TeleCAM User Manual
Contents
1. amp Return to Case Summary Copyright 2005 27008 VisualShare LLC All rights reserred Secured by thawte click to verify 2008 04 22 Once the demographics have been updated a confirmation screen appears that gives the details that the case was successfully created that includes demographics and prompts you to move to the next section Clinical Data History At any time throughout the case creation process you can click the link Return to Case Summary to review the contents of the case SAM gt Update Demographics QDemoaraphic s for case VWWMC10002PG06 Daycare Incident was updated successfully Proceed to the next step Clinical Data History Return to Case Summary Copyright 2005 VisualShare LLC TeleCAM Users Manual Copyright 2008 All Rights Reserved 17 9 visualshare communicate with pictures 3 3 Clinical Data The Clinical Data section contains three items History Vitals and General Physical Exam To see these topics select Clinical Data from the TeleCAM Control Panel on the left side of the screen Then select the topic for which you would like to enter data Enter History information by clicking inside the field and typing the information When you have finished click the Update History button Figure 12 History m TeleCAM a Sample Clinic E New Case m D Active 7 Case Name Telec ANZOO8 a Closed Alternate Name TeleC ANI Test Case S Min Sr A2. All Rights Reserved 5 9 o visualshare communicate with pictures View Hide Screen Another helpful feature of TeleCAM is the ability to View or Hide portions of your screen This allows you to view multiple items efficiently or to focus on one piece of data at a time The View Hide Screen feature appears on most pages as shown below Figure 4 View Hide Screen r 3 cleCAM Home Support Logout TeleCAM amp Care Network TeleCAM Case Summary E New Case QJ Active 13 Case r rdi Ce QJ Inactive 3 amp amp Test Site Rounds 0 Clinical Data History Fedt View Hide 3 Support amp Logout Administration Trash 1 Demographics G Edit view EHide Clinical Data Vitals 2 Edit EEview Hide Editing Data Editing data is possible from most screens that display data Simply click Edit see edit link in Figure 4 and you will have the opportunity to correct errors add information or make changes Examples of this are shown in Figure 5 Editing Data x Important Once information has been changed you cannot revert to previous data Figure 5 Editing Data TeleCAM gt Case Name acuteassault Alternate Name acute assault Age 9 yrs 4 mos Gender Female Status Active Date Of Birth 9 yrs 4 mos at date of service Date of Service 5997 12 19 L Patient Last Initial Patient First Initia fb Gender Accompanying Historian mme Relationship
3. isl ri TeleCAM is designed to allow the user to add clinical case material to the case in an iterative fashion For example creating a case prompts the user to create case before moving to the next section Demographics Demographics is updated and added to the case before proceeding to the next step Clinical Data History Likewise the History must be updated before moving to Clinical Data Vitals section Clinical Data entry for Vitals General Physical Exam and Genital Exam are entered but not required ie Important Each step case creation data entry requires that the user update each section of the case record after entering or changing information by clicking the Update button located at the end of the field TeleCAM Users Manual Copyright 2008 All Rights Reserved 19 Wo visualshare communicate with pictures Upload and Management of Images 4 1 Accessing image upload At any point in the case entry process images can be uploaded and added to a case To access the image upload 1 locate the Clinical and Radiology Images section in the case 2 click on the link Upload 3 confirm that the pink drag and drop screen appears indicating that the Java applet is launched see figure 13 Figure 13 Upload Image s Interface Case Name Telec ANTZO0US Alternate Name Tele ANI Test Case Age mos Gender Male Status Active Browse a Refresh File List amp Return to Case Summary T Ima
4. Enhanced Navigation This new feature extends the existing user friendly navigation on the left hand side to include a monthly sub folder organization of cases This feature has been requested by customers with large case volumes At the same time the feature will not impact those customers with lower case volumes Inactive Case Streamlining Inactive cases are now cases that are either closed completed an examiner initial diagnosis reviewer review and examiner final diagnosis AND are older than a specified number of months The specified of months may be TeleCAM Users Manual Copyright 2008 All Rights Reserved 9 9 o visualshare communicate with pictures selected by each customer and will be set to 6 months as a default All cases that are completed or indicated as inactive AND are older than the specified number of months will appear in a folder labelled Inactive TeleCAM Users Manual Copyright 2008 All Rights Reserved 10 communicate with pictures 9 o visualshare 3 Creating a New Case When a new case is created it can be logged in and the history can be tracked The information entered here is the fundamental building block for all other functions in TeleCAM The care with which data is entered here is important Below each step for entering initial sample data is explained If you are creating a new case you will be required to enter a Case Name An Alternate Name is not required N
5. are communicate with pictures TeleCAM Users Manual Copyright 2008 All Rights Reserved 9 visualshare communicate with pictures TeleCAM USER MANUAL Welcome to TeleCAM a web based application that provides a workflow and framework for quality review of child maltreatment In this sense it is very much like a telemedicine solution that maintains the history exam information along with the images and video that is part of the evaluation process for future reference training and decision support The underlying framework that supports the TeleCAM application stores all collected information in a single record that can be re used for many stakeholder requirements such as internal or external reviews quality assurance quality control audit and evidentiary logging purposes The system is secure and HIPAA compliant and uses standard encryption technologies for all communication and all communication is based on roles for each user Authorized users of the TeleCAM system are authenticated to the system and must login to access data according to the role assigned Disclaimer VisualShare has used its best efforts in preparing this manual They make no representations or warranties with respect to accuracy or completeness of the content and specifically disclaim any implied warranties or fitness for a particular purpose VisualShare and its author shall not be liable for any loss of profit or any other damages i
