Designing the Fraser Health Patient Education Resources system

by Kathy Bryce Wednesday, November 28, 2012 3:36 PM

In 2010 Andornot was approached to develop a system to manage the patient education materials produced and recommended by Fraser Health Authority (FHA) staff. FHA serves over 1.6 million people and employs 26,000 staff spread out over 12 acute care hospitals and numerous other facilities.

The challenge was to identify and review all existing patient education resources both in hard copy and electronic formats. Types of material included general informational pamphlets or posters on topics such as smoking cessation or breastfeeding, plus procedure-based factsheets and discharge instructions. Add in to the mix the multiple language versions created to cater to the large Asian, Indo-Canadian, Korean, and Filipino populations, and the fact that there were multiple similar pamphlets on popular topics, as many hospitals had developed these on their own.

Andornot provides similar patient education resources systems to Vancouver Coastal Health and McGill University Health Centre and so had considerable experience in the workflow associated with managing these types of publication.

FH Patient Education search results

We chose to emulate various well-respected websites for patient health information and index every item by multiple categories, including Disorders & Conditions, Body Location and Demographic, as well as an uncontrolled Keywords field and MESH headings. In addition, fields were added for FHA Program information and site locations. Considerable planning went into the choice and values for each category in order to create facets to allow users to easily limit or expand their searches.

We prototyped the catalog aspect of the system using Inmagic DB/TextWorks, and a library technician with a medical transcriptionist background was hired to do the first pass of data entry. DB/TextWorks is a great tool for this, as inevitably the scope changed during the project as different types of resources were uncovered, and integration with the FHA Print Shop was added to facilitate the ordering of multiple copies. 

Once a thousand or so items had been catalogued and the system parameters finalized, we transitioned to a SQL Server database with a Solr based front end search using our Andornot Discovery Interface (AnDI). This allows us to better specify relationships between documents, i.e. for multiple language versions, plus it supports versioning.    Searching for medical terms can be challenging with acronyms and abbreviations, as as well as problems with correct spelling.

Apart from the refine by facets capability, the new system features automatic truncation and a Did You Mean capability, so for example if a user types “anasthesia” they will be directed to the correct spelling. Did You Mean example

The collection includes full-text documents created by healthcare professionals in FHA, plus links to the URLS’s of full-text documents created by other reliable organizations. FHA professionals are reviewing each publication for appropriate content in compliance with plain language and formatting standards.

An authentication system is in place to limit who can see what, and from where, depending on the Status field of each item.  Many of the resources are best viewed with a health care professional, so access to these will be limited to PC’s within the IP ranges of the FHA facilities. The aim is that in 2013, the catalogue will also be made available to the public through a link from the FHA website. In the meantime this direct link shows just a small subset of materials already approved for the public at large. The default AnDI search results are displayed by relevance but we were able to boost certain parameters to display the active and English language items first.FH Admin

FHA staff are able to submit new patient education resources for evaluation using the resource submission function. These show up immediately with an In Process status so that other FHA staff can see whether a similar publication already exists or is under development.

Behind the scenes is an extensive administrative interface to allow FHA authorized staff to edit records, make batch changes to lookup fields and export reports of downloads for statistical analysis. The system has only been launched officially to the ER departments but it already provides a fascinating snapshot of the most in demand resources, thus helping guide ongoing review and translation priorities.

“Emergency departments in FH are now able to access the patient education catalogue to download patient discharge instructions as they send patients home. Plus they are able to capture reports showing how regularly each specific item is utilized. FH physicians, staff and volunteers are looking forward to accessing and sharing their patient education materials from across the health authority, to enhance the experience of patients, clients, residents and the public served by FH.  [Kathy Scarborough, MSN, RN, Clinical Practice Consultant, Professional Practice and Integration, Fraser Health.]

This new system showcases Andornot’s expertise in both designing and implementing a custom, complex web application over a multi year period.

Please contact us to discuss how we can help you develop a similar patient education system or for any other projects.

Andornot Newsletter–October 2012

by Kathy Bryce Tuesday, October 30, 2012 2:19 PM

Please check out the latest issue of our newsletter.

Andornot News

  • Open Data: a Learning Summit and More
  • 5 Ways to Use DB/TextWorks and WebPublisher PRO with SharePoint

Inmagic News

Recent Projects

  • Canadian Medical Association Develops New PolicyBase
  • West Vancouver Archives Gives Search Website a "Tune-Up"
  • Canadian Conservation Institute Launches Andornot Discovery Interface

Tweets of Interest

Tips and Tricks

  • Installing Inmagic DB/Textworks v13 on Windows 8 x64

Cool Tool:

  • HootSuite

Please contact us for further information or to be added to our newsletter list.

