ICNet Infection Case Management & Surveillance Software
Agenda Company Overview. Why have automated HAI surveillance? Key ICNet features. Clients and references. Technical (interfacing) Experience. Helpdesk, Support and Maintenance.
ICNet Company Overview International HQ in UK, USA HQ in Nashville, TN. Strong financials: UK £1.6m turnover & highly profitable. Leading provider of Infection control software. Privately owned, with 20 staff. Over 90 UK NHS Trust clients. International clients: USA, France, South Africa, Malaysia and Thailand. Overseas distributors, including bioMérieux Inc. for USA.
Why have ICNet & AbxAlert? Assists in pro-active identification of potential CMS payment denial cases. Proactive versus reactive approach. Statistical process charts measure success of process change initiatives designed to reduce HAI’s. Efficiently addresses mandatory reporting. Meaningful feedback to clinicians / administration. Functionally rich Antibiotic Stewardship. More efficient use of Infection Preventionist time. Configurable for early and complete detection of HAI’s and untoward incidents.
Key ICNet Features Web-based. Real-time surveillance. Proactive alerts and functionally rich. Doesn’t require end-user IT expertise. Easy to navigate and simple to use. Hospital controlled data – data never goes outside hospital firewall. Robust, customizable reporting.
ICNet Product Strengths Designed to meet International requirements: NHSN, SSISS & HPA reporting, terminology, date formats. Ad-hoc infection reporting including: institutional anti-biogram contact tracing statistical process charts Drug utilisation International implementation and support team. Real time interfacing for location tracking and antibiotic stewardship. Web based using intranet technology. Tried and tested international solution.
North Middlesex University Hospital NHS Trust Plymouth Hospitals NHS Trust Royal Liverpool & Broadgreen University Hospitals NHST Royal Devon & Exeter NHS Foundation Trust Royal Brompton & Harefield NHS Trust University Health System University Hospital of North Staffordshire NHS Trust University Hospital of South Manchester NHS Foundation Trust University Hospitals Bristol NHS Foundation Trust University Hospitals Coventry & Warwickshire NHS Trust West Middlesex University Hospital NHS Trust Whipps Cross University Hospital NHS Trust Extract from UK Teaching Hospital Client List
Extract from UK Teaching Hospital Client List Bradford Teaching Hospitals NHS Foundation Trust Central Manchester & Manchester Childs University Hospital NHSFT Christie Hospital NHS Foundation Trust Derby Hospitals NHS Foundation Trust Homerton University Hospital NHS Foundation Trust Imperial College Healthcare NHS Trust Lancashire Teaching Hospital NHS foundation Trust Leeds Teaching Hospitals NHS Trust NHS Lothian (Edinburgh) NHS Grampian (Aberdeen) NHS Tayside (Dundee) Norfolk & Norwich University Hospital NHSFT
International Clients Mediclinic Group (50 hospitals), South Africa University Health System, San Antonio, Texas Selayang University Hospital, Selangor, Malaysia Montsouris Hospital, Paris, France
Interface experience 50 + PAS/HIS interfaces, majority in HL7 Anglia PAS, Barwick, Cerner, iPM, IMS, Lorenzo, McKesson, Meditech, Medway, Oasis, Star, TotalCare, Topaz IHCS 90 + LAB interfaces, majority use drivers, query or text file & ftp Cerner, EDS, iLab, InLog, Labcentre, Meditech, Quadramed, SCC Soft, Sunquest, Technidata, Telepath, Telepath 2000, Ultra, Winpath Flexible methodology used HL7 (multiple versions), Text file & FTP, Co-developed driver, Database queries
Summary Profitable company. Distributor partnerships held internationally. Extensive experience providing infection control software internationally. Used a tried and tested software and interfacing approach. Structured training and support.
Main ICNet Screen Overview Main Navigation Bar Patient Demographics Patient Record: Case Details, Alert Organism, Alert Condition, Notes, ADT History Patient Search Simple & Advanced Imported Data User Defined Alerts User Defined Reports
Case overview in the Center Laboratory Latest import list, Alerts and Reports to the right.
