YorData Newsletter 3 - the Yorkshire Neonatal Network
Contents
1. Special points of interest National Forum Feedback System updates DSS Download Data Quality Lessons log HRG vels ISSUE 3 NOVEMBER 2010 Yorkshire Neonatal Network Implementing BadgerNet Welcome to the next addition of the YorData Newsletter Hopefully these news letters will continue to aid users alongside the user manual with the functions of the various system facilities This issue will be looking at using the DSS data quality issues Ad Hoc event forms and HRG levels in Badger All units planning to take on the Badger system are now Live At the Network Badger meeting it was raised that some users had been experiencing difficulty accessing the unit reports web page There is a small bug in the system that means that occasionally when a new user logs into Badger for the first time and resets their password this can block them from accessing the unit reports website This does not happen to all users but if it does it is very easily resolved by a quick phone call to Clevermed 0131 226 7246 who can fix this issue straight away Feed back from the National Users Group The National BadgerNet Users Forum took place on October 15th and Lauren Cottrell and Dr Sam Oddie attended representing the Yorkshire Network The group was led by Peter Badger and Andy Lyon of Clevermed The key issue they presented was the need for a comprehensive UK dataset with single definitions as currently there are variations a2. 22 Nov 10 ae Thuy 1 M C1 1 o Two Year Followup 2 Tue 23 Nov 10 e 7 se 2 Wed24 Nov 10 ERREN Fri LS flow 10 2 taa Fluids and feeding Admission Form i a Parenteral nutrition a t Fi g M 1 T Discharge Form a IY Fluids J i Clinical summary of stay Enteral feeds Imput forms Essential dz Daily details for E Added notes for day Ad hoc event forms Wethod of feeding Jaundt ee Jaundice a Phototherapy Drugs given Sun 71 Moy 10 Mon 22 Woy 10 Tue 23 Moy 10 Wed 4 Moy 10 aE Cranial USS done Drugs E Hearing test done ROP Screening E Abdominal Ray Done E Vaccinations given E Blood CSF Urine culture Thu io et a Care level BART 2 BAPRINSG HEG 2 FFI Day Summary Data Complete a LaFa Ee Py PP Pa Pa Pat Pa PS e Cranial Ultrasound Normal scan Results Left a IWH Results Right a IWH amp nbsp a Cystic PWL a Post haemorrhagic hydrocephalus s Scan notes If you select a date with a green star you will see the ad hoc event displayed below the daily details as above You can also add new events from this screen The forms are listed below the days during stay box If you click on the previously entered forms displayed you can re open them just as you can with the daily data forms You can then make changes to the details such as add results If an event has been entered multiple times in error you can delete an event by selecting the del
3. al ohs ukibSSSetup BadgerNetbS5 GettingStarted pdf 4nd download the user guide From here https firww neonatal ohs ukiDo5Setup BadgerNetOS5 LserGuide DESKTOPDSS 1 0 pdF Kind regards Clevermed Support Team ee A 450 Google Search Address https nww neonatal nhs uk DSSSetup x Go Links 7 Glevermed Ltd BadgerNetDSS Name BadgerNetDSS Version 1 3 0 0 Publisher Clevermed Ltd Install If you click the Install button this will open an activation box Enter your email address and the PIN mentioned in the first email and click the request activation code button You will then receive a second email as below Mail From lt support cleyermed com gt O File Edit View Actions Tools Window Help oa H 4 alg Mail Properties Personalize From lt support clevermed com gt You should co py the To i h il Subject BadgerWetOss code in the emai a and paste it into the Following your request For activation the authorisatio E with your BadgerNetOS5 client software is remaining space In 5046 SAHR 654848 KASARSA the activation box This authorisation code is to be used with user account Then click to Please note that the software will only work when running under this user account and also that you must have a connection bo the W3 WHS Met fie the software will nok generally work outside the hospital network unless you have specific privileges set
