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The patient journey

Every patient follows a pathway of care that determines how their condition is handled at each stage. As patients journey along these pathways – from referral through diagnosis and treatment to discharge – our range of clinical IT solutions and patient administration systems (PAS) offers support for clinicians, nurses and other healthcare professionals, for administrators and for the patients themselves.

Click on the different parts of the journey to reveal how IMS MAXIMS will change your organisation and
scroll down to read how we can help deliver high quality care and efficient administration at every step.


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Emergency Department
Patient Administration and Information
Dementia Module
VTE Module
Integrated Care Pathways
Configurable Observations, Noting and Assessments
Clinical Documentation
Patient Service and Activity Scheduling
Order Communications and Diagnostic Reporting
Bed Management
Theatres Management
Nursing Module
Electronic Discharge Summary
Patient Correspondence
Therapies
Emergency Department
Patient Administration and Information
Dementia Module
VTE Module
Integrated Care Pathways
Configurable Observations, Noting and Assessments
Clinical Documentation
Patient Service and Activity Scheduling
Order Communications and Diagnostic Reporting
Bed Management
Theatres Management
Nursing Module
Electronic Discharge Summary
Patient Correspondence
Therapies
Before:
The Emergency Department is where the patient journey begins for many patients. Having access to the correct information about a patient as quickly as possible can often be a matter of life and death. Paper can only be in one place at one time, it is difficult to share among caregivers and can often be difficult to locate. Using paper-based processes also makes it difficult to be alerted to any potential waiting time breaches.
After:
MAXIMS Emergency Department module shares all patient data and enables staff to be kept up-to-date with information about the urgency of the case, the length of wait and any risk factors. They can access the results of tests and keep a full record of each patient’s future care plans.

It includes graphical screens that allow the real-time tracking of all patients – locally, regionally or even nationally enabling organisations to share outcomes and help avoid waiting time breaches.

Staff workloads are allocated in the most effective ways and a full electronic record is kept of each intervention and its outcome. Once treatment is completed a discharge summary is automatically generated electronically and sent to the GP.

IMS MAXIMS offers:

  • real time, configurable patient tracking including display of breach time indicators, KPIs, alerts, re-attendance, prioritisation of patients
  • notification of new results and clinical notifications, previous history, incoming arrivals
  • triage work-list and assessment supporting multiple triage protocols, highlighting urgency levels, allocating nursing staff and providing decision support to define pathways
  • clinician work-list and assessment supports streamlining of patients for clinician intervention
  • discharge summaries allowing concise summaries that include future care plans, support network, medication, outpatient booking and clinical outcomes
Before:
At every stage throughout the patient’s journey, healthcare professionals and the admin teams who support them need rapid and secure access to up-to-date, accurate information about the patient, paper-based processes can slow this down. Behind the scenes, managers need to be able to understand and aggregate how well the organisation is doing in delivering services to patients and report back to those commissioning or purchasing care services.
After:
IMS MAXIMS electronic patient record (EPR) and patient administration system (PAS) allows you to replace paper-based systems with electronic records that are fast, efficient and accurate, helping both clinical and admin staff work more efficiently while improving patient safety.
IMS MAXIMS:

  • lets you create a single, complete EPR that contains all relevant information about every aspect of the patient’s care – historic notes, all correspondence, past and future appointments and care details
  • enables staff to access the information they’re authorised to see, from any place at any time, over a secure browser
  • captures clinical codes for diagnosis, procedures, allergies or co-morbidities, using the taxonomy of your choice, at any stage in the patient journey
  • provides staff with systems that are intuitive to use, requiring little training, and which can be tailored to match their existing workflows and practices
  • allows staff to plan and update the electronic patient record at each stage of the patient’s journey ensuring patients follow the best pathway while ensuring performance times are not breached
  • can send summary details to GPs electronically on discharge
  • enables you to easily report on a wide range of data on all functions, allowing you to monitor and improve the way you work and make best use of resources

The functional modules of the IMS MAXIMS PAS and EPR include:

  • master patient index
  • referral to treatment pathways
  • enterprise wide scheduling
  • outpatient management
  • inpatient management
  • bed management
  • casenote tracking
  • clinical coding
  • information management
  • external communications
Before:
Dementia affects an estimated 800,000 people in UK, with this figure expected to double by 2040. In England alone, only 42% of people with dementia have a formal diagnosis of the condition, and now healthcare providers are seeking ways to identify and record signs of dementia or other cognitive disorders. Current paper-based systems for capturing this information are time-consuming, often duplicating staff efforts, and not easily accessible for clinical decision-making.

