Transcript Document

TRIMED OVERVIEW
Welcome to an overview of the
TriMed System
To navigate, please click on the option boxes
Proceed
End Slide
Show
Table of Contents
1.General
2.TriMed Walkthrough
3.Reports
General
Walkthrough
Reports
End Show
TRIMED GENERAL 1
o Modern web-based solution- needs only Internet Explorer
for access
o Industry standard database - independent surveys show
Caché to be the most popular database in health informatics
o Tried & tested: Used in over 50 facilities in numerous African
countries by hospitals, clinics, pharmacies, multi-disciplinary
medical clusters in private, mining & public sector
healthcare
o Parameters are activated & deactivated to fit most customer
needs
o User friendly with help screens as a reference
Proceed to
Next Slide
TRIMED GENERAL 2
o Totally integrated system resulting in one comprehensive
view of the patient, showing both clinical & financial aspects
o In-patients, out-patients and casualty (A&E) patients have
one admission process
o Splitting of bill into separate portions for medical aid and
patient portions or for doctor and hospital portions
o Rapid billing of stock from any location limiting stock losses
and the omission of stock item billing in error
o One patient number for life per patient, with episode
numbers for each visit to the hospital - resulting in an easy
accessible full history Electronic Patient Record
Proceed to
Next Slide
TRIMED GENERAL 3
o Multi hospital - allows you to set up each entity in your
organization as a separate hospital/clinic/business entity
o Multi currency - allows you to provide each patient with a
bill in the currency required by the patient and receive
payments in any currency
o Multi lingual - allows each user to have the system in his/her
preferred language .
o User-defined screens to suit each hospital /clinic
o Automatic billing - allows for the automatic billing of
specified tariffs
o Multiple medical funders per episode enabled
o TriRep is a report writing tool which can use any data from
the TriMed database for reporting purposes
Return to Table
of Contents
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TRIMED WALKTHROUGH
1.
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8.
9.
Admission (Registration)
Ward Administration
Patient Administration
Billing
Payments
Practice Management
Inventory Control
Dispensing
Patient Clinicals & EPR
10. Order Entry
11. Wellness /Chronic
Management
12. File Tracking
13. Theatre Scheduling
14. Occupational Health
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of Contents
End Show
PATIENT SEARCH 1
All patient functions begin
with a search screen into which
criteria can be entered to
search patients with a history.
Patients can be searched on the
following criteria, either
through bar-code scanning or
by free text capture.
A criterion search will display only those patients
who match the selected criterion/criteria
A criterion search will display only those patients who match the
selected criterion/criteria
If the parameter for Fingerprint identification is flagged, no patient
can be admitted before fingerprint verification.
First time registration will require the capture of a new patient’s
fingerprint/s.
•Unique patient number
•Passport number
•Employee number
•Identity document number
•Medical Aid number
•Telephone Numbers
•Date of Birth
•Surname & Initials
Proceed to
Admission Functions
Return to TriMed
Walkthrough
PATIENT IMAGE
The patient image can be
captured and viewed for
validation each time a patient
arrives for a visit
\
Identity cards can be printed and
produced by the patient for each
visit to the hospital
The appearance of the ID card
is customised
Documents & images can be
scanned & stored against patient
Episodes for viewing
Proceed to
Admission Functions
Return to TriMed
Walkthrough
Admission Functions
Admission of a patient with no previous history
To edit patient demographics & salient details
To admit a patient with a history via a search. Patient
retains patient number and is allocated a new episode
To edit episode details. Biometric scanning, e.g. finger
print capture, is also processed within this screen.
To add, edit & finalise or view diagnosis and/or
procedures per episode.
The admission date & time can be edited
The ‘Import’ buttons allow the import of employees & dependants
from an HR System.
Proceed to
Biometrics
To display all outstanding balances owed by the patient
per episode and in totality
The facility exists for the capturing of images, using either digital
camera or a scanner.
The images can be viewed for verification at admission, and stored.
Patient Identity cards can be printed for presentation with each
re-admission
For the ordering of Laboratory, Radiology or Occupational Health Tests
Surgical procedures for an episode can be captured, updated & viewed
Proceed to ID
Card & Image
Deposit capture and receipting for an admission or a pre-admission
For the scanning, storage and viewing of documents using the DIS module.