6. 10 13 The Discussion Button is located in the Discussion section located just below the Initial Diagnostic Impression section TeleCAM Users Manual Copyright 2008 All Rights Reserved 25 9 o visualshare communicate with pictures Initial Diagnostic Impression F Edit View IHide Diagnostic Impression Conclusion Negative Physical Findings Recommendations Discussion HEhiew Hide There are no comments to this case Be the first to add a comment below oo eg start Discussion Button Clinical and Radiology Images Upload tlView Hide The Start Discussion button when pressed initiates a Discussion for the case and asks for a date that the Discussion will end To select the date to end a Discussion click the calendar icon to select a date when complete select a time and press the Continue button to start the Discussion Initial Diagnostic Impression F Edi View IHide Diagnostic Impression Conclusion Negative Physical Findings Recommendations Discussion HEMiew Hide There are no comments to this case Be the firstto add a comment below Choose Date to End Discussion 2008 10 15 22 Continue sm Upload l view Hide Actions Mame ID Description Once the Discussion is started an email notifier will be sent to all participants that a new case has been created and a Threaded Discussion has been launched for all participants to contribute comments as part of the peer review T
7. Discussion Button moves the case to the Final Diagnostic Impression state and can be completed by any member of the multidisciplinary team No email notifiers are sent out if there is no Discussion for the case Discussion itlView lHide Discussion for this case has ended _ Final Diagnostic Impression 75 2 Edit view i2 Hide Diagnostic Impression Conclusion Recommendations ICD9 Codes After the Discussion for the case has ended click the Edit link located in the Final Diagnostic Impression box Clicking the Edit link opens the dialog box for the Final Diagnostic Impression TeleCAM Users Manual Copyright 2008 All Rights Reserved 29 Wo visualshare communicate with pictures TeleC AM Update Examiner Final Diagnosis Case Name pqoedetest200s0e Alternate Name test case Age 21 mos Gender Female status Active Diagnostic Impression Conson 777 Conci Ee Se lect arenchrsten mittis the Examiner Final Diagnostic Impressaion and allow the case to be closed Recammendation eost CC ICD9 2 ICD9 3 ICD9 4 Ipc amp Proceed to the next step Clini Update Button amp Return to Case Summary The two fields that are required in the Final Diagnostic Impression are selection of a Conclusion followed by Update Examiner Final Diagnosis These two items are required to move the case to the next step in the case lifecycle There are narrative fields for entering textual in
8. Te MEO OU m 33 AdMiINISUTATONS Re cce dc aa 34 AME u0 10 O A 34 TeleCAM Users Manual Copyright 2008 All Rights Reserved i 9 visualshare communicate with pictures Table of Figures Figure 1 Accessing TeleCAM through a URL seeseeeeesssesseeeeeeennnenennnnnnnnnn nennen nnne 3 Figure 2 TeleCAM Dashboard sssssssssssssesssessseenn nennen nennen nnns nnns nena nnn nnns inna naar nnn rss nnns aa 4 Foure S nog DII E NEC m E 5 Figure 4 View Hide Screen ccccccccccccseeseeecceeeeeeeeeeeeeeeeeeeesseesseeeeeeeesseaeasseeeeeeessueeeeeeeeeeeessaaaseeeeeeeeessaas 6 POSS EOI RU i r E P 6 mis Big ed LOGIN AGG A S E A TT 7 Koe OAS A GU PERRO 8 Figures Dasnboard DOScfIDlOHl scsonamtdeoiu decedens ics dn anc aUn eH paus comu tus OUI db codi NUeEH o 00 Orat ua HUE IUS oras 9 Figure 9 Creating a New 0 11 Figure 19 5ucoess NeSSOU B en E E TETA 15 Figure 11 Entering Demographic Data ccccccccseeecceeeeeeeceeeeeeseeeeeeeseeeeeesaeeeeessaeeeesseeeeeessseeesaeeeeeeas 17 mie mapa c 18 Figure 13 Upload Image s Interface c cc ececcccecseseeceeeeeeeeeeesceeeseeeeesseeeeeeesaeeseeeeesaaaeeeessaeeeeesesaaees 20 Figure 14 Single Image Upload cccccccsseeccesscsseeceeseceseeecesccsseneee
9. TeleCAM generates reports in Adobe Acrobat PDF file format To open a PDF file you will need to have the free Adobe Acrobat Reader already installed on your computer To generate a report for each case click on the Sample Report link in the reporting field at which time the system will ask if you want to open or save the report You can choose the Save button to save the file to your computer for future use Choose the Open button to view the file immediately TeleCAM Users Manual Copyright 2008 All Rights Reserved 32 KY 9 visualshare communicate with pictures 7 Support and Logout 7 1 Support By clicking Support on the Dashboard or on the blue shortcut menu you will be taken directly to the support website at support visualshare com 7 2 Logout One click on Logout ends your session and displays your login name with the permission set for that session You also have the option to go to the log in page and the next TeleCAM user can sign in See Logging In for more information on how to begin your next session with TeleCAM Figure 19 TeleCAM Session Finished Tele CAM teleconsulting in child abuse medicine TeleCAM Logout Your TeleC AM Login has ended You have been logged in as superadmin with superadmin permission Your authentication was valid until Apr 23 2008 Return to Login TeleCAM Users Manual Copyright 2008 All Rights Reserved 33 9 o visualshare comm
