Risk Management with XynManagement

1. Risk Management with XynManagement OUI 2016

2. OTTR™ / XYN Integration • Introduction • Who is XYN Management • Why Integrate • Architecture • OTTR workflow / User Experience • How to Use OTTR / XYN • OTTR / XYN Integration deployment • Discussion

3. XYN Management - Introduction • Created in about 2012 • Principals • Dr David Axelrod, Transplant Surgeon – Chief Dartmouth • Jennifer Milton, Transplant Director – UT San Antonio • Mark Schnitzler, Professor – St. Louis University • Jay Milton, COO – XYN Management • “Better Patient Care / Better Transplant Outcomes / Better Program Performance” • Understand SRTR Observed vs Expected Outcomes

4. SRTR Outcomes • Observed vs. Expected Outcomes • Analysis of a transplant centers outcomes • Post Transplant Patient Death and Graft Failure Events • Actually occurred / reported • Compared with statistically expected • Statistical Expectations based on those patients known risk factors and known national averages

5. SRTR Outcomes • Observed vs. Expected Outcomes • Analysis of a transplant centers outcomes • Based on a nationally published “Risk Model” • Inputs to model are in the UNOS data • Coefficients are determined by SRTR analysis of data

6. XYN Management - Products XynTrack XynPlot XynChart Wait List Management XynQAPI

7. XYN Management - Products • XynChart • Predicts the likelihood of success for each patient according to different transplantation options available. • Pre Transplant • Source data: • OTTR Integration or manual entry into web page

8. XYN Company Discussion Discussion?

9. XYN / OTTR Why Integrate? • XynChart requires data input • Common Patient Data Set • 85% of this data is already in OTTR • 15% is Valuable and potentially has other uses in OTTR • Duplicate Data Entry • Costly, error prone, causes delays

11. OTTR / Xyn – Duplicate Entry Enter Data OTTR App User Xyn Portal Download Report InterNet Reg Agent XynChart & XynPlot Firewall Firewall OTTR DB Xyn DB

12. OTTR / Xyn – Integration OTTR App User Xyn Portal InterNet Data Upload Reg Agent Xyn Chart & Xyn Plot Report Request Report Response Firewall Firewall OTTR DB Xyn DB

13. Architecture Discussion Discussion

14. OTTR workflow / User Experience • Ideal Workflow • Create a Patient • