What is Nefrosoft? Synchronize at any time the data on the location of patients and verify data on outpatient visits.

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2 What is Nefrosoft? Nefrosoft is the Information System for the Comprehensive Management of Nephrology. Coverage of all aspects of the management of nephrology, from the patient treatment data, analytical evolutionary HD sessions, treatments and diagnostics to the possibility of obtaining reports, statistics and quality indexes. This has been resolved in an original and reliable software: Integrates in a single technological solution all the necessary modules for outpatient follow up, Hemodialysis, peritoneal dialysis and transplantation. Reliably solves all clinical and managerial aspects of nephrology. Includes connectivity with other applications in the hospital network. Incorporating a specific module for data exchange with other applications such as hospital admissions, outpatient clinics, laboratories, dialysis monitors, user databases (LDAP) etc... Synchronize at any time the data on the location of patients and verify data on outpatient visits. The system has a very useful quality indicators for studies and statistics and a generator assisted SQL queries to extract statistical data or generate reports. It was developed by a team of nephrologists and professionals in hospital information technologies with great knowledge and experience accumulated. 2

3 What is Nefrosoft? Nefrosoft includes the following modules: Hemodialysis and Peritoneal Dialysis. Outpatient or PDC (ERCA) Transplant Module. Hospitalization Module Hemodialysis Quality Indicators. Exporting data and generating lists and reports and queries for dynamic statistics. Connecting with other systems: Laboratory Information System. Capture of analytics Hospital Information System. Capture patient demographics. Integration with Active Directory. Respect access policies to users. (LDAP). Dump center reports in repositories. Communication with HD monitors. Nefrosoft connects with other systems Session Data Periodical medical report Administrated medication Laboratory tests 3

4 Nefrosoft is the solution with greater coverage of operational and technological requirements for health professionals: Coverage of most advanced processes and functions required by the users: General and administrative data. Etiology and situation at the beginning of the IRC. Diagnostics. Transplant and waiting list. Medical history. Clinical evolution. Physical examinations. Investigations. Outpatient treatment. Vascular or peritoneal access. Incidents infectious. Nutritional Assessment document Management Analytical, KTV, viral markers, etc... vaccinations And much more... Technological excellence of the solution: Based on open technology standards and modular architecture. 3-tier Web Architecture Open architecture for integration of different protocols (XML, HL7, etc..). Integration platforms Integration with other hospital systems developed (HIS, SAP, Siemens, etc.) Administration and development tools Compliance with the Data Protection Act and integration with electronic signature systems Managing users and permissions. Integration with LDAP Utilities graphical reporting. Tools for data import and export BPM: Document management and workflow management Request a trial month. Additional Information: 4

5 Nefrosoft is the solution with greater coverage of operational and technological requirements for health professionals: Operational benefits for the organization: Web technology, easy to implement. Developed by medicine and nurse Nephrology experts. Easy to integrate with other systems like HIS (Health Information System), Laboratory system, Dialysis machines, etc. Modular, the following modules are available: Hemodialysis, Peritoneal Dialysis, Predialysis and Renal transplant. It is possible to acquire each module separately. All the necessary records en reports to fulfill the ISO 9001 QMS or Joint Commission International certificates. It has a Hemodialysis Quality Indicators module ready for use based on K/DOQI guidelines. Saving time and resources having quick and simple information about monthly, quarterly, semiannual and annual indicators. Operational benefits for the organization: Wide horary national technical support. Helps on patient s safety and the patient s quality assistance thus it manages interaction alerts containing in only one system all the information necessary for the medical and nurse practice. Credentials in the public and private sectors. Open solution with multiple integrators. Version Upgrade Policy. Automated backups. Experience, 20 years in the market in continuous development. Version 6 currently available. 5

6 Nefrosoft provides higher performance than other solutions on the market with a lower cost to hospitals: PREDIALYSIS CONSULTATION MODULE. Predialysis Consultation Module General and demographic data Patients history and risk factors Patient s evolution regarding Nurse study First visit consultation and follow up Analysis and history of analysis Schedule manager and appointments manager 6

