Interactive Whiteboard

Hi,

Does anyone use Interactive Whiteboards in their clinic?

We are looking at converting to them and wonder what their functionality would be with OpenVPMS.

My idea would be to have a specific Work List View for the whiteboard loaded on an ipad. This ipad could be mounted on the wall next to the IWB but removed during rounds so the worklist could be updated. Or even carried into our Surgery Prep area during the day. Ideally the worklist could also be edited/viewed from any teminal in the clinic so everyone could see where patient treatments were at.

I have never used one before, so don't know how complicated/expensive they need to be. Seems like they all have the function to write on the Interactive Whiteboard or control the computer through the whiteboard. I don't think this would be necessary, so maybe I should just be looking for a projector???

Thanks

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Re: Interactive Whiteboard

Greta - I suspect that the functionality you want (public display of worklist) is perhaps better met by hooking a flat screen TV the the display output of a cheap modern laptop - one with an HDMI output.

The hooker is getting the display updated.  The schedule and worklist displays in OpenVPMS do not auto-update, and I doubt whether you want to pay someone to press Alt-F (ie Find) every 60 seconds.

However, for windows PCs there are free utilities that will do this - see for example http://www.howtogeek.com/97998/how-to-make-your-computer-press-a-key-eve...

There are more sexy programs to do scripting (see for example https://www.autoitscript.com/site/autoit/ ) - and with these you could do tricks like cycling through mutiple worklists.

If I was going to set this up, I would define a new worklist view for the 'public' view.  I would also consider whether I needed to automate the log on of the laptop so that it would login and select the Workflow|Worklist screen with the appropriate time and worklist view, or whether to do this manually - before invoking the 'press Alt-F every x seconds' facility.

 

Regards, Tim G

Re: Interactive Whiteboard

Anyone looked at "Smart Flow"

This has a whiteboard replacement system, and looks like a solution to my issue with trying to digitise anaesthetic and hospital sheets. 

 

Apparently, it connects to OpenVPMS, though given there is no mention on this forum of it, I am sceptical!

Would love to know if anyone has played with it and has any feedback. At $400 USD/annum it does come at a cost.

Re: Interactive Whiteboard

We would be really interested in this. I was looking into Smart Flow but I thought it was US only. There is a clinic in Brisbane using Smart Flow, I have just emailed them today. I'll post their reply. Looks pretty much like the technology I was after, but wouldn't get it if it's not OpenVPMS compatible.

Re: Interactive Whiteboard

Hi,

We use Smart Flow within our clinic. I am very happy with it. We have replaced all of our paper charts. Like anything it takes getting used to, but it has more than achieved what I originally wanted. I am happy to talk to people off the forums about our experiences.

It is certainly possible to connect with OVPMS. We are planning to get this connectivity. First so we can generate hospital charts from within OVPMS (without having to manually enter data). A later project can be billing integration (treatment is executed on Smart Flow and invoice item is automatically created in OVPMS).

Re: Interactive Whiteboard

We are starting the formal process of assessing SmartFlow, so would appreciate any/all tips about maximising the value of this and it's integration with OVPMS. EastsideVet - how can I contact you to discuss your experiences?

Re: Interactive Whiteboard

Hi paul, I can't work out how to message you privately on the forums.... If you send an email to our clinic email address (info.....at........eastsidevets.com.au) addressing it to me I will pick it up and get back to you via email.

In reality at the moment this is no integration between Smartflow and OVPMS. BUT, Tim and Tony I believe have spoken to the developers at SmartFlow and I know there are other parties interested in creating an integration. There are probably 2 phases to this:

1) Create flowsheets from OVPMS and when discharging patients flow sheets to be automatically imported/attached back into OVPMS.

2) Charging integration where by billable items in Smartflow are charged back to OVPMS.

1 should be straightforward is my understanding.... 2 a little more difficult but should be do-able, esp with the new customer orders workspace.

I am very keen to get this going.

Re: Interactive Whiteboard

Hello dear colleagues,

I am trying to get this project going, but as I am not familiar with how things are done here, I am hoping to organize this integration with your help.

We did have a great meeting with Tony in Melbourne and decided to move forward. He recommended I register here. This is as far as I got. What are the usual next steps and how can I facilitate this process?

Thank you,

Ivan

Re: Interactive Whiteboard

Ivan - OpenVPMS 'projects' (see http://www.openvpms.org/projects ) are to do with making changes to OpenVPMS - hence the creation of the project is restricted to various individuals on the development team - though once created any register user can add comments.

