These release notes cover new features and improvements for Clario s Worklist, Portal and Cloud VR.

Transcription

1 Clario Release tes Version 3.2 Overview Clario is introducing several new features with version 3.2, including expanded analytics, improved peer review management, and a new plugin for cloud based voice recognition and template management. These release notes cover new features and improvements for Clario s Worklist, Portal and Cloud VR. We have also update our system requirements for version 3.2. For reference, those requirements are included in this document. Contents Overview... 1 System Requirements... 2 Database Server... 2 Web/WebSocket Server... 2 Supporting Service Server (for HL7, Exam Assignment, MPI, etc)... 3 End User Access... 3 Hardware Virtualization... 3 Features... 4 Cloud VR and Templates... 4 Peer Review... 4 Analytics... 4 FHIR... 5 Procedure Management... 5 Reading Location... 5 Misc... 5 Improvements... 7 Clario Release tes Page 1 Version 3.2

2 System Requirements Database Server The Clario database is installed on equipment supplied by the practice. The database server minimum recommended configuration is 4 CPU cores 32 GB RAM 5 logical volumes o Primary partition (100GB min) for OS, applications, and system files o Secondary partition (250GB min) for database files o Third partition (50GB min) for database log files o Fourth partition (25GB min) for temporary database file(s) o Fifth partition (200GB) for database backups (optional if alternative backup storage) 100Mb network connectivity, full duplex (100 Base TX) to web server Microsoft Windows Server 2012 or later Microsoft SQL Server 2012 or later For practices with no maintenance windows SQL Enterprise is recommended We support the use of high availability SQL Clusters managed by the customer Web/WebSocket Server The Clario web application is installed on equipment supplied by the practice. If using the Clario portal and a dedicated system is required, please use the same configuration. The web server recommended configuration is: Dual Core CPU 4 GB RAM 2 logical hard disks o Primary partition (50GB min) for OS, applications, and system files o Secondary partition (100GB min) for web application and logs 100Mb network connectivity, full duplex (100 Base TX) to web server and end user clients Microsoft Windows Server 2012 or later Microsoft Internet Information Server (IIS) PHP 7 Clario Release tes Page 2 Version 3.2

3 Supporting Service Server (for HL7, Exam Assignment, MPI, etc) The Clario Supporting Service Server is installed on equipment supplied by the practice. The recommended configuration is: Dual Core CPU 4 GB RAM 2 logical hard disks o Primary partition (100GB min) for OS, applications, and system files o Secondary partition (100GB min) for web application and logs 100Mb network connectivity, full duplex (100 Base TX) to web server and end user clients Microsoft Windows Server 2012 or later End User Access The Clario web application is accessed via an end user s web browser. The end user s recommended is: Microsoft Windows 7 or later Microsoft.NET framework 4.5 or greater At least one of o Mozilla Firefox (latest version recommended) o Microsoft Internet Explorer 11.0 or greater JSON (RFC 4627) required (Javascript enhancements required) o Google Chrome (latest version recommended) Hardware Virtualization Clario applications have been tested to operate in a virtual environment. In a virtual environment (i.e.: VMware, etc.), configure each Clario virtual server (database and webserver) per the run time environment recommendations. Resources such as CPU (quantity and speed) and memory should also be configured to reserve the recommended minimum requirements described above. Clario Release tes Page 3 Version 3.2