7 Nefrosoft provides higher performance than other solutions on the market with a lower cost to hospitals: HEMODIALYSIS AND PERITONEAL DIALYSIS MODULE. Hemodialysis and Peritoneal Dialysis Module General and Administrative Data Etiology and situation at the beginning of the IRC Diagnostics Medical record Clinical Course Physical examinations Investigations Analytical Hemodialysis sessions Nursing Tasks Outpatient treatment Incidents infectious Vascular access Catheter Registration Incidents and valuation of the hole Peritonitis Treatment efficiency (Kt / V, weekly Ccr, PCR) 7

8 Nefrosoft provides higher performance than other solutions on the market with a lower cost to hospitals: HEMODIALYSIS AND PERITONEAL DIALYSIS MODULE. 8

9 Nefrosoft provides higher performance than other solutions on the market with a lower cost to hospitals: TRANSPLANT MODULE. Renal Transplant Module Patients Reception and Transplant List (Pre-transplant) Patients reception clinical protocole (inpatient file). Receptors registry and transplant wait list. Paitents browser with several different filters. Filters by receptors various fields. Receptor general and administrative data. Allergies. Complementary Explorations. Diagnosis. Clinical Records. Clinical Evolution. Treatment. Analysis (With data analysis, charts, bone desease control, quality indicators). Physical explorations. Viral markers. Users internal messages. Background (lung, nephro-urologic, nefrourológicos, cardiovascular, psychiatric, gastrointestinal, liver, endocrine / metabolic, infectious, previous immunosuppressive therapy). Pre-transplant immunology. Previous interventions. Previous transplants Investigations of transplantation. Transplant waiting list situation (inclusive Excluded, pending inclusion temporary contraindication Study waiting list). Incidents (Income, transfusions, infections, tumors, periodic reviews). Vaccinations. Preparation and implementation of Transplant Donor Registry. Donor search filters. Details of the LIVE donor. (Association to an active patient for clinical monitoring, potential recipient, being an existing patient Nefrosoft). Data from CADAVER donors. (ICU admission date, type extraction, Cause of death, no personal information). Donor s specific data. (Renogram, and donor Rejection reason, glomerulonephritis, MDRD-4, CKD-EPI, No. arteries, etc...). 9

10 Nefrosoft provides higher performance than other solutions on the market with a lower cost to hospitals: TRANSPLANT MODULE. Renal Transplant Module Monitoring and Management of Transplant Patients (Post-transplant) Consultation transplant. (Anthropometric data, immunological risk donor criteria, preand post-sensitization). Patient s Lifecycle (Pre-transplant and post-transplant shares the history, diagnosis, treatment, analytical,... etc.) All common screens. Transplant Registry. Analytical profiles transplantation (1, 3, 6, 12, months after the date of transplantation) Post-transplant immunology. (Including Crossmatch). Surgery / Induction. Death of receptor. Hospitalizations post-transplant. Biopsies (can be more than one. Includes treatment). Infectious complications. Complications medium / long term. Malignancies / bone disease. Immediate postoperative period. Surgical complications. Maintenance treatment. Adverse effects of immunosuppressive therapy. Discharge patient s report. Consultation Report transplant. 10

