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.

Ronald McDonald in the Library

by Denise Bonin Tuesday, October 30, 2012 10:34 AM

RonaldMacDonaldFaceFramedThe PG Family Resource Library in the Maternal Child Department at the University Hospital of Northern British Columbia was established with the generous donation from the Ronald McDonald Children’s Charities and provides access to a large number of materials about child health issues. The resources cover topics such as ADHD, bullying, dyslexia and Tourette's syndrome. 

Anne Allgaier, the British Columbia Northern Health Regional Librarian, included the bibliographic records for this collection of over 230 books and DVDs in her current library catalogue, and has also made them available on the library website. Users can search the catalogue database for just the Family Resource portion of the collection or chose from a list of topical searches on a webpage with a fun image of Ronald MacDonald in the background. 

Once the topic link is clicked, the user can see a list of items, with details about the item.  Most of the records for the books include book cover images, which link to Google Books for even more information about the resource and the ability to purchase, if desired.  Users can also add the items in their search results to a list and order them from the library. 

The Northern Health Regional Library has been a long time user of Inmagic DB/TextWorks as well as WebPublisher PRO software.  Their website is hosted by Andornot and the canned searches were designed using the Andornot Search Cannery Wizard

Anne says, “The images and links to the Family Resource Library will facilitate access to the resources for the patients and their families in the UHNBC Maternal Child department. The materials can all be borrowed and library staff will also help with accessing information not available in the Family Resource Library.”

“Thank you to Andornot for creating the special page for this unique collection.”

Parents and children in Prince George and indeed the whole Northern Health Region, will be delighted to have Ronald McDonald guide them through these wonderful resources. 

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.

Canadian Medical Association Develops New PTMA PolicyBase

by Denise Bonin Monday, September 17, 2012 11:49 AM

PTMAQuickSearchPageProvincial and territorial medical associations (PTMA) in Canada set policies on various issues such as emergency room overcrowding, nurse practitioners, electronic medical record keeping, prescription drug usage, etc. for their particular jurisdiction. The Health Policy and Research (HP&R) department of the Canadian Medical Association (CMA) was asked to create a repository of these policy documents and make them available to all PTMAs. The library was already managing a database of CMA policies and was asked by HP&R to set up a similar database for the PTMAs.

Andornot worked with the CMA library team, led by Reference Librarian Elizabeth Czanyo, and the association’s IT department, to set up a password protected database using the Andornot Starter Kit (ASK), DB/TextWorks and WebPublisher PRO, with the following features:

    • Full text document searching and display
    • Link to PDF document
    • Referring URL security
    • Email, Save and Print cart
    • Permalinks to each policy
    • Search, display and cart all in same template
    • Bilingual: English and French
    • Search result sorting by Title, Date and PTMA Author

Now researchers at each PTMA can access and compare policies from various jurisdictions, assisting them in the creation of their own policies.

Elizabeth Czanyo says, “I think the database will be a useful tool for our provincial partners, and help them collaborate in policy creation across the country. Working with Denise Bonin and her team at Andornot was great – they were fast, professional and really knew their stuff!”

West Vancouver Archives Gives Search Website a “Tune-Up”

by Jonathan Jacobsen Wednesday, August 08, 2012 11:00 AM

The West Vancouver Archives has been using Inmagic DB/TextWorks and WebPublisher PRO to manage their archival collections and provide public search access for many years.

WestVan8Aug2012With a grant this year from the BC History Digitization Program, the archives was able to have Andornot give the search website a “tune-up”, adding some new features and improving some existing ones.

  • We added Google Analytics and enabled WebPublisher PRO query logging to help obtain a picture of how users interact with the website and what they search for.
  • We added permalinks and an AddThis “Share” button to allow users to more easily bookmark and share information found by their searches.
  • We added a simple “Email us a comment about this record” link to allow users to provide feedback, corrections and other information on records.
  • We added the Andornot selection list application so that users can add items to a temporary list as they search, then email, save or print the list, as well as submit a request to the archives for more information. (This feature can also be extended to allow ordering of photographic reprints, for example).
  • We tidied up some of the search and results pages to make searching easier and results clearer to view and navigate.

“I’m very pleased we were able to add these features within the budget I had available,” says Shaunna Moore, Archivist at the West Vancouver Archives. “I immediately had requests for particular records, and comments from users who provided additional information about our materials. The new functionality has improved our understanding of how our website is being used and streamlined our interactions with researchers.”

You can try out the new features here.

Contact us to discuss a tune-up for your website.

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