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Frequently Asked Questions

Do I need to type in all the patients' details or demographics?

No, if you can get your data into a suitable file format e.g. CSV format from another computer system or spreadsheet, we can load the data into the product for a small charge. Some customers have taken an incremental approach and loaded the system over a number of weeks by hiring additional clerical effort to type in the data and then checking the data entered thoroughly.

It is often a good idea to start small with a few patients to find the best way to use Dawn RH for your organisation. The full patient group could be added incrementally over a period of time in this way, alternatively we could load the data as suggested above once the best configuration of the system for your own particular way of operating has been found. If you would like to trial Dawn RH we can give you access to a Dawn RH system on the internet.

How long does it take to type in a NEW patient in the system so that I can start to record the patient’s treatment etc? Also, can the system be automatically updated with changes in the patient’s demographics?

This will vary depending on the amount of data and history you need. Once the system is initially primed with all the drugs, diagnosis, protocols etc, besides typing in demographics e.g. address date of birth etc, it is a matter of picking from drop down lists in the system, and so it normally it takes between five and ten minutes per patient.

If your patient is first registered in your central patient record system, we can add the patient’s demographics to DAWN RH using HL7 messages sent from the central system. The messages, at present, need to be initiated from the central system. In the near future we will have the capability to request the addition or update from the central system.

On an ongoing basis DAWN RH can receive updated or changed information through these messages.

Do I need to type in all the lab test results on an ongoing basis?

No, we can provide an electronic transfer interface to your laboratory system that will prime DAWN RH software at set frequencies e.g. on authorisation of the results in the lab system or every 10 minutes.  The frequency depends on what the lab system can do in this area.

The main issue is the identification of the patients on the laboratory system so the results will be consistently sent to DAWN RH automatically. This means that either each request has to be marked up for the attention of the Rheumatology Department or the patients' record on the lab system needs to carry a marker which the lab system can use to routinely send down the results for this patient.
 

Can we put in our own protocols or pathways for each drug e.g. Test Frequencies, Action Limits for Scans or Trends in Results?

Yes, detailed schedules and limits can be set.  You can set limits and test intervals for each specific patient or for a group of patients in a particular category.
 

Can I override the protocol for a specific patient at any time?

Yes
 

Can GPs (Primary Care Physicians) and other Healthcare Professionals access their own patient’s information, so they can, for example, sign prescriptions?

Yes. The system can be set up so each user can only see the set of patients allocated to them. The system was designed as a shared care system where all healthcare professionals associated with a patient can view or update the patient’s information. Some users can be given read only access. The system can be set up on your own Intranet.
 

How easy is it to follow up non-attendees or ‘no shows’?

The system has a list facility where you can quickly show a list of patients in various states e.g. not attended once, twice etc. You can then quickly issue a preset letter or email to send to all the patients shown in the list. The system comes with as set of standard letters. For a charge, you can have your own letter wording and layout created. It is best to detail all your letters and outputs during your evaluation so we can give you a fixed cost for this work.

The system counts the number of non attendances so that you issue differently worded letters depending on the number of non attendances.
 

Can the DAWN RH send activity or workload (e.g. visit records) information to the patient administration system or central electronic medical record system?

Yes. We can send what are called HL7 messages with the appropriate information to any system that can receive them.


How can I identify patients on a certain drug that have not had a reduction in disease activity of a set amount?

Disease activity measures or other outcome measures can be calculated using our questionnaire module or they can just be recorded in the system.

The scores can have limits set just like lab results and so you can readily find patients that have reached their target in a set time.

DAWN RH has a list view capability where you can see a list of patients not meeting the criteria set. If you click on a patient in the list you are then presented with the patient’s detailed record. When you close this panel or screen you are returned to the list again.
 

How do you carry out implementation, training and provide on-going support?
We appoint a 4S DAWN project leader who will liaise with your project leader on a day to day basis. It is important for the project’s success that you have a good leader who knows how you operate and is confident with IT and computers.

We have a detailed implementation checklist and schedule which we will use to agree with you the programme or schedule of work and who is going to do what and when.

In terms of training we prefer to train the trainers so that you develop an in house capability. Training can be completed in several ways – internet sessions, use of training videos and our detailed e-book manual. We can also arrange on site and off site face to face training for a charge. We can also provide access to a system on the internet so that you can work with the system before your own system is installed.

