Lomiss Home Care

Lomiss Home care®

The Challenge

• Be able to transfer secured data to and from caregivers in the field in real time based on the user profile, time of day and his location

• Be able to track, manage and report on remote caregivers activities by that maximizing the net work time and reducing direct and indirect costs

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The proposed System

• A distributed location based information system• Real time Bi-directional interface transferring

secured information from the system server to caregivers in the field

• Registering all activities based on caregiver location

• Encrypted communication to and from the end points

• Report generation capabilities• Designed for comfortable personal carrying

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System Advantages

• Access to information in multiple databases in the H.Q. exposing them through a unified interface to the end user

• Information is available any time and any were• No need to get to the office in order to update

data• Optimization of schedules (based on caregivers

availability, location and profile)• Ability to assign tasks in real time (based on

caregivers availability, location and profile)

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System Advantages

• One centralized record per customer• Exposing relevant information based on

caregiver permissions• Calculation of average session/visit times• Provide the ability for real time consulting

utilizing video conference• Be able to calculate payroll based on caregiver

position, performance, miles driven etc.• Ability to calculate customer costs (based on

average session times etc.)

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System Advantages

• The quality of information is increased as it is uploaded to the system in real time and is “fresh”

• The system can help in creating quality indicators• The system can replace and eliminate any paper

files existing in the customer premises • The system generates aggregative reports based

on defined criteria's (e.g. job function, customers, location, job type etc.)

• The system enables caregivers to order supplies to the customer premises on the fly

Bottom line the system can save up to 30% in caregivers time and associated costs

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Lomiss Home care®

LOmiss © 2008

Lomiss Home Lomiss Home CareCare®®

Occupational Occupational TherapyTherapy

Lomiss Home Lomiss Home CareCare®®

Occupational Occupational TherapyTherapy

Lomiss Home CareLomiss Home Care®® API APILomiss Home CareLomiss Home Care®® API API

Lomiss Home CareLomiss Home Care®® Web GUI Web GUILomiss Home CareLomiss Home Care®® Web GUI Web GUI

Lomiss Home care®

The Lomiss Home Care ® System offers a new solution to organizations who employees a remote work force. The system offers the following:

• A pre packaged system•Integrated best practices for caregivers (M.D., Nurse, Physical Therapy and Occupational Therapy)• Pre integrated reports• Easy and fast installation for fast deployment• Web GUI• Optional API to existing systems

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The deployment of the system is fast and easy as the system comes pre integrated with most of the relevant information required in order to perform a successful visit for each and one of the following caregiver profiles:

• Doctors• Nurses• Occupational Therapists• Physical Therapists

The system also comes with a pre integrated set of reports in order to maximize the output provided by the system

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Lomiss Home care®

Lomiss Home Care® Server

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The Lomiss Home Care® server Provides the ability to

• Manage all sessions with the end points

• Manage all interfaces with external systems

• Manage all security parameters

• Manage all administrative tasks (report

generation, caregiver profile definition, etc.)

Lomiss Home care® Back office

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The Back office system allows the organization to better manage the entire end to end process of patient management including:

• Patient registration and management• Smart automatic patient – caregiver association• Smart scheduling• Patient archiving • Optional interface to a GIS system• Smart route planning and optimization for the best

cost affective visit plan (both mileage and time)

Lomiss Home care® common tasks

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Some tasks performed in the Lomiss Home Care® system are shared between all caregiver profiles making it easier to share information across the organization.

Among the tasks we can find:• List of daily treatment plan (where the caregiver can

change and update visits from the endpoint) • List of associated patients per caregiver (a caregiver

can schedule a new visit from the endpoint)• Personal details of a patient (once starting a session to

a specific patient personal details will appear and the caregiver will be able to go over them and update if necessary)

Lomiss Home care® For M.D.

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Lomiss Home Care® M.D. provides doctors in the organization with all relevant information in order to conduct a general visit at a patients house. Among the available information we can find:

• Diagnosis and Background illness• Physical Examination • Mental State• Neurological assessment and test• Motoric information and assessment• Edmonton symptom evaluation• Pain evaluation • Pressure sore risk assessment • Visit summation and checklist

Lomiss Home care ® For Nurses

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Lomiss Home Care® Nurses provides Nurses in the organization with all relevant information in order to conduct a general visit at a patients house. Among the available information we can find:

• Physical Examination• Edmonton symptom evaluation• Nutrition state • Pain evaluation• Treatment plan• Pressure sore risk assessment• SF-12 – life quality questioner • Visit summation and checklist