Alert Conditions & Associated Features Record of Alert Conditions Record of Associated Features
Case Note & Patient Note Fields Case Note Field Patient Note Field
Alert Set Up Screen Pro-active Alerts Maybe be set on Organisms, Specimen Types or Flagged Patients
Bacteremia Report Line based report which may be viewed on screen or printed Searches on organism, associated features / antibiotic sensitivities, specimen types Counts based on specimen, patients or specimens separated by a user definable number of days Data can be reviewed from a specific hospital, directorate, unit, consultant or speciality Searches done between dates
Location Comparison Graph Bar graph report, viewing a specific organism or condition over multiple locations. Searches on: organism, associated features / antibiotic sensitivities, specimen types conditions Counts based on specimen, patients or specimens separated by a user definable number of days. Comparisons can be based on hospital, directorate, unit, consultant or speciality. Searchers done between dates. Graphs are summarized into days, weeks, months, quarters or years or a total over the time period. Should denominator data be provided, rate reports can be created.
Organism Occurrences Graph Compares Directorates over Date Range
Statistical Process Charts (SPC) Searches on organism, associated features / antibiotic sensitivities, specimen types Conditions Counts based on specimen, patients or specimens separated by a user definable number of days Data can be reviewed from a specific hospital, directorate, unit, consultant or speciality Searches done between dates and are summarized by weeks or months Graphs are line graphs. Central line, upper control limit (set at 2 deviations above the mean), lower control limit (set at 3 deviations above the mean) are all automatically calculated. Should denominator data be provided, rate reports can be created
Statistical Process Control (SPC) Statistical Process Chart for Clostridium difficile Demonstrates when upper control limits for the hospital are exceeded
Census Report Reviews all patients who have resided on a specific location during a set time period Indicates which organisms patients have acquired Enables review to be filtered to specific locations and specific organisms
Census Report Census Report Shows all patients at a location between date range and any infections that occurred thus highlighting potential cross infections
Cross Infection Report Review the organism or associated feature between a specific time. Review a location where the organism or associated feature occurred. The report will indicate all patients who share a location with the ‘infected’ patient as ‘at risk’. If a patient picks up the same ‘infection’ within x days of another patient, this is highlighted as a possible cross infection.
Contact Tracing Report Line based report. Searches on a specific patient between dates. Details other patients who have shared a location with the patient between these dates, bearing in mind the locations of the searched for patient. Patients may be added into ICNet as a case from this report.
Contact Tracing Report Contact Tracing Report Shows all patients who have been in contact with a specified patient over a defined time period.
Patient Details Report Provides all relevant data regarding a specific patient.
Patient Details Report (not a complete report)
Open Cases Report Line based report which may be viewed on screen, or may be printed. Indicates all patients who are currently being monitored. Locations may be summarized by hospital, directorate (a group of units) or unit. The results may be sorted by unit, organism, condition or consultant. Additional data may be reported out including: 1) bed & bay, 2) specimen information.
Open Case (current work-list) Report sorted by unit
Open Case (current work-list) Report including detailed documentation on patient
Multi-close Case Report Line based report which may be viewed on screen, or may be printed. Produces the same report as a detailed open case report, although allows users to quickly close the case through the report. Report may be filtered to show only open cases with: Specimen collected from a specific place. Specific organism/antibiotic sensitivity. A discharge date registered post the specimen collection date.
Multi-close Case Report for patients with a specific organism
Antibiogram Report Indicates in a grid the % susceptibility for organisms. Enables view via a grid or graph. Provides detailed susceptibility information to the patient level if required. Enables the antibiogram to be split by different locations, e.g. Hospital, directorate, unit.
ABXALERTAntimicrobial Stewardship Infection Indicators Graphically displayed Customised alerts to inappropriate prescriptions Real time medication tracking MIC values and sensitivity creep Intervention documentation and reporting Extensive Reporting including: Active Antimicrobial Drug Utilisation Intervention History Indicator overlay Empiric Overlay
Patient Antibiotics Patient Infection Indicators MIC / Sensitivity Creep