1. CCD Health Systems’ Adverse Event Management Suite Incident Reporting Module

2. The next set of slides displays the sequence of web pages that might accompany the reporting and follow-up of incidents. The reporting process is the same for all event types – only the content displayed is different. The follow-up process (or the workflow), however, can be defined based on event type. To sequence through the generic incident workflow, press Enter. (Some slides may contain more than 1 description.) Click any image to view full size Slide 11 contains the option to view each of the process slides in larger scale along with more information. Look for the text  Click any image to view full size Part 1: Creating & Follow-up Events Press ENTER to start

3. Sign-on or Anonymous Users who sign on can initiate a new incident by clicking on the Create icon. Anonymous users, if allowed, click a pre-created shortcut.

4. Event Entry – Page 1 Page 1 of the entry process prompts the user for the general information about the incident (date, dept. event type, etc.) Departments and locations are specific to the selected facility. Any field can be designated as mandatory and several types of help are available.

5. Event Entry – Page 2 The content of page 2 is dependant on the information entered on page 1. For example, a patient fall will prompt for assessment details, request a witness and notify the “Falls Project coordinator”. What is displayed and who is notified can be set based on the type of event, severity, confidentiality, actual or near miss status, etc. AEMS can handle an incident’s workflow differently for each type of event. Also the severity of a fall (or cost of damage) can trigger different questions, notify different staff and route the event through different phases.

6. Email Notification Email alerts are sent to anyone who needs to be informed.

7. Email Messages A link within the email message provides a direct connection to view and follow-up with an incident.

8. Second Phase (Usually Supervisor Review) Events are routed to different phases where additional content can be entered. For example the supervisor review phase can be used to verify all information as well as enter the contributing factors and the Root Cause Analysis Phase can be used to collect the formal Causes. Any number of phases can be used and any content can be added to each phase.

9. Phase Progression (Based on Incident Type, Severity, etc.) Falls Workflow Incidents involving a patient falling is an example of a standard workflow involving the Supervisor and perhaps the Risk Manager if serious. I.e. 1. Event Create Phase 2. Supervisor Review Phase 3. Optional Clinical Review 4. Risk Manager Phase (If Severity > Serious) Medication Workflow Medication events can be set to enter a phase where the pharmacist becomes involved. I.e. 1. Event Create Phase 2. Supervisor Review Phase 3. Pharmacy Review (All Severities) 4. Risk Manager Phase (Severity > Serious) Employee Injury Workflow Employee events can be set to enter an HR phase in order to verify the WSIB form. I.e. 1. Event Create 2. Supervisor Review Phase 3. HR Entry Phase (Complete WSIB Forms) 4. Closed

10. Part 1 – Patient Fall : Risk Manager Phase The Risk Management phase may be introduced to hold events that are considered critical or more serious. The events remain in each phase until the responsible user advances it to the next phase. At any time, privileged users can view and/or edit the event. Other features include auto-phase advancement, reminder alerts, escalation phases, custom notification templates.

11. Part 1 – Patient Fall : Risk Manager Phase Click any image to view full size More information will be displayed on a separate page. When done, click the RETURN link to return to this page.

12. 1. Users receive immediate feedback of open and outstanding incidents. 2. Icons displayed are based on user’s permissions. 3. Users can drill-down to display individual events by clicking on the numbers or charts in the bottom corners. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

13. Part 1 – Event Creation Return 1. The standard start page is displayed whenever the user logs out or clicks a shortcut icon. 2. Additional shortcuts can be set up to display the sign-on page or go directly to the “Create Event” page. 3. The Info button can be setup to display a welcome message or provide specific instructions. 4. Each Facility can have its own banner and page colours Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

14. 1.A clean, simple interface invites the data entry staff. 2.The entire entry process takes place on 2 pages; answers entered on page 1 determine what questions are displayed on page 2. NO missed tabs, NO jumping to applicable sections, NO wasted time answering the wrong questions. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

15. Part 1 – Event Creation Return Only questions that apply to the event type, its severity, risk score, confidential status are displayed. AEMS ships with many pre-defined “Collection Lists” or groups of questions that can be turned on based on the above criteria. Some of these include: Contributing Factors WSIC/WCB Forms Medications Attachments Notifications Follow-up Tasks Causal Analysis Outcomes and others... Each Collection List contains individual entry fields that can enabled or disabled as desired. Finally, custom collections lists can be created containing any number of questions. Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

16. Part 1 – Event Creation Administrators can define who receives an email and what action they can perform when they click the link. Emails that are either sent out automatically or manually can control whether the user can: 1. View only, 2. Provide comments only 3. Collaborate to answer questions 4. Provide a second opinion 5. Take over responsibility The email templates are stored as text files allowing easy customization. Return Customizable content – both fields and text Link to Incident Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

17. Part 1 – Event Creation Users with sufficient permissions can view events using a host of menu options, including a link contained in emails notifications. Permissions also set which phases the user can view or edit. Other conditions affecting permissions include assigned Facility, Department, Level of Care, Severity, Actual/Near-miss, Confidential Status. The event must be “Viewed” before it can be followed-up; and at the bottom of each event is a button that displays what action the user can perform. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

18. Part 1 – Event Creation As an incident progresses through phases, a responsible user is expected to provide answers to additional questions. Common Phases include but are not limited to: 1. Supervisor Review 2. Manager Review 3. Clinical Review 4. Pharmacy Review 5. Risk Manager 6. Root Cause Determination What appears on the form is pre- defined based on information already collected. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

