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MedSWIS Software Hott Sheet

Summer 1996 - Vol. 2


Transitioning the MedSWIS Data Sheet to Measure Outcomes
SlideGuide Makes Interpretation Of SF-12 and SF-36 Scores Easy!
MedSWIS Creating Home Page On The Internet
MedSWIS Version 4.2 Nearing Release!
Making Plans for a REALLY BIG Meeting
MedSWIS Micro Outcomes


Transitioning the MedSWIS Data Sheet to Measure Outcomes

Current health care trends place less emphasis on identifying ‘problems’ and more on ‘outcome measurement’. More specifically, "have you effected a positive outcome for the patient" while in your medical facility? MedSWIS user University Medical Center in Jacksonville, Florida tackled this problem by renaming two fields in MedSWIS to reflect an outcome focus, and to create a new field to track specific ways that workers effected patient outcomes.
They renamed field no. 20 to "Outcome Screening Criteria", and listed four broad categories that reflected ‘barriers to a successful outcome’. These categories are:
  • compliance and conflict
  • alternative placement
  • safety issues
  • catastrophic illness and injury
They renamed field no. 24 to "Outcome Complications" and kept the same codes as in "Social Complications". This would appear to be a mere a title change, but has the effect of making this data much more useful, since the new field measures "social complications affecting a successful outcome".
They renamed field no. 25 to "Micro Outcomes", which lists specific outcomes effected by workers during patients hospital stays. You could rename any field in MedSWIS with three data entries to collect this information if you wish. The codes for this important new addition are on the next page.
SlideGuide Makes Interpretation Of SF-12 and SF-36 Scores Easy!
MedSWIS Software has just released a non-electronic hand held device that allows you to quickly compare individual scores on the SF-12 and SF-36 medical outcome questionnaires with various population and diagnosis means published by the Medical Outcomes Trust. Currently you have to have access to a computer and expensive software to perform similar data analyses, or search through three different manuals. The retail price of the SlideGuide is US$49.95 plus shipping, but for a limited time MedSWIS users can obtain one with shipping costs included!
MedSWIS Creating Home Page On The Internet
Our modem and extra phone line are already installed and we are in the midst of designing our Internet Home Page which will provide users with unpresedented access to software upgrades, and to "chat" with other MedSWIS users who have similar interests and concerns. Plans call for forums on the following topics: outcome measurement and benchmarking; Mecon user forum; continuous quality improvement; and productivity measurement. If you have any suggestions for additions to our Internet Home Page please call the office!
MedSWIS Version 4.2 Nearing Release!
As part of our ongoing commitment to continuous quality improvement we are nearing completion of exciting new enhancements. Here is a sampling of the enhancements users with current maintenance agreements will be receiving soon:
  • Reminder File that is patient-specific. Great for preadmission screening so your computer will ‘remind’ you to call a patient when they are admitted; great for financial application follow-up where you need to check with a patient 30 days after discharge to see if they have been approved or not; and great for case managers who want to be reminded in two weeks to call a patient to see how they are doing.
  • When you enter a new patient into your MedSWIS database you will now have the option of being prompted if: (1) a case with that medical record number already exists in your database; (2) a case with that medical record number was discharged within 30 days of this admission; and (3) if an open case with this medical record number exists in your MedSWIS database.
  • Resource Directory enhancement enabling users to easily create a master resource directory for a three ring binder.
  • Daily Activity enhancement allowing networks to generate staff worksheets from different locations at the same time.
  • Windows users will get a windows version of MedGRAPH, including color graphs!
  • NUMEROUS screen enhancements!
The Dos Version will be released first, followed in four weeks by the Windows Version.
Making Plans for a REALLY BIG Meeting
Next April’s Annual Meeting of the Society for Social Work Administrators in Health Care promises to be one of the most impressive meetings ever! MedSWIS Software has already committed its resources to help make the vendor display area bigger, with new companies and products. You can participate too! If you have an interest in benchmarking data, outcome measurement, using the SF-12, SF-36 and/or MORE in clinical settings, or effective uses of acuity-based productivity data, please call the office so we can help create working groups for abstract preparation for next year’s meeting. Mark your calendars now!

Date: May 3-7, 1997
Place: Phoenix, Arizona
MedSWIS Micro Outcomes
UNIVERSITY MEDICAL CENTER
JACKSONVILLE, FLORIDA
SOCIAL SERVICES DEPARTMENT

COMPLIANCE AND CONFLICTS

1.11 Adherence to care plan
1.12 Partial adherence to care plan
1.13 Adherence not obtained

1.21 Decrease in adversarial relationship or aggressive behavior
1.22 Partial decrease
1.23 No change

1.31 Care plan modified to meet pt’s level of functioning
1.32 Care plan partially modified
1.33 Unable to modify care plan

ALTERNATIVE PLACEMENT
2.11 Pt placed when medically ready for transfer
2.12 Delay in transfer

2.21 Pt/family involved in development and implementation of plan
2.22 Pt/family partially involved
2.23 Pt/ family not involved

2.31 Pt/family concerns related to placement have been resolved
2.32 Concerns partially resolved
2.33 Concerns not resolved

SAFETY
3.11 Care plan incorporates pt’s needs and resources
3.12 Partially incorporates
3.13 Unable to incorporate

3.21 Pt d/c to safest environment
3.22 Pt d/c to unsafe environment

3.31 Pt developed new methods of dealing with safety concerns
3.32 Partial development
3.33 No new methods

3.41 Pt admitted and d/c when medically indicated
3.42 Unnecessary admission/delay in discharge

3.51 Pt’s anxiety regarding safety issues have been reduced
3.52 Partially reduced
3.53 Not reduced

3.61 Issues of abuse, neglect, and domestic violence have been addressed and documented
3.62 Partially addressed
3.63 Not addressed

CATASTROPHIC ILLNESS AND INJURY
4.11 Pt placed when medically ready for transfer
4.12 Delay in transfer

4.21 Care plan modified to integrate pt’s needs and strengths
4.22 Partially modified
4.23 Not modified

4.31 Resolution of issues which interfere with treatment f/u care
4.32 Partial resolution
4.33 Unable to resolve

2/96 Glowatsky, Slade, and Smith
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