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Teleologic deliver the highest standards of software and support to our customers in the NHS.

If you would like more information on these and other examples of how PCS works in actual clinical situations, then please contact us. We can put in touch directly with one of our customers so that you can see the software in action for yourself and hear about the benefits at first-hand, with real-life implementation examples.

The news articles below cover just a few of the projects that we have delivered.

Congratulations to Winners at BMJ Awards

Guy's and St Thomas' NHS Foundation Trust, 2016

The team at St John’s Institute of Dermatology at Guy’s Hospital in London have won the Dermatology Team of the Year award at the BMJ Awards in London on May 5. Their Holistic Care for Skin Disease project was described by awards judges as "inspirational... this team are leading the way and have created a path and model that others could follow." The team introduced screening using a system called IMPARTS (Integrating Mental & Physical healthcare: Research, Training & Services) developed by Professor Matthew Hotopf and colleagues at King's Health Partners.

Since 2011 Teleologic have been supplying Professor Matthew Hotopf and colleagues at the IMPARTS project with the software systems that facilitate routine collection of patient-reported outcomes and provide feedback in real time to guide clinical care. From the beginnings with one service at Kings College Hospital, the system has steadily grown to an extent where it now covers over 25 departments across Kings and Guy's and St Thomas'.

The system uses the TeleoMedic resource builder which enables the IMPARTS team to build the screening measures themselves and deploy to a web server using bespoke landing pages for each service. At the clinics, patients are asked to arrive early for their appointments and in the waiting rooms use iPads to complete their questionnaires. The screening results are transmitted by the TeleoMedic system into the hospital EPR using the workflow configuration features of the resource builder to manage data storage and delivery.

For more information about IMPARTS see http://www.kcl.ac.uk/ioppn/depts/pm/research/imparts/

Myeloma Results-mapping Software at EBMT

Cancer Centre London, 2016

The Teleologic PCS system at Cancer Centre London maintains a database for Myeloma patients including:

  • Referral: type and date of referral, and information at time of referral such as previous treatment.
  • Diagnosis: Date of diagnosis, WHO diagnosis, staging and outcome.
  • Treatment: Stem cell harvest, Transplant, Chemotherapy course dates and regimens, plus facilities for recording drug/dose daily information, toxicity and whether the treatment was discontinued.
  • Monitoring: pathology results are interfaced directly into the system, allowing the clinicians to monitor effects of treatment – anaemia or neutropenia for example – as well as monitoring response to treatment.

The Treatment Test Results Graphing product, designed by Professor Ray Powles CBE and Linda Little of Cancer Centre London, provides visual feedback showing treatments and results from the Clinisys Results reporting system together on the same graph for any selected patient over a 3 month period. The system highlights test result trends at significant stages of treatment including initial chemotherapy, high dose chemotherapy, stem cell transplant and post-transplant.

The system is being included as one of a select group of initiatives in the poster presentation area at the annual conference of EBMT in Valencia, Spain, 3–6 April 2016. EBMT (The European Society for Blood and Marrow Transplantation) is a non-profit organisation that was established in 1974 in order to allow scientists and physicians involved in clinical bone marrow transplantation to share their experience and develop co-operative studies.

EDN adds MIG for Medicines Reconciliation

East Kent Hospitals University NHS Foundation Trust, 2015

All healthcare organisations that admit adult inpatients must now have policies in place for medicines reconciliation on admission of patients. As soon as possible after admission, hospital pharmacists are being required to collect information including names of the medicine(s), dosage, frequency, and route of administration. Establishing these details can be time consuming especially if the patient condition or communication difficulties prevent quick access.

East Kent Hospitals have built on their roll-out of Healthcare Gateway's Medical Interoperability Gateway (MIG) to provide access to patients' GP Records, subject to consent by patient and GP. MIG can be launched from the Teleologic Electronic Discharge Summaries (EDN) application, with the patient in context and users at the hospital authorised by credentials and user role. Within a few seconds users are able to gain direct information from patients' GP records about patient medications, as well as other essential information such as allergies and past medical history. In this way pharmacists are able to quickly update patients' discharge summaries with an authenticated record of medicines reconciliation having been performed.

