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Clinical Widgets

Consultations in REACH 5.0 are facilitated by REACH Clinical Widget® applications. These patent‐​pending innovations provide the ultimate in clinical adaptability and personalized consultations. Widgets serve as the building blocks that allow healthcare organizations to define the tools available for each clinical specialty and promote treatment protocols. Widgets also enable physicians to tailor each consultation based on personal preferences and the information specific to their medical specialty.

A physician may utilize common widgets such as Vitals, Patient History and Labs in every consultation and also include specialty‐​specific widgets such as the Mental Health Checklist widget for psychiatric assessments or the Imaging, NIH Stroke Scale and tPA Administration widgets for emergency stroke cases. REACH Clinical Widgets eliminate telemedicine boundaries by supporting the workflow and protocols of any specialty or setting of care, enabling clinicians at both ends of the consultation to view and update all relevant patient information.

  • Behavioural-Health-Widgets

REACH Clinical Widgets support multiple functions:

  • Serve as the building blocks that allow healthcare organizations to select the most appropriate tools available for each clinical specialty in each care setting
  • Streamline and simplify consultations by introducing clinical widgets only as the physician deems them appropriate based on personal preferences and the information specific to their medical specialty
  • Guide the treatment workflow for both bedside clinicians and remote physicians
  • Foster collaboration among the treatment team members — each team member is alerted to updates as they are entered by other team members
  • Provide alerts and highlight contraindications when exceptions to treatment protocols are encountered
  • Provide the collection point for external data such as patient data retrieved from the EMR and/​or ADT, and images from the PACS system
  • Serve as the source of documentation for each consultation
  • Offer a high degree of configurability for individual hospitals, medical specialties, care settings and even individual physicians

Widgets are defined for each key aspect of a remote consultation, providing the ability to view and update data, monitor trends over time, conduct and document specific clinical exams, perform algorithmic assessment functions, provide alerts, and serve as the source of documentation for each consultation.

For the Healthcare Organization…

REACH Clinical Widgets are selected and made available by your healthcare organization based on service lines or specialties supported.  Widgets are grouped together to support the clinical requirements of each specialty in each care setting.  For example, the widgets used to treat an acute stroke patient would differ from those used to treat the same patient in follow‐​up settings such as the clinic or rehab.  Likewise, the widgets used for a behavioral health consultation would be specific to the clinical requirements of that specialty.  Widgets can also be configured to align with the standard treatment protocols of each healthcare organization.  This clinical modularity and flexibility enables each healthcare organization to provide the clinical tools needed for effective remote consultations in each supported specialty, in each setting of care.

For Program Administrators and IT

REACH 5.0 serves as a platform that enables program administrators and/​or IT personnel to create enterprise telemedicine programs that span multiple medical specialties and care settings.  Using the REACH Consult Designer, widgets can be added to or removed from a specialty.  Within widgets, individual data elements can be relabeled, reordered, added or removed.  Default units of measure, such as metric vs imperial, can be specified.  New or customized widgets can be created by cloning an existing widget or starting from scratch.  As new data fields or widgets are created, these are available for use in the REACH reports and analytics dashboards.  These capabilities support virtually unlimited configurability of REACH to support unique and evolving telemedicine requirements.

For Physicians…

Widgets can be selected or excluded by the consulting physician to tailor each exam based on the symptoms, diagnosis and treatment plan of the patient.  Each physician can specify which widgets should be displayed immediately and which should be initially minimized.  The physician may utilize common widgets such as Vitals, Patient History and Labs in every consultation and also include disease‐​specific or specialty‐​specific widgets such as the CT Scan, NIH Stroke Scale and tPA Administration widgets for emergency stroke cases.  If a patient is initially diagnosed with a condition such as a Stroke, but is later determined to be suffering from another neurological disorder, the physician can cease using the Stroke widgets and add Neuro widgets such as the Glasgow Coma Scale widget as needed.  The resulting consult report and data uploaded to the EMR systems will include information from all the relevant widgets used in the consultation.

Intuitive by Design

Visually, the widgets have been designed by clinical experts to maximize focus on the patient.  Rather than forcing the physician to access data in a separate application (typically on a separate screen), widgets are displayed on the same screen as the patient.  They are translucent, enabling a constant full‐​screen view of the patient.  They are easily repositioned and minimized to suit the individual preference of each physician.

Stroke Follow-up 2016-04-08

The orientation of widgets can also be adjusted during the consultation to provide different perspectives of the data.  For instance, the vertical perspective may be preferred for viewing and updating the most current values while the horizontal perspective provides an at‐​a‐​glance view of changes over time.


Portability and Flexibility

REACH 5.0 is entirely web‐​based, accessed in the Internet browser.  Through a secure login, physicians can conduct remote consultations from any location using a variety of devices including desktop computers, laptops, Macbooks, and tablets such as iPad, Android and MS Surface.

Contact Us to learn more about the unique capabilities enabled by REACH Clinical Widgets.

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