4. cross the many different audits The question is who should decide on the data items amp definitions and it was generally acknowledged that BAPM faced real time issues over releasing updated items and definitions As a result Clevermed are proposing to build a UK dataset into BadgerNet which will supply a reporting data dictionary inc NNAP NCCMDS VON etc Items in the database will be pick lists coded and referenced against the online data dictionary A draft is available on nww neonatal nhs uk nnn BadgerNet which is scheduled for release in March 2011 is working towards a more complete EPR featuring more clinical elements like drug charts and clinical guidance charts etc It will also include site detail in the daily details location for dual site Trusts They are also looking to create an overall discharge summary rather than one broken at each episode but with interim summaries still available It will also be possible to output discharge letters in word format They are still looking for test sites to pilot the new BadgerNet It is possible to switch directly between the two versions even now and they hope to data synchronise Badger3 with BadgerNet in the first week of December making all historical data available in the new system It also means data will be available in the new report site from December BadgerNet will also feature an ROP screening due date reminder optional styles of discharge letters ability to send discharge letter
5. e Th Fr Sa Su Mo Tu We Th Fr Sa Su Mo Tu We Th Fr Sa Su Mo Tu We Th Fr Sa Su Mo Tu OiR on Dady name fo sefresty 01 Of 03 O4 05 O06 OF OS 09 10 11 12 13 14 15 16 17 18 19 20 Z1 2 23 4 Z5 6 OAT 28 29 30 2 2 MM 2 2 2 2 MM 2 2 z 3030 B HE HE wi it Ftd tad ti B Bin a Ba i id id i 4 a 55 5555 HE iD Sh ln a E E E E E E EEE a a id E ia aii i E E i ads 2h laa ed 4 aa wid a 30939393 4 4 4 5 55 5 5 5 5 5 5 5 1 a es ee meen mes Care Ream 11 Se s E ee i aE ii 239333333333 3 Dol ch E E ee i a ae ia a If you have any questions regarding Badger or the information in this Newsletter please contact Lauren Cottrell network data manager on 01274 364920 or Lauren cottrell bradfordhospitals nhs uk
6. est Vaccinations drugs h Groups a Favori o uuau auga auaa tg g BiochemicalScreenings Data Quality In the last newsletter we looked at the data quality tab and functions within Badger Now that units are live it s time to consider data quality comparisons so that Badger can start to replace paper processes You could use the Unit Daily Update screen to compare your activity length of stay and 2001 care levels with paper records nightly returns admission book etc Using your DSS it is possible to create a list exactly like the unit daily update screen but with 1996 levels of care if you need this for comparison If your unit is using the Badger Discharge letters then it may also be worth running an audit to compare the Badger Discharge letters with the babies notes to check that all relevant clinical information is making it into the letters If you need any support with any audit or comparison using Badger or the DSS please contact Lauren Lesson Logs A Network Lessons Log is now being circulated on a monthly basis to help share the experiences questions and answers of all the Trusts in the Network If you have any lessons to share or any experience you feel could be useful to others please forward these to Lauren for inclusion in the next log Lauren cottrell bradfordhospitals nhs uk Ad Hoc Event forms You can access the ad hoc event forms from two views Obviously the patient home page has a list unde
7. ete entry button once you ve opened the form next to the save button E BADGER Input Form Web Page Dialog Cranial Ultrasound Time of event in notes Datel lt lt Mat Time Normal scan HRGs in Badger You may have noticed that at the bottom of the daily details forms Badger is now calculating the HRG level along with the BAPM care levels as below Care level BAPM 3 Special care BAPM 92 96 3 Special care HRG 3 Since funding from April 2011 will be connected with HRG levels it is worth looking at your data now While unlikely you may come across a situation where the level isn t calculated correctly finding these problems now and informing Clevermed will help prevent issues when the HRGs come into effect Doing a comparison will also help you to identify whether all correct clinical information is being noted on the daily details forms You can also assess how many days of HRG5 normal care your Trust is attracting on a monthly basis and possibly consider care pathway analysis Clevermed have also added a HRG button to the unit daily update tab as below which allows you to see an over view of the assigned daily HRG levels Otc lt a 2010 a Unit Care Le Jan Feb Mar amp pr May Jun A R 5 E BAPM 2001 Daily care level for all babies in umtduring Nov 2010 Jul Aug Sep Oct Noy Dec ty View this page as POF For printing Patients during Nov 2010 Mo Tu W
8. le to access your Trusts information and amend your Trusts records Even unintentionally they may admit babies to your Trust because they don t realise they have access to multiple sites and need to select which Trust they are admitting to Downloading the DSS If you wish to access a raw data download of the information that has been collected in Badger for babies in your Trust you will need access to the BadgerNetDSS Data Synchronisation Service First you will need to get an access request form signed by your Caldicott Guardian circulated with this newsletter you can then fax this to Clevermed on 0870 458 0455 You will then receive an email as below F Mail From lt supporti cleyermed com gt g z ioj x Fie Edit View Actions Tools Window Help o e amp ilo 32 Close i Reply EH Forward a Mail Properties Fersonalize From lt support clevermed com gt To Subject BadgerWetDs5 ear j Following your request For access to the BadgerNetD55 an account has been created For you Please use the BadgerNetDS5 client to make a request For activation You should use the email address to which this email has been sent and the PIM sees You can download the BadgerNetOS5 client From https finw neonatal nhs ukioSSSetup Once we have received your request For activation we will send you an activation code to use with the software Please download the getting started guide here https jir neonak
9. nisation Service Settings Help HCCHOS NeonatalDetailed NeonatalDetailed An identifiable clinical record 2 Records 300 to 400 received successtully 100 a Records 400 to 500 received successtully 100 G Database populated successfully 501 record s inserted 1004 So 1 Queries updated successtully Use E TTT TT Done four database folder HA Browse Get Latest Data Once the synchronisation has finished click the Done button and close the DSS Now go to the file which you selected as the place to save your database you will find an access database named the same as the tab you selected i e NeonatalDetailed mdb Open the database By selecting Tables in the Objects menu you can see that all the data collected by your Trust in Badger has been stored in a variety of tables You simply need to query the tables to interrogate your data For any one who needs Lauren is available to write any queries you need in access 01274 364920 or Lauren cottrell bradfordhospitals nhs uk Microsoft Access File Edit view Insert Tools Window Help D REA SAJ 4 B 9 S B Beo f BHa OR I NeonatalDetailed Database Access 2000 file format LA open BZ Design SINew 92 Objects Create z Tables g Queries c3 Forms I Reports 3 Pages a Macros Create table in Design view Create izard Create table by entering data babies episodes dailyData diagnosis abdoxray CranialUSS Culture ROP HearingT
10. orm Previous pregnancy details form Admission details form Routine examination of the newborn a Clinical summary of stay form a General discharge details form NNAP Episodic Ad Hoc Event Forms Cranial USS done a Hearing test done ROP Screening Suspected NEC Vaccinations given Infection bloodesf cultures Added notes Things to note about the patient home page view If you fill out an Infection form then a reminder will appear above the Ad Hoc Event Forms title that reminds you to enter your pathogen results when available However the issue with the home page view is that you can t see forms previously filled in If you switch to patient data view and select daily data from the left hand menu any Ad Hoc events will be displayed as green stars next to their date See below z patient home patient ae page data Ke unit daily transports Vi update Baby and parents view Baby details Form 9 Baby Boy born at weeks gestation with a birthweight of grams parents form l GP Form 5 Location i E E t sla Days during stay Carer status 4 C d Y 5 d Urin q sta Y 3 Pregs amp delivery view 1 Wedi Nov 10 a Obs Ma Pregnancy form 1 Thu 18 Nov 10 hespiratian a Respiratory d Labour amp Deliv Form f 2 Fri 13 Now 10 ee a oe Wa P 1 F M J Y 1 l L Prey Pregs form z Sat 70 Now 10 Neurology a a ey 2 Sun 21 Nov 10 J2 Year Follow up 2 Mon
11. r the admission forms see below but you can also add ad hoc events from the patient data tab which can be particularly handy if you are adding them in hindsight and want to check they haven t already been added File Edit View Favorites Tools Help Back x a A _ Search Favorites e eS wi iddress a https nww neonatal nhs ukf ukpat default htm gt Go Links patient home 7 lt patient A page data Patient selection select existing or admit new baby refresh home page menu Patient summary BEZCU As at 26 Nov 2010 11 29 Baby Girl born Active stay at Bradford Teaching Foundation Trust Day 2 of life Admitted Day 1 of life Vitamin K given not recorded Diagnosis None noted wo transports Sooo 4000 3000 2000 1000 Patient home page Links to recommended key tasks and modules in the system for this patient AP Tings to don a Day details form for Day details form for today Enter discharge date when known Bradford Teaching Foundation Trust X Core Neonatal Data Quality Check 16 probs X National Neonatal Audit Check 4 probs X NHS Critical Care Dataset Check NCCMDS 1 prob Patient data forms Baby and parents General baby details form Parents details form GP Contacts details form Biochemical screening form 2 year follow up Pregnancy and delivery Pregnancy details form Labour and delivery details f
12. s electronically and a spellchecker They are also planning to develop the audit log and staff access reporting System updates As a regular user of the system you may have noticed the following system updates Daily updates Location of care Carer status Observations Monitoring are now mandatory data items This is to allow system to calculate accurately the HRG category as well as the BAPM level of care Future funding for neonatal care will be dependent on HRG and there are reports available on the reporting website For definitions used for Observation Monitoring use the i button next to the section of the daily details form Total dose mg of surfactant given today is also a new item on the daily form New neurology fields have been added Tone and Consciousness these are also part of the NNAP dataset 2 Year Follow up The 2 year follow up link now appears on the patient home page at all times if the baby is eligible Cooling and HIE Number of days a baby is cooled now appears on the mini patient summary Babies that have been cooled and Babies that have HIE are now also options for selection on the baby search box Admission details form Principal clinical reason for admission has now been added This is a pick list of items that should summarise the principal reason for the admission This item is not mandatory Verified local hospital ID has also been added This is a checkbox that makes sure someone has checked that
13. the local hospital ID has been confirmed as being correct It makes the local hospital ID read only once checked An option for Temperature on admission not recordable is now available Infection ad hoc event form Infection notes A free text box to enter information regarding culture infection Clinical summary of stay form Research Studies and Research medication If the baby is involved in any studies these can be recorded here as can any research drugs being given The research studies and medication will appear on the discharge letter General discharge details form Unit responsible for 2 year follow up For babies being discharged home foster care and who are eligible for 2 year follow up this asks which unit will be responsible for making sure follow up is done This is to aid in future reporting on 2 year follow up Outreach follow up arranged has also been added Checkbox and a date field for community outreach follow up Discharge summary Cord pH are now displayed on the discharge letter These are stored to 2 decimal places Immunisations given throughout the baby s life are now displayed on the discharge letter regardless of the unit administering Admission summary Both parents ethnicity are now displayed on the admission summary NB It is essential that user managers keep their user lists up to date If a member of staff leaves your Trust and you do not remove them from your user list they will still be ab
14. up to enable this Please download the getting started guide here https tow neonatal ohs ukiDS5Setup BadgerNetDS5 GettingStarted pdf 4nd download the user guide From here https inw neonatal nhs ukiDSSSetup BadgerNetDSS Userguide DESKTOPDSS 1 0 pdf activation Kind regards complete the Clevermed Support Team When you have completed the activation process you will find the BadgerNetDSS icon on your desktop as below If you double click this icon it will open the DSS software as below Pre A The tabs you have will represent what you requested on your original form signed by the BadgerhetDss Caldicott guardian 4 BadgerNet Data Synchronisation Service l _ O xj Settings Help NCCMDS NeonatalDetailed NCCMDS This i the NCCMDS dataset Your database folder JH Browse Det Latest Data LZ You can chose where to save your downloaded database by clicking the browse button Once you ve chosen the type of data to download by selecting a tab and selected where you want to save the data click the Get Latest Data button to download your data BadgerNet Data Synchronisation Service f IOl x Settings Help HCCMOS NeonatalDetailed NeonatalDetailed An identifiable clinical record Starting synchronization Configuration saved successtully 100 Schema received successtully 100 Cancel Tour database folder HA Browse Bet Latest Data w BadgerNet Data Synchro
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