To support this trend, the Department of Health have created dementia Commissioning for Quality and Innovation (CQUIN) targets to incentivise the identification of patients with dementia and other causes of cognitive impairment to prompt appropriate referral and follow up after they leave hospital.

After:
The IMS MAXIMS dementia software, which integrates with virtually any system, enables healthcare professionals to capture data to improve the identification, and quality of care of dementia patients resulting in reduced lengths of stay, improved efficiency of discharges, fewer readmissions and inter-ward transfers. It is tailored to take users step-by-step through CQUIN targets allowing the easy collation of data ready for extraction.
IMS MAXIMS:

  • allows you to establish a simple workflow to qualify against CQUIN payments
  • provides more accurate referrals to the appropriate diagnostic assessment, treatment and support
  • creates a dementia record for each patient who meets CQUIN criteria
  • enables you to keep inline with the National Institute for Health and Clinical Excellence’s (NICE) guidelines
Before:
NHS organisations must meet targets to carry out risk assessments for every patient within 24 hours of admission and ensure that results are closely monitored in order to reduce the 25,000 preventable deaths that occur in UK hospitals every year. The National Institute for Clinical Excellence (NICE, 2010) recommends that all patients should be assessed for risk of developing thrombosis (blood clots):

  • on admission to hospital
  • 24 hours after admission to hospital
  • if their medical condition changes
  • before discharge from hospital
After:
The IMS MAXIMS VTE system enables clinicians to identify, review and input VTE assessment details as well as be notified when patients may be about to breach the 24 hour national target. This will help to reduce the number of preventable deaths that occur in UK hospitals every year.
IMS MAXIMS:

  • helps meet the VTE 24 hour national target
  • enables clinicians to select and record the VTE Risk Assessment for the patient’s inpatient episode
  • allows clinicians to identify and retrieve current inpatients, currently flagged as requiring a VTE Risk Assessment, by a number of search criteria fields
  • displays customer-defined colours for patient’s approaching the 24 hour target time and also for patients that have exceeded a defined key performance indicator
Before:
Throughout their journey, the patient will be following a care plan that translates agreed and standardised protocols into a specific set of activities tailored to their individual needs. When using paper, healthcare providers often struggle to create and capture these plans while also ensuring they are carried out correctly and that full and accurate information about each action can be recorded quickly and easily by staff.
After:
IMS MAXIMS Integrated Care Pathways manages the workflows required by the care plan, providing prompts for each required action and supporting healthcare providers to carry them out. It is not only suitable for standard surgical and medical pathways but works well with assessment units, A&E referral, out-of-hours and emergency care units. It readily integrates with outpatient pathways and can help you manage time-to-treatment targets.
IMS MAXIMS:

  • Lets you easily co-ordinate multiple care actions in a patient-centred approach, allowing care to be delivered efficiently and as quickly as possible
  • allows you to customise care pathways, care plans and provides prompts to meet each clinician’s particular needs, preferred protocols and approach to care
  • lets you create checklists that can be viewed by ward, unit, team or role, allowing services to be planned efficiently
  • ensures full and accurate information is quickly and easily captured electronically at every stage, using either the comprehensive Nursing Documentation or Clinical Noting modules
  • lets you use pre-populated order forms to save time and reduce errors
  • promotes best practice and improves safety by ensuring care pathways and protocols are followed correctly
Before:
Paper notes and observations can often be left at the end of a patient’s bed, meaning that anyone can look at the notes without permission. In addition, these notes can be illegible, difficult to read by other members of the team and in turn difficult to monitor and measure changes in a patient’s condition.
After:
MAXIMS EPR provides comprehensive capabilities to capture, review and share, patient clinical notes in combinations of unstructured (free-text entry), graphical and structured format to support the patient journey from pre-admission to discharge and follow-up, including outpatients.

There are many standard screens to support observations, clinical noting and assessments but where there is missing functionality to meet local requirements, the Assessment Toolkit allows an organisation to locally configure any number of local clinical assessment forms.

Users can choose from different forms and tools to complete their clinical notes, assessments and observations to create the patient record with access to these forms throughout the patient’s journey.

