Lomiss home care
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  • 1. Lomiss Home care ®
  • 2. Lomiss Home care ®
    • The Lomiss Home Care ® System offers a new solution to organizations who employees a remote work force. The system offers the following:
      • A pre packaged system
      • Integrated best practices for caregivers (M.D., Nurse, Physical Therapy and Occupational Therapy)
      • Pre integrated reports
      • Easy and fast installation for fast deployment
      • Web GUI
      • Optional API to existing systems
    LOmiss © 2008
  • 3. Lomiss Home Care LOmiss © 2008 Lomiss Home Care ® Occupational Therapy Lomiss Home Care ® API Lomiss Home Care ® Web GUI
  • 4. The Challenge
    • Transfer remote medical information to and from caregivers in the Field based on their profile, location and time
    • Merge data from multiple back office systems through a unified interface
    LOmiss © 2008
  • 5. The proposed System
    • Real time Bi-directional interface transferring secured information from back office systems to caregivers in the field
    • Registering all activities based on caregiver location
    • Integrated clinical best practices
    • Encrypted communication to and from the end points
    • Report generation capabilities
    • Designed for comfortable personal carrying
    LOmiss © 2008
  • 6. System Advantages
      • Information is accessible any time and any were
    • No need to get to the office in order to update data
    • Optimization of schedules (based on caregivers availability, location and profile)
    • Ability to assign tasks in real time (based on caregivers availability, location and profile)
    LOmiss © 2008
  • 7. System Advantages
      • Calculation of average session/visit times
      • Ability to calculate customer capitalization to the organization
      • The system can help in creating quality indicators
      • The system can eliminate paper files
      • The system generates aggregative reports based on defined criteria's
    LOmiss © 2008
  • 8.
    • The Lomiss Home Care ® server Provides the ability to
    • Manage all sessions with the end points
    • Manage all interfaces with external systems
    • Manage all security parameters
    • Manage all administrative tasks (report generation, caregiver profile definition, etc.)
    Lomiss Home Care ® Server LOmiss © 2008
  • 9.
    • The Back office system allows the organization to better manage the entire end to end process of patient management including:
    • Patient registration and management
    • Smart automatic patient – caregiver association
    • Smart scheduling
    • Patient archiving
    Lomiss Home care ® Back office LOmiss © 2008
  • 10.
    • Some tasks performed in the Lomiss Home Care ® system are shared between all caregiver profiles making it easier to share information across the organization.
    • Among the tasks we can find:
    • List of daily treatment plan (where the caregiver can change and update visits from the endpoint)
    • List of associated patients per caregiver (a caregiver can schedule a new visit from the endpoint)
    • Personal details of a patient
    Lomiss Home care ® common tasks LOmiss © 2008
  • 11.
    • Lomiss Home Care ® M.D. provides doctors in the organization with all relevant information in order to conduct a general visit at a patients house. Among the available information we can find:
    • Diagnosis and Background illness
    • Physical Examination
    • Mental State
    • Neurological assessment and test
    • Motoric information and assessment
    • Edmonton symptom evaluation
    • Pain evaluation
    • Pressure sore risk assessment
    • Visit summation and checklist
    Lomiss Home care ® For M.D. LOmiss © 2008
  • 12.
    • Lomiss Home Care ® Nurses provides Nurses in the organization with all relevant information in order to conduct a general visit at a patients house. Among the available information we can find:
    • Physical Examination
    • Edmonton symptom evaluation
    • Nutrition state
    • Pain evaluation
    • Treatment plan
    • Pressure sore risk assessment
    • SF-12 – life quality questioner
    • Visit summation and checklist
    Lomiss Home care ® For Nurses LOmiss © 2008
  • 13.
    • Lomiss Home Care® Physical Therapist provides Physical Therapists in the organization with all relevant information in order to conduct a general visit at a patients house. Among the available information we can find:
    Lomiss Home care ® For Physical Therapists LOmiss © 2008
    • Personal information
    • functional status
    • Weight distribution
    • Motoric information and assessment
    • Contractures
    • Breathing
    • Housing conditions
    • FIM evaluation
    • Activities
    • Treatment plan
    • Equipment fitting
    • Recommendations
    • Visit summation and checklist
  • 14.
    • Lomiss Home Care® occupational Therapist provides occupational Therapists in the organization with all relevant information in order to conduct a general visit at a patients house. Among the available information we can find:
    Lomiss Home care ® For Occupational Therapists LOmiss © 2008
    • Social status
    • Physical status
    • Motorics information and assessment
    • Housing and accommodation changes
    • FIM evaluation
    • LOTCA/LOTCA-G assessment
    • MOCA
    • Activities
    • Summary
    • Treatment plan
    • Recommendations
    • Evaluation summary
    • Recommendations
    • Visit summation and checklist
  • 15.
    • The Lomiss Home Care ® reports system comes with a set of pre integrated reports allowing the organization to better understand and plan on going activities. The system includes the following reports:
    • Patient report
    • Caregiver report
    • Unit report
    • Mileage report
    Lomiss Home care ® Reports LOmiss © 2008
  • 16. Possible Interfaces
    • The system can interface with the following systems (sample)
    • Electronic medical records
    • Knowledge Base
    • Workforce management
    • Payroll system
    • Pricing system
    • Medical supplies system/inventory
    • ERP/CRM systems
    • And more
    LOmiss © 2008
  • 17.