10. pgoedetest20080532 test case was updated successfully amp Proceed to the next vm Case Close Case link amp Return to Case Summan Copyright 2005 2008 VisualShare LLC All rights resemwed Secured by thawte click to verify 2008 10 27 Select the link Close Case that in turn will open a dialog box to formally close the case 1 D important When you select the Update button for the Consultant s Review the information will be saved and cannot be altered The information can be viewed but not changed again Selecting the Update button will move the case on to the next stage of review the Examiner s Final Diagnosis TeleCAM Users Manual Copyright 2008 All Rights Reserved 28 9 o visualshare communicate with pictures 5 3 Skip Discussion No Peer Review Final Diagnostic Impression The user who initiates the case can decide not to initiate a Threaded Discussion by skipping the Discussion section altogether To skip a Discussion and proceed directly to the Final Diagnostic Impression select the Skip Discussion button Initial Diagnostic Impression Edit view Hide Diagnostic Impression Conclusion Negative Physical Findings Recommendations Discussion I View l lHide There are no comments to this case Be the first to add a comment below Lem Eme e uem Skip Discussion Button Clinical and Radiology Images Upload View Hide The Skip
11. A confirmation message will appear on the next screen along with an option to Update User This allows you to modify user information by filling TeleCAM Users Manual Copyright 2008 All Rights Reserved 34 Do visualshare communicate with pictures in the fields The Update User button also can be found by clicking the user s name from the Users Lists on the Dashboard For security purposes the system does not remember passwords If lost the password needs to be re set by filling in a new one in the password field Once account setup is complete or user information has been updated the system automatically sends an e mail to the user s personal account supplied during account TeleCAM gt Update User Username Password L Strength ype a passara FirstName LastName Email Ss Permissions Sites Sample Clinic Cincinatti Children s UCM N Sample Clinic CTRL Clickto select multiple Expiration Date 0000 00 00 QE eset NOTE A value of OO000 OD O00 means no expire date Helpful tips for making a strong password 1 Make your password 8 characters or more 2 Use mixed case letters upper and lower case 4 Use more than one number 4 Use special characters 1o H p 95 8 7 Strength scoring for your pasword above SSeS Tp To create a strong password try using a combination of letters numbers and symbols Generally speaking the longer the p
12. P1 Prod VersionzShockwaveFlash TeleCAM Users Manual Copyright 2008 All Rights Reserved 2 9 o visualshare communicate with pictures 1 5 Accessing TeleCAM through a URL Launch Internet Explorer or other web browser and enter the url for TeleCAM It is advisable to add the TeleCAM site to your favorites list to make it easier to access in the future To do so select favorites from the browser window and add to the list Once the login page appears enter user login and password information and press return or place the cursor over the sign in button and click Figure 1 Accessing TeleCAM through a URL 3 DV gt Login Microsoft Internet Explorer File Edt Vew Faevertes Took Heb o u LJ KA 3 w E e Seach web gt A 7 ipi Ge Comat Quee Canewers di Gees X Fartasy Sports URL or web address Login Enter username and password here EM Tel e CAM ecornsulrim in Username EE nrin 1 6 Recognizing Common Features and Terms As you begin to use TeleCAM it will become apparent that there are certain themes or features that are consistently used throughout the program These features are designed to help make your TeleCAM experience efficient and simple The screenshots below show some of the features that you will encounter TeleCAM Users Manual Copyright 2008 All Rights Reserved 3 9 o visualshare communicate with pictures Dashboard The doorway to T
13. ak moderate strong and so on rating or ranking the strength of a user s password A user s password is the secret part of their secure access to TeleCAM VisualShare is providing this as a helpful mechanism for customers to establish good password rules and policies In general a good password is one that is at least 8 characters long has at least one number 1 2 3 and has at least one uppercase A B C AND lowercase letter a b c Adding other characters such as also improve the strength of a password Currently TeleCAM requires that a password be 8 or more characters Otherwise password policies are at the discretion of TeleCAM customers Figure 8 Dashboard Description TeleCAM a Sample Clinic This is the name of the clinic or site EJ New Case E D Active 6 New Case Create new case and enter new case information Apr 2008 2 Active Case List total number of cases that are active E D Active Cases Locate active cases by month and year O Closed 0 Closed Cases Locate cases that are closed a Trash 2 Trash Cases that are deleted to the trash Pa Inactive 2 Inactive Cases Cases that inactive see Inactive Case 3 Cincinatti Children s Streamlining below S UVCM gt Nv Sample Clinic Unflower House nivwarylana ayton hildrens S NYCAC E3 E C C E3 t ET T T Q Q oo ei p gt uu Lu B it I 5 Administration gi Users amp Sites New User New Site
14. assword is the better protected it is TeleCAM Users Manual Copyright 2008 All Rights Reserved 35
15. ction allowing the user to incrementally add data to the clinical case record TeleCAM follows the rule for Internet applications and is therefore designed to force the user to save data in steps Validating the case content at each stage in the case creation phase prompts the user to get into the habit of saving material content in the web application and moves the case to the next stage in the process 1 2 Who Can Use TeleCAM TeleCAM recognizes that different people have different needs By assigning packages of features to each role a person may have in the clinical evaluation process TeleCAM can accommodate almost anyone The following describes these roles and their special features e Administrator The administrator s primary role is to manage the system This includes creating users and sites See Administrators for additional Administrator guidance e Examiners Examiners oversee the forensic collection and interview process e Reviewers Reviewers complete the peer quality review process 1 3 Icons and Alerts The following icons help you readily identify quick bits of helpful information isl tip This icon suggests smart approaches to data field entries TeleCAM Users Manual Copyright 2008 All Rights Reserved 1 Do visualshare communicate with pictures E mpontant this icon provides help in preventing common errors or misconceptions e Hyperlinks Blue text that is underlined is
