features

Robust, scalable, secure and self-serviced

Digital self-reporting

CheckWare involves replacing pen and paper with digital self-reporting. Increasingly, systematic data collection from patients adapted to a care pathway or study design is implemented. CheckWare can be used for a single assessment of a patient, or be adapted to any standardised care pathway or study design.

The solution enables planned and controlled use of assessment tools and removes error sources in connection with use of unauthorised assessments and manual scoring of instruments.

The patients can answer assessments from home or at the clinic, and the clinician gets immediate access to clinical reports showing status and development over time.

Self-reporting can also be done through personal sensors and health apps if they have an integration with CheckWare.

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Treatments

Clinicians can easily build and modify treatment plans for patients. Progress can be tracked over time and follow-up questions can be sent automatically years after treatment has ended. Patient satisfaction can also be measured in parallel with the treatment.

A substantial gain using treatment plans is that administrative procedures are streamlined, thus resources are freed up for more important tasks. The system will automatically send notifications to the patient when it is time to complete an assessment or exercise and send reminders if the patient has not answered an assessment in a given time. If the patient enters assessments from home, the number of required visits to the clinic is reduced.

The online solution eliminates errors associated with manual data entry and ensures that the patients enter all necessary information. Assessment results can be automatically transferred to electronic patient records and quality registers.

Use of treatment plans makes it easy to work systematically at the organisational level to ensure quality throughout the course of treatment.

Clinical reports
 

Data reported to CheckWare are automatically treated in accordance with rules set for each assessment, and can be presented in clinical reports showing status and development over time. Comparisons to norm data can be presented. Rules can be set on how to handle notifications and flags.

The reports can be made available both to clinicians and respondents. Different reports can be made for different target groups. If integration with electronic patient records is implemented, the clinical reports can be transferred as pdf files. Structured data can also be transferred to the electronic patient records.

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Security

CheckWare meets the requirements set in the norm for information security in the health sector in Norway, and complies with the requirement set by National Health Services (NHS) to services connected to N3 in the UK. There are strict rules for data access, and CheckWare offers a flexible model for role and access control on a functional level. All activity is logged in the system.

Clinicians and respondents get access to the system via the web through the highest security levels set.

CheckWare is approved for use through several risk and vulnerability analyses and is also approved by regional ethical committees for use in clinical research projects.

Digital self-management

Web-based, clinician-guided care pathways established via CheckWare are often created for patients with chronic diseases, lifestyle disorders, mental health issues, or patients involved with rehabilitation. To help these patients, there may be a need for obtaining these lifestyle changes through consciousness of behaviour, goals and activities and by receiving help to manage the disease through knowledge.

CheckWare offers modules for documentation of status and goals, advice and action for self-management, exercises to be performed, diary, etc. Both design and content are thereby adapted to the needs.

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The system is multilingual and supports different languages per user. If the assessments are available in different languages, the respondents can receive the assessment in their own language. The Respondent Portal is adapted for users in need of accessible design. CheckWare utilises WAI-ARIA standard in HTML mark-up to make it possible for visually impaired / blind to use solution with assistance.

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With granted access in the solution, you can via the user interface export collected data to SPSS file format or .CSV format for use in e.g. Excel. Any research data can be linked up to research servers and quality data can be transferred to quality databases, using export modules in CheckWare. Data can be de-identified. You can create templates for data export that can be started at a given time. You can establish several sets of data extracts, and you can switch between file formats.

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CheckWare Studio is a powerful developer tool for designing dynamic, multilingual forms with accompanying scoring rules and scoring reports. The tool enables calculations, flags, triggers, and comparison with other norm data sets. Assessments developed in CheckWare Studio are published to the CheckWare Store as privately or publicly accessible. The system administrator can make the forms available for clinicians and researchers by selecting the desired assessments.

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CheckWare Quality Portal is used to present Dashboards with aggregated anonymised data, collected by Care Pathway tools or from other sources if preferred. The portal is used to present data collected through various assessment forms and can be combined into a single view, e.g. department and type of treatment. Additionally the Quality Portal can be used to present the results of patient experience surveys. By combining several views and assessment forms, you can achieve a unique picture of the treatment. All data can be updated daily to achieve monitoring of results, both total and per-department, treatment, research, etc.

Integrations

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CheckWare is designed for easy and secure integration to other systems/units. CheckWare offers a Partner API, which is a set of SOAP web services used for all integration. All data collected by the solution can be structurally retrieved. In addition, you can retrieve generated clinical reports with graphs, etc. based on the collected data. Professional systems like PAS and EPJ can be integrated with transfer of demographic data for both respondents and clinicians. Partner API is used directly by several of our partners. In addition, we have developed conversion between Partner API and Continua approved standards like HL7.

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For some clinical assessments, it is necessary to use external scoring algorithms. CheckWare is built to handle this. In CheckWare, this is referred to as 'remote scoring' and is integrated with the solution, so that the customer does not have to deal with these external web services. The way 'remote scoring' works is that when a form is submitted by the patient or clinician, the external scoring algorithm is automatically activated by CheckWare. Performance data is stored in the solution so that it is available with other data generated by the system. This means that data collected by external scoring algorithms can be available in the system and can be exported together with all other data that is collected via CheckWare.

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Devices such as smart phone applications and figure-hugging sensors can be connected to the system through CheckWare Device Connector. These devices can deliver data to CheckWare and prevent storing of sensitive data on the devices. The data collected can be matched with data collected by other methods and be used to make more extensive clinical reports.