4 Features Cloud VR and Templates Clario s worklist now has integrated cloud based voice recognition. The report editor is integrated directly into the web browser in Clario s patient view. Clario uses Nuance s Dragon Medical voice engine in the cloud to convert voice to text. Clario has implemented a superior template management tool to keep your templates consistent and updated. Clario has implemented real time quality check to monitor your report for inconsistencies, findings and recommendations. To learn more, visit our webpage at: in the cloud/ To give it a try at your practice, contact sales@clariomedical.com Peer Review Analytics Peer Review Management all peer review configuration and management has been implemented in the Peer Review management page. This includes o te configuration o Ongoing Assignment o Focused Assignment o Prompting o Peer Review Alert o eradpeer Daily assignment peer reviews can now be assigned on a daily basis with the option to define the number of previous days from which to select exams for peer review. Focused assignment focused peer review assignment allows you to define controlled, shortterm peer review projects. Exams are randomly selected from exams defined by the exam type definition. Peer Review Alert This is a special type of peer review notification that will remind radiologists who have not yet done peer review to perform peer review. The notification will be sent when the practice is slower than usual. Auto next Productivity widget. Shows monthly radiologist productivity measured by RVU or WU as a percent of exams read in auto next mode. Each data point shows the total monthly RVU/WU for one radiologist. SLA Compliance widget. Shows the percent of exams that were read within the defined service level agreement. SLA compliance can be plotted as a function of modality, radiologist, shift, site or priority. Peer Review by Time of Day widget. Shows the number of unfavorable peer reviews and corresponding error rate by time of day. Subspecialty Reading Rate widget. Shows the percent of exams, tagged with a subspecialty, that were read by a radiologist within the same subspecialty. te. Exams with multiple subspecialty tags may be counted more than once. Clario Release tes Page 4 Version 3.2

5 FHIR Interruptions widget. Plots number of hours reported for each non reading task or interruption type. Export to see breakdown by radiologist, shift and reading location. Custom reports. Clario s technical service team can now help you implement custom reports in the Analyics Reports module. Resident Productivity Report. The report includes RVU and turnaround time measurements for users with the Resident user role. The turnaround time calculation is configurable and defined in your configuration. Clario can now support FHIR integration with Epic and Cerner to update patient demographics, allergy information, medication information, conditions, and patient and family history. Procedure Management Work Unit Calculation. Auto populate work unit values in Procedure and/or Site Procedure Management. The work unit calculation is based on calculated time in dictation for each procedure code. Body part mapping. Auto populate body part in Procedure and Site Procedure and Procedure Management based on identifying key words in the procedure name. Body part keywords are defined in the Body Part configuration page. Reading Location Auto populate Reading Location. The Clario Desktop monitor can be configured to include a reading location. For any exam read on the workstation, Clario will auto populate the reading location in the exam table. Manually select reading location. There is now a permission to enable reading location prompting. Radiologists can be prompted to select a reading location when they launch the Worklist page. The Reading Locations are configured in the configuration pages. Misc Tech QA te. There is a new note type that can be used to capture technologist quality information. This note would be completed by a radiologist then provided back to a technologist manager. Report History table. You can view a report history table from patient view by clicking the report hover icon. With each report version, the status, timestamp and radiologist is saved. Interruption Tracker. Clario can be configured to display an interruption tracker which is evoked by a configurable hotkey. The tracker displays a timer and users select the reason for interruption. Results are viewed in the Analytics module with the Interruptions widget. Workload Gauge. There are now multiple methods to calculate the practice factor used to adjust the radiologists target work unit goal: 1) historical average, 2) constant, 3) constant by hour and day of week, 3) number of radiologists scheduled. Exam management o Compare exams. If supported by your VR and viewer, clicking the compare button from the patient priors table will add the comparison exam information to your report in VR and open the exam in your viewer. The compare button is only available on final exams. Clario Release tes Page 5 Version 3.2

6 o Combine exams. If supported by your VR and viewer, clicking the combine button from the patient s unread exam table will add the accession to your report in VR and open the exam in your viewer. The combine button is only available on exams that are eligible for reading. Merge exams. This allows you to merge two exam records into one. This can be used to merge downtime orders with the primary order. There will be no record of the exam that was merged into the selected primary exam. Clario Release tes Page 6 Version 3.2

