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Nephrological Cockpit

Nephrological Cockpit

The quality assurance tool in TDMS

  • Supports the quality assurance process
  • Status of relevant dialysis key performance indicators
  • Context related therapy analysis for both patient and center
  • Maximize efficiency and effectiveness in patient care and clinical management

At a glance

Therapy Data Management System (TDMS)
The role of software in the quality assurance process Software has become an important factor to control, automate and improve the workflow during a treatment, or to manage the dialysis program of multiple patients with different conditions effectively. IT enabled dialysis clinics require and create a large amount of data to be captured during the dialysis program of a patient. This captured data needs to be aggregated and presented — a process known as data analysis.
Quality assurance in dialysis – from theory to practice The most common parameters to measure quality assurance in dialysis are:
  • Dialysis dose administered
  • Restoration of extracellular volume
  • Control of blood pressure
  • Correction of acidosis
  • Control of hyperkalemia
  • Control of serum calcium, phosphorus, hyperparathyroidism
  • Correction of anemia
  • Iron stores
  • Nutritional status
  • Inflammatory state
These parameters represent target values — and the specific attribute of the treatment results.
Dialysis efficiency Nephrologists manage both the effectiveness of the dialysis program and the efficiency of their clinic. Decisions have to be made, about the balance between health relevance and economics.
So the challenges a Nephrologist and / or Dialysis Clinic Manager face include:
  • Effectiveness of the dialysis session
  • Effectiveness of the dialysis program
  • How to move from theory to practice
These challenges need to be managed in a complex environment.
Nephrological Cockpit The Nephrological Cockpit is a key component in an overall quality assurance process in renal replacement therapies and helps face the challenges of chronicle disease management.

Quality assurance in a dialysis center requires continuous observation of certain indicators. In many cases interventions are needed to improve the outcomes. The quality approach is a continuous process of:
  • Defining the target value for a certain indicator
  • Measuring the outcomes
  • Interpreting the results
  • Taking action (intervention)
When leveraging data analysis to drive effectiveness and efficiency in a dialysis clinic, data needs to be:
  • Context related (gender, comorbidity, medical data, date, target, indicator)
  • Longitudinal and exact day
  • Aggregated and specific in the same view (drill down)
  • From different perspectives (patient and clinic)
The Nephrological Cockpit accomplishes all of these requirements.


Fresenius Medical Care — Nephrological Cockpit — dialysis center status

The Dialyses Center Status provides an aggregated overview of the hemodialysis related key performance indicators (KPIs).

Nephrological Cockpit patient list

In the Patient List area you can drill down from a specific KPI, presented in a specific context, to the list of patients who are respectively out of the target range.

Nephrological Cockpit patient status

The Patient Status area does deliver more specific information with regards to the compliance of a single patient or a group of patients to a KPI. It shows the data for the average value for a specific KPI across all selected patients and the minimum respectively the maximum measured value.

Fresenius Medical Care — Nephrological Cockpit — Patient status graph

Additionally, within the Patient Status area you can drill down to the most granular view, which is to show a specific KPI for a single patient measured on a specific day. Target ranges and goals can be defined in a dedicated settings area.

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