IMATIS Visi - Pathways
MATIS Visi - Pathways is a generic web tool for developing and configuring standard pathways or workflow. It allows the user to configure workflow without the need for expert support or programming. . Imatis started to develop the tools in close cooperation with Region Zealand in Denmark, and it was further developed to support the Norwegian clinical guidelines for cancer established in 2015. An Imatis employee battling cancer participated in the development of the concept. This makes the tools uniquely well designed in managing real time events and the workflow processes around the patient. The tool also supports running several pathways in parallel. After the Go-Live of the product, and as the users have mastered the application, they have created workflow packages for a lot of other topics as well. One example is the WHO's checklist for safe surgery.
Imatis has developed clinical guideline workflow templates for cancer and implemented them into the IMATIS Fundamentum Apps. They can be used to expand functionality to our Visi product line. IMATIS Workflow to support clinical guidelines for cancer will provide predictability and security for patients through better patient care for suspected cancer.
Goals for standardized pathways
One of the main purposes of standardization of pathways is for the patient to experience a well organized, coherent and predictable path without unnecessary non-medically justified delays in assessment, diagnosis, treatment and rehabilitation. IMATIS Visi Pathways provide predictability and security for patients and their families by ensuring information availability and inuitive user interaction. The tool can manage several pathways running, either by merging them or let them run in parallel.
Clinical Pathways benefit
- Transparent information sharing across departments and organizations
- Predictable and safe for the patient
- Multidisciplinary organization and interdisciplinary meetings
- Securing information and patient involvement
- Better coordination between GPs and hospitals
- Better coordination within the specialist health
- Management tools for a treatment coordinator
- Support for Cancer packages
An important measure in clinical pathways for cancer is the role of a treatment coordinator for all departments that investigate and treat cancer. A treatment coordinator can be contacted by both patients and GPs. A treatment coordinator is responsible for coordinating the pathway process, including scheduling of appointments and other resources, as well as being the hospital liaison with the patient and the GP.
Imatis has under development various patient engagement Apps. These Apps allow the patient to be better informed in real time and to track their own treatment plan and cancer pathway. The Apps will also have links to background information and there will be a possibility to share information bidirectional with the clinical staff and the treatment coordinator. This is one of the benefits cancer patients are asking for.
The IMATIS Fundamentum Apps and Widgets for Lightweight IT
With IMATIS Fundamentum Apps for Lightweight Health Care built into the Web Portal user interface, getting the Apps and Widgets has never been easier. Standardized clinical pathways for Cancer and other can be accessed directly form the Apps and Widgets and plugged into the Visi environment for instant use.
Multidisciplinary organization and interdisciplinary meetings
Clinical decisions are made in the interdisciplinary Multi-Disciplinary-Team meetings. The decisions include the determination of the existence of cancer. In the event of cancer, the treatment plan will be discussed in MDT- meetings. It is important that various specialists are involved both in the diagnosis and the treatment plan selection. A treatment coordinator helps to ensure that the plan is coordinated and implemented as agreed and that the patient is kept informed. The meeting may be conducted in person or via video, both of which is supported by the Imatis solution.
Standardizing of work flow is the key
In Norway and Denmark clinical guidelines and care packages for cancer are being addressed at the political level. The implementation requires strong executive and front line leadership and commitment at all levels. Plans are underway to use the cancer care packages as a model for other disease clinical pathways. The Imatis tools to design and create workflows supporting clinical pathways are quite flexible allowing trained users to build workflows supporting new pathways without any external expert support or programming. The user created pathways will be available as Apps and Widgets in the Imatis portal, and works on all types of electronic devices. Imatis already has several customers who are developing various workflows for conditions other than cancer. The tool can even be used to solve other standard work flows, for example we have seen customers using it to standardize workflow to clean patient rooms after being occupied by patients exposed to infections contracted during surgical procedure. The tool has comprehensive ability to address workflows for various applications. The tool can also manage several pathways in parallel or merge them to one user interface.
Multi Dispiline Team (MDT) meetings with use of Video
Video, voice and chat is built into the Web portal that hosts all Apps and Widgets from Imatis. The functionality is only a few clicks away and is embedded into the portal for seamless instant use. The technology embeddd in the Imatis products is based on WebRTC and Web ORTC that can be used in any modern Browser as Edge, Firefox, Chrome and Opera.
Real time KPI status for Cancer treatment accross Hospital departments
Safe Surgery - WHO Checklist
Surgical care has been an essential component of health care worldwide for over a century. As the incidences of traumatic injuries, cancers and cardiovascular disease continue to rise, the impact of surgical intervention on public health systems will continue to grow.
Surgery is often the only therapy that can alleviate disabilities and reduce the risk of death from common conditions. Every year, many millions of people undergo surgical treatment, and surgical interventions account for an estimated 13% of the world’s total disability-adjusted life years (DALYs). While surgical procedures are intended to save lives, unsafe surgical care can cause substantial harm. Imatis has developed the patways tool that has the flexibility that nurses and doctors can configure there own pathways and checklists. The WHO Surgical Safety checklist is implemented to the IMATIS Visi whitebords and there is also options to use the activity monitoring system to monitor if all the the items in the list is done before the surgery is startet.
IMATIS Visi surgery application is shown below. In the Collumn 10 the link to the checklist is shown. From the smal icon the number of items done is shown. By ckliking at the icon, the WHO Checklis is open in the web browser.
The 19-item checklist has gone on to show signiﬁcant reduction in both morbidity and mortality and is now used by a majority of surgical providers around the world. The Imatis implementation of the WHO checklist for safe surgery is shown below.
Some of our customer has also implemented IMATIS Fundamentum Activity Monitor. This is a web application that shows real time KPI statuses across the Hospital or cluster of Hospitals. It can be used to monitor the clinical pathway process in real time, as well as monitor checklist etc. In the image below you see the Activity Monitor key performance indicator showing the real time status.