    • End Points
    • A dedicated light weight device
    • Web enabled
    • GPS receiver
    • Cellular, WIFI (WIMAX), BT support
    • Card and thumb print Reader (Optional)
    • Bluetooth printer (Optional)
    • Dedicated carrying case (Optional)
    System structure LOmiss © 2008
  • 18. GIS System LOmiss © 2008
  • 19.
    • The following is a possible Home Care scenario:
    • Caregiver scheduled visit (occupational therapist, physical therapist, nurse, doctor, speech therapist etc.)
    • The caregiver receives the patient visit data to the end point beforehand (overnight, for example, the schedule for the next day)
    • The system guides and verifies the caregiver arrival to the patient location.
    • When arriving to the patient location the caregiver gets the relevant patient clinical information based on his profile
    Possible Scenario LOmiss © 2008
  • 20.
    • While treating the patient the caregiver enters relevant data to a user friendly reporting system on the end point.
    • When finishing the treatment the patient signs electronically to confirm the visit or swipes an electronic card.
    • The caregiver updates the visit through the Lomiss server to the relevant organizational databases
    • The system guides the practitioner to the next visit.
    Possible Scenario LOmiss © 2008
  • 21.
    • Lomiss Web Client
    LOmiss © 2008
  • 22. Planned Schedule LOmiss © 2008
  • 23. Visit Check List LOmiss © 2008
  • 24. Patient Personal Details LOmiss © 2008
  • 25. Physical Examination LOmiss © 2008
  • 26. Neurology Assessment LOmiss © 2008
  • 27. Neurology Test LOmiss © 2008
  • 28. Motorics LOmiss © 2008
  • 29. Edmonton Test LOmiss © 2008
  • 30. Pressure Wound Assessment LOmiss © 2008
  • 31.
    • The Lomiss Home Care System was deployed in the largest Healthcare organization in Israel The system was deployed within the home care unit of the district and included the following caregivers:
    • Doctors
    • Nurses
    • Physical Therapists
    • Occupational Therapists
    Use Case LOmiss © 2008
  • 32.
    • The System was used in order to plan and conduct home visits for patients including:
    • Patient admittance and management
    • Patients visit scheduling
    • Route planning
    • Visit clinical and administrative information according to profile
    • Management reports
    Use Case LOmiss © 2008
  • 33.
    • The main outputs:
    • Saving 45-70 minutes per employee
    • Saving $145 to $160 per employee
    • Additional savings on fuel and office costs
    • Gaining valuable information on patients costs
    Use Case LOmiss © 2008
  • 34.
    • Lomiss Studio®
    LOmiss © 2008
  • 35.
    • The Lomiss Studio® is a platform allowing organizations to create the mapping and merging of information from multiple data sources and in multiple technologies, to the Virtual Lomiss database (LDB) this mapping is done via a GUI which means that the person doing the work doesn’t need to have through technical knowledge of the data source technology.
    • The Studio process is a simplified process helping the organization to plan and build the desired profiles for its distributed workforce.
    Lomiss Studio® LOmiss © 2008
  • 36. Project Creation In this phase we will create a new project or select and existing one in order to update
  • 37. LDB Definition In this phase we will define the properties for the virtual database for the project
  • 38. Server Connection In this phase we will define the connectivity to the database server which holds multiple databases
  • 39. Database Selection Once we are connected to the server we will get a list of all available databases on this specific server and will choose the required databases we need for the project
  • 40. Choose Fields From Tables After selecting the required databases we will get a view into the specific database including all tables and once choosing a table all available fields. Through the GUI we will choose the required fields marking their type (e.g. integer, number etc.), if we move them to the properties buffer or to the calculated buffer (in order to perform further calculation on them) and if this field will be a key in the new virtual DB
  • 41. Create And Populate LDB Tables After selecting all relevant fields from the source DB and moving them to the buffer we will start building the LDB. We will be able to create new tables, move relevant fields from the buffer to it and define keys for the table
  • 42. Create Calculated Columns Once we are finished with building the tables and moving the relevant fields from the properties buffer to the LDB we can create calculated columns using fields from the calculated buffer and deploy them with mathematical equations existing in the Studio. This will result in the creation of a new field that doesn’t exist in the source DB
  • 43. Define Links Between LDB Tables and fields When we finish the definition of the tables we can create links and connections between different fields residing in different tables with in the LDB
  • 44. Create XML Once the LDB structure is ready we will proceed to create the XML which will contain and define all of the projects characteristics (e.g. data sources, LDB structure etc.)
  • 45. Create Tables Once the XML is created we can actually create the new LDB database by pressing the “create tables” this process will result in the LDB being created on the target server
  • 46. Synchronize The last phase of the project is to actually synchronize the LDB with all of the relevant information from the selected data sources this will be done by selecting the Synchronize. On a regular basis during the project the synchronize process will be done automatically as defined in the project design and specification
  • 47. Profile Definition In this phase we will define the available views that will be available through the web client (e.g. doctor, nurse etc.)
  • 48. Cellular Definition In this screen we will decide which will be the output devices which will be used. (More devices can be added easily through an XML file)
  • 49. Views Definition Now we will define the different available views based on profile. We can create a new view (e.g. doctor) and decide from the available fields we defined earlier in the LDB which will be the ones visible to this profile and in which way (e.g. drop down, check box etc.) we will also define the profile ability to view and modify fields
  • 50. Reports Definition In the same way we have defined views earlier we can now design the different reports which will be available to the users. We will be able to decide which fields will be visible in which report and which profile will have access to which reports.
  • 51. Thank You LOmiss © 2008