19. Part 1 – Event Creation 1. Medication events can be configured to collect details about the drugs involved. 2. Any number of drugs can be added, including multiple drugs in each process (Ordered, Dispensed, Administered, etc.) 3. The fields shown on the right can be enabled or disabled to collect only the desired information. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

20. Part 1 – Event Creation 1. AEMS ships with almost 1200 common drugs – selectable by generic or trade name. 2. New drugs can be added during the reporting progress. 3. The drug table can be loaded one time during the implementation or CCD will create an interface to your Pharmacy system. 4. Drugs added by front-line staff during event entry are considered “non-verified” and must be approved by a privileged user (pharmacist) before the drug can be re-used. 5. Reports can be run to link medication to incidents. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

21. Part 1 – Event Creation 1. As the final part of the review process, each manager has the opportunity (with appropriate permissions) to apply several administrative feedback. 2. When complete, the event is the “advanced” to the next phase and, similar to a multi-part form, continues until all information is known. 3. Frequency and Severity can be adjusted at each phase in order to calculate the Risk Score. 4. Should the event not wind up assigned to the correct manager, the user can forward this event to another department. Return Click Return to view menu pageReturn Or click here for next PowerPoint Sectionhere for next PowerPoint Section

22. Part 2: Finding, Charting & Analysing Events The next few slides highlight some of the features that let managers find events and then graphically display the results as grouped variables or long-term trends. The reporting capability is also previewed but for a full listing of all reports, please contact your sales representative. To sequence through the generic incident workflow, press Enter. (Some slides may contain more than 1 description.) Click any image to view full size Slide 28 contains the option to view each of the process slides in larger scale along with more information. Look for the text  Click any image to view full size Press ENTER to start

23. Searching for and displaying Incidents Finding Events can be initiated using one of many menu options. Each menu choice is available based on the user’s assigned role. The dashboard is just one click away and provides an up-to-date, real-time view of all incidents within the user’s area of responsibility. Facility, department, and previous days are parameters that can narrow down the view.

24. Event Listing /Search Results From the listing of incidents returned, the user can view, sort and drill-down to get the full details. Permissions determine whether they can edit the event at the current time. This page can be customized to only display the fields administrators believe to be important.

25. Charting Results A “View Chart” icon can be selected to display the same listing on a graphical chart. The feature includes pie charts, bar charts, 2-D/3-D, a separate distribution view and many other options. All charts displayed in AEMS can be copied to the clipboard and pasted in another document such as Word.

26. Running Standard Reports For printable output, AEMS ships with dozens of reports, using CrystalReports - the industry standard reporting tool. This non-proprietary product supports exporting as PDF, MS Word and MS Excel formats All reports accept multiple parameter selection. For samples of all reports, contact CCD Sales at 1 (800) 862-9939 or sales@ccdsystems.com.

27. Example of AEMS’ Reports Custom reports can be created by business analyst staff or ad-hoc reports can be created when the optional reporting tools are purchased. Standard reports can also be copied and modified in order to meet local reporting requirements.

28. Click any image to view full size More information will be displayed on a separate page. Click the RETURN link to return to this page.

29. 1. The “Find Events” page provides users with a method of locating any event previously recorded. 2. The results page shown on the next slide, includes only those events that meet the entered criteria, including a previous duration (90 days, etc.) and a window of time within a day (between 2 & 4 pm). 3. Users can only search for those events that they have been granted permission to view. 4. Audit logging is performed on the overall search task and every record that the user drills down to view. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

30. 1. The following dashboard is available to privileged users. The dashboard can contain up to 16 mini-charts and more are being added all the time. 2. Clicking of any piece of a chart will open a new web page displaying a list of events corresponding to the selected chart. 3. Selection criteria allows certain facilities or departments to be included in the dashboard graphics. One of several date ranges can be entered to further limit the returned results. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

31. 1. A listing of events is available to users by selecting various menu choices. These include: My events that I’m responsible for, Events I was notified about, All events entered in the last 30 days Events in my department Search for specific events by details And dozens more... 2. Event listings can be sorted by clicking on each column. 3. The fields that are displayed can be added or removed (temporarily and set as the default). 4. Users can drill-down to view the individual incident by clicking the Event ID. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

32. 1. As an alternative to printed reports that are considered static, AEMS contains a real-time charting application that displays event counts, grouped as needed. 2. The chart can be displayed anytime a listing of events is shown, by clicking an icon at the top of the page. 3. Several grouping selections (such as Facility) allow user to drill-down into the chart to display individual departments, event types and severity. 4. Events used in the chart can also be view by several distribution models such as Time of Day, Day of the Week and Day of the Month in order to recognise patters. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

33. 1. The parameter selection screen is standard for all reports. 2. Reports are protected by assigning them to roles, which are then assigned to individual users. 3. Reports can be grouped into custom folders. 4. Users can also create report “Batches” which allows them to run multiple reports at the same time. 5. All reports can be exported to Excel, Word, PDF and Text. Return Click Return to view menu pageReturn Or click here for next screenshothere for next screenshot

34. 1. AEMS ships with dozens of standard reports that accepts parameter entry to produce hundreds of report combinations. 2. Whenever possible, the report is accompanied by a graphical chart. 3. WSIB reports display in a manner that allows direct submission. 4. Reports are created using CrystalReports – the industry standard reporting tool. 5. Customers can create their own reports using Crystal Developer and even deploy the reports from within the AEMS web page. Return Click Return to view menu pageReturn Or click here for END slidehere for END slide

35. End Copyright 2009, CCD Health Systems 1 (800) 862-9939 www.ccdsystems.com