iCIMS expands oncology MDM solution to Peter MacCullum, St George Hospital

iCIMS expands in Victoria and NSW with its Oncology MDM solution

 

Following on from the successful implementation of Melbourne Health’s Clinical & Research Information Management System used by the shared Breast Cancer service of The Royal Melbourne and The Royal Women’s Hospitals, the solution will be extended to the breast cancer patients of the Peter MacCallum Cancer Centre.

The Innovative Clinical Information Management Systems (iCIMS) installation is designed to allow easy access from all institutions within the Parkville precinct. The system – known as RUTH II – enables the three hospitals to track the patient journey, manage the Multidisciplinary Meetings (MDMs) and transparently share patient information.

iCIMS Product Development Director Ali Besiso said iCIMS used its advanced technology to enable a concept it calls Immediate Adaptability to very quickly prototype a system tailored specifically to the needs, workflows and outcomes required by the three hospitals. One example of this was the additional need for the PMCC solution to integrate with VERDI’s Clinical Viewer.

A facet of Immediate Adaptability that sets iCIMS developed systems apart is the speed of user-driven system design changes. This speed, in turn, allows iCIMS to deploy a unique installation model; once the initial handover is completed, the client has three months to request system design changes without additional cost.  The result is a highly tailored, fit for purpose solution that has overwhelmingly high user buy-in from senior clinicians, nurses, data administration and ancillary services.

Mr Besiso explained that as an example of the immediacy of changes, with the original RUTH II system that was installed into Melbourne Health, there were 98 design changes requested by the clinical users as a result of them using the system in a live environment in the first three months. Of those changes, 93 were delivered with an average turnaround time of 3 days without any system downtime. The remaining 5 changes required deeper engineering changes and took longer.

Professor Bruce Mann –   Director of Breast Tumour Stream, Victorian Comprehensive Cancer Centre (VCCC) has seen the effects of iCIMS’ Immediate Adaptability within his team; the members of the multi-disciplinary team have been impressed that changes suggested during a live MDM have been implemented and operational the following week.

RUTH II is integrated with the hospitals’ Patient Administration Systems (PAS) including HL7 A40 merge messages updating patients’ medical record number to the new Precinct Unique Record Number (PURN) shared across all three hospitals (including the Peter MacCallum Cancer Centre where the joint weekly Multi-Disciplinary Team Meetings takes place).

The integration, coupled with iCIMS’ workflow engine, reduces cognitive load, lowers ‘click fatigue’ and increases accuracy by prefilling form entries from the PAS and from patient clinical details held within RUTH II. This functionality increases accuracy and reduces the time taken by staff to enter data and prepare for Multidisciplinary Team Meetings. Current estimates put a saving of around 30% of data entry time using RUTH II vs the previous system. Time that is now available to manage an increased number of patients without additional workforce.

As well as the core functionality, the system has additional modules that produce:

  • End of treatment summaries and outcomes
  • A survivorship component that generates Survivorship Care Plans.
  • Breast audit data exports

RUTH II has been designed to be fully expandable into other tumour streams and other sites within the Parkville precinct.

Further north, in NSW, St. George Hospital Breast Cancer has also gone live.  The back-office functions have been running since 22nd of September, and a full go-live of the MDM occurred on October 4th.  The successful go-live followed a lot of preparation work on Phase 1 of data migration, importing data from a pre-existing ACCESS database.  This was done to satisfy the project aim to preserve historical data and combine that with new data for research and audits.

St. George’s Breast Cancer installation expands on the existing iCIMS infrastructure at the hospital complex.  The infrastructure has been supporting the MDM processes for Australia’s largest Peritonectomy practice and went live in November 2016.

Pulse+IT Article

iCIMS expands oncology MDM solution to Peter Mac, St George

Sydney firm Innovative Clinical Information Management Systems (iCIMS) has expanded the roll-out of the oncology multi-disciplinary team meetings (MDM) solution used by the shared breast cancer service at the Royal Melbourne and the Royal Women’s hospitals to fellow Parkville precinct resident, the Peter MacCallum Cancer Centre.

It has also gone live with the solution at the St George Hospital breast cancer service in Sydney, expanding on the existing iCIMS infrastructure used at the hospital, which has been supporting MDM processes for Australia’s largest peritonectomy practice since November last year.