16. dialog box will appear requiring you to confirm that you really want to delete the image Choose the OK button to delete the image Choose Cancel if you do not want to delete the image TeleCAM Users Manual Copyright 2008 All Rights Reserved 23 Wo visualshare communicate with pictures Peer Quality Review 5 1 Initial Diagnosis For every case that is peer reviewed there is an examiners initial diagnosis that is required to move the case to the peer review stage of the process The first stage is comprised of steps described above that allow for case creation addition of textual information from interviews collection of forensic data and images all linked in a consultation record The purpose of the consultation record is to track the dialog between the initial diagnostic impression through the peer review and to the final stage a final diagnostic impression The examiner has the option of launching a discussion to collect the feedback of peers or may opt to skip the discussion and enter a final diagnostic impression At any given state the individuals within a site can conduct a dialog and collect the results of the dialog for future training and quality assurance This section describes the initial diagnosis After examining the images and data the examiner can enter a preliminary diagnosis while further information is reviewed or gathered Enter information by either clicking inside of a field or typing or by clicking t
17. e data fields as follows 11 S52 WIS AVOCA IC Se RR uuu 15 99 Go EDI ne he eh ane eee ee ee ee ee ee 18 Upload and Management of Images cccceeesseeeeeeeesseeeeeeennseeeeeeeesseeeeeeeesseeeseoesseeeeeoeessesesooenes 20 4 1 Accessing image UDO AO ERE mm 20 A2 WuIltIDleNIMaGe Upload 21 4 3 Single Image Upload 2 0 ceecccceeceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeesseeeeeeeessaeeeeeeesaegeeeesessgeeeeeeaas 21 4 4 Clinical Radiological Images Download All Images esee 22 4 5 Clinical Radiological Images Preview or Annotate an Image sseeeesse 23 4 6 Clinical Radiological Images Delete an Image cccccseeecceeceeeeeeeeeeeeeeeeeeesaeeeeeeeesaaeeeeeeeas 23 Peer QuUalny HeVIOW inne nese E adn Eu OPR EU iade E 24 SC MEME URP eq RETE 24 5 2 Peer Review Threaded DISCUSSION ccccccsseeeceeeeseeeceeecaaeeceeesaeaeeeeessaaeeeeessaaeeeeessaaaeeeees 25 5 2 1 Launching a Discussion for a Case ccccceesccecseeeeeeceeeeeeceeeeecaeeeeeseaueeeesaneeessaeeeeesaaes 25 5 2 2 Final Diagnostic Impression eese nene 27 5 3 Skip Discussion No Peer Review Final Diagnostic Impression 29 REDONO et 32 DUPONT and LOGOUT eec n 0 0 X X 33 EE ooo PR neem ae eer nnn nea ee eee en eee ee eee ee 33
18. eleCAM can be opened from the main dashboard The dashboard is a main menu of links that appears on most of the screens The screenshot below in Figure 2 TeleCAM Dashboard shows what the Dashboard or primary toolbar looks like Welcome to TeleCAMtm Navigating the Home Page explains its uses further Figure 2 TeleCAM Dashboard TeleCAM VisualShare LLC Mozilla Firefox File Edit View History Bookmarks Tools Help e z e t L https telecam visualshare com site amp l gt Gl oco Lj Customize Links Free Hotmail Windows Marketplace Windows Media Windows D Sign Out TeleCAM econsulting in child Home Search Support Logout ve te switch Clinic v Welcome to TeleC AM News 2 Months e Testing of new features Tue Aug 26 2008 TeleCcAM a Sample Clinic amp New Case amp D Active 12 W Closed 0 Trash 2 W Inactive 2 S UV CM 49 NY Sample Clinic D CHKD CAC S NYCAC amp Rounds 0 H H H Add a News Item m Body Support amp Logout m Administration a Users amp Sites New User a CHKD CAC a amp NY Sample Clinic amp User Profile Logged in as pgoede admin Permissions Administrator admin Update Profile Session Expires Last Login Aug 27 2008 Aug 27 2008 3 Sample Clinic a S UVCM s 8 Examiners 7 s 8 Reviewers 4 Administrato
19. eleCAM will send out an email notifier to each user in the multidisciplinary team for each new threaded discussion and when there is activity in the threaded discussion TeleCAM Users Manual Copyright 2008 All Rights Reserved 26 9 o visualshare communicate with pictures Clinical Data Genital Exam Anus 2 Edit View EHide Tone No Data Anus No Data Acute Injuries Other Abnormalities Discussion HView Hide 2008 08 27 12 51 41 Patricia Goede pgoede admin This is a test case There is no data in this case Case to be used for threaded discussions test End Discussion mamm lr T o Comment Clinical and Radiology Images Upload tHView ElHide The Discussion will end at the time and date that was chosen by the person who created the case or if the Discussion needs to end sooner press the End Discussion and the Discussion will end and move the case the Final Diagnostic Impression 5 2 2 Final Diagnostic Impression When a Discussion is ended the person who created the case or a designated reviewer can enter a Final Diagnostic Impression following the Discussion Keep in mind that the Threaded Discussion is meant to encourage peer review and illicit feedback from members of a multidisciplinary team When the Discussion has ended the case still remains in an active state until the examiner or owner of the case enters a Final Diagnostic Impression and closes the case Discussion view lH
20. es Update Image Data Conference g Secured by thawte click to verify 2008 04 22 Image Names and Descriptions VisualShare has added the ability to enter image names and descriptions As a default the image name and description will the name of the image file when uploaded Dynamic Image Rollover This feature allows a user to rollover image thumbnails for a larger preview prior to viewing a given set of images 4 4 Clinical Radiological Images Download All Images You can download all images at once to your computer as a ZIP file Click the text Download All Images to see a File Download dialog box You can choose the Save button to save the file to your computer for future use or you can choose the Open button to unzip the file immediately To open a ZIP file you will need to have a program such as WinZip already installed on your computer TeleCAM Users Manual Copyright 2008 All Rights Reserved 22 9 visualshare communicate with pictures 4 5 Clinical Radiological Images Preview or Annotate an Image To preview or annotate an image click on Preview or Annotate to the right of the image thumbnail The enlarged image will appear in a new window Note that you can also preview an image by clicking on the image name listed in TeleCAM Control Panel on the left of the Screen 4 6 Clinical Radiological Images Delete an Image To delete an image click on Delete to the right of the image thumbnail A confirmation