7 Improvements Issue Id Component Summary Description Configuration Needed W 854 Analytics Add dictation time information to Physician Productivity report Release tes: Dictation time is now reported in the Physician Productivity report. The report includes a Y/N indicating whether the exam was dictated from Clario. If, the time in dictation is reported. The report also shows the number of read attempts; showing the number of radiologists who put the exam in dictating status. W 1140 Analytics Change default export configurations to exclude patient identifiers Release tes: The default export for all advanced search and widget exports no longer include patient identifiers. Existing systems need to be configured to exclude patient identifiers. W 1089 Analytics Add Site selection in the Daily Physician Productivity Report Release tes: Site selection is now an input field on the Daily Physician Productivity report. W 1052 Analytics Add Subspecialty options to the Resource Planning widget Release tes: With this improvement the Resource Planning widget can be filtered by subspecialty. W 1066 Assignment Engine Implement an option on Peer Review assignment to delete all pending before new assignment runs W 1143 Configuration Implement a Peer Review te configuration page Release tes. There is now an option on Peer Review Assignment to delete all pending peer reviews before the assignment runs again. This is configured in the engine. Release tes: All peer review configurations are now managed in the Peer Review management page. W 1142 Configuration Add a Classification field to Peer Review notes Release tes: This is a new field on a peer review note to capture a classification. The fields options are configurable with defaults Interpretation, Perception, Communication. This field can be disabled. Clario Release tes Page 7 Version 3.2

8 W 1106 Management Improvements to Resident and Attending permissions W 1179 Management Need a User Management field to capture Radiologist Type W 1044 Management Need to implement separate User Role permissions for ED Prelim tes W 1211 Management Add a new peer review permission W 1038 Management If an extension is managed by LDAP, don't display the extension in Password Management W 1045 Management Need to be able to view log files by MRN and Accession Release tes: Additional permissions have been created for managing resident and attending features. Attending Radiologist: Identifies radiologist as an attending physician in Advanced Search. Access to Attending Queue: Enables the ability to add the Attending Queue to My Reading Queue. Resident Radiologist: Identifies radiologist as a resident in Advanced Search. Access to Resident Queue: Enables the ability to add the Resident Queue to My Reading Queue. Prompt for Attending Radiologist: If enabled, users will be prompted to select an attending radiologist at login. Release tes: There is a new field in User Management to identify radiologist type. Default options = Full Time, Part Time and types are editable from the User Management page. Release tes: Additional permissions for Prelim tes have been created to: View Prelim tes Create on Prelim tes Comment on Prelim tes Enter Discrepancy on Prelim tes Acknowledge Prelim tes Release tes: This is a new permission for a Limited Peer Review Administrator. Users with this permission can see all peer reviews, but they will not see the name of the person who reviewed them. Release tes: If an extension is managed by LDAP, the password management for this extension will not be editable. Release tes: You can now use Log Analyzer to search log files by MRN and Accession. There are two new search fields to the search form for these fields. Clario Release tes Page 8 Version 3.2

9 W 828 Management Exam Assignment: Display exam assignment time in assignment rule grid Release tes: The most recent processing/query time in database is now displayed for each assignment rule in the assignment rule grid W 1016 Management Absolute SLA management needs to consider business day and calendar day W 1056 Schedule Improvements to Schedule calendar events W 844 Schedule QGenda Integration: Need to add events to Clario calendar Release tes: SLA Management rules can now consider business day when setting time remaining. For example, if an exam arrives Friday at 6pm, the SLA can be set for the exam to be read by the next business day at 6pm, which is Monday. Release tes: Calendar events can be set as recurring meetings. There are now separate menus to select Radiologists, Groups and Users with an option to select all. Release tes: The QGenda identifier, "TaskExtCallSysId", can be used to identify calendar events and automatically add them to the calendar in the Schedule page. When an event is created, it is populated with Meeting Name, Meeting date and time, attendees and the default parameters defined by the type. (w 1075) W 1075 Schedule Need implement Calendar types with default settings W 1134 Schedule Need to enable/disable Workload Gauge based on shift Release tes: Calendar meetings now have types. te types can be configured with default parameters. Pause exam assignment: Y/N Pause peer review assignment: Y/N Chat status: [text] Reminder: [0] RVU/min: [0.00] WU/min: [0.00] Release tes: With this improvement the workload gauge can be enabled/disabled per shift. This is configured in the shift properties on the Schedule page. Clario Release tes Page 9 Version 3.2

