message offers an “OK” button only, but will not affect the intended workflow

  2. Messages can be directed to users, groups, or allocated care providers. The message can be standard or dynamic so that variables can be inserted into the message. They can take the form of e-mails, faxes, or TrakCare Message or Pager.

  3. Set Field Action allows direct manipulation of database fields. For example, the order status could be changed for a particular order from “Verified” to “On-hold” by use of this action.