Medworxx - An Introduction to Medworxx

In this course we will go over what Medworxx is, why it is being used at Health Sciences Centre as part of Plan Patient Discharge and how it benefits us in caring for our patients. We will discuss the various roles and their responsibility using the program and we’ll get started with the basic navigation so you can find your way around.

 

A Few Tips for This Course:

            1. Copy and paste this link into Internet Explorer: https://medworxx-test.manitoba-ehealth.ca

            2. Use any username in this range: train02 - train40

            3. Use "medworxx" (all lower case) as a password

            4. Ensure the domain is not checked. 

        Here is a document giving more information on how to access the training version of Medworxx.

Overview of Medworxx

A Systematic Approach to Patient Flow and Collaborative Care

Medworxx is a utilization tool that helps care facilities to manage patient flow and discharge planning throughout the patient's stay. It starts with daily patient assessments which help ensure that patients are receiving the right level of care and that barriers to discharge or transfer are made transparent so they can be addressed.

But it doesn't end there. Medworxx also helps make rounds more efficient and offers reports that can be used by staff as well as by management.

This animated diagram shows how Medworxx takes a systematic approach to patient flow and discharge planning. Medworxx is used at each of these steps throughout the patient's stay.

(This diagram has no sound.)

 

Bringing Order to Patient Flow

Patient Heatmap

The longer the patient is in hospital, the more they are at risk for an adverse event. This animated diagram shows the way the risk for an adverse event changes depending on the length of stay.

(This diagram has no sound.)

 

How does Medworxx Help Me?

What does Medworxx do?

There have been a lot of assumptions about what Medworxx is used for. For example that it replaces the patient's care plan or that if you enter a patient's status in Medworxx, you've done your charting for the patient.

There's also been concerns that Medworxx status entries take a long time to complete or that Medworxx is hard to learn. While the time it takes or the difficulty of something is very subjective, some of those assumptions are not true and we want to dispel those. Let's take a look at what Medworxx does actually do.

 

Which of the below statements reflect Medworxx' purpose?

(Check all that apply.)

  • Identifies the primary reason the patient is in hospital
  • Identifies barriers for discharge
  • Highlights what is needed to move the patient forward in their plan of care
  • Replaces charting in the EMR or the patient chart
  • Provides the care plan for the patient
  • Helps with staffing and resource allocation

How does using Medworxx benefit you?

Click all that apply.

  • It tells me what my patient needs today in order to move closer to the goals of their care.
  • It allows rounds to be succinct and efficient.
  • I can print the status update for my patients as a worksheet instead of handwriting patient cheat sheets.
  • I can get a succinct and up to date overview of my patients’ history, entrance complaint, current status, goals and barriers to discharge and an up to date report on what is being done to advance my patient towards their discharge goals.

How does using Medworxx benefit your unit and Health Sciences Centre?

Click all that apply.

  • It can help reduce lengths of stay
  • It can help identify common barriers for discharge and guide funding to projects aimed at alleviating them
  • It can assist with bed utilization strategies
  • It can allow the care team prepare the patient in cases of complex or high risk discharge and help foster patients' well-being after their hospital stay thereby also reducing possible re-admissions.

Roles & Responsibilities

Match the following roles with their responsibilities.

Please place the image below this box.

 

 

  • Front Line Staff
    Enter Daily Status updates on each of the assigned patients
  • Utilization Management
    Escalate barriers to discharges to appropriate personnel
  • Managers
    Run unit level reports to assess key performance indicators and assess delays in discharge plans

Navigation of Medworxx

Navigating Medworxx

 

For questions or comments about the video, or if you have any technical issues viewing it, please click here to email the course administrator.

In the screenshot below, indicate the menu bar.

The search section found at the top of almost every page can be hidden to save space on the page. If the search section was hidden where do you find it? Please indicate in the screenshot below.

By which of the below items can you search a patient?

Please check all that apply.

  • Location
  • Admit Date
  • Program / Service
  • Attending Physician
  • Gender
  • SIN
  • PHIN

Where would you click to sort the patients by their bed number?

How do you access the Status Entry screen for a patient?

  • Click on the patient's name in the patient list and then click the Status Entry tab.
  • Click on the Encounters tab on the menu bar and then click Patients.
  • Click on the Encounters tab on the menu bar and then click the Status Entry tab.

What do these terms mean?

  • GoAHEAD
    An acronym used to input and update the patient’s disposition and discharge plan into the Operational Comment box.
  • EDD
    Estimated Date of Discharge
  • ELOS
    Estimated Length of Stay
  • MET
    The category of the status update that indicates that the patient meets one or more acute criteria to be in a hospital care setting.
  • NOT MET
    The category of the status update that reflects the main reason why a patient who no longer meets the acute criteria still requires the services of the hospital, and is therefore not able to be discharged.

Define GoAHEAD

  • Go
    Goals for Discharge
  • A ("1st A")
    Allergies, ACP, ARO
  • H
    History, Baseline
  • E
    Entrance Complaint
  • A ("2nd A")
    Actions
  • D
    Discharge Plan

Workflow

Workflow Overview

This is an overview of the general workflow. In the Patient Status Updates & Discharge Planning course we will go over steps 2-6 in detail.

Set the Patient List

Before you get started, you should set the patient list to see only those patients that are relevant to you at this time. It will make your work in Medworxx much faster and more efficient. There are a number of options you have in the search area of Medworxx to filter the patients shown on the list. Most commonly staff want to see the patient list by unit / bed to see their assigned patients, but you can set it in a number of different ways to suit your needs at that time. The video below goes in more depth on this and shows the steps in action:

 

For questions or comments about the video, or if you have any technical issues viewing it, please click here to email the course administrator.

Resources and Course Help

Course Help

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