Kordeus.SURGERY

Kordeus.SURGERY is a product, which extends Kordeus.CORE. It unifies, integrates and automates work fragments along the process chain from surgery planning to surgery aftercare into one tool.

Benefits

There are may benefits for the using clincs/practises. Most important are:

• massive time saving potential for surgery planning
• increased patient security with approval workflows before surgery
• automation of prepayment and billing processes
• surgery document management, including creation and digital signage of documents
• surgery theater and capacity planning
• integrated with Kordeus.CORE agenda

Main building blocks

• Surgery theater capacity planning

Step 1: Surgery request (by doctors)

In a regular encounter, a surgery is requested to be planned by a doctor. The doctor has to specify:

1. Surgery to plan
2. Priority (Emergency, Priotity, Regular)
3. Organ & Location to plan
4. If multiple surgeries plan the sequence of surgeries. E.g. Which is the 1st eye, which is the 2nd eye)
5. Recommended Surgery timeframe (e.g. in 1 month, with 3-6 months, ... )
6. Requested products for the surgery (e.g. Lens with refraction)

This creates a surgery planning object, which holds most essential data (differs per surgery type), which has be extracted from the documentation mask.

Step 2: Surgery assignment and planning (by Surgery planning officer)

There is a surgery planning app in which surgery planning sees a list of requests sorted by priority, date of creation and latest day of performance request timeframe. Surgery officer now assignes surgery planning objects to available surgery capacity. This happens by dragging it to a list of open surgery slots in a surgery theater. Surgeries can be rearranged by drag and drop.

For each of these planned surgeries, surrounding appointments can be made. Alternatively the surrounding appointments can be made in KORDEUS.Core, but must be assigned to the surgery planning object in a simple way)

Step 3: Surgery preparation (by Surgery planning officer)

In this app, the surgery planning officer has two views:

• list view - shows all planned surgery sorted by date and their status (patient, birthday, surgery type, surgery location, surgeon ok [OK/Rejected], surgeon comments, medical ok, financial ok, paperwork ok)
• schedule view - the user sees the upcoming surgery days in a calendar overview and sees on the date (by background color) if all prework is done and the surgery is good to go. When selecting a date, he will see like in the list view a table of surgeries planned on that date in the day plan (similar to surgery assignment and planning)

From here:

• the planning officer can summon for each planned surgery the "surgery data update documentation form" in Kordeus.CORE (see surgery planning template administration), where he can update medical data if the doctor has changes. (NOTE: This form only works for one surgery, so if both eyes are undergoing surgery, this is two independent surgeries and changes!)
• the planning officer can print a day plan as pdf or automatically send it to the doctors doing the surgeries. This automatically triggers a approval request with the doctors for surgeries, which have not received the medical ok from the surgeon

Please note: On any change of the medical data or product, the medical approval is revoked (if already provided)

Step 4: Surgeon approval app

In this app, a doctor logs on and sees a list of days with planned surgeries. Each day with surgeries should show the overall medical approval status.

Once the surgeon clicks on a day, he sees the list of scheduled surgeries with his participation. The surgeon can click on each of them and sees:

• patient, gender, birthday, surgery type, surgery location, surgeon, medical ok, financial ok, paperwork ok

• relevant medical information for review on this patient (see surgery planning template administration)
• planned products, ... .
• Doctor may: OK, Request change. If change: enter text.

Step 5: Surgery app

This app shows the list of surgeries planned for the current day. The user can pick one surgery and see the medical parameters. In this app he can document the surgery:

1. pick actions from predefined actions
2. pick products from predefined products
3. add non-std. products and non-std. actions

After surgery is finished, the doctor needs to sign the protocoll.

Related apps

• Surgery Planning Template Administration App
• Surgery Capacity Planning Administration App
• Document Template Administration App
• BCDL - Local Methods Administation App

Related articles

• BCDL (b-op document Content Definition script Language)