Velos Transplant provides the following information infrastructure:

• Supports the caregiving process at the point of care.
• Captures and reports information for patient management, outcomes management, and transplant program administration.
• Continuously improves the quality and efficiency of care through the integration of user-defined treatment guidelines.

General Features

• Management of the general processes for multiple organ transplant procedures, which may include kidney, liver, heart, lung, pancreas, and multiple organ transplants.
• Seamless integration of validation criteria (financial, clinical, psycho-social, etc.) which consolidates the transplant procedure with recipient and donor details.
• Facilitates donor registration and clinical evaluation processes to expedite inclusion onto wait list, decrease accrual time by integrating labs, medications, and coexisting histories into standardized and custom evaluation reports.

Total Patient Management

Velos Transplant takes a total-care approach to managing patients. Velos is designed to optimize the capture and delivery of information pertinent to managing transplant patients.

Central to Velos Transplant are applications to handle:

• Patient information
• Insurance information
• Clinical information
• Orders
• Communications

Velos Transplant is designed for outcomes-based reporting. Data are expressed in terms to facilitate various outcomes analyses, including patient and patient-group comparisons, severity and case-mix adjustments, as well as care-process assessments. Clinical information, orders, and notes are organized around clinical problems, enabling caregivers to better monitor and manage diabetes, hypertension, and other coexisting conditions.

Pre-Transplant Assessment

Velos Transplant incorporates various pre-transplant assessment tools and modules to handle clinical evaluation office visits:

• Initial clinical evaluation
• Preoperative assessments
• Physical examinations
• Pre-transplant lab assessments
• Tracking of core End Stage Disease (ESD) indicators (MELD/PELD)
• Psycho-social assessments
• Semi-automated personalized referral letters
• Assignment to a waiting list based upon the UNOS codes
• Assignment directly to a transplant and a given donor without wait-listing
• Report listing status and patients on different waiting lists for each organ
• UNOS candidate registration forms

Capturing, Accessing and Managing Donor and Recipient Information

Velos Transplant provides donor information and other data on organs in an independent module accessed through the recipient and/or transplanted patient’s module. Using the initial search screens, the user can review lists of either donors or recipients to:

• Associate a donor to one or more recipients
• Associate a recipient to one or more donors
• Modify the amount of information required relative to cadaver versus living donors

Velos Transplant is designed for easy donor and recipient data-capture according to a number of parameters:

• Demographics
• Co-morbidity
• Financial status
• Medication history
• Donor specific assessments
• Recovery information assessments
• Laboratory examinations
• History of procedures
• Graft assessment
• Donor surgery
• Donor reports

Managing the Wait List

Because donors and their organs are scarce, organ allocation is supported with seamless integration of information (labs, medications, histories, substance abuse, etc.) to help identify patients best suited for the donated organs.

Managing the Transplant Procedure

During the encounter, Velos guides the nurse or technician through the entire care process from setup through discharge. The system provides the user with quick access to patient information as needed.

At each stage, Velos provides key information including core indicators, co-existing diseases, medications, etc. While Velos provides the infrastructure for managing the transplant procedure, the specifics of each step can be modified and maintained by users at your center. Information includes the following:

• Intra-operative surgical procedures
• Pre-transplant parameters
• Immunosuppressive medications
• Post-transplant parameters
• Patient’s condition at end of surgery
• Discharge codes and notes
• Blood usage
• Organ recovery assessment
• Surgeon assessment forms
• ICD-9/10 related diagnosis
• UNOS recipient registration

Post-Transplant Management

Designed in cooperation with some of the country’s leading transplant facilities, Velos Transplant has successfully mapped the process of managing post-transplant patients. Its flexible interface provides all the tools for users to maintain or change the process according to practice preferences. Velos Transplant preserves data integrity to allow robust outcomes reporting and benchmarking, such as:

• Patient assessment
• Immunosuppressive history
• UNOS discharge form
• Mental status
• Complications
• Infections
• Biopsies
• Death certification
• Clinical data
• Rejection
• UNOS recipient form
• Long-term patient status

Automated Report Generation

UNOS requirements: Velos Transplant automates capture and reporting of information specific to support UNOS requirements, with the flexibility to send reports directly to regional UNOS reporting centers. Velos maintenance features expedite data collection and collation as UNOS reporting requirements change.

Blood monitoring of immunosuppressive regimen: Provides the capability to closely monitor blood absorption levels and manage dosing levels according to individual patient requirements.

Adverse reactions: Monitor patient complaints and clinical parameters which indicate adverse reactions to pharmacotherapy (e.g., immunosuppressants, ACE-inhibitors, steroids, etc.) and which, if severe, may lead to acute or chronic rejections.

Acute vs. chronic rejections: The onset of first reject post-transplant is a leading indicator for mean graft survival. Velos provides customizable reporting to closely monitor absolute and normal ranges for user-defined clinical parameters.

Compliance: One of the leading causes of transplant rejections is related to non-compliance to the immunosuppressive regimen. Velos provides the information to monitor patient compliance through online surveys, central pharmacy distribution, and telephone questionnaires.

Patient Assessments and Guidelines

Velos is equipped with a guideline builder to create and modify assessment instruments triggered during patient encounters. Guidelines are constructed to manage question-flow based on responses, creating a vehicle for guidelines to simultaneously collect structured data at the point of care and support treatment pathways. Several assessment instruments are already built into Velos Transplant and can be easily customized to meet specific user needs:

• Quality of Life Assessment
• Pre-transplant Assessment
• Post-transplant Assessment
• Periodic Assessment
• Complications Assessment

These and additional customized assessments are fully integrated and automatically called upon in the patient care process.

Process Re-Engineering for Continuous Quality Improvement

Quality care depends on both the process of caregiving activities and their outcomes. Velos’ integrated reporting engine measures clinical and economic outcomes and its guidelines builder provides the tools to continuously improve care. With these, Velos Transplant becomes a powerful facilitator for continuous quality improvement. Velos Transplant is the new standard for transplant patient care software.