Return to TriMed
Walkthrough
diagnosis & procedures
This screen provides the facility
to capture ,edit and finalize the
diagnoses and procedures for
an episode.
Provision is made for the
capture of multiple secondary
diagnoses, procedures & comorbidities
The system comes standard
with ICD10 as the diagnosis
coding system and CPT4 as the
procedure coding system.
2
Standard treatments [ 2 ] for
specific ICD’s can be captured
by medical professionals for
viewing and instruction to
nursing staff
Return to Admission
Functions
Return to TriMed
Walkthrough
WARD ADMINISTRATION
This screen provides the
functionality for complete
administration of patients in
the wards
1 - Area for ward selection
display
1
3
2 - Waiting list - Patients who
are admitted, but have not yet
been allocated to a bed are
placed in this area
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4
3 - Floor plan of ward. Displays
the ward layout as customised
by the hospital
4– Action buttons for all inpatient administration.
Beds can be made unavailable
when vacated until ready for reoccupation
Proceed to Ward
Functions
Return to TriMed
Walkthrough
IN -WARD FUNCTIONS
A patient can be transferred
from one location to another,
whilst creating a new
accommodation billing line
The patient’s dietary
requirements can be captured
for the kitchen or for billing
purposes
Connects the selected patient
to bedside monitors
A patient can be discharged
Orders can be placed for Lab
& Rad tests – refer to OE/Clinical
module
For the scanning, storage &
viewing of patient documents
All billing for the patient
episode can be processed
directly from the ward or
theatre- refer to Billing
module
Billed transactions can be
cancelled- refer to Billing
A parameter flag can be
checked to make a bed
unavailable after a
patient transfer or discharge
Additional patient labels can
All patient clinicals accessible
be printed
for capture, update or viewing.
Included:
• Accrued Vitals translated to graph format
• Doctors’ and Nursing Notes
• Case Management functions(Confirmations & Notes)
• Electronic Patient Record (EPR)
• Pathology & Radiology Orders & Results
• Diagnosis (ICD) & Procedure(CPT) Update & View
• Patient History
• Patient & Episode Audit Trails
• Viewing of Prescriptions & Billing
Refer to the Clinicals/EPR module
Return to TriMed
Walkthrough
PATIENT ADMINISTRATION
In the Patient Administration screen, various functions are available .
These include the following:
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Edit patient and episode data
Enter details with regards to injuries on duty (IOD & WCA)
Capture & look up deposits and print receipts
Capture & update confirmation details, as received from the medical funder
Capture & update diagnosis and procedures
Print additional patient labels
Reprint admission form
View balances
Update discharge information & capture referral & sick notes for Outpatient
episodes
Capture a new chronic condition or update a patient’s chronic information
Transfer an OP episode into hospital directly with the option to merge the
OP & IP episodes
Capture chronic conditions and test results
Place radiology orders through the interface to RAD systems
Scan & view patient documents (DIS)
Return to TriMed
Walkthrough
BILLING
The billing screen can be accessed from the menu or from the Ward Administration screen
for In-Patients
All TriMed billing is processed in one screen through various Tab and Function buttons.
Proceed to Stock
Billing
Return to TriMed
Walkthrough
BILLING - STOCK
All non-dispensed stock items are
billed in this screen.
Billing can be processed in any
one of the following ways: Via
• Stock Code:
By entering a stock code, or a
partial description can be entered
& tabbed for search)
• Form Line :
Selection of a line number of an
item from predefined billing
forms
• Bar Code scanning:
Scanning bar codes from billing
sheets or from stock barcodes
Proceed to Tariff
Billing
Return to TriMed
Walkthrough
BILLING - TARIFFS 1
Billing of normal tariffs from
the code tables (any charge that
can be setup as a tariff with a
predefined cost)
These include the following:
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Hospital billing
Consultation billing
Procedure billing
Laboratory test billing
Radiology billing
Tariffs exclude stock and
accommodation items
Proceed to Per Unit
Billing
Return to TriMed
Walkthrough
BILLING TARIFFS 2
Billing of tariffs where units are
applicable, e.g. Theatre time
and anesthetic gases.