21. es for upload much like a standard Windows or Macintosh operation Figure 14 Single Image Upload Case Name TeleCAM2008 Upload Look In My Documents Es fel C3 tee em C3 Analytix C3 ASTimesheets Ci BackupFiles2004 05 c Cedara Cyberlink No preview 7 Diagrams available u File Name Files of Type All Files Y Upload Cancel PA Image Actions Name ID Description Name Imp1annot jpg D 1 A SS A 2e Marerintian TeleCAM Users Manual Copyright 2008 All Rights Reserved 21 9 o visualshare communicate with pictures Once the image Upload in Progress in complete a thumbnail of the images will appear in the grey box indicating that the upload process is complete To view a list of the image thumbnails select the Refresh File List directly below the pink box The Refresh File List generates a complete list of the images just below the pink box Figure 15 Summary List of Images for the Case amp Refresh File List Return to Case Summary Image Actions Name ID Description Name Impt1annot jpg Det A Description cd 22 X amp o Bus zoom Draw Download Delete mpiannatjpg 2 Name jop1 jpg D amp Zoom Drew Download pam tcn el Name Del rj 4 Su 9 A Description Zoom Draw Download Delete x i T 9 Check All Uncheck All With selected Slideshow Download Images Delete Imag
22. formation a conclusion that are similar to the fields in the Examiner Initial Diagnosis section Enter information by both clicking inside of a field and typing or by clicking the down arrow icon to the right of a field to select information from a list A Conclusion must be selected followed by clicking the Update Examiner Final Diagnosis button at the bottom of the field The final step to completing a case is the close the case When the Final Diagnostic Impression is complete TeleCAM will alert the user and provide a link to close the case TeleCc AM Update Examiner Final Diagnosis QExaminer Final Diagnosis for case pgoedetest20080532 test case was updated successfully amp Proceed to the next me Case e Close Case link amp Return to Case Summan Copyright 2005 2008 VisualShare LLC All rights resenred Secured by thawte click fo verify 2008 10 27 TeleCAM Users Manual Copyright 2008 All Rights Reserved 30 9 o visualshare communicate with pictures Select the link Close Case that in turn will open a dialog box to formally close the case L E Important When you select the Update button for the Consultant s Review the information will be saved and cannot be altered The information can be viewed but not changed again TeleCAM Users Manual Copyright 2008 All Rights Reserved 31 gt lt visualshare communicate with pictures 6 Reporting
23. ge 0 mos nactive a Cincinatti Children s eek nde ES UVM Status Active a NY Sample Clinic gm Sunflower House m5 CHKD CAC aS UnivMaryland amp DaytonChildrens gd NYCAC 8 Rounds 0 m d Support Telec AM Update History Chief Complaint Caregiver History E Administration a 8 Users amp Sites New User Child History 35 NY Sample Clinic El I j I NYCAC I Sample Clinic 15 Sunflower House Hl bo e Date of Last Abuse 9900 00 00 EX llnesses El El amp Examiners 7 a B Reviewers T gm amp Administrators 2 m amp Inactive Users 34 amp d System one per line surgeries Hospitalizations Institutionalizatiorns one per line Once the update history button has been selected a confirmation screen appears that gives the details that the case was successfully created that includes demographics and history and prompts you to move to the next section Clinical Data Vitals At any time throughout the case creation process you can click the link Return to Case Summary to review the contents of the case TeleCAM Users Manual Copyright 2008 All Rights Reserved 18 communicate with pictures 9 o visualshare TeleC AM gt Update History Quistory for case WMC 10002PG06 D aycare Incident was updated successfully V Proceed to the next step Clinical Data Vitals Return to Case Summary gt Copyright 2006 VisualShare LLC
24. ge Actions Name ID Description here are no images associated with this case file Copyright 2005 2008 VisualShare LLC All rights reserved Secured by thawte click to venfy 2008 04 22 TeleCAM supports two main methods for uploading images 1 drag and drop and 2 single image upload via the browse feature TeleCAM Users Manual Copyright 2008 All Rights Reserved 20 9 o visualshare communicate with pictures 4 2 Multiple Image Upload To upload images using the drag and drop feature go the file directory folder where the images are located select multiple images using one the following two methods 1 drag the cursor over the images to select them or 2 select multiple images by holding down the control key while clicking on each individual image Once the images have been selected hold the left mouse button down and drag the images to the pink area containing an icon of a person with a green arrow Note that you can select and upload multiple files at any time During the process of uploading images you will see a confirmation box that indicates what percent of the image upload is complete Figure 14 Image Upload in Progress Upload in Progress EJ Upload gp1 png 4416KB total 31715KE transferred E 0 em 4 3 Single Image Upload To upload images as single files click the Browse button at the bottom of the pink image upload box that will allow for browsing directories to locate imag
