Patricia Van Strien, RN, MSN
,
Blood and Marrow Transplant, Cedars-Sinai Medical Center, Los Angeles, CA
Kevin Dudley, BA
,
Research Informatics Core, Cedars Sinai Medical Center, Los Angeles, CA
Shao-Chi Huang, BS
,
Research Informatics Core, Cedars Sinai Medical Center, Los Angeles, CA
Lynn Abess, MBA
,
Cancer Services, Cedars Sinai Medical Center, Los Angeles, CA
Margarita Guerrero, RN, BSN
,
Transplant Services, Cedars Sinai Medical Center, Los Angeles, CA
Laura Snoussi, RN
,
Blood and Marrow Transplant, Cedars Sinai Medical Center, Los Angeles, CA
Carolina Caso, B.N., R.N., CPON
,
Blood and Marrow Transplant, Cedars Sinai Medical Center, Los Angeles, CA
Seda Gharapetian, BSN RN NP
,
Blood and Marrow Transplant, Cedars-Sinai Medical Center, Los Angeles, CA
Leticia Uy, RN
,
Blood and Marrow Transplant, Cedars Sinai Medical Center, Los Angeles, CA
Maria Delioukina, MD
,
Blood and Marrow Transplant, Cedars Sinai Medical Center, Los Angeles, CA
Yuliya Linhares, MD
,
Blood and Marrow Transplant, Cedars Sinai Medical Center, Los Angeles, CA
Michael Lill, MD
,
Cedars Sinai Medical Center, Los Angeles, CA
Stephen Lim, MD
,
Blood and Marrow Transplant Program, Cedars Sinai Medical Center, Los Angeles, CA
Background: Efficiency of delivery and coordination of patient care continues to be a challenge for most transplant programs. Growth in transplant volumes at centers continues to outpace growth in medical provider workforce. TIPS is a transplant patient workflow management database centered on streamlining workflow practices within a Blood and Marrow Transplant (BMT) Program. The database associates medical providers with specific roles that govern the various stages of patient care. As each role completes specific transplant tasks, TIPS transitions the patient to the subsequent stage of the transplant. These stages include intake, pre-transplant, admit/prep-regimen, post-transplant, discharge/follow-up. TIPS Dashboard provides BMT Program administrators with real-time graphical representation of their transplant patient population categorized by stage, disease, staff workload etc. TIPS Reporting interface provides ease of RFI reporting and data extraction. TIPS functionality includes single click automated admission/discharge letters, insurance authorizations request letters, transplant schedule report, and comorbidity calculation. We have transitioned our in-house Transplant Information Patient System (TIPS) to a web-based collaborative platform to expand accessibility.
Methods: TIPS was originally developed on a Microsoft Access database platform. However accessibility was limited due to client side software availability, and local area network access. These limitations were eliminated on transitioning to a web-based platform. The new TIPS web-based version is developed on the Yii framework utilizing PHP, JQuery, and CSS, with a MySQL backend database. TIPS authentication is LDAP-based and uses components of the Zend framework. TIPS database meets the HIPAA Security Rule requirements, Title 45 CFR Part 160 and subparts A and C of Part 164.
Results: TIPS web-based workflow tool allows all medical providers involved in a patient’s transplant broader accessibility to the electronic transplant data during the transplant process. Medical providers can efficiently enter and retrieve information in real-time. Center administrators are able to obtain an overview of their Program’s performance, by generating real-time reports, dashboard views of patient volumes and distributions, which contribute towards programmatic quality improvement.
Discussion: TIPS has enabled us to efficiently manage patients throughout the transplant process and improve the delivery of care and data reporting. Future TIPS enhancements include direct importation of patient demographic data from Enterprise Electronic Medical Record (EMR), and connectivity to FormsNet, via AGNIS, for direct transfer of center transplant data to CIBMTR.