Provision is made for the
capture of the primary
procedure & modifier, and the
addition of secondary
procedures in the free text field
Provision is made for the
capture of the anesthetist and
any assistant doctors
Proceed to
Accommodation Billing
Return to TriMed
Walkthrough
BILLING - WARD FEES
Billing of bed fees (accommodation).
Each patient transfer from location to location, or bed to bed, creates a new accommodation line
that the correct tariff is billed for each bed and for each location
Tariffs can be changed where applicable. Transfer lines can be edited before they are billed
Proceed to Rapid Billing &
Automatic Billing
Return to TriMed
Walkthrough
AUTOMATIC BILLING
Automatic Billing is achieved by set-ups in the code tables.
Automatic Billing can linked to Patient Type, e.g. a facility fee can be charged for an Out-Patient Episode or an
In-Patient admission fee
Specialists in attendance can be linked to tariffs for Automatic Billing
Resident doctors can be linked to Automatic Billing for each patient Accommodation day
Automatic accommodation billing can be set to bill nightly for overnight patients and for billing on discharge
All OE & RR billing can be set up to bill automatically, with a choice of at which stage of the process the patient
should be billed.
RAPID BILLING
Rapid Billing is an innovative process which enables direct billing from a location without being logged into
TriMed
This is achieved by scanning the Patient number from the patient admission label, scanning the stock items
and completing the process by scanning in the staff ID from the staff ID card.
The scanned stock is automatically linked to the patient episode in TriMed
Auto-transfers are done when stock is taken from one location and billed in another location. Reports are
available to track the Rapid Billing process.
Return to TriMed
Walkthrough
PAYMENTS
Provision is made for the receipt of payments, which are mainly divided as follows
Patient Payments
Medical Aid Payments
Pre-Payments
Provision is also made for pre-payments, where payments are received in advance from
patients , companies, embassies et al to cover medical costs of family or employees
respectively
Return to TriMed
Walkthrough
PRACTICE MANAGEMENT
This is an Out-patient consultation module used for hospitals with a doctors’ practice, or can be used
for casualty (A&E) walk-in patients, or for outpatient clinics.
It caters for pre-booked consultations, as well as the walk-in patient who requires a consultation and
Medical attention
Multiple practices and multiple
locations can be set up in the
system and each practice or
location may contain multiple
doctors/care givers
Each doctor or location has a
personal smart calendar & an
appointment book in which
appointments are managed.
Proceed to Patient
Consultation
Return to TriMed
Walkthrough
PM - CALENDAR
The calendar is personalised for each doctor/location pertaining to consultation hours,
length per consultation, doctor /care giver availability on weekends and public
holidays. Public holidays are defined globally.
The days available are displayed
in blue (with the number of
available appointments in
parenthesis after the date),
with the current day in bright
blue.
Days in grey indicate weekends
and days in turquoise are
public holidays.
Proceed to
Appointment Diary
Return to TriMed
Walkthrough
APPOINTMENT DIARY
The diary is divided into appointment slots, displaying the appointments already booked
Provision is also made to capture multiple appointment slots for lengthy examinations
The red box [1] indicates that
the patient has not yet arrived
The green box [2]indicates that
a patient has arrived for an
appointment & has been
registered
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1
Proceed to
Appointments
1
Return to
TriMed
Walkthrough
To add a new appointment,
click on the box [3] in line with
the required time and the
standard patient search screen
will be displayed. After
selecting the patient from the
search, the "Create
Appointment" screen is
displayed.
An appointment can be deleted
by clicking on box [4]
APPOINTMENTS
When creating an appointment,
the multiple blocks can be used
to provide for lengthier
appointments.
Repeat visits can be created.
The appointment can also be
rescheduled.
Resources, such as X-Rays can
be selected.
Proceed to Next
Slide
Return to TriMed
Walkthrough
UPDATE CALENDAR
When a patient has arrived, the
red block changes to green and
the patient is placed into the
Waiting Room
Proceed to
Waiting Room
Return to TriMed
Walkthrough
WAITING ROOM S
Separate patient lists are maintained for booked patients (those who made an appointment
previously) and walk-in patients (those who arrive without making an appointment)
Booked patients are ordered
according to appointment time
Un-booked patients are
ordered according to arrival
time & can be re-ordered
The Walk-In Waiting List can be
projected onto an LED screen
When a patient sees the
doctor, the doctor can ‘click’ on
the patient number to display
the medical history of the
patient & the episode update
screen.
