Our Mission
“To provide the final chapter in an episode of Day Care surgery via a survey link sent to the patient; studying the results as applied to a diverse group, in order to lift the standard of care where possible and improve the economy of health care in Australia”
With a registry we can
Record outcomes
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QA - Hospital
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CPD - Anaesthetist
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RPT - Health authorities
Improve outcomes
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Better analgesia
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Better PDNV
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Reduce complications
Justify standards
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To health departments
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To the private funds
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To the community
Initiate change
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Patient management
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Patient selection
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Patient case mix
The Day Care Anaesthesia Registry
Completing the experience
How it Works
1. Admit patient
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Admit patient to system after PACU discharge
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This can be manual or automatic via existing patient management system
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Demographics collected via a web based form
2. Survey link
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Patient specific survey link (URL) sent out 24 hours after discharge
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Link sent via SMS &/or email (both preferred)
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Re-sent if no response after 48 hours
3. Complete survey
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Survey completed by patient OR
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Survey declined OR
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Survey expires if no response after 5 days
4. Alert & Report
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Treating anaesthetist and senior hospital group notified if clinical alert detected
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Patients de-identified after alerts actioned
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Generate filtered comparative reports at any time
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How do I join?You join as a Hospital or Day Procedure Centre or as an Anaesthesia Group. DayCOR is a module of CAST - the Clinical Anaesthesia Survey Tool. For more information on how to set up a CAST account please refer to the DayCOR manual. You can get the manual here.
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Who is responsible at the facility?A committee assigned by the hospital to run the program including the Director of Anaesthesia or deputy, Director of the Day procedure Centre or deputy, a senior nurse and any other appropriate personnel, particularly anaesthetists. That committee also organises meetings to discuss reports or other connected activities.
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Who admits the patients onto the system?The discharge nursing staff. An automatic patient import facility connected to the hospital's patient management system is also available. Please contact us for more information.
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Who receives the patient’s response?The treating anaesthetist and an organised group of senior hospital staff with a joint email address for the purpose, typically an anaesthesia representative, an administrator and a senior nurse nominee.
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What are clinical alerts and how do I handle them?An alert email is sent to the treating anaesthetist and the hospital group. If the concern affects the anaesthetist, they act appropriately and communicate that action to the hospital for the medical record. If it affects the surgeon/proceduralist, the anaesthetist should forward the email to that person. Other issues will be handled by the hospital group. Positive comments initiate a “low grade” alert. Everyone enjoys praise.
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Is there a cost?There is a cost to the hospital of 52 cents per survey sent.
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Are CPD points available?Yes, if you use the program to provide a QA loop.
We've Come a Long Way
DayCOR sent its first surveys out on1st March 2018. We have now sent out well over 100.000 surveys with an 87% response rate. It is used, in the main, by day procedure centres and hospitals, but there is one group of anaesthetists in Victoria using it for their ”mobile work” in the sense of attending dental surgeries and one-off day procedure cases.
The patient is informed of the survey prior to admission but does not have to formally consent until agreeing to respond to the survey sent by email and SMS, 24 hours post discharge.
We can produce tailored surveys to suit, for example cardiology, paediatrics, and the new short-stay orthopaedic arthroplasty procedures with reports to suit.
Our Alert email, sent to treating anaesthetist and hospital, can be tailored to report specific groups, such as those receiving a new anaesthetic technique or drug.
Three of the survey questions, regarding Positive Comments, Negative Comments and Observations, are particularly useful in determining attitudes of recently discharged patients. The questions allow free expression rather than “tick boxes” which is especially important, as the latter can easily be slanted to fit a questioner’s personal requirements of a survey. Again the patients’ memories are fresh and “in the moment”.
Positive comments were provided by 61% of responders. Negative comments were offered by 7% of responders and could be divided into three groups, too long a wait, prolonged fasting, and no instructions provided. Three problems easily solved. Suggestions were often a more polite rendition of a negative comment, particularly in regard to a nursing attitude or rude clerk, albeit small in number.
The program is robust, user-friendly and extremely useful, not only for anaesthetists but for administration and nursing staff, Surgeons and proceduralists benefit from early Alert reporting. We provide a full back up service during installation and until you are comfortable in its use.
Ken Sleeman February 2021
Dr Ken Sleeman MB BS(Hons) FAMA FANZCA
Chair and Clinical Director DayCOR Registry II Ltd
Contact
Any questions or comments? We want to hear from you!