11 References Instalations in Spain Asyter (Toledo) Asyter (Albacete ) Asyter (Alcazar de Sanjuan.Ciudad Real) Asyter (Cuenca) Asyter (Talavera de la Reina. Toledo) Cediat (Aldaya. Valencia) Cediat (Lliria. Valencia) Cediat (Requena. Valencia) Cediat (Torrente. Valencia) Cedival (Valencia) Centre de Nefrología Verge de Montserrat (Barcelona) Centro Ceuti de Hemodiálisis (Ceuta) Centro de Especialidades de Zafra. Badajoz) Alcer Turia (Cullera. Valencia) Centro de Hemodiálisis (Huercal-Overa. Almería) Centro de Hemodiálisis el castañar (Bejar. Salamanca) Centro de Hemodiálisis Las Encinas (Ciudad Rodrigo. Salamanca) Centro de Hemodiálisis Los Arcos (Almería) Centro de Hemodiálisis los Enebros (Madrid) Centro de Hemodiálisis Los Lauros (Madrid) Centro de Hemodiálisis Los Llanos (Móstoles. Madrid) Centro de Hemodiálisis Nefrovall (Vall d Uxó. Castellón) Centro de Hemodiálisis Nuestra Sra de la Cabeza (Motril. Granada) Centro de Hemodiálisis Os carballos (Vigo. Pontevedra) Centro de Hemodiálisis Periférico de Bellavista (Sevilla) Centro de Hemodiálisis San Luciano (Madrid) Centro de Hemodiálisis Santa Engracia (Madrid) Centro de Hemodiálisis Sierra Este (Sevilla) Centro de Hemodiálisis Verdún (Barcelona) Centro Médico Santa Barbara S.L. (Puertollano. Ciudad Real) Centro Periférico Hosp. Infanta Cristina (Badajoz) Centro Santa María (FRIAT) (Orense) Clínica Benidorm (Benidorm. Alicante) Clínica de diálisis de Yecla (Yecla. Murcia) Clínica de Girona (Gerona. Barcelona) Clínica de Hemodiálisis Los Pinos (FRIAT) (Medina del Campo. Valladolid) Clínica de Jerez (Jerez de la Frontera. Cádiz) Clínica La Luz, S.L. (Madrid) Clínica Ponfedial S.L. (Ponferrada. León) Clínica Ruber (Madrid) Clínica San Camilo (Madrid) Clínica Santa Elena (Madrid) Clínica Virgen del Consuelo (Valencia) Complejo Hospitalario de Ourense (Ourense) Consorci Sanitari (Terrassa. Barcelona) Corporación Sanitaria Parc Taulí (Sabadell. Barcelona) Cruz roja española unidad de hemodiálisis (Oviedo) Cruz Roja (Gijón) 11

12 References Instalations in Spain Dialbilbo, S.L. (Bilbao) Fundación Hospital (Alcorcón. Madrid) Fundacion Hospital (Calahorra. La Rioja) Fundación Pública Hospital Virxe da Xunqueira (Cee. La Coruña) Fundación Puigvert (Barcelona) Fundación Renal Centro Los Olmos (Segovia) Fundación Renal Iñigo Álvarez de Toledo (Madrid) Fundación Sanitaria (Igualada. Barcelona) Hemogan (Gandía. Valencia) HOCASA (Caravaca de la Cruz. Murcia) HOCASA (Molina de Segura. Murcia) Hospital 12 de Octubre (Madrid) Hospital Arquitecto Marcibe (Ferrol. La Coruña) Hospital Central de Asturias (Oviedo) Hospital Clínico de Valladolid (Valladolid) Hospital Clínico San Cecilio (Granada) Hospital Clínico Universitario (Valencia) Hospital Cruz Roja (Ceuta) Hospital da Barbanza (Oleiros-Ribeira. La Coruña) Hospital de Alicante (Alicante) Hospital Modelo de La Coruña Complejo Hospitalario de Ciudad Real Hospital Obispo Polanco (Teruel) Hospital Puerta del Mar (Cádiz) Hospital Ramón y Cajal (Madrid) Hospital Río Carrión (Palencia) Hospital Río Ortega (Valladolid) Hospital Universitario de Getafe (Getafe. Madrid) Hospital de Jerez (Jerez de la Frontera. Cádiz) Hospital de León (Léon) Hospital de Levante (Benidorm. Alicante) Hospital de Manises (Manises. Valencia) Hospital de Oriente de Asturias (Arriondas. Asturias) Hospital de poniente (El ejido. Almería) Hospital de Villajoyosa (Villajoyosa. Alicante) Hospital del Bierzo (Ponferrada. León) Hospital del Mar (Barcelona) Hospital do Meixoeiro (Vigo. Pontevedra) Hospital Francesc de Borja (Gandía. Valencia) Hospital General de Castellón (Castellón) Hospital General de Elda (Elda. Alicante) Hospital general de Segovia (Segovia) Hospital general Juan Cardona (Ferrol. La Coruña) Hospital General Universitario Doctor Peset (Valencia) Hospital General Universitario Gregorio Marañón (Madrid) Hospital Infanta Cristina (Badajoz) Hospital Insular (Las Palmas de Gran Canaria) Hospital Juan Canalejo (La Coruña) Hospital Juan Ramón Jimenez (Huelva) Hospital Lluis Alcanyis (Xàtiva. Valencia) Hospital Miguel Servet (Zaragoza) Hospital San Francisco de Asís (Madrid) Hospital San Jorge (Huesca) Hospital San Millán - San Pedro (Logroño. La Rioja) Hospital San Pedro de Alcántara (Cáceres) Hospital San Rafael (La Coruña) Hospital Quirón Santa Teresa de A Coruña Hospital Torrecárdenas (Almería) 12

