Hi All,
Bit of a fishing expedition here 
, but was wondering if anyone has any information on or uses electronic outcome forms for outpatient clinics?
We are using WebPAS, so was interested if anyone out there has implemented a system that works within WebPAS natively or did they end up using stand alone software?
As part of the administration team, this would solve a few headaches!
Best wishes
Ben
Hey Ben,
Not quite sure what you are referring to with “Outcome forms”, but think we might do something like this.
Hawkes Bay DHB uses WebPas to collect data on allied health and mental health outpatient contacts. The data collected includes admin type stuff (type of event, date, location) as well as clinical information.
Some of this is structured data, which is used to both justify funding for some of the AH teams and meet the PRIMEHD reporting requirements for mental health. Is that the sort of thing you are after?
If so, I’ll try to hook you up with some folks in our DE department.
Hi Mat,
What i mean by an outcome form is the form that is completed by a Clinician post an First Specialist or a follow up appointment in an outpatient clinic setting. It normally has the outcome such as “follow up” with a time frame, or an attendance record such as “DNA rebook” or “DNA discharge” for example. It could also potentially have a request for tests that relate to that specific clinic and or notes. Its more of a workflow tool I guess.
Hopefully that makes more sense. thanks for the response.
Hi Ben
We out in a GP PMS system as it was easier to use one of these then try to sort something with WebPAS.
Cheers Inga
Hey Ben,
Can I suggest that the person to contact is Kerri Te Waiti. Alternatively, Ben Duffus is probably the closest person in HBDHB with your job description.
I’m pretty sure we have something like this functioning via WebPas for the Mental health group, but as an adult intensivist, it’s not something I use or have much visibility of.
Kerri.TeWhaiti@hbdhb.govt.nz
Ben.Duffus@hbdhb.govt.nz
Cheers
Mat
Hi Mat,
Thanks for the contact details. I shall flick them an email and see if they can help. Thanks for the help.
Cheers
Ben
Hi Ben
we have come up with a primative design over covid and it’s working well enough that we are iterating more on it - we use and Orion product and have done what we think are some clever things - - there are some training guides that will likely give a good enough flavour for you to know if this is what you were looking for
eOutcome User Guide for Clinicians and CNS 09June20.docx (976.2 KB)
eOutcome FAQs for Clinicians and CNS 25May2020.docx (146.9 KB)
You can also take a look at the 4 Minute Training Video.
This is MVP mk1 and we have lots of extra features planned
we are updating our iPM to version 13.1 which will take inbound messages - and intend to have the mule interface create an update message into iPM to close some of the current air gaps that still exists
we also have a surgical waitlist and anaesthetic workflow done - just in pilot at the moment - will happily share training documents in a few weeks once we have them - and we will have the outcome form trigger the waitlist
also intend to develop structure clinical documentation - that has the outcome form at the bottom (that is actually how the anaesthetic one started)
and intend to have a way to capture the provisional diagnosis - in a way that will allow a “google type search” over a SNOMED list (hopefully a SNOMED server) - which we have working in prototype at the moment and need to build in
would be happy to have a zoom session and a demonstration with you if you feel this is of some value
the products are “standard” within most of the DHB environments is my guess - so it’s just how we have knitted them together that we would be sharing with you - and you are welcome to that
Lara
Hi Lara,
That looks great, unfortunately we are using the DXC Webpas product so this probably wouldn’t work for us 
But its definitely the type of thing i was on the hunt for. I will share this with my manager and it might be inspiring for our IT team too
Thank you for the info. Jealous now!
Cheers
Ben
so the webpas should not make any difference - this is within clinical portal/concerto - the orion “clinical workstation” - do you have those products?
Hi Lara,
Thanks for that, we do use concerto, so it would be a case of using an SMT i guess to shift the info back to the admin teams in the reception. Its part of the whole outpatient flow we are looking at, we are keen to use digital in other aspects of outpatients. We are keen to get Kiosks for attending, patient tracking in the clinics, the list goes on. Lots of tools out there, its just finding ones that work well together and getting info from those that have experience with them.
happy to organise a zoom and screenshare you through how we do it - at the moment there is an air gap - but we intend to use rhapsody to make an HL7 SIU message when our iPM is upgraded and will take the SIU in and do something useful with it - as webPAS and iPM are the same vendor - it has the same potential - suggest you ask DXC if your version is able to have an inbound SIU message - as that is the way they can talk nicely together - until then - yes the air gap is plugged with the traditional swivel interface
Hi @lara
Thanks for the info on this. So this form is completed in the Orion clinical layer then - I’d be interested to know if a clerical/admin staff then has to manually book the follow-up appoointment or add to the waitlist in whatever Patient Administration System that you are using.
What seems to frequently be mising in our systems is integrated workflow with task delegation. The Patient Administration System (PAS) is used by clerical and admin to record the bookings and waitlists, while the clinical layer (Orion Concerto) is used by clinicians. I’m interested in examples of how these have been made to work together without manual steps or a single vendor integrated system.
We can lament what our systems are not - or make the most of what our systems are - there are very few - all in one wonders out there - and they cost more than we can afford/people don’t like the healthcare system they have grown up in or the political environment of the country the developers reside in - so until then - let’s accept we have to have gaps and that messaging and careful checking and double checking - you can plug those gaps - sometimes not totally - you can’t automate the intricacies of a follow up appointment with an if then else type statement - and then based on our current supply and demand - the best way to show this has dramatically improved both clinical and admin lives is with a live demo - more than happy to show you via zoom
I’ll take you through our surgical waitlist referral that has done the document and task delegation and show you how that works as well - still all very much prototyping in production though as you do!!
I’ve been playing around a little with something that seems pretty similar to what Lara has worked on but aimed at the South Island system. The intention would be for the follow up information to flow automatically back to the SIPICS “Booking Request” process (new in the next version of that application).
We want to look at making something that is somehow both generic enough to work across as much of the variety of OP bookings that exist in the system but also captures enough information to be workable. My plan was to start by talking specifically to the booking clerks and similar people who are currently dealing with the adhoc follow up requests as they’ll have the best picture over what they want and need. Of course, as always I’m happy to take input from whoever is willing to provide it.
The intent would be to end up with a generic section that can be used standalone for places where they aren’t currently completing a Care Pathways document, but also added to any existing document they are completing.