Tags: News | newsletters

Heritage BC Award for Burnaby oral history project

by Kathy Bryce Monday, October 29, 2012 10:44 AM

We are delighted to share that at the Heritage BC Annual Awards ceremony on October 19th, 2012 Heritage Burnaby was presented with an Award of Honour for the 2011 Burnaby Oral History Project.

“These awards, presented annually, acknowledge important contributions and exceptional efforts to increase awareness of and support for heritage resources.  This honour was given to the City of Burnaby in recognition of the work that had been done at the City Archives to digitize the Burnaby Oral History Collection.  Approximately 40 interviews of long-time Burnaby residents were digitized and can now be heard online, thanks in large part to the new oral history databases developed by Andornot.  The new databases allow the interviews to be indexed, uploaded, searched and streamed online for the first time.  In addition, with the infrastructure now in place, new interviews are being collected with more and more Burnaby stories being captured and preserved for the benefit of all our citizens – current and future. 

The ongoing relationship we enjoy with Andornot continues to promote innovative and inspiring projects such as the oral history program, and we look forward to building on this success in the years to come.”  [Arilea Sill, City Archivist.]

More information on the oral history project can be found in our blog post or take a look at the web interface to the the database.

Capitalize on the latest trends: Topic Pages and Content Curation

by Kathy Bryce Tuesday, August 28, 2012 12:56 PM

Two recent articles “Why Topic Pages Are The Next Big Thing”, and “5 Reasons Why Web Publishing is Changing (Again)” explore the rise in popularity of topic based (Pinterest, Medium) versus chronologically based web publishing (blogs, Facebook, and Twitter).

Thankfully Topic Pages are a trend that librarians and archivists should be able to embrace with ease!  We have catalogued our collections, so we can create topic lists or pages based on our subject headings without too much extra work. 

A quick and simple way to implement these is to build canned queries so that users can click on a hyperlink and view results from your catalogs without having to type into a search box.  We have been a long time advocate of these, and provide an Inmagic Search Cannery Wizard to help you build them.  When used within a Content Management System such as Umbraco, the canned query search results can be embedded into a page with custom headings and text. Check out the image galleries at the Canadian Jewish Heritage Network site to see how seamlessly this works. Even better, the page will be automatically updated to include any new records that match the query criteria. Take a look at another great example of topic pages that we helped Fraser Health set up. Their very popular Subject Guides incorporate the latest books along with other recommended resources and embedded RSS feeds of articles.

Curation, as in curated content or digital curation, is another recent buzzword.  The National Library of New Zealand describes it nicely as “the ongoing finding and sharing of relevant digital and non-digital content about a specific topic for a specific audience. Typically, this content will come from a variety of properly credited sources and will be collated in such a way that the collection will be more useful than its individual elements.”  As this post points out, this is what Librarians have always done!  A recent article in the Library Journal discusses career possibilities for librarians in this ever expanding field.   Check out a thought provoking list in Why Curation Will Transform Education and Learning: 10 Key Reasons and see how Google is planning to steal TV audiences with “the YouTube Election Hub, a multi-sourced video channel designed to aggregate coverage and commentary from across media outlets old and new. Alongside clips from the likes of ABC News, Al Jazeera, Wall Street Journal and BuzzFeed is a curated feed of videos from other sources.”  

These developing trends translate into new opportunities for librarians to do what they have always done best, i.e. organize information. Let us know if you are implementing these ideas in your organization, or of course contact us if you need help.

Andornot Newsletter - July 2012

by Kathy Bryce Wednesday, July 11, 2012 8:30 AM

Please check out the latest issue of our newsletter.

Andornot News

  • Andornot at SLA
  • Andornot expanding in Eastern Canada
  • More than just technology expertise
  • Andornot Discovery Interface available

Inmagic News

  • Inmagic Genie 3.5 released
  • Presto for DB/Text announced
  • Inmagic July 2012 newsletter

Recent Projects

  • St Andrew’s College Photographs, Yearbooks and Alumni Magazines Online
  • Canadian Jewish Heritage Network Launches Enhanced Search and Mobile Interface

Tweets of Interest

Tips and Tricks

  • User files

Cool Tool:

  • Evernote

Please contact us for further information or to be added to our newsletter list.

Tags: News | newsletters

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