13 References Instalations in Spain Hospital Universitario Virgen del Rocío (Sevilla) Hospital Valencia al Mar (Valencia) Hospital Valle del Nalón (Langreo. Asturias) Hospital Virgen de la Concha (Zamora) Hospital virgen de la Luz (Cuenca) Hospital Virgen de Montetoro (Mahón. Menorca) Hospital Xeral de Lugo (Lugo) ICN Unidad Nefrológica el Pilar (Madrid) Institut Medic de Badalona (Barcelona) Institut Nefrologic (Hospitalet. Barcelona) Policlinico Vigo S.A. (Vigo. Pontevedra) Sanatonio Perpetuo Socorro (Elche. Alicante) Sanatorio Perpetuo Socorro (Alicante) Valnefron S.L. (Valencia) Hospital Universitario de Puerto Real (Puerto Real. Cádiz) Instalations out of Spain Hospital Dalinde (México DF) Hospital 20 de Noviembre (México DF) Centro Médico Nacional La Raza (México DF) Hospital General Regional No. 196 (México DF) Hospital General Regional No. 72 Tlanepantla (México) Hospital de especialidades No. 220 en Toluca (Toluca. México) Universidad del Estado de Hidalgo (Hidalgo. México) Hospital Regional en Oaxaca (Oaxaca. México) Hospital General en Cancún, Quintana Roo (Cancún, Quintana Roo. México) Hospital General de Zona en Tuxtla Gutiérrez, Chiapas (Tuxtla Gutiérrez, Chiapas. México) Hospital General de Zona en Tapachula, Chiapas (Tapachula, Chiapas. México) Hospital El Fénix en Mérida, Yucatán (Mérida, Yucatán. México) Hospital Benito Juárez en Mérida, Yucatán (Mérida, Yucatán. México) Hospital General de Pediatría La Raza (México DF) Hospital Gral de Zona No. 25 (México DF) Millenium World International (Tegucigalpa, MDC. Honduras) NIPRO Medical (Miami. EEUU) Soc. Hemodiálisis Talca Ltda (Talca. Chile) Dialisis Recoleta LTDA (Santiago. Chile) Dialisis Trandial II LTDA (Santiago. Chile) Dialisis Quilicura LTDA (Santiago. Chile) Dialisis Santos Dumont LTDA (Santiago. Chile) Dialisis Recoleta LTDA (Santiago. Chile) Dialisis Ñuñoa. (Santiago. Chile) Dialisis Mendoza (Melipilla. Chile) IEDYT S.A. (Clínica Kennedy) (Guayaquil. Ecuador). Hospital Nuestra Señora de Meritxell (Andorra) Hospital Amadora Sintra (Amadora. Portugal) Unidad de Nefrología y Diálisis, SRL. Santo Domingo (República Dominicana). 13