However, if this case (as I understand it) Smart Flow will do some tweaks to their product to pull data from OpenVPMS.  In this case you do not need an OpenVPMS project. However, you probably do need to setup an OpenVPMS system so you can play with it. To do this download and install - probably best to grab the 1.8 Beta 2 release (see http://www.openvpms.org/ - scroll the page down to see its release announcement). This release is stable enough for you to play with (a number of practices have it in full production).  If you have any problems installing and firing it up, post to the Implementors forum at http://www.openvpms.org/forums/implementation/implementation . The installation documentation (see http://www.openvpms.org/documentation/csh/1.8/topics/install ) is pretty good. If you want a database containing sample data (so you have a setup that is ready to play with), yell and we can get you a dump of the system we use to get the screen shots for the documentation.

If I am wrong, and the integration will need to be two way - that is, SmartFlow will push updates back into OpenVPMS, then we do need an OpenVPMS project.  In this case the next step is to create the project. I or someone else can do this but we need a good project description (see say http://www.openvpms.org/project/selling-price-rounding as an example).  As you can see the description needs to be good enough so that the development team can price the OpenVPMS work that needs to be done.  The description tends to be updated as a result of the discussion comments. When evryone agrees on the description, the work is priced, and the status goes to 'seeking funding'.  When the money is received, work starts.

Note that there are in fact other ways of modifying OpenVPMS. Since the code is open source, you can grab it and hack at it to your hearts content. You can thus fork your own version with the SmartFlow integration.  However, I suspect that the preferred path is to enhance the standard release to have the SmartFlow integration. In this case, either the OpenVPMS team does the work (and it needs to be funded) or another team could do the work and submit the changes for inclusion within the standard OpenVPMS release. In this case the work needed from the OpenVPMS team is less and hence the required funding is less.

I hope that this clarifies things.

Regards, Tim G

Re: Interactive Whiteboard

Hi guys,

My name is Pavel and I am in charge of development in Smart Flow Sheet.

Our experience in integrating with numerous practice management systems shows that the main effort is usually done on PMS side. On our side we have established API that was tested with several integrations and may require minor updates depending on a particular PMS needs. So, in my opinion we would need to create a project for OpenVPMS - SFS integration.

Tim, as I understand, you can do this. I would propose to have a meeting where we could discuss the details of project description. If this sounds good please contact me at pavel...at...smartflowsheet...dot...com and we will arrange the call.

Thank you, Pavel

 

Re: Interactive Whiteboard

Pavel - there are two Tim's who post a lot: tgething (me) and tanderson - known in the trade as Tim G and Tim A.  I do a lot of the documentation work (and thus have the authority to create a project).  However, I do no development work - that is Tim A's area.  Hence you really need to talk to Tim A rather than Tim G.  I will leave it to Tim A to contact you.

Regards, Tim G

Re: Interactive Whiteboard

Thank you Tim G.

Indeed, it is better that someone with development responsibilities contacting me because the discussion will be around different ways of implementation.

Looking forward to meet with Tim A.

Cheers, Pavel

Re: Interactive Whiteboard

Hi Ivan,

It was great to catch up when you were in Melbourne.  

As Tim G. suggests there is a pretty straight forward process to get new features added to OpenVPMS.  A good specification based on user and developer discussions, costing and then funding.

One other option is to utilise some existing features such as the HL7 Pharmacy orders project ( http://www.openvpms.org/project/hl7-pharmacy-orders ) and build some "middleware" to interface with your Smartflow web services.  The HL7 Pharmacy order feature provides a standardised mechanism to send admission/discharge events containing the patient information and to receive OpenVPMS charging information from external systems.  This may be an easy way to get at least some of the integration you require without the need to build anything new into OpenVPMS. I suspect ther may be a small change required to the current feature to filter admission/discharge messages to specific worklist entries, i.e hospital/surgery.
 

Attaching flowsheets can be achieved through the OpenVPMS document loader approach where the document is placed in a specific folder and OpenVPMS polls this folder and attaches the document to the patients clinical record.  Currently OpenVPMS needs a unique identifier (investigation Id or Act Id) to be part of the file name which may be possible to send to Smartflow via the same HL7 mechanism above or via the new HL7 Orders project ( http://www.openvpms.org/project/hl7-general-orders ) if Smartflow users are happy to use Investigations for this purpose.  Again the Smartflow middleware you build could do the file and HL7 translation work between the messages OpenVPMS sends and what Smartflow currently communicates.

Another alternative may be to fund an enhancement to the current document loader to allow it to take documents with filenames that consist of a Patient identifier and create attachments in the Medical Record directly without the need for an Investigation or any pre created document entry.  May be a handy enhancement for other purposes as well (i.e images upload etc). 

Just a few ideas to discuss amongst the community.

