Introduction
This guide (version 1.1 230625) describes the key functions of the MyWay Clinical Platform provided by MyWay Digital Health. This platform aims to provide key information to support chronic disease management and support but not replace clinician decision making. Any clinical / treatment decision should ultimately be made by the treating physician using their training/ knowledge and any other relevant factors The advice given will only be as good as the information/ data that is being drawn down from the organisation system or manually entered. Inaccurate or missing data may lead to inaccurate advice. Please read the terms and condition of use before using this system.
Logging In
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If MyWay Clinical is integrated with your own electronic health record platform then you may login with your existing organisation's login details or you may be provided with login details by MyWay Digital Health: 1. Enter your username |
Searching for a Patient
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You can search for an individual patient either by their: 1. Last Name
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If the analytics/population management function is enabled in your organisation then you may be able to view this via the analytics tab. This will give you a holistic view of all your patients across each of the care measures and treatment targets, and can be categorised as high, medium low risk. Also includes quality tracking, drill down to patient lists and diabetes complications risk prediction.
After locating a patient whose records you would like to review, please click on the Dashboard link.
Clinical Dashboard
The home page will give you a summary of all key clinical information and decision support alerts.
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1. This section highlights which tests are overdue, and may also include links through to online courses that are relevant for that patient to complete, or reminders to discuss certain aspects of care with the patient. 2. The central panel contain links to laboratory, observational data, and home recorded data where relevant. The home screen contains the latest result and date, current goal (if applicable). An alert symbol (top right) means the test is overdue. Red, amber, green colours relate to compliance with national targets (which have been personalised as much as possible for type of diabetes, age, medications). This is defined by international best practice guidelines taking into account protocols and advice from local clinicians in your organisation. For more detailed information on rules used for your organisation contact MWDH team. Clicking on the tile will reveal historical data and trends and allow data upload/ goal setting. |
3. The notes sections allow health care professionals to view and add in notes and letters relating to care episodes. This may include a record of a consultation, phone call, email/ digital contact, remote review or other activity. This allows various member of the health care team to stay connected around care being delivered.
4. All medications will be shown here (generally pulled from the relevant health clinical IT system), noting there may be gaps in prescribing information if patient are treated outside of the organisation- please check with the patient. This section may also show medication/ prescribing advice where relevant.
5. The diagnosis prediction panel on the left will highlight patients where there is a possibility of misdiagnosis of the diabetes subtype. A risk may be shown, and clinicians can click through (calculate risk) to a more detailed page where they can fill in more information to refine the diagnosis. The system may prompt/ advice around additional diagnostic testing. Learn more about the Diagnosis Prediction panel .
6. The risk prediction tool highlights the individual’s risk of developing a number of key diabetes complications, over 1,2,5,10 years (adjust by moving the slider) to help decide on priorities for care.
7. The risk of complications tool can be used as part of the clinical consultation to share risks with patients and show them the impact of certain self-management activities on their risk. Learn more about the risk of complications tool.
Adding Notes
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To access more detailed history on the clinical notes, click on notes in the home page to go to this screen. 1. This section shows a list of all communications, which can be expanded. 2. A new note can be added either using the top right (+) button or via the left-hand menu. When adding a new note, you can choose the sort of communication form a drop down list, and can set the date of the communication. |
Examples of Detailed Measurement Screens
To see more detailed clinical results, add data or set goals click on the appropriate tile on the dashboard. Below are examples of the displays for weight/ BMI, HbA1C and Lipids.
Weight/BMI
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1. Users can change the time period over which data is viewed (from last 1 month to all historical data). The line graphs are colour coded: red, amber and green to show compliance with national targets. 2. Add new weight value (these will be marked as having been manually entered rather than being pulled from the Electronic Health Record) 3. Set new goal and add in date by which the goal should be achieved. 4. Data trends - shows the individual results and their providence so the viewer knows if it is a clinic recorded measurement or a patient recorded item (MDMW), or from external systems such as: EMIS Bulk, Vision PFS & Tidepool. |
HbA1c
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1. Users can change the time period over which data is viewed (from last 1 month to all historical data). The line graphs are colour coded: red, amber and green to show compliance with national targets. 2. Add new value (these will be marked as having been manually entered rather than being pulled from the Electronic Health Record) 3. Set new goal and add in date by which the goal should be achieved. 4. Data trends - this is historical data in tabular format including the data source. |
Lipids
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1. Overall view 2. Users can change the time period over which data is viewed (from last 1 month to all historical data).The line graphs are colour coded: red, amber and green to show compliance with national targets. 3. Add new value (these will be marked as having been manually entered rather than being pulled from the Electronic Health Record) 4. Set new goal - and add in date by which the goal should be achieved. 5. Data trends -historical data in tabular form including data source. |
Patient Risk Consultation Tool
This tool (which is also available in the patient app) given an indication of a persons risk of a serious diabetes event / complications and helps patients and clinicians understand how this can be reduced by certain actions and behaviours.
More information about the Patient Risk Consultation tool can be found here.
The patient risk consultation tool can be accessed by clicking, ‘Let’s reduce your risk’ on the left panel of the home page.
This tool can either be used in the setting:
- ‘Focus on weight’ where the patient wishes to include weight loss as part of their goals (in which case the system will automatically calculate the knock-on benefit on HbA1C) or
- In the setting ‘All lifestyle changes’ where the user can adjust weight, HbA1C and other parameters independently.
1. Adjust weight (by moving sliders to right and left) 2. Adjust activity (by moving sliders to right and left) 3. Smoking cessation calculation 4. Taking statins 5. Save as new goals and add in date by which the goal should be achieved 6. The new risk calculation 7. More information about this tool can be found here.
Diabetes Diagnosis Subtype Support
This tool will flag patients with a risk of a wrong diabetes subtype diagnosis (e.g. someone with Type2 diabetes who may have autoimmune diabetes or people at risk of unusual subtypes such as Monogenetic Diabetes (MODY). For the tool to work best, please complete the additional information requested. The tool will make suggestions around additional testing/ alternate diagnoses but clinical knowledge and acumen should be applied when making any decisions. Further details on how this tool works can be found here
This page allows the addition of more detailed clinical information such as C-peptide / Pancreatic auto-antibody levels to support diagnostic subtyping. When the calculate button is hit, the system will use the information here and data from the wider clinical record to give advice and recommendations around next step testing and potential diagnosis. This system is designed to support, but not replace clinical decision making.
Diagnosis advice
Once you have completed the information and hit calculate, the above screen will appear giving further advice around testing or possible diagnosis. At any time you can go back and fill in more diagnostic information to get an updated result.