IMS MAXIMS:

  • toolkit allows for configuration of structured assessments both scoring and non–scoring, depending on the data capture needs
  • collection of observations in the system through a single form means that information is easy to access and able to viewed in a graphical representation i.e. TPR BP, O2 sats, Blood Glucose, GCS, BMI and many more
  • Early Warning Score is fully supported within the system, which can be configured to meet local policy with regards to parameters and their limits
  • a full audit trail is recorded with escalation records and actions taken to help improve and maintain high standards of care.
Before:
Patients’ general clinical details need to be viewed in the context of their wider clinical assessment in order for the most comprehensive understanding of their condition. Paper-based processes often mean that patient information can be viewed in isolation.
After:
The MAXIMS Clinical Documentation module provides functionality to enable the patient’s general clinical details to be recorded and reviewed as part of the clinical assessment process. The module allows you to record and view patient information using both standard structured and free-text formats for problems, diagnosis, procedures, complications, medical notes and more.
IMS MAXIMS:

  • enables the multidisciplinary care of a patient, supporting the recording of clinical details
  • enables completion of standard and locally defined assessments and nursing assessments, interventions and plans of care
  • supports the generation of clinical audit reports
Before:
Throughout their journey, patients will need to be scheduled for a variety of clinics, tests, treatments and therapies. For healthcare providers, efficient scheduling of these activities is key to making best use of finite resources, allowing high quality care to be delivered as cost-effectively as possible.
After:
IMS MAXIMS products give healthcare providers the tools to match their resources to patients’ needs, quickly and easily. MAXIMS Scheduler and MAXIMS Patient Management allow healthcare organisations to organise hospital and patient activities to optimise the management of each episode of care while also optimising the overall use of limited resources.
IMS MAXIMS:

  • lets you make appointments for a wide range of patient services and activities, which can be configured to match how your organisation works
  • helps you plan and monitor patient journeys
  • automatically raises alerts if targets or KPIs are likely to be breached
  • provides tools to analyse past and current performance to support better planning and scheduling in the future
Before:
Along the patient journey, patients will typically be given tests to help diagnose their condition, determine how best to treat it and evaluate how successful that treatment is. They are also likely to receive a range of treatment services, from medication to therapy to surgery. Using paper-based processes often means that orders are duplicated or delays are caused when healthcare professionals are left un-alerted to results that are ready to be reviewed.
After:
MAXIMS Order Communications System (OCS) allows healthcare professionals to order diagnostic tests and treatment services instantly, for a wide range of services from pathology and radiology to audiology, cardiology and any kind of therapy. MAXIMS OCS also lets staff track orders and see results as soon as they are available.
IMS MAXIMS:

  • eliminates delays, bottlenecks and errors associated with paper-based systems, including eliminating the risk of transcription errors
  • ensures the right orders have been sent to the right place
  • lets staff track orders and view results immediately, with complete confidence they are accurate
  • lets you work as effectively across multiple sites as within a single hospital
  • integrates order communications with your existing PAS, so patient information only needs to be entered once
  • lets you decide what range of services to include and how information will be presented
  • improves patient safety by ensuring all necessary patient and clinical information is included when orders are sent
  • saves money by reducing the number of inappropriate tests or services, by guiding staff when they are placing orders and reducing duplication
Before:
When patients are admitted and need a bed – whether as emergency or elective admissions – they want to be in their bed as quickly as possible, with minimum fuss. Clinicians and visitors all want to know which beds a particular patient is in, while nurses need to be able to quickly find out key information about the patients in their wards, such as infection control status and allergies. Meanwhile, managers need to keep tabs on where beds are available and how they are being used. Keeping track of all that information can be complex and time-consuming when on whiteboards or paper.
After:
MAXIMS Bed Management simplifies and saves time for everyone who cares about which patients are in which beds, from clinicians to bed managers to the patients themselves. It works in real time to manage patient admissions, discharges and transfers, while providing insight for managers about bed usage patterns. Data is available on lists or in graphical ward views that clearly show where each patient is, by ward, bay and bed.
IMS MAXIMS:

  • reduces the time spent filling out forms by capturing and pre-filling screens with data from PAS for emergency and elective admissions
  • allows authorised staff to access information through simple electronic searches and update records
  • shows alerts beside each bed for data about infection control status, allergies, adverse drug reactions and child safety
  • can display data on wall-mounted screens to make it quicker for clinicians and visitors to find patients
  • lets you monitor bed status across the hospital by location, type and specialty, reducing the need to phone around or get ward staff to count heads
  • helps you optimise the management of capacity, admissions, discharge and planning of transfers
  • allows you to reserve beds for elective and emergency admissions
Before:
The system currently supports the recording of the surgical record via consultant specific templates. There is also support for client defined pre-operative and perioperative documentation and the facility to link clinical outcomes/events to the intra-operative record for audit and reporting purposes.
After:
The MAXIMS Theatre Management system is closely integrated with the patient pathway. This journey begins in outpatients where the patient has to be deemed both suitable and fit for surgery in order to appear on an electronic fit for surgery worklist, this minimises cancellations by ensuring suitably prepared patients are booked into theatre. The level of integration with the patient journey is configurable.
IMS MAXIMS:

  • support the efficient utilisation of resources by controlling the procedures that can be booked into a session and supporting the re-ordering and finalising of lists
  • provides role-based control of overbooking rights
  • ensures workflows support the timely and appropriate booking of cases
  • provides visibility of special requirement and support for non-standard timings
  • supported interdepartmental communication is via an intuitive theatre-tracking screen
Before:
Nurses are often bogged down in paperwork with a report by the Royal College of Nursing highlighting that more than 17% of nurse time is spent on paperwork rather than patient care. Paper-based processes can often lead to increased hand-over time, difficulty in monitoring patients and duplication of activity by staff.
After:
The MAXIMS Nursing Module replicates the flow and process undertaken by the nursing staff.