It is advisable to buy a few extra  licences to establish a Test or Training system in house. This facilitates training initially but helps with new staff joining later. Further when we issue upgrades you really need to test them out in your environment to ensure that everything will work in your environment and so this system can be used.

We aim to provide responsive support. If your system is down we will make every immediate effort to help get you back on line. Remember the ultimate recovery process is to have good backups of your system. You need to establish a solid process of doing backups and checking them.

Many support calls are of the non urgent state and usually handled by email or phone. We close about 70 – 80% calls within the day of the call. Some need further investigation and work by us and you before a satisfactory solution can be found. 

How long does it take to learn and routinely use the system?

For the normal users a few hours basic training is usually sufficient. You need to have to be reasonably computer literate.

For system managers usually one to one and half days is required. Please bear in mind we are available to help at anytime through our support service.

The routine operation is facilitated by the use of lists. Using these lists you can quickly find patients in different states e.g. those with out of line results. Then working down the list you can review each patient in a matter of a few minutes each.

Does the system create letters and log that they have been sent?

The system contains a number of set letters that can be used. You can have new ones added or existing ones modified for a charge. It is best to detail all your letter and outputs during your evaluation so we can give you a fixed cost for this work.

The system does log that a letter has been generated but obviously can’t record that it has actually been sent. Emails and faxes can also be logged.

Can the system print into a care record booklet?

Yes, we can format information into your booklet depending on the layout for a charge. It is best to detail all your letter and outputs during your evaluation so we can give you a fixed cost for this work.

How can the secretaries create letters from Dictaphone messages?

The message can be typed into a notes field for that patient’s record and then merged into a standard letter as paragraphs.

If a dictation can be saved as a file e.g. a .wav file on a computer, the files can be attached to the patient’s record in Dawn RH

Can I get a list of patients with out of line test results or trends? 

Yes, the List View functionality allows easy access to a list of patients that can be selected for example by clinician, diagnosis, and results. DAWN RH can report against outer and inner range limits as well as report the % change over the last one to five results.

How can I be sure that we don’t miss an abnormal result?

Firstly the system needs to be thoroughly tested with your data, your alert limit configuration and in your environment. On critical test review a second check such as % change on the test is recommended. DAWN RH has a global in built % change check which can be a third line of defence. It is advised that independent manual checks should be undertaken on a sample of results each day.

If you make any changes to your set up at all,  a thorough test should be carried out of the system before live use.

What happens if the system stops working because of a hardware fault or software or database problem?

No system is 100% available or totally fault free. You need have a contingency plan to continue the management of your patients if the system is down. One suggestion is the production of a printed work list of the patient’s expected next day with the key information needed.

We have multiple treatment centres – can this system handle this?

The system designed to work over an Intranet. If your centres are connected by a fast intranet there should be no problem.

Can I send data from DAWN RH to other systems such a National or other systems?

If the receiving system can accept standard HL7 messages there should be no issue. It is also possible to export data from the system standard CSV or Excel file format.

Can I do statistics and reports?
Yes, there is a standard SQL report writer on board. If you are not an SQL expert we can produce a report for a charge. It is also possible to export data from the system standard CSV or Excel file format.  In turn this can be imported into another analysis system. We use a package called Tableau which can be connected to DAWN RH directly for reporting and graphing. See http://www.4s-dawn.com/Tableau

What Disease, Medication or Treatment classification or coding system does your product use?

You can use most systems such as ICD9 or 10 or your own system. At the outset you can define these in DAWN RH.

What happens if only some of the Test Results are received by the system for some reason e.g. delayed?

Using the List views functionality you can create a list of patients with incomplete test results. You can review the patient to see if it is acceptable to proceed to the next stage of the treatment e.g. another test set in six weeks. You can then close this visit record by recording your reason.

What happens to my workload when I am on leave or on a training session?

DAWN RH has a full diary scheduling package whereby you schedule in your absences and rearrange the clinic loadings.

Can I refer patients to other healthcare professionals readily within the system?

Yes you can readily place the patient on a review list, say for the physicians for comment or a decision. The physician records the necessary action or comment and then places the patient back on your list.

Where does the name DAWN come from?

DAWN is a trade mark of our company. In our context it represents a new beginning in information technology where users can readily configure their own systems without needing to wait for days or weeks to have their IT expert do the work. Either the customer can do it themselves depending on their confidence level or by phoning our support service for help and direction.

 (Back to DAWN Rheumatology Page)

                   

   

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