Proceed to Patient
Consultation
Return to TriMed
Walkthrough
PATIENT MEDICAL HISTORY
This screen will display when a
patient is selected from the
Practice Management Waiting
list.
It displays the Medical profile for
all episodes, including chronic
diseases and the blood group of
the patient and pregnancy (where
relevant)
Medication/stock received for the
current episode is displayed
Proceed to Next
Slide
Return to TriMed
Walkthrough
PATIENT UPDATE
Once the patient has seen the doctor, the patient update screen is accessed by clicking
on the patient in the patient waiting list.
All billing and updates can be done
within this screen.
Common and frequently used tariffs
(A) and stock items (B) can be set up
as "favourites" and will appear on
the screen for rapid billing
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(A)
1
(B)
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4
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7
For detail refer to the Practice Management module.
6
Other functions:
1-Doctors’ electronic prescriptions
2-Doctors’ referral and sick notes
3-Order entry for labs & radiologyRefer OE & RR module
4-Practice Management notes
5-Telemedicine via Skype
6-Clinical Summary/EPR
7-Documents saved against patient
history (DIS)
8-Line items billed from ‘favourites’
Return to TriMed
Walkthrough
MEDICAL HISTORY
The patient’s episode history
Can be viewed
‘Click’ on an episode will display
all billing against the episode,
hence the treatments and
medications received can be
viewed
The number of days of Medical
History to be displayed is set up
in the code tables
Proceed to Patient
Consultation Update
Return to TriMed
Walkthrough
INVENTORY CONTROL
Provision is made for a full range of transactions for inventory control of all the
pharmaceuticals, which include, inter alia, the following:
Purchase Orders: The automatic generation of purchase orders for the preferred
supplier can be done, based on re-order levels, history or usage
Receipts: Receiving of stock orders will update the stock levels on the system. Batch &
Expiry dates can be captured per line item.
Barcode labels can be printed per unit or per pack
Credit Returns
Transfers: Stock is transferred between locations in the hospital, e.g. from pharmacy to
a ward, or from theatre to theatre. Levels are updated for all locations.
Stock Take: Provision is made for the complete stock take cycle.
Stock take can be for an entity, or per location, allowing for stock take to be continued
after interrupted intervals.
A number of reports are printed throughout the stock take to ensure accurate audit
trails.
The ‘help screen’ provides for a step-by-step instruction.
Return to TriMed
Walkthrough
DISPENSING
All types of dispensing are
catered for, including
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Hospital scripts
Pharmacy scripts
To take Out scripts(TTO's)
Over the Counter (OTC )
sales
• Price lookups
Allergies [1] captured will
display in red & bold.
The dispensing screen caters
for [2] mixtures, [3] repeat
scripts, batch control with
expiry dates, and exclusions
for medical funds
Generic options and
Interactive drug warnings
are catered for
Proceed To Retail
Dispensing & POS
Return to TriMed
Walkthrough
PATIENT CLINICALS
Various clinical aspects can be
recorded and viewed.
1 2 3
4
6
5
1. New pathology results for
viewing
2. Radiology orders
3. New radiology results
Proceed to next slide
4. Episode vitals accrued
The vital signs for the patient
can be recorded either
manually, or imported
electronically from a bedside
monitor, and accrued per
episode.
5. The Vitals display the graph
format
6. The EPR is a comprehensive
accrual of patient history.