Article can be seen here.

iCIMS Exhibits at HIC 2017 in Brisbane 6-9 August

iCIMS will be exhibiting at HIC 2017, held at the Brisbane Convention and Exhibition Centre, 6th – 9th August.

iCIMS Systems

Visit us at Booth #77 and discover how iCIMS’ radical, but proven technology enables ultra-rapid design, debug and deployment of solutions for MDM/MDT and Clinical Information Systems.

Discuss with our staff how iCIMS took a client with a need for a tailored Breast MDM solution from initial design to a highly customised deployment in just five months. With total Clinician and Admin staff acceptance.

No other company can offer clients a three month grace period after go-live for no-cost changes to the system.  This means that clients have the capability to further adapt the system once it is in production. This capability is key component of iCIMS’ philosophy, as it is only once a system is in full production that users can fully understand their needs of the system.

One client put through 98 change requests during the grace period. 93 of those changes were turned around in 3 days or less.  Compare the rapidity of iCIMS’ adaptability to the timeframe of other clinical system vendor’s change request process.

See https://www.hisa.org.au/hic/ for full conference details.

iCIMS Co-authored Paper presented at the Victorian Integrated Cancer Services (VICS) 3rd Conference

iCIMS Co-authored Paper Presented at Victorian Integrated Cancer Services (VICS) 3rd Conference

Professor Bruce Mann, Director of Breast Tumour Stream -Victorian Comprehensive Cancer Centre, presented a paper at the  Victorian Integrated Cancer Services (VICS) 3rd Conference titled: “Expanding the Value of Multi-Disciplinary Team Meetings – Data and Process Together is the Key”.

The paper was co-authored by Prof. Bruce Mann, Allan Park and Lisa Talbot from Melbourne Health and Ali Besiso, Vickie Ho and Prof. Jon Patrick from iCIMS.  The Abstract is below.

VICS 2017 Paper Abstract

Expanding the Value of Multi-Disciplinary Team Meetings – Data and Process Together is the Key.

The Multidisciplinary meeting (MDM) is a critical part of cancer patient management. Substantial time is spent preparing for the MDM, and IT support for MDMs is vital. Different cancers have different software requirements for the MDM and the requirements for any particular cancer may change with developments in clinical practice.

The MDM offers an excellent opportunity to collect an agreed dataset on all patients that can be used for a variety of clinical, quality assurance and research purposes. This potential is rarely realised due to challenges of data collection, presentation, and subsequent use. Complex requirements create significant challenges for analysis, design and development of working software.

In a pilot project between RMH & Women’s Breast Service and iCIMS, a Clinical and Research Information Management System was developed to specification of the Breast Service. It provides an electronic system where data are entered prior to, during, and after the MDM to populate the MDM presentation template, collect data that can be used for various aspects of the Breast model of care, and for research purposes. It is central to data submission to the Breast Quality Audit, the creation of Survivorship Care Plans with auto population of pathology and treatment details and an extensive research program.

On go-live, the system served basic MDM functions defined by the service, but as it was rolled out to further users and exposed to a wider VCCC breast tumour stream members, refinements were introduced into the design. In the first 3 months of live operations, 91 revisions were requested of which 75 were addressed in a mean time of 3 days, due to the “immediate adaptability” of the iCIMS technology.

This paper presents the work flow and various uses of the Clinical and Research data system, and demonstrates the changes, and the processes behind them, that have been implemented to refine its function.

Melbourne Health Breast Cancer Services moves to Phase II/HL7

Melbourne Health Breast Cancer Service Phase II/HL7

The Melbourne Health Breast Cancer Service RUTH II system has moved to Phase II of the implementation with the successful addition of the HL7 module.  The module enables integration to the hospitals’ Patient Administration Systems (PAS).

A key advantage of the extra functionality is the ability to process HL7 A40 merge messages to update each patient’s medical record number to the new Parkville Precinct Unique Record Number (PURN) shared across all three hospitals (including the Peter MacCallum Cancer Centre where the joint weekly Multi-Disciplinary Team Meetings take place).

The integration, coupled with iCIMS’ workflow engine, reduces cognitive load, lowers ‘click fatigue’ and increases accuracy by pre-filling form entries from the PAS and from patient clinical details held within RUTH II. This functionality reduces the time taken by staff to enter data and prepare for Multidisciplinary Team Meetings. Figures from usage data indicate that the RUTH II system has saved over 20% of interns’ data entry time.  Time that is now available to work directly with patients.