25. green at the top of the next screen Figure 10 Success Message or an error message that explains which data fields need attention TeleCAM Users Manual Copyright 2008 All Rights Reserved 11 9 o visualshare communicate with pictures x Important Your new sample data will not be saved until Insert Case has been clicked and a Success Message has been displayed Lis rip Fill information fields as fully as possible at this stage in order to create strong building blocks for further data Liv rip Data field names in red indicate essential information they must be filled out Figure 10 Success Message elec AM gt Case Create The case TeleCAM2008 TeleCAM Test Case was created successfully diu SUCCESS MESSAGE amp Proceed to the next step Demographics amp Return to Case Summary Copyright 2005 2008 VisualShare LLC All rights resenred Secured by thawte e eek to verity f 2908 04 22 ivl rip It is a good idea to intelligently code your Case Names Consider the case name WM120205SWC2 WM could stand for Weber Morgan Clinic 120205 represents the date December 2 2005 SWC are the initials of the person creating the case and 2 indicates the second case entered on that date by SWC Lis rip The Alternate Name provides a space to give the case a name that makes it easy to remember and reference It can be descriptive such as Altex Preschool or it could be a code name designed t
26. gure 7 All cases begin here The homepage displays several important elements as follows The TeleCAM application dashboard contains information in the Control Panel to the left and News Profile and Site information to the right in the body of the window The TeleCAM Control Panel is located on the left side of the screen It displays an outline of information Initially only the highest level of the outline is displayed The icon next to any item in the TeleCAM Control Panel indicates that when you click a menu will expand underneath the item you clicked on When a menu has been expanded Hicon converts to a icon You can click on the Bicon to collapse or hide the menu Dashboard To the left of the statistics graphs is a list of links They contain information for labs associated with each user and allow more data or image services to be added This is the doorway to TeleCAM Figure 8 Dashboard Description gives a brief description of each link s function Figure 7 Dashboard TeleCAM VisualShare LLC Mozilla Firefox File Edit View History Bookmarks Tools Help im z z e fd Li https ftelecam visualshare comjsite E l m Sfr gt Glz Lj Customize Links Free Hotmail j Windows Marketplace Windows Media Windows D Sign Out TeleCAM teleconsulting in child abuse medicine m TeleCAM amp Sample Clinic amp New Case amp D Active 12 W Closed 0 amp Trash 2 e Testing of new featu
27. he down arrow icon to the right of a field to select information from a list Figure 16 Initial Diagnostic Impression TeleCAM Update Examiner Initial Diagnosis Case Name TeleCAM2008 Alternate Name TeleC AM Test Case Age 0 mos Gender Male Status Active Diagnostic Impression gere f a Positive Physical Findings Eee Conclusion drop down neon ive Physical Einding Recommendations Update Button Proceed to the next step e pawia sm sl W Return to Case Summary Secured by DOthawte a 2008 04 23 TeleCAM Users Manual Copyright 2008 All Rights Reserved 24 9 o visualshare communicate with pictures To move the case to the Discussion or Final Diagnostic Impression cycle a Conclusion must be selected followed by the updating the Examiner Initial Diagnosis by clicking the Update Initial Diagnosis QD coton When you select the Update button for the Examiner s Initial Diagnosis the information will be saved and cannot be altered The information can be viewed but not changed again Selecting the Update button will move the case on to the next stage of review and provide the user with two options 1 launch a discussion or 2 skip the discussion and enter a final diagnostic impression 5 2 Peer Review Threaded Discussion Once the Examiner Initial Diagnosis is complete selection of an initial conclusion and pressing the Update Examiner Initial Diagnosis button TeleCAM present
28. ide Discussion for this case has ended L 7 D Final Diagnostic Impression 3 Edit ls Hide Diagnostic Impression Conclusion Recommendations ICD9 Codes After the Discussion for the case has ended click the Edit link located in the Final Diagnostic Impression box Clicking the Edit link opens the dialog box for the Final Diagnostic Impression TeleCAM Users Manual Copyright 2008 All Rights Reserved 27 gt lt visualshare communicate with pictures TeleC AM Update Examiner Final Diagnosis Case Name pqoedetest200s0e2 Alternate Name test case Age 21 mos Gender Female Status Active Diagnostic Impression Conclusion Conci TE mai ime C eio we losW the Examiner on Diagnostic Impressaion and allow the case to be closed Fecommoendation cost I ICD9 2 ICD9 3 EL La pdate Button amp Proceed to the next step Clinical Data Clinical Raciology Images amp Return to Case Summary The two fields that are required in the Final Diagnostic Impression are selection of a Conclusion followed by Update Examiner Final Diagnosis These two items are required to move the case to the next step in the case lifecycle The final step to completing a case is the close the case When the Final Diagnostic Impression is complete TeleCAM will alert the user and provide a link to close the case elec AM Update Examiner Final Diagnosis Examiner Final Diagnosis for case
29. linked to additional information elsewhere in the document Press CNTRL CLICK to follow hyperlink e Hed Text When entering or editing data you may encounter a TeleCAM field that is displayed with red text this indicates places where information is required Other fields are not essential For example in the picture below the following fields must be filled out 1 4 Software Requirements Most computers have the required software applications to use TeleCAM and 90 of the time the currently installed Internet browser contains or includes the necessary applications already configured to run TeleCAM The following list contains the required software and plugins to start using TeleCAM To get started using TeleCAM you will need to have the following items e Computer with Internet Access e A current web browser such as Microsoft Internet Explorer v 7 0 or Firefox v 1 5 0 6 e Java Runtime Environment JRE 1 4 1 or greater which allows your Web Browsers to run Java Applets e Javascript enabled e Current Adobe Flash player 9 0 All of the software contained in the list is available from the following sites Microsoft Internet Explorer can be downloaded from http www microsoft com windows ie default mspx Mozilla Firefox can be downloaded from http www mozilla com firefox Java Runtime Envirinment JRE http java com en download index jsp Adobe Flash Player plugin at http www adobe com shockwave download index cgi
30. ncluding but not limited to special incidental consequential or other damage VisualShare 350 E 500 S 101 Salt Lake City Utah 84111 801 521 0257 or 800 939 8073 fax 801 931 6051 info visualshare com All rights reserved 2008 TeleCAM Users Manual Copyright VisualShare 2008 All Rights Reserved 9 visualshare communicate with pictures Table of Contents 1 Getting Started in TeleC AM aeos iee uuu oe uod nnda cu aaa vani Fu drain aii uid ach mi 1 nO e 1 1 2 Who Can Use TeleCAM o ccececcecescescecessessceecesseeseceeseesecesvessaseeveesaesasessarseseevaesasersereaseeteneass 1 to Aone ana P AICS ausumiseHicoertOUNUR CV A E E NOUS QUON E UL EDIT URDU NUR SUN COM 1 1 4 Software Requirements ccccccccssecccccceeseceescceeeeeeccscsseneeesscseeeeesscuseeeeesacesaeeeesocsseeeesscoess 2 1 5 Accessing TeleCAM through a URL eeeessssseseeseseeseee nennen nennen nnne nnn nennen nnns 3 1 6 Recognizing Common Features and Terms ccceccececceceeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeaeaseeeeeeeeeesaas 3 ELSKET n zio PA E A E m 7 EOIN EN E E E E E E E 7 2 2 Welcome to TeleCAM Navigating the Home Page ccscscscscssesesescsesesesssesesescsceceeeeesees 8 2 9 Update ser a 6 ene eee ne en Pe ee nee eee eee eee eee 9 Creating a New Case T 11 3 1 Click New Case Click New Case on the Dashboard and fill in th
31. o EY amp Proceed to the next S ior tonm u Return to Case Summary Copyright 2005 2008 VisualShare LLC All rights reserved B Secured by thawte click to verify 2008 04 22 Once the edits changes have been made click the Update button in this case Update Demographics to save your changes TeleCAM Users Manual Copyright 2008 All Rights Reserved 6 gt lt visualshare communicate with pictures Getting Started 2 1 Logging In Once a new account has been set up by the administrator and the username and password have been retrieved from e mail you can go to the log in page and fill in the fields See Figure 6 Figure 6 Login Page TeleCAM teleconsulting in child abuse medicine Tip Passwords are case sensitive Make sure the Caps Lock key is not engaged If you click Sign In and receive a message that says your information is invalid than speak with your company administrator If the page does not load or you receive an error message contact the software provider VisualShare by clicking Support on the Dashboard E Important Keep your password in a safe place If lost please contact the system administrator and a new one will be created TeleCAM Users Manual Copyright 2008 All Rights Reserved 7 9 o visualshare 2 2 communicate with pictures Welcome to TeleCAM Navigating the Home Page After logging in you will see the home page Fi
32. o protect privacy such as Project Super Hero If you are opening an existing case these fields will display the Case Name and Alternate Name already assigned to the case 3 2 Demographics Click on the Demographics links to enter demographic information or click on Return to Case summary to return the entire case To enter the Date of Service click on the calendar icon alto see a pop up calendar and choose the date Navigate to the correct month by using the arrow buttons located above the days of the week Or click and hold down any button on the calendar to see and select from a list of options TeleCAM Users Manual Copyright 2008 All Rights Reserved 15 9 o visualshare communicate with pictures A rip Move the calendar to view any information behind it by clicking and dragging the bottom gray bar of the calendar When you have finished entering data click the Update Demographics button TeleCAM Users Manual Copyright 2008 All Rights Reserved 16 9 o visualshare communicate with pictures Figure 11 Entering Demographic Data IESU Case Name TeleCAM200s Alternate Name Tele AM Test Case Age 0 mos Gender Male Status Active Date Of Birth 0 mos at date of service Date of Service poop 00 00 LA Patient Last Initial Patient First Initial sender Accompanying Historian Relationship ipdate Demouraphics Update Button amp Proceed to the next sfep Hreterr
33. ote the red text indicating that all fields are required for you to proceed After naming the case press the Create Case button 3 1 Click New Case Click New Case on the Dashboard and fill in the data fields as follows Figure 9 Creating a New Case Case Name Recorded automatically THIAGANIS NEW Gace TeleCAM will automatically assign a distinct id to each new Case this field Case Name ties the sample name back to your own scusa Alternate Name system and company naming protocols TaN Date of Service 2008 08 27 72 2 Alternate Name An ID used for u Rounds Expiration 9990 90 00 ALI Reset identification not required Date of Service Date of service establishes the date the case was Yee Ty uem created Press calendar icon with click to verify f 3008 08 27 cursor to display calendar picker Copyright 2005 2008 VisualShare LLC All rights reserved Rounds Expiration The Rounds feature is used to promote the case to a read only for view by all users in the system Rounds Feature Minor adjustments to the permissions and access to the rounds feature thereby enabling all system users to access cases in the Rounds folder until the expiration date The Rounds feature has proved invaluable for those wishing to share a case with all users of a given installation Click Insert Case After filling in the data fields and clicking Create Sample you will receive either a Success Message in
34. res Tue Aug 26 2008 QJ Inactive 2 3 UVCM 3 Mis qi E Add a News Item a NYCAC m Rounds 0 amp Support Eon amp Logout Administration a 8 Users amp Sites Add News Item New User CHKD CAC S NY Sample Clinic amp User Profile NYCAC Sample Clinic Logged in as pgoede admin Session Expires Aug 27 2008 43 UVCM Permissions Administrator admin Last Login Aug 27 2008 Examiners 7 Update Profile B Reviewers 4 Administrators 3 Inactive Users 39 Site Profile and Statistics amp d System Home Search Support Logout switch Clinic E E E E E E BE BE b Sample Clinic 85 N Main St Salt Lake City UT 84101 801 588 9292 tel 801 588 9293 fax Case Statistics 3l Nunber of Cases Created Modified Trailing 12 Months Mi telecam visualshare com 9 TeleCAM Users Manual Copyright 2008 All Rights Reserved 8 9 visualshare communicate with pictures 2 3 Update User Profile New users of the TeleCAM system should after the first login change their password To do so click on the Update Profile link in the User Profile Box Enter changes and click the Update User Profile button to save changes Password Strength VisualShare has implemented a password strength utility for TeleCAM user accounts When creating or modifying a user account there is visible feedback we
35. rs 3 a 8 Inactive Users 39 amp d System Site Profile and Statistics Sample Clinic 85 N Main St Salt Lake City UT 84101 801 588 9292 tel 801 588 9293 fax wi Case Statistics v telecam visualshare com 9 TeleCAM Users Manual Copyright 2008 All Rights Reserved 4 9 o visualshare communicate with pictures Shortcut Menu For navigating ease there are several ways to get to your favourite pages These pages usually include Home Search Support and Logout One of the quickest ways is to use the blue menu bar on the top right corner of most pages This shortcut menu bar is shown below Figure 3 Shortcut Menu SHORTCUT MENU TeleCAM E J em Sean lSwponi Looe L ewitch Clinic w TeleCAM amp Sample Clinic Welcome to TeleC AM E New Case m W Closed 0 uw Trash 2 Testing of new features Tue Aug 26 2008 W Inactive 2 Search Feature The search feature allows users to search fields based on Case Name Case Alternate Name Date of Service Patient Firstname and Patient Lastname TelelAM gt Search search for Cases using one or more of the following fields Case Name SS Case Alternate Name _ SSS Date of Service 2 Reset Patient Firstname fo Patient Lastname gsx Copyright 2005 2008 VisualShare LLC All rights reserved Secured by thawte click to verify 2008 08 27 TeleCAM Users Manual Copyright 2008
36. s the user with two options 1 launch a Peer Review Discussion or 2 skip the discussion and enter a final diagnostic impression If the Discussion is initiated TeleCAM sends out a notifier via email to participants in the site that that the case is pending review The notifier contains a secure link to the case The secure link takes the user to the TeleCAM login screen at which point the user can access the threaded discussion The Threaded Discussion allows for individuals that are part of a multidisciplinary team to review the case information images text and reports submitted by the examiner and provide recommendations based on that information 5 2 1 Launching a Discussion for a Case When the Examiner Initial Diagnosis has been entered a discussion link will appear that when clicked launches a threaded discussion To launch a discussion select and click on the Discussion link to get back to the Case Summary Username pgaede Patricia Goede Permissions Hurser Examiner examinar Home search support Logout Walid Until Oct 13 2008 03 30 13 Switch Clinic TeleC AM Update Examiner Initial Diagnosis QExaminer Initial Diagnosis for case testcase2003 1012 test case for user manual update was updated successfully Em Esame amp Proceed to the next step Discussion 4 Return to Case Summa i Copyright 2005 2008 VisualShare LLC All rights resenred CECI by thawte click to verify epna
37. scceseneeesccsseneeesceesseeessccseneesssaoees 21 Figure 15 Summary List of Images for the Case cccccccccseeeeccceeeeeeeeeeeeceeeeeeeseeeeeeeeeeessaeaaeeeeeeseeteaas 22 Figure 16 Initial Diagnostic Impression cccccccseeeeeeeeeeeeeceeeeeeceaeeeeeseeeeeeesaueeesseeeeessaeeeeseeseeessneeeeas 24 TeleCAM Users Manual Copyright 2008 All Rights Reserved i 9 o visualshare communicate with pictures Getting Started in TeleCAM 1 1 Overview TeleCAM is a web based Internet application Because the TeleCAM application is an Internet application it is also accessed through a Uniform Resource Locator URL Also Known as a web address the URL locates the application loads it into the web browser and prompts for login and password information Once logged in the user is able to create a clinical case and populate the case with information about the patient such as images and textual descriptions The TeleCAM workflow is designed to reflect the pediatric case collection needs in child abuse diagnosis The workflow is designed to become a record that contains information on how the case was created demographic and clinical data genital exam data and photo documentation images that are part of the clinical case At each stage during the creation of a case there is a button that requests the user to update the content of that section Updating each section validates and incrementally saves the content of that se
38. unicate with pictures Administrators As mentioned in Who Can Use TeleCAM the administrators primary role is to manage the system This includes creating users and sites The Dashboard as shown in Figure 20 Dashboard for Administrators provides opportunities to fulfil the function Administrators have access to all labs Pertinent current users can be found under the lab names Figure 20 Dashboard for Administrators mix Administration a 8 Users amp Sites New User a g CHKO CAC g NY Sample Clinic aS NTCAC Sample Clinic M Examiners 7 mE Reviewers 7 m amp Administrators 2 Fs o Inactive Users 34 d System 8 1 Creating Users After clicking New User on the Dashboard the administrator sets up the account by adding the appropriate information to blank fields The fields include username password first name last name e mail address permissions associated with each role sites sites could have one or many the list is particular to each role and expiration date The Expiration Date field not only allows for collaboration and guest accounts but also is a way to render users inactive Once a user becomes inactive their account is shut down and their info is stored The stored information can be retrieved in the event that the user needs to be re instated It remains linked to data entries and notes If needed the stored information also provides an audit trail Once finished click Add User
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