Proceed to
EPR
Return to TriMed
Walkthrough
VITAL SIGNS
The vital signs for the patient
can be recorded per episode
All vital signs captured that are
beyond normal values are
displayed in either orange
(warning) or red (critical)
The system keeps a history of
all recordings both in the screen
per episode, or in the EPR of
the patient
Proceed to
Doctors’ Notes
Return to Ward
Functions
Return to TriMed
Walkthrough
DOCTORS’ NOTES
Doctors’ instructions for
patient care can be
captured and viewed by
the nursing staff
Proceed to
Nursing Notes
Return to Ward
Functions
Return to TriMed
Walkthrough
NURSING NOTES’
The screen is used for
The recording of nurses’
notes re the
administering
of medication and
patient care notes
according to the Doctors’
instruction
Proceed to
ICD/CPT
Return to Ward
Functions
Return to TriMed
Walkthrough
ELECTRONIC PATIENT RECORD
This screen displays either a
complete EPR for all
episodes or an EPR per
selected episode
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The EPR can be printed or emailed
Electronic prescriptions can be captured
Images captured/scanned can be viewed
Radiology orders can be placed & posted to a RIS
FOR DETAIL REFER TO THE CLINICAL MODULE
The tabs when selected will
display the following
information:
• Episode overview
• Diagnosis & procedure
• Vital Signs
• Accommodation billed
• Theatre tariffs billed
• Other tariffs billed
• Ward stock billed
• Theatre stock billed
• Prescriptions dispensed
• Doctors’ notes
• Nursing notes
• PM notes
• Laboratory results
• Radiology results &
images
Return to TriMed
Walkthrough
ORDER ENTRY
With this module, provision is made for the placement of orders for a wide range of services
required for a patient.
The execution of the ordered services can be within the institution (‘internal’ or outside the
institution (‘external’).
Internal orders
External orders
Examples - Nursing Care
Electronic prescribing
Examples - Laboratory Tests
X-Rays
The system will alert the filler of
the order.
The filler can be alerted in the
following ways:
 Electronic (HL7)
 Fax
 E-Mail
Results can be entered directly
on the system.
Results can be entered manually
or electronically (HL7)
Return to TriMed
Walkthrough
WELLNESS/CHRONIC DISEASE
MANAGEMENT
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Wellness episodes include the
following:
1. Baseline Psychosocial assessment
for the patient’s first clinic visit
2. Baseline Clinical Assessment in
which all clinical information is
Captured until the patient is on ARV’s
3. ARV Readiness Evaluation to assess
the patient before ART
4. Ongoing Clinic Visits in which all
clinicals are captured for all visits once
the patient is on ART
5. TB Episode History
6. Sexually Transmitted Infections
7. ARV History
8. Documents scanned & saved to the patient record can be viewed
9. Selection of the patient displays the most recent CD4 count & Viral Load. If the patient’s laboratory
tests are overdue, the display will be in RED
10. A mouse click on the selected patient displays the full EPR, including last dispensed medicines, regimens, notes &
all test results per episode and medical officer in attendance per episode.
Return to TriMed
Walkthrough
WELLNESS/CHRONIC DISEASE
MANAGEMENT FUNCTIONALITY
This screen is used to capture the pre-test information
for the initial visit of the patient, e.g. Triage: VCT
Used for the Clinical assessment during the
first, and all consecutive visits prior to ART
Patient evaluation for ART readiness
Regular examination and assessment of a
Patient already on ART
Complete patient record for TB management
Complete patient records for STI management
Complete patient records for ARV treatment regimens
Proceed to Baseline
Psychosocial Assessment
Return to TriMed
Walkthrough
TRIMED REPORTS
o All reports are displayed on the screen, with the options to
either print, e-mail, save or import into MS Excel/ Lotus 123
o Reports can be printed on any printer that can be setup on
MS Windows, including laser jet, inkjet, dot matrix and line
printers
o A wide range of standard reports are available, covering
patients and stock and are normally sufficient for the
management of hospitals etc.
o Special additional reports can be developed on request
o TriRep is a tool that allows you to select any data from the
TriMed database for reporting purposes
Proceed To
Financial Reports
Return to Table
of Contents
Thank you for your time
Should you have any enquiries, do not hesitate to contact
us
TriFour Health Systems
Tel: +27 (12) 3467575
Website:
Fax: +27 (12) 4601314
www.trifour-health.com
Johann Odendaal
Mobile: +27 (82) 4444344
E-Mail: [email protected]
Exit Slide
Show
STOCK MASTER
The Stock Master is where all
stock items are set up,
updated and viewed
Stock price file updates are done
via TriMed on a regular basis
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Proceed to
Inventory Control
Return to TriMed
Walkthrough
1-Stock can be searched by stock
code , description, or partial
description & via barcode
scanning
2-The selected stock item displays
pack size, Last Cost per pack ,
Retail per pack & per unit, VAT
incl. and the global stock level
for the hospital
3-For each stock receipt, the
average cost is updated
4-Packs & linked items can be set
up
5-Drug Interactive items can be
set up to display at dispensing
6- Batch control for received stock
7-Generic items can be linked to
the branded stock for selection
at dispensing & billing
8-Items can be flagged for
recoverable (charged at a
value)& chargeable (updating
movement)
7-levels, transactions & bins can
be viewed.