The nursing functionality includes the management and evaluation of care plans. These are derived from user created templates that allow actions to be monitored and evaluated as part of the patient clinical noting history. Clinical and evaluation notes are input against the patient record and are viewable within summary screens.

IMS MAXIMS:

  • enables daily patient progress can also be monitored to provide an easy way to assess the patient against daily activities
  • ensures staff are able to record all activity relating to care delivered to patients on a ward, improving handovers
  • further assessment tools are also provided such as Waterlow/Braden/MUST/VIP scoring to name a few
Before:
The patient’s journey does not finish when they are discharged from an acute care setting as information needs to be provided in a timely fashion to the patient themselves and to other care providers, such as the patient’s GP, to support further care and to provide a record of the care given. Paper-based discharge processes are slow – making it hard to meet the target for getting discharge summaries to GPs within 24 hours – and carry a risk that information may be incomplete or incorrect.
After:
MAXIMS Discharge System provides a fast, accurate, secure and simple-to-use approach to discharging patients. Based on Professor Michael Thick’s recommendations for the standardisation of the discharge summaries, it draws on data already entered during the patient’s stay and makes it easy for staff to fill in the remaining details. It then allows the discharge summary, including future care plans and details of medication, to be emailed to other healthcare professionals or printed out.
IMS MAXIMS:

  • allows you to capture clinical data at any stage of a patient’s stay, minimising the amount of information that needs to be entered on discharge and reducing the risk of data being entered incorrectly
  • lets you quickly fill in the remaining details when the patient is ready to go home, including future care plans and details of medication
  • automatically creates a complete, concise care record for the hospital’s needs as well as a discharge summary for the patient’s GP
Before:
At many stages along the patient’s journey, healthcare providers will need to communicate with the patient or others involved in the patient’s health or social care. Yet creating and managing correspondence is often a challenge – labour intensive, dependent on the availability of secretarial support and prone to errors.
After:
Most IMS MAXIMS products come with a report builder as standard,which allows letters to be generated on-screen by any authorised member of staff at any time. These letters can be edited as necessary, before being either printed off or sent electronically. All correspondence created in IMS MAXIMS is then stored automatically as part of the electronic patient record.
IMS MAXIMS:

  • reduces the costs of creating and managing correspondence and allows you to refocus admin staff on other tasks
  • improves the speed with which correspondence is sent, increasing patient satisfaction and improving the quality of service
  • eliminates bottlenecks and backlogs caused by a lack of secretarial resource that can delay the patient’s journey to the next stage of their care
  • lets you set up templates that allow coded letters to be generated very quickly, with most of the information pre-filled
  • provides prompts whenever a letter needs to be sent and stores all correspondence as part of the patient record, making it instantly accessible and ensuring it cannot be lost or mislaid
  • allows you to easily correspond with other healthcare professionals within the same organisation or in other organisations
  • automatically produces a summary when a patient is discharged containing all the relevant information about a patient’s care, which can either be printed off or sent electronically
Before:
Therapists often feel that they work in isolation, particularly when carrying out home visits. They can often find it difficult to share information with appropriate colleagues about their patient, it is therefore imperative that paper-based processes do not prevent information sharing for happening.
After:
MAXIMS Therapies supports all categories of therapies allowing you to construct locally specific screens, allowing users to enter and review data as an integral component of complete care delivery process. The system works in harmony with MAXIMS user defined assessments, of which simplicity, speed and accuracy are essential.
IMS MAXIMS:

  • provides libraries of screens which are both adaptable and easy to expand upon
  • can be used as a stand-alone clinical workstation to monitor inpatient and outpatient episodes
  • can be assimilated to provide healthcare providers with an integrated clinical support system, which collates all patient related information.
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IMS MAXIMS currently supports more than 180 organisations in UK and Ireland. Learn more about how IMS MAXIMS solutions are being put to good use.
IMS MAXIMS currently supports more than 180 organisations in UK and Ireland. Learn more about how IMS MAXIMS solutions are being put to good use.