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Top 25 Frequently Asked Questions: 1 - 10

1)     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.

2)     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.

3)     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.

In near future we hope to have the capability in DAWN RH to enquire directly of the lab system for the latest results, if the lab system permits this, so removing the need to mark up the patient record or lab request.

4)     Can we put in our own protocols or pathways for each drug e.g. Test Frequencies, Test Limits?

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.

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

Yes

6)     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.

7)     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.

8)     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.

9)     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.

10)  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. 

 

                   

   

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