Lomiss Home care ® For Physical Therapists

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Lomiss Home Care® Physical Therapist provides Physical Therapists in the organization with all relevant information in order to conduct a general visit at a patients house. Among the available information we can find:

• Personal information• functional status • Weight distribution• Motoric information and assessment• Contractures• Breathing• Housing conditions• FIM evaluation• Activities

•Treatment plan• Equipment fitting• Recommendations• Visit summation and checklist

Lomiss Home care ® For Occupational Therapists

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Lomiss Home Care® occupational Therapist provides occupational Therapists in the organization with all relevant information in order to conduct a general visit at a patients house. Among the available information we can find:• Social status• Physical status• Motoric information and assessment• Housing and accommodation changes • FIM evaluation• LOTCA/LOTCA-G assessment• MOCA• Activities• Summary

•Treatment plan• Recommendations• Evaluation summary• Recommendations• Visit summation and checklist

Lomiss Home care ® Reports

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The Lomiss Home Care ® reports system comes with a set of pre integrated reports allowing the organization to better understand and plan on going activities. The system includes the following reports:

• Patient report• Caregiver report• Unit report• Mileage report

Lomiss Home care ® Reports

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Patient report: a summery of all visits given to a specific patient by all caregivers this report includes several important quality indicators such as:

• Visit duration (time in, time out , duration) and caregiver information• Hospitalization events during the home treatment time period• Complications during treatment• Sore wounds development • Deep vain thrombosis• Infections• Antibiotic treatments• Admittance data• Patient definition• Visit deviation by caregiver profile

Lomiss Home care ® Reports

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caregiver report: a summery of all visits to all patients conducted by a single caregiver this report includes:

• Visit dates for specific patients• Time in and time out from a specific visit• Average visit times

Unit report: activity summery for a specific unit in the organization. This report includes:

• All visits conducted by unit caregivers by occupation• Average visit time on the unit level• Average mileage driven on the unit level

Lomiss Home care ® Reports

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Mileage report: actual and average mileage driven by caregivers. This information can be crossed referenced with the actual visit schedule in order to identify irregularities. This report includes:

• Actual mileage driven per day• Average mileage driven per report period

Possible Interfaces

The system can interface with the following systems (sample)•Medical records•Knowledge Base•Workforce management•Payroll system•Pricing system•Inventory system•ERP/CRM systems

And moreEach interface will be priced separately

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System structure

End Points• A dedicated light weight device• Web enabled• GPS receiver• Cellular, WIFI (WIMAX), BT support• Card and thumb print Reader (Optional)• Bluetooth printer (Optional)• Dedicated carrying case (Optional)

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GIS System

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GIS System

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GIS System

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GIS System

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Possible Scenario

The following is a possible scenario from the home healthcare vertical:Practitioner scheduled visit (occupational therapist, physical therapist, nurse, doctor, speech therapist etc.)

•The practitioner receives the patient contact data to the end point beforehand (overnight, for example, the schedule for the next day)

•The system guides and verifies the practitioner arrival to the patient location.

•When arriving to the patient location the practitioner gets the relevant patient EMR (Electronic Medical Record) from the server (or earlier if defined).

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Possible Scenario

• While treating the patient the practitioner enters the relevant data to a user friendly reporting system on the end point.

• If encountering a problem the practitioner can consult the company's knowledge base or initiate a video conference call with a doctor

• When finishing the treatment the patient signs electronically to confirm the visit or swipes an electronic card.

• The practitioner sends an electronic secure update to the patient EMR other relevant databases are updated automatically.

• The system guides the practitioner to the next visit.

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Use Case

The Lomiss Home Care System was deployed in the northern district of the largest Healthcare organization in Israel (“Clalit Health Services). The system was deployed within the home care unit of the district and included the following caregivers:

• Doctors• Nurses• Physical Therapists• Occupational Therapists

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Use Case

The System was used in order to plan and conduct home visits for patients including:

• Patient admittance and management• Patients visit scheduling• Route planning • Visit clinical and administrative information

according to profile• Management reports

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Use Case

Among the main outputs of the deployed system the customer outlined:

• Shortening the time required from caregivers to update visit information back to the back office (in average 45-70 minutes per day per caregiver) by that also adding an additional daily visit

• Saving on fuel and office costs as routes where planned accordingly and caregivers where not required to get to the office in order to update visit information

• Gaining valuable information on patients costs and capitalization as they could understand what is the average visit times for each caregiver profile and patient type (per visit and during the overall patient stay in the unit

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Screen shots

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Screen shots

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Screen shots

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Screen shots

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Patient Report

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Patient Report

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Caregiver Report

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Mileage Report

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Thank You

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