# Presentation: 027745

## The Indian Health Service’s
Women’s Health 
Software Application
V 3.0

- Women’s Health
- Software Application
- V 3.0

## Software is a tool...

-        ...nothing more

## GOALS

- Re-write the existing WH application to meet the needs of the user
- Provide a way to track and manage patients’ care by retrieving information from the database and presenting it in a useable way
- Minimize the “fall through the cracks” syndrome common in many clinical practices
- Minimize or eliminate the need for duplicative entries into RPMS

## Women’s Health Features

- Site customization
- Multiple register potential
- Multiple entry of  “normal” Pap Smears and Mammograms
- An interface to underlying RPMS data

## Women’s Health Features

- Procedure Workflow Structure
- Procedure
- Results
- Follow up
- Notification
- Flags to make providers aware of missing information

## Menu Structure

- Patient Management
- Register Management
- Output
- Manager Utilities

## Manager Utilities

- User Setup
- Site Parameter Setup
- Taxonomy Management
- Letter Template Management
- Migration Check Utility

## User Set up

- Case File Manager
- Editor
- Reader

## Site Parameter Setup

- Flag Triggers
- Multiple Entry Configuration
- Pending Workflow Search Frequency
- CDC Participant

## Flag Trigger Defaults

## Multiple Entry Configuration

## Pending Procedure Workflow Search Frequency

## CDC Participant

- ------- Setting NBCCEDP Participant  for System: DEMO.OKLAHOMA.IHS.GOV -------
- Participates: YES//

## Taxonomy Management

- View members of each taxonomy
- Edit site-populated taxonomies

## Taxonomy List

## Taxonomy Maintenance

## Letter Template Management	

- Create new letters
- Edit existing letters
- Send a letter

## Migration Text Utility	

- Review data from WH v2.0 that did _not_ migrate to WH v3.0

## Data Migration Failure List

- DEMO INDIAN HOSPITAL
-                     MIGRATION FAILURE LIST-POST MIGRATION
- +      Accession #    Patient                        Date           Procedure/Notification
- 31.    ST04-8          DEMO, ANN             04/19/2004     STD EVALUATION
- 32.    ST04-9          DEMO, BETTY         04/16/2004     STD EVALUATION
- 33.    ST04-10        DEMO, CARLIE        04/23/2004     STD EVALUATION
- 34.    ST04-11        DEMO, DONNA        04/23/2004     STD EVALUATION
- 35.    ST04-12        DEMO, EDITH           04/23/2004     STD EVALUATION
- 36.    ST04-13        DEMO, FIONA           05/03/2004     STD EVALUATION
- 37.    ST04-14        DEMO, GRETA          05/05/2004     STD EVALUATION
- 38.    ST04-15        DEMO, HONEY         05/12/2004     STD EVALUATION
- 39.    ST04-16        DEMO, INGRID         05/17/2004     STD EVALUATION
- 40.    ST04-17        DEMO, JILL               06/24/2004     STD EVALUATION
- 41.    ST05-1          DEMO, KATHY         11/29/2005     STD EVALUATION
- # Of Wise Woman procedures (not displayed): 4
- # Of Mammography Project procedures (not displayed): 2

## Patient Management

- Patient Record
- Women's Health Supplement/Patient Health Summary
- Procedure Workflow
- Multiple Entries
- Pending Procedure Workflows List

## Patient Record                    pg 1

## Patient Record                pg 2

- Patient Record                pg 2

## Women’s Health Supplement

## Slide 24

## Procedure Workflow

- Defined WH Procedures
- Defined results for each procedure
- Generates dynamic reminders

## WH Procedure Categories

- Cervical Health
- Breast Health
- Skeletal Health
- Family Planning

## Procedure Workflow

**1. Procedure**

**2. Result**

**3. Follow-up**

**4. Notification**

**flag**

**flag**

**flag**

- Generates
- a unique
- WH
- Reminder

## Procedure Workflow List

## Procedure Workflow

## Multiple Entries

- Enter “Normal” results for multiple patients at one time for Mammograms and Pap Smears
- Generates site specified routine follow up and notification

## Multiple Entry

- Select Patient Management Option: **MULT**  Multiple Entries
- Select one of the following:
-           1         MAMMOGRAM SCREENING
-           2         PAP SMEAR
- Select Procedure Type: **1**  MAMMOGRAM SCREENING
-    *** Date Range Selection ***
-    Begin with DATE: JUL 16, 2007//**t-365**  (AUG 15, 2006)
-      End with DATE: AUG 15, 2007//  (AUG 15, 2007)
- Set Procedure Result Date: AUG 15, 2007//  **(AUG 15, 2007)**
- MAMMOGRAM SCREENING procedures             Date Range: 08/15/2006 - 08/15/2007
-        PATIENT                    DATE
- 1.    DEMO, ANNA           07/15/2007
- 2.    DEMO, BETTY          06/06/2007
- 3.    DEMO, CINDY          05/25/2007
- 4.    DEMO, DONNA        04/30/2007
- EXC  Exclude Patient(s) from List       CHG  Change Date Range
- PRO  Process List
- Select Action:Quit//  **PRO**
- Procedures Result Date:  08/15/2007
-           Follow-up:               MAMMOGRAM SCREENING
-           Follow-up Due date:      08/15/2008
-           Notification:            LETTER
-           Letter Template:
- These parameters have been set by the WH Case File Manager at your site. Do you
- want to continue processing this list with the above information?? Y//

## Pending Procedure Workflows

- Routine data mining to identify WH procedures that have been done at the site
- User will determine if a Procedure Workflow should be created for identified procedures

## Pending Procedure Workflows

## Output

- Flags
- Reminders
- Letters
- Reports

## Flags

- No Results
- No Follow up
- No Notification

## Reminders

- National Health Maintenance Reminders
- WH Reminders
- Generated by the third step of the Procedure Workflow
- User Specified
- Dynamic

## Letters

- Letter Template Management
- Send a letter to an individual or to a group

## Reports

- Due/Overdue Report
- WH General Retrieval Form
- Procedure Statistics Report
- Screening Rates for Paps and Mammos