Data: Views, Reporting and Extracts
NNM includes a number of clinical data views and reports to help answer the questions typically asked in an NICU. Questions arise such as "How many patients were diagnosed with a particular set of problems over a particular time period?", or "How many patients were treated with a specific medication or class of medications over a particular time period?", or "What was our starting census, ending census, minimum, maximum and average census over a particular time period?". These can all be answered using the built-in data views and reports of NNM.
Clinical data for a specific patient is also displayed in views and reports. Here are some examples of clinical views:
The Quick View can be used by the neonatalogist and other clinicians to get an immediate impression of the patient’s progress over the last twenty four hours. Presented in flowsheet format, the Quick View consolidates information about IV fluids, enteral fluids, output, apneas and bradycardias, O2 delivery, and key lab values. Nursing comments, diagnoses and ordered medications are also easily accessible. Like the nursing flowsheet, this view is customizable by the user.
The O2 Therapy View consolidates detailed information such as O2 sats, FiO2, O2 delivery modes, and ventilator settings and blood gases to give a comprehensive view of the respiratory therapy and the results of that therapy.
The Service Stay View provides a quick look at all the services stays of the patient. The initial admission and re-admissions are displayed along with any movements between levels of care. Selection of a particular service stay takes the clinician directly to the data associated with that stay.
The Nutrition Calculator is used to display a variety of nutrition (input and output) calculations. Each site can choose from over 80 calculations ranging from TPN/enteral feeding amounts and ratios, sources of calories (lipids, protein, etc.), feeding history, growth statistics, and output measures.
The Growth charts plot the progress of statistics such as weight, length and head circumference against percentile standards. These charts can be view or printed.
Here are some examples of clinical reports:
The Notes Log can print a running log of all signed notes for a specific patient over a particular time period. This is an easy way to view the history of a patient or print documentation for surgery, diagnostic exams, or external transfers.
The Service Stay Summary is a report summarizing the key data related to the patient’s stay in the NICU. Birth statistics, maternal history, transfers, diagnoses, procedures, medications, and O2 therapy are all consolidated into a report that can be used for planning the discharge or reviewing the stay. This report can also be used as the source for external reporting into Vermont Oxford or state-mandated studies.
NNM provides a wealth of views and reports. However, there are an unlimited number of ways to review and analyze data from a comprehensive database like NNM. For cases where you need to go beyond the built-in views and reports, NNM provides an easy way to use the industry-standard Crystal Reports tool for creation of user-defined reports. Crystal Reports can not only generate complex reports from the database, but can also be used to export NNM data into formats such as Microsoft Excel, Microsoft Work, and PDF in instances where those formats are needed.
NNM provides a read-only view of the database that is available for user-defined reports. In addition, NNM includes a number of sample reports that can be used as a starting point for the development of any report needed by the NNM user. Finally, NNM provides a means for organizing user-developed reports so they can be made available to other NNM users – without the need to have Crystal Reports installed on every computer.
Customized data extracts can also be defined and run by users of NNM. Data extracts for research studies, statistical analysis, or import into external databases can be designed through a simple drag-and-drop process. The result of an NNM data extract is a file built in the industry-standard XML format which can be easily imported into spreadsheets, databases, and statistical analysis programs.
Detailed biographical and contact information can be stored for each clinician. Information such as specialties, certifications, physician groups, employment agencies, and contact methods can be tracked for physicians, nurses, technicians, and unit secretaries. This eliminates the need for paper contact lists.
Information on the organizations that support your NICU patient, during their stay and after discharge, is tracked. Addresses, phone numbers, departmental contacts and even driving directions can be stored for hospitals, agencies, support organizations and payers. This eliminates the need for paper contact lists.
Medication guideline sheets, in either text or image format, can saved and referred-to in the course of ordering or administering medications. Other references such as growth charts and pain assessment tools can be scanned and viewed where they are needed in the data entry process.
Tools that assist the NICU clinician with the management of the NICU patient are constantly being added into NNM. Some examples:
- The New Ballard Gestational Age calculator is available directly from the patient’s record to select graphical and text-based observations. Those selections are then used to estimate the patient’s gestational age. This eliminates the need for the paper forms and tracks a history of the observations and calculation on the NNM database.
- A link is provided in NNM to access the Bilitool website. Anonymous data can be sent to that third-party website which is then used to calculate and display the risk of hyperbilirubinemia. Other information, including AAP Phototherapy Guidelines, is also displayed.
The system administrator can setup a help file that is specific to their organization. The administrator can also setup general references which can point to internal documents or even external web sites. For example, a reference to a web-based calculator could be included or a reference to an internal policies document could be setup. Any document or web site that can be viewed with Microsoft Internet Explorer can be setup as a reference in NNM.