Data Collection for Palliative Care

Kings College Hospital NHS Foundation Trust, University Hospital Lewisham, University Hospital Southampton NHS Foundation Trust, 2015

Three palliative care services have been working together to enable collection of data in palliative care in support of the national initiative by NHS England to ensure continuing service improvement through the sharing of data on the quality and effectiveness of care. In 2014 Teleologic worked with the Trusts to develop a Phase 1 data collection system that covered demographic, activity and clinical outcome data, while integrating with the Trust reporting requirements and being able to be easily deployed to large numbers of users. With the announcement of new datasets in 2015, the Trusts are again working with Teleologic to produce a second phase of the project that will encompass new developments in data collection, as well as a report-driven workspace that will assist clinicians and management staff in real-time case monitoring on a day-today basis.

With the help of the new system, the three palliative care services aim to ensure that accurate data record keeping can be combined with a real-time clinical system for the benefit of users and managers alike. The version 2 system provides users with lists of patients by location or referral, ensuring that up to the minute information is available on the number of contacts for each active referral, the most recent contacts, the patients' phase of illness, and the patients' status indicators. Additionally there is support for 'team referrals' (also known as sub-referrals or internal referrals) for each active patient referral. In this case colour-coding shows which types of team referral are allocated but not started (red), in progress (amber) or completed (green). The list can be filtered to show results by referral, source and/or keyworker. An MDT resource provides facilities for compiling, viewing and discussing lists of patients at MDT meetings on specified days.

Disease Modifying Anti-Rheumatic Drug (DMARD) Monitoring

East Kent Hospitals University NHS Foundation Trust, 2014

In the demanding outpatient clinic environment with significant time pressures, there is a requirement for clinicians to be able to access information within a single system rather than have to log into and search for patients in multiple systems. It is therefore of a significant advantage to have pathology information available within the Teleologic PCS system used by the hospital for managing their Rheumatology patients. The Teleologic DMARD monitoring facility automatically downloads data from the Hospital pathology system according to a schedule appropriate for each patient's treatment, and highlights out of range results to users in an easy-to-use tabular format. The users can input decisions about patients' care directly into the system in real-time, enabling decisions to be put into the context of the total electronic patient record accessible via PCS.

Haematology MDT Referrals

Kings College Hospital NHS Foundation Trust, 2013

The Haematology team at Kings College Hospital operate Multi Disciplinary Team meetings for hospitals in South East London including Lewisham and Princess Royal Bromley as well as Kings. Using the Teleologic PCS system and MDT framework, Kings designed and deployed specialist haematological data collection forms via which all specialty data required for the team meeting can be input by clinicians at the hospitals from where patients are being referred for discussion. Referrals are then accepted by the MDT pathway coordinator and allocated to a meeting. At the meeting itself, data from the referral is imported to the PCS Haematology system from which the MDT summary can be automatically produced. Data collected can then be exported for the specialty-specific Cancer Outcomes Dataset, now becoming part of mandatory data collection.

Pan London Cardiac Inter-hospital Transfer

London Strategic Clinical Network, 2013

The London Strategic Clinical Network has a key role in improving outcomes by helping commissioners to make the best decisions. To do so, the Network requires access to high quality data provided in real time by providers, such as hospital trusts, who are accountable for the quality of the service they deliver. In support of this role, the inter-hospital transfer systems that Teleologic have provided across London since 2005 have now been merged into a new central Pan-London system covering all receiving hospitals and all referring hospitals.

Bed Status

Northampton General Hospital NHS Trust, 2013

Using the Teleologic Ward Workspace application, all ward activity is recorded and reviewed from within a pictorial layout of the ward. With the ADT feed from PAS, every patient automatically appears in a Pending List when they are admitted and then the ward staff can drag & drop patients into their beds. From there a range of services can be reviewed/updated including eDN (electronic discharge notification), out of hours handover and recording of tasks required prior to discharge. Tracking planned discharge date enables the provision of a bed management service and central bed manager whiteboard, showing at a glance the current bed availability status and those patients where additional inputs are required in order to complete the discharge process.

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