Cheers Tony

Re: Interactive Whiteboard

An alternative to using the document loader functionality would be to extend OpenVPMS to add support for HL7 ORU or MDM messages that include a URL to the observation (in your case, a flowsheet). On receipt, the corresponding document would be downloaded and added to the patient visit as an attachment.

The advantage of this would be that you only need to configure a single HL7 interface in OpenVPMS that points to your middleware.

Re: Interactive Whiteboard

Hmmmm... from our perspective both work from a Smartflow point of view but it would be really cool if we could add files to a folder and have them automatically uploaded to patient files.... We have a fair number of digital images and scanned forms that we still manually upload and certainly this solution for the file uploads seems to have much more versatility...

Otherwise I guess it is a discussion between developers that needs to be had to see how the integration is best achieved...

Q. If we integrate billing. Will we have a system where when we add a billable item in OVPMS for example it appears on the flowsheet? I.e. If I add a PCV/TPP in OVPMS will it appear as a line in Smartflow? This would be very cool if it was the case.

Re: Interactive Whiteboard

Hi Adrian,

I believe it only operates one way , from Smartflow to OpenVPMS.  It will be necessary to import the item ids, names etc into Smartflow from OpenVPMS via an import mechanism.

Tony

Re: Interactive Whiteboard

Hi Everybody,

Thank you for all the directions given here!

Some of these things are just a little more technical than I can handle so I will get our CTO to have a look at it and decide on the strategy.

To answer your questions Adrian: Q. If we integrate billing. Will we have a system where when we add a billable item in OVPMS for example it appears on the flowsheet? I.e. If I add a PCV/TPP in OVPMS will it appear as a line in Smartflow? This would be very cool if it was the case.

This is exactly how it's done. During initial connection of the products we get inventory list from EMR and then you use the same items on Smart Flow.

Phase 1 integration allows you to create a patient on Smart flow (all devices, interfaces at the same time. Including a general whiteboard, iPads and on the web). This could also include automatic file attachment to OPVPMS at the end of hospitalization.

Phase 2 integration is a bit more comprehensive. It allows all the items to be billed for automatically at the time of treatment. You just put your initials, and SFS calculates (23kg*0.1mg/kg/10mg/ml=0.23ml). You will not see any of it, but the invoice in OPVMS will have a charge for this drug!

We suggest connecting with first phase of integration (in most VPMSs it took 3-5 days to have it done) and then begin working on the second phase.

 

I will talk to our CTO, and he will dig into documentation to suggest a solution.

 

P.S. Smart Flow can be opened on any device with web browser, but you do want a central TV connected to any computer and couple ipads to replace paper sheets (for portability). We do not have a native app for android yet.

 

Re: Interactive Whiteboard

Sounds like I need to wait a bit to lock down those linkages before we commit to anything. I may contact you off line ESVE but in the meantime I thought it might be worth asking this question in the open forum: through what devices you are accessing the Smartflow?: what is driving your interactive whiteboard/s and are you using iPads?

My primary aim is to have intereactive hospital and anaesthetic records that can be updated multiple times by multiple users throughout a patient's anaesthetic or visit and then are saved to OVPMS. The concept of a digital whiteboard is interesting too.

 

Re: Interactive Whiteboard

Hi Paul,

We have:

- A touchscreen computer than can be used for display and data entry in our main hospital room

- iPads that nurses use for entering treatment data.

- All the computers can access SmartFlow via the web app.

In practice:

- Nurses start the Flowsheets either on the web app or the ipads (idea is this will be replaced with the interface with OVPMS eliminating a bit of a bottleneck).

- Nurses use the ipads when doing treatments.

- Vets tend to use the WebApp for reviewing how patients are progressing and adding medications/things to the chart. Also when writing notes. Or they sit there with an ipad and type their notes.

- Touchscreen computer (which can be replaced by a simple "smart" or web connected TV if you just want a display of what is due for treatments) is mainly used as a "guide to know what patient/s are due for treatments".

Your primary aim is exactly what we use SmartFlow for. We can have multiple people viewing and editing one patient record at a time if required. Anaesthetic charts are coming soon to SmartFlow (under development as we speak).

Re: Interactive Whiteboard

Hi,

We are really wanting SmartFlow Sheet but would really like Phase 1 to be in place before we begin.

If there is an issue with funding to get it going, we are happy to put in. Ideally we would like to start SmartFlow in 2-3 months. Is there any chance the project will be Phase 1 complete by then?

Thanks,

Greta

Re: Interactive Whiteboard

I've started putting together a project for Smart Flow Sheet integration here: http://www.openvpms.org/project/smart-flow-sheet-integration-patients

It could be available in the next 3 months, depending on funding. It would also need to go into the 1.9 release. This won't have a final release for some time, so you would need to run a pre-release build of OpenVPMS to use the feature.

-Tim

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