10 W 1171 Worklist Need to be able to delete peer reviews in a 'Pending' status from bulk actions menu Release tes: With this improvement, pending peer reviews can be deleted in bulk from the bulk actions menu on a peer review search type. This feature is enabled with the 'Delete Peer Review te' permission. W 1249 Worklist Update worklist panel management W 593 Worklist Update exam sorting in patient view exam table W 1205 Worklist When a user rejects a peer review, we prompt for a reason W 1169 Worklist Improve the peer review autonext workflow W 1168 Worklist Add a Launch in Viewer button to Peer Review Actions column W 1209 Worklist Need to limit by status which exams can be peer reviewed Release tes: The worklist panel is now collapsible and when in patient view, the CRM and Patient panels can be collapsed. All settings persist between sessions. Release tes: The exam table in patient view has improved sorting for viewing. 1) there are now two groupings in the exam table, "My Drafts" and "Exams", 2) cancelled exams are filtered by default and 3) there is now a relevance sorting option that will sort by relevance to the exam the user is currently dictating. Release tes: There is now a configurable option to require a reason if a peer review is dismissed. This is configured in the Peer Review management pages. Release tes: This improves the auto next options for reading a peer review. When completing peer reviews from a pending peer review worklist, the peer review pop up includes a checkbox for 'Auto next' and two buttons for Dismiss and Submit. Release tes: There is now a button in the actions column of a peer review search to launch the viewer. Release tes: It is now configurable in the Status configuration page which exam statuses allow peer reviews to be entered. W 1107 Worklist Implement LDAPS for AD authentication Release tes: Secure LDAP is now available for AD authentication. W 1067 Worklist Need to be able to configure the max number of worklists in a combined worklist Release tes: The maximum number of worklists allowed in a combined worklist is now configurable. Default = 10 Clario Release tes Page 10 Version 3.2

11 W 1015 Worklist Need to recognize new line characters in tes Release tes: tes now recognize newline feeds in the note summary in the tes panel. W 486 Worklist InteleRad Integration. Need to implement the ability to add an exam to the existing session Release tes: When a prior exam is opened for comparison from patient view, it will be opened in the current patient session in InteleRad. W 984 Worklist Implement a new color scheme Release tes: There is a new color scheme available that uses blacks and grays. W 862 Worklist Improve combined worklist performance Release tes: Performance improvements to combined worklists. Combined lists can be built with Or or UNION conditions. Switching to a UNION in the Worklist Tuning configuration page could improve performance. Ask for Clario's assistance before making this change. W 830 Worklist Ability to send hyperlinks in chat messages W 1080 Worklist Implement a greater than or less than image count search option Release tes: Chat now supports sending clickable hyper links in chat. Release tes: Advanced search now includes a greater than and less than field for searching on image count. W 1158 Worklist Ability to identify a Primary Group for each site W 863 Worklist Add an Expand/Collapse all button to the worklist tree Release tes: A primary site group can now be set for sites sites that belong to multiple site groups. Release tes: There is now a button on the worklist toolbar to expand and collapse all worklist groupings. W 831 Worklist Need to more prominently highlight patient name in Patient View Release tes: Patient name font has been increased in size. W 1103 zvextender Need to implement a generic file launcher Release tes: This is a generic file launcher that can be configured to drop any file type to a configured file location for the purpose of launching other applications. Clario Release tes Page 11 Version 3.2

12 W 1156 zvextender Implement a UI to configure Desktop Monitor W 1037 zvextender NIL Integration: Implement new no Flicker NIL API Release tes: There is a UI to configure the desktop monitor. Configurations include setting reading location for the workstation, the Clario server URL, and a checkbox to indicate if it is a Citrix virtual workstation. Release tes: Implemented the new API for Lexmak Nil viewer. W 1141 zvextender Implement a password protection on log files ed from zvextender Release tes: With this improvement zvextender log files are password protected with a configurable system password. Clario Release tes Page 12 Version 3.2