FILE TRACKING
This module simplifies the administration of patient files using a friendly file-tracking system.
File numbers can be set up in the code tables for manual allocation, for e.g. when linking existing
patient files to the new patient number on TriMed,
OR for system generated allocation of file numbers to be allocated to either the Patient Number, or
the Episode Number
Files can be distributed from one location to another, by the simple entry of the relevant patient
numbers to be moved.
The capturing of the processors name allows for easy tracking of the person in possession of files.
When searching for a patient file, the file can be searched by:
• File Number
• Patient Number
• Episode Number
• Location
Return to
Walkthrough
diagnosis & procedures
This screen provides the facility
to capture ,edit and finalize the
diagnoses and procedures for
an episode.
Provision is made for the
capture of multiple secondary
diagnoses, procedures & comorbidities
The system comes standard
with ICD10 as the diagnosis
coding system and CPT4 as the
procedure coding system.
1
Standard treatments [ 1 ] for
specific ICD’s can be captured
by medical professionals for
viewing and instruction to
nursing staff
Proceed to
External Notes
Return to Ward
Functions
Return to TriMed
Walkthrough
LIST OF SOME FINANCIAL
REPORTS
All reports have a criterion
selection page which
allows the user to select
date ranges as well as
various other criteria for
statistical viewing
Proceed To
Admission Reports
Return to Table
of Contents
LIST OF SOME ADMISSION
REPORTS
All reports have a
criterion selection page
which allows the user to
select date ranges as
well as various other
criteria for statistical
viewing
Proceed To Stock
Reports
Return to Table
of Contents
LIST OF SOME CHRONIC &
WELLNESS REPORTS
All reports have a criterion
selection page which allows
the user to select date ranges
as well as various other
criteria for statistical viewing
Return to Table
of Contents
LIST OF SOME STOCK
REPORTS
All reports have a
criterion selection
page which allows
the user to select
date ranges as well as
various other criteria
for statistical viewing
Proceed To
Chronic/Wellness Reports
Return to Table
of Contents
THEATRE SCHEDULING
Within this module:
Theatre allocation is
managed per doctor,
per theatre
Doctor’ theatre schedule
Is managed wherein the
Patients’ theatre
procedures, pertaining
Notes & theatre time is
captured.
Doctors’ schedules display
per theatre
Patients scheduled can be
readily moved between
theatres, time slots, and
Doctors.
Emergency theatre time
can be allocated per
doctor.
Return to
Walkthrough
BIOMETRICSFINGER PRINT IDENTIFICATION
The biometric function is
activated in TriMed’s
code table parameters.
When activated, new
patients can have their
fingerprints captured and
saved to the database for
future identification at
first admission to the
Hospital
Patients with a history
will be identified upon
arrival through the use of
a simple fingerprint
scanner
Should the fingerprint
not match that saved on
the database for a
patient, admission will be
declined
Proceed to
Patient Image
Return to HIS
Walkthrough
RETAIL DISPENSING & POS
Retail Dispensing caters for the ‘walk-in’ & cash
patients .
All prescriptions captured will display co-payments/
Levies [5] according to Medical Funder rules.
Patient diagnosis [4] can be captured per stock line item
Retail prescriptions go through to the POS screen.
Electronic Prescriptions [2] are fetched from scripts
Captured by doctors in Wards, in the Practice
Management module, and on mobile devices.
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4
2
3
1
This is the paying point in the pharmacy which is linked
to the cash register and can also be used for Debtors
Accounts.
POS caters for [1] various payment types & the addition
of OTC items [2] to the invoice
Cash-up for cashiers is included.
2
Return to
Walkthrough
OCCUPATIONAL HEALTH
This module interfaces to
OR systems to allow for
the import of patients and
Dependants
Any number of tests can be
ordered for employees &
results captured against
the patient history.
Return to
Walkthrough