ClickDerm mobile telederm training Mar 2011

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ClickDerm mobile telederm training Mar 2011

  1. 1. AAD Mobile Teledermatology ClickDerm 2.0 Training Ting Shih, Co-Founder, Click Diagnostics (ting@clickdiagnostics.com) © Click Diagnostics, Inc. 2011
  2. 2. Agenda  Introduction  Mobile Teledermatology Process Overview  Roles & Responsibilities  2.0 Release Features  Device Overview  Service Walk-Through  Next steps © Click Diagnostics, Inc. 2011
  3. 3. Introduction © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  4. 4. Introduction  Course Objective: This training is designed to enable health practitioners within a clinic setting to request for dermatologist consults using AAD’s mobile teledermatology service  Expected Outcomes: o Gained sufficient knowledge to collect patient information and images to enable remote dermatological consultation o Gained sufficient practice using Google Android G1 phone and the ClickDerm phone application to submit and follow-up on patient cases o Determined in-clinic resource allocation and management of AAD equipment and service per agreement within Concept of Operations document  Please complete the pre-training survey at this time if you have not done so © Click Diagnostics, Inc. 2011
  5. 5. Mobile Teledermatology Process Overview © ClickDiagnostics, Inc. 2010
  6. 6. Mobile Teledermatology Process Overview Patient with Clinic Remote Clinic skin condition GP/nurse dermatologist GP/nurse visits clinic records and reviews and provides sends patient consults on necessary case via case via treatment, mobile phone website referral or follow-up © Click Diagnostics, Inc. 2011
  7. 7. Roles and Responsibilities © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  8. 8. Clinician Responsibilities  Complete this training program  Request patient to complete consent form for each patient approached  Review and sign service agreement (includes phone usage policies)  Complete feedback survey (bi-weekly) © Click Diagnostics, Inc. 2011
  9. 9. Dermatologist Responsibilities  Complete this training program  Respond to consult within 72 hours of a new case submission  Once a case review is started, complete response within 24 hours  Follow up with clinicians (bi-weekly)  Complete feedback survey (bi-weekly) © Click Diagnostics, Inc. 2011
  10. 10. 2.0 Release Features © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  11. 11. Clinician Feature Updates  Phone o Case saved on phone once a new case is created o Save case and complete later via phone o Submit case as Draft Case and complete on web later o Short-cut to submit case within questionnaire by pressing Menu key o Jump to select questionnaire  Web o Create new case on web o Edit case on web, including adding/deleting images o Enter follow-up questions/images via web o Sort cases by date, status, etc. o View cases that requires referrals and scheduling o Print cases © Click Diagnostics, Inc. 2011
  12. 12. Dermatologist Feature Updates  Enter Draft Consult to be edited among group members prior to final submission to clinician  Enter URL links for additional references  Specify whether referral is needed  Sort cases by date, consulting doctor, referral status, etc.  View all cases within group © Click Diagnostics, Inc. 2011
  13. 13. Device Overview © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  14. 14. Device Overview: ClickDerm on Android Home Screen Gmail for notifications GoogleChat for ClickSupport Web browser for Internet and case viewing ClickDerm for AAD Telederm Program Menu Button: press to unlock phone and awake phone from sleep mode Home Button: use Back Button: use anytime anytime to Home Screen to exit current screen (this screen) Call Button: use to make Power On/Off: hold for 5 calls during emergency if seconds voice plan is activated © Click Diagnostics, Inc. 2011
  15. 15. Service Walk-Through © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  16. 16. Service Walk-Through Install application a. From phone email b. From phone browser 1. Clinician requests consult a. Clinician requests consult via phone b. Clinician submits a draft case via phone and completes case details on web c. Clinician requests consult via web 2. Dermatologist responds to consult a. Reviews case and enters consult response b. Derm resident enters draft consult to be approved by attending 3. Clinician follows up on consult a. Opens case on web and enters follow-up comments b. Opens case on phone and enters follow-up comments 4. Print © Click Diagnostics, Inc. 2011
  17. 17. Install Application © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  18. 18. From Phone’s Email  Delete existing Click app: Android phone home page => Settings => Applications => Manage Applications => Look for Click 2.0 or ClickDerm => press "uninstall" and confirm  From phone’s home screen, press the Gmail application  Press Menu button, search for “ClickDerm 2.0 Mar”  Follow instructions in email starting with 2. Press on the link http://click.bxpress.net/bx/AAD-2.0/Click_v_2.0.apk 3. Follow installation instructions on screen 4. Log onto phone (same as current). 5. Open Click app, press hard button "menu", press "reload databases" and say "yes" after confirmation question (dont skip this step otherwise questionnaire will not show up) 6. Press Create Case and follow on-screen instructions 7. If its a test case, be sure to enter patientID starting with "test"xxx To see case on website, go to (same login as on phone) https://telederm.aad.org/clickderm To move app icon to phones home screen => Menu button => Add => Shortcuts => Applications => ClickDerm © Click Diagnostics, Inc. 2011
  19. 19. From Phone’s Browser 1. Delete existing Click app: Android phone home page => Settings => Applications => Manage Applications => Look for Click 2.0 or ClickDerm => press "uninstall" and confirm 1. From phone’s home screen, press the Browser application 2. Press Menu button => Go => enter http://tinyurl.com/clickderm2 3. Follow installation instructions on screen 4. Log onto phone (same as current). 5. Open Click app, press hard button "menu", press "reload databases" and say "yes" after confirmation question (dont skip this step otherwise questionnaire will not show up) 6. Press Create Case and follow on-screen instructions 7. If its a test case, be sure to enter patientID starting with "test"xxx To see case on website, go to (same login as on phone) https://telederm.aad.org/clickderm To move app icon to phones home screen => Menu button => Add => Shortcuts => Applications => ClickDerm © Click Diagnostics, Inc. 2011
  20. 20. 1a. Clinician requests consult via phone © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  21. 21. Clinician logs onto ClickDerm Username = clickphone1 *Login will be your email handle Password = clickphone © Click Diagnostics, Inc. 2011
  22. 22. Clinician reviews application functions submits a patient consult request Enables viewing of response from dermatologists Enables viewing and editing of unsubmitted cases Exits application © Click Diagnostics, Inc. 2011
  23. 23. Clinician creates a case Enter PatientID once only © Click Diagnostics, Inc. 2011
  24. 24. Clinician takes pictures Press to take pictures, Image-taking error fixed. up to 6 Can now rotate phone without causing application to crash. Press when finished © Click Diagnostics, Inc. 2011
  25. 25. Clinician answers questions Short-cut: press Menu button to view options Save & Exit to complete Discard & Exit to case later on phone cancel caseSkip/view other questions Submit and complete on Submit and requests consult from website later (no email sent to consulting doctors (an email is sent consulting doctors) to consulting doctors) © Click Diagnostics, Inc. 2011
  26. 26. Clinician makes changes (if needed) andsubmits case Allows user to go to any specific question Allows user to save and complete later Enables user to complete case via website. No email is sent to consulting doctors. Sends case to assigned group of dermatologists. Once the case is sent, the case can no longer be retrieved via phone © Click Diagnostics, Inc. 2011
  27. 27. Clinician views submission progress Press Menu button on Shows status bar for phone for additional submission progress options for case submission © Click Diagnostics, Inc. 2011
  28. 28. Dermatologist notified of new request © Click Diagnostics, Inc. 2011
  29. 29. 1b. Clinician submits a draft case via phone and completes case details on web © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  30. 30. Clinician creates a case Enter PatientID once only © Click Diagnostics, Inc. 2011
  31. 31. Answer questions and press Menubutton and choose Submit as Draft Submit and complete on website later (no email sent to consulting doctors) © Click Diagnostics, Inc. 2011
  32. 32. Log onto website © Click Diagnostics, Inc. 2011
  33. 33. Click on Draft Case © Click Diagnostics, Inc. 2011
  34. 34. View Draft Case Edit patient info View change log Add images Delete if wrong one is added © Click Diagnostics, Inc. 2011
  35. 35. Edit Draft Case and Request Consult Edit and save as draft (not visible by Edit and request dermatologist) consult from dermatologist © Click Diagnostics, Inc. 2011
  36. 36. Email notification sent to dermatologist © Click Diagnostics, Inc. 2011
  37. 37. Draft Case changed to “Open” status © Click Diagnostics, Inc. 2011
  38. 38. 1c. Clinician requests consult via web © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  39. 39. Log on and click on Create Case © Click Diagnostics, Inc. 2011
  40. 40. Enter patient info Fill out questionnaire, same as on phone © Click Diagnostics, Inc. 2011
  41. 41. Add images Click Browse to Press Upload select images when all images on computer are selected © Click Diagnostics, Inc. 2011
  42. 42. Save case details Save as Draft to Request Consult when case add info later details are completed © Click Diagnostics, Inc. 2011
  43. 43. Dermatologist notified via email of newrequest © Click Diagnostics, Inc. 2011
  44. 44. 2a. Dermatologist responds to consult © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  45. 45. Dermatologist logs on and reviewscases in Response Needed tab Click on “open” to view case Statuses: Answered: consult response completed Draft consult: consult response not finalized Open: not reviewed by any doctor yet Under review: being reviewed by you Follow-up: clinician has a follow-up question Forwarded: a case was forwarded to you by another dermatologist © Click Diagnostics, Inc. 2011
  46. 46. Dermatologist enters consult response Save as Draft to complete response later. Indicate whether referral is needed. Submit to provider when consult response is completed. An email notification will be sent to provider. Forward to another consulting doctor © Click Diagnostics, Inc. 2011
  47. 47. 2b. Derm resident enters draft consult to be approved by attending © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  48. 48. Derm resident logs in and reviews case Click on “open” to view case © Click Diagnostics, Inc. 2011
  49. 49. Derm resident reviews case Time to answer case: Once the case link is clicked, a response Name of clinician should be entered within 24 hrs who submitted request Click to enlarge image Enter consult response © Click Diagnostics, Inc. 2011
  50. 50. Derm resident saves consult as draft andforwards to attending Save as Draft to complete later Select attending doctor then press Forward © Click Diagnostics, Inc. 2011
  51. 51. Approving dermatologist is notified of aforwarded consult from derm resident © Click Diagnostics, Inc. 2011
  52. 52. Attending reviews forwarded draftconsult © Click Diagnostics, Inc. 2011
  53. 53. Attending edits consult response, indicatesapproval, and submits to provider Save and complete later Finalize consult and send to provider Forward back to resident or another doctor © Click Diagnostics, Inc. 2011
  54. 54. Clinician notified of consult response © Click Diagnostics, Inc. 2011
  55. 55. 3a. Clinician opens case on web and enters follow-up comments © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  56. 56. Clinician views consult status Click to view case 61 © Click Diagnostics, Inc. 2011
  57. 57. Clinician reviews response Consult response Enter follow-up questions if any Add follow-up images of needed. Can also follow-up via phone. © Click Diagnostics, Inc. 2011
  58. 58. Dermatologist notified of follow-up © Click Diagnostics, Inc. 2011
  59. 59. 3b. Clinician opens case on phone and enters follow-up comments © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  60. 60. Open Case Enables viewing of response from dermatologists © Click Diagnostics, Inc. 2011
  61. 61. Clinician enters patientID to retrieveconsult responses Enter PatientID Select patient case to view consult response © Click Diagnostics, Inc. 2011
  62. 62. Clinician sees consult response Status and response of consult: Answered Follow-Up button for clinician to ask consulting dermatologist additional questions © Click Diagnostics, Inc. 2011
  63. 63. Clinician follows up on consult © Click Diagnostics, Inc. 2011
  64. 64. Clinician adds images to follow-up Follow-up questions submitted shown in view consult page © Click Diagnostics, Inc. 2011
  65. 65. Print © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  66. 66. Print Case Click to print © Click Diagnostics, Inc. 2011
  67. 67. Print case in landscape Select printer Choose landscape mode Click on Preferences Click on Apply Click on Print © Click Diagnostics, Inc. 2011
  68. 68. Next Steps © Click Diagnostics, Inc. 2010 © ClickDiagnostics, 2011
  69. 69. Training Completion Checklist Filled out sign-in sheet (name, email, role) Signed service agreement Assigned point of contact as on-site trainer Confirmed patientID entry format Confirmed process for safekeeping phones/reference materials and forms Recorded phone IMEI # and clinic assignment Agreed to next steps (Complete bi-weekly periodic follow-up surveys) © Click Diagnostics, Inc. 2011
  70. 70. Key Contacts  Questions about ClickDerm and telederm website: email support@cilckdiagnostics.com  Questions about AAD mobile telederm service: email Scott Weinberg (SWeinberg@aad.org), Project Manager, AAD American Academy of Dermatology Click Diagnostics Scott Weinberg, Project Manager Ting Shih, Co-Founder & COO SWeinberg@aad.org ting@clickdiagnostics.com Samantha Sheridan, Director, Science Don Yansen, Co-Founder & CFO and Quality dyansen@clickdiagnostics.com ssheridan@aad.org Dr. Carrie Kovarik, Program Co-Chair Carrie.kovairk@uphs.upenn.edu © Click Diagnostics, Inc. 2011

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