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VisionHM in the World of tomorrow

In the VisionHM ensemble, any medical action carried out by the hospital is referred to as interaction.
An interaction can therefore be a temperature measurement, the application of a plaster but also a very complex operation, itself composed of a multitude of interactions ranging from the simplest (bases) to the most complex (compound).

Description of the Exams

To define an interaction VisionHM has a WorkFlow iconographic editor capable of modeling any interaction with its spatial, time, date, personnel, prohibitions, modulations according to the various profiles or antecedents of the Patient.

This iconographic editor covers the definitions of any medical constraint as well as its results.
Each examination iconographic description is designated by DECAM for Modulated Action Description and its use becomes a WorkFlow.

Service modelling

VisionHM considers that a hospital is made up of a set of services, each with its own characteristics and constraints, not necessarily known to the other services, but all grouped together in a homogeneous and complementary whole for the benefit of Patients.

The deployment of VisionHM is therefore done service by service, one after the other or in parallel.
The main interlocutors in this task are the people in charge of the manual programming of the service or those who have already set up a Business Application.

Modelling of the service is done by groups of exams, from the most complex to the simplest, using the possibilities of creating an Exam B based on the definition of Exam A, removing what is unnecessary and adding what is specific to it.

Thus, depending on the time that the staff of the assigned department can devote to this work, the fine modelling of a department such as radiology, for example, requires an average of three weeks, whereas the operating theatre may require only five weeks.

Constraints on realisation

All the constraints for planning and carrying out the Examination are laid down by the department and can only be circumvented by authorised department staff.

Thus, if a given Examination requires the presence of a person who has received special training and that person is absent every Tuesday morning, Examinations where that person is required cannot be scheduled by the recommended procedure on any Tuesday morning.

Examinations, spatial configuration and documentation

The description of each Examination (DECAM) must be linked to its location by means of one of the seven spatial levels managed by VisionHM, from the Hospital Group (GHT) to the Ward.

VisionHM has an integrated document editor that allows the creation of documents ranging from the Parking Voucher to the Exit Letter, as well as structured presentation reports based on the Examination carried out by the doctor in charge, the group of Examinations, etc.

The iconographic editor of Examinations or DECAMs can also force the creation of any document at any stage of the Examination either to document the Patient Record or to be given to the patient.

All documents produced in this way are archived in PDF format, protected from any modification and also sent to the Patient File as far as its definition requires.

Nested descriptions

Any Examination or DECAM description may contain other DECAMs without limitation.
The enormous advantage of this approach is that it is possible to model a given interaction with all its rules once and then use it in other models that need this procedure for its realization.

The simplest example is the Patient Reception procedure, for which in its purest expression will need a receptionist for a period of time.
By analysing the Workflows, VisionHM can show the time needed to receive the Patient in relation, for example, to the time between the last arrival and the current one.

If this is the case, the DECAM can be modified to tell the patient that if the delay is less than one year, the estimated time for this stage is five minutes, whereas if the delay is longer or the patient has never come, the delay will be ten minutes.

By modifying the DECAM in question, all other DECAMs with the former in their definitions will change their behavior.

Exam planning

On the basis of the descriptions of the Examination Workflow, VisionHM is able to provide dates and times at which the requested Examinations can be carried out in full compliance with all the constraints laid down by the department in charge. No more time-consuming telephone calls.

Likewise, VisionHM can, on request, propose dates on which a group of Exams can be carried out on the same day, taking into account their chronology of completion and the travel time of the Patient from one service to the next.

This is known as the Patient's Pathways on the Fly and corresponds to the request for a range of examinations established by the town doctor or by a hospital department.

Patient Pathway

On the basis of the possibilities of VisionHM, DECAMs and its iconographic editor, Workflow, a series of Examinations can be grouped together in the form of a Patient Pathway, while modulating its constitution in relation to the Patient's own data or needs, but also during its implementation according to the results obtained at a stage (laboratory for example) or a medical decision requiring a change in the pathway by adding or deleting Stages.

For example, VisionHM can plan an Obstetrical Patient Pathway based solely on the date of the beginning of pregnancy, while adding additional examinations according to the patient's profile, in order to correspond to the medical constraints set by each service concerned by this pathway.

Patient pathway, documentation, alarms

Any Examination included in a Patient Pathway that is not carried out within a configurable time range triggers an alarm that will be processed by the department that programmed the Patient Pathway or, failing that, by a central department.

The main purpose of these alarms is to make the Patient aware of the need to continue his care or to reschedule the subsequent course if he forgets a stage. Also to decide the cancellation of the Patient Course with the release of the resources blocked by subsequent examinations which will not be carried out as a result.