clinical care
THIRD STRATEGIC GOAL
Organizing patient clinical care and personalized follow-up
Reaching your third strategical goal
The patient must be guided in complying with the recommendations and know his/her subsequent follow-up routine. Here, you can see how the guidelines provided to the patient lead your facility to achieve the third strategic goal.
Guidelines Provided to the patient
Here, you will receive a personalized care program. It consists of an integrative assessment involving all medical specialties necessary for your comprehensive healthcare. In general terms, the program covers the attending physician and all designated consulting physicians. The attending physician identifies the extent of your problem and guides the participation of consulting physicians, whose number varies according to your specific needs. Each consultant physician carries out his assessment and returns his recommendation to the attending physician through a medical conference. Clinical data are edited and published in your DHR and discussed on your customized tumor board, involving the attending physician and all your consulting physicians, resulting in consensual recommendations. Subsequently, the attending physician edits and publishes a medical report in your DHR, according evidence-based medicine.
Our dynamics also provides a personalized follow-up program, including all the specialties involved in your care. You will receive an appointment calendar. Your attending physician will complete it. It will indicate the scheduled date for each intervention and the date on which it is actually carried out. Remarks, when checked with an (Yes), must be fully described, pointing out the need for further investigation. Each follow-up intervention will be posted twice under the Progress Note icon of your DHR.
See how you have reached your third strategic goal
The guidelines provided in this section extends proactive patient behavior into his/her care and follow-up programs. The platform induces a cognitive and empathetic approach by the attending physician. It is inclusive in nature, allowing the patient to understand the reasoning used, promoting easy access to his/her clinical data. Additionally, Onco Qaly Platform makes available more information. At patient discretion, he/she can better understand the meaning of clinical solving-problem methodology and multidimensional integrative medicine further exploring cognitive interventions provided below.
Personalized Digital Health Record (DHR)
The Digital Health Record (DHR) is an electronic medical file, specially designed to facilitate the storage of all your clinical data. The system is centered on the patient's needs and rights. The DHR belongs to the patient, similar to an identity card or birth certificate. By registering with ONCO/QALY, you will actively participate in the creation of your DHR.
Your personal data and the identification of your assistant physician will be immediately transferred and stored in the registry icon.
To make your DHR operational, you will need to carefully read all necessary authorizations to allow access, viewing and editing of your personal and clinical data. Authorizations follow the criteria of the General Data Protection Regulation (GDPR). Read the terms contained therein and only click authorize after understanding and agreeing with the information provided. Take your time and, at your discretion, seek any advice you feel is appropriate.
Immediately after your authorization, ONCO/QALY creates your personalized DHR. Your username will always be your registered email. A password will be automatically generated by the system. Attention! You will have to change your password to an exclusive and user-friendlier one. This password will be encrypted, ensuring your privacy. All other icons in your DHR will be accessed, viewed and edited by the assistant physician and consultant physicians, according to the scale of privileges described in the authorization session that you have read, understood and agreed to.
Now, see how ONCO/QALY organizes the data in your DHR: The assistant physician will be authorized to access, view and edit all the icons in your DHR. The assistant physician will create a list of problems as described by Lawrence Weed and recognized worldwide. A database composed of clinical history, physical examination and some preliminary laboratory data will support each problem listed. Based on each problem, the assistant physician will define his intervention plan. Each problem listed should be kept under surveillance by recording information about the clinical course until it is resolved. In addition, the assistant physician includes diagnostic reports, images and videos in your DHR icon called exams. It is also possible for the patient to allow electronic access to reports, images and/or videos of exams performed in other diagnostic centers, improving the amplitude of information. Consultant physicians participate at the request of the assistant physician, under the planning icon of your DHR. Consultant physicians view the contents of all DHR icons, but edit only under the progress notes icon. Working together with consultant physicians increases the security of recommendations. ONCO/QALY works with collective intelligence and patients are encouraged to actively interact with their doctors to better qualify the list of problems. Your DHR also automatically generates a timeline of events, in descending chronological order, and a summary, in PDF format, in ascending chronological order.
A comprehensive assessment of all your DHR data will be published in the Medical Report (MRE).
Only patients have the right to share their clinical information. At the patient’s discretion, sharing their DHR should be restricted to professionals or institutions directly involved in him/her healthcare. In the face-to-face consultation session you will find an animation of your DHR. Just slide your cursor over each icon to understand where and how your data is being stored.
Extending to worldwide use, DHR can come to represent big data and, with informed patient consent, can integrate a database managed by artificial intelligence. This new methodology could represent a major advance for global clinical research.
To better understand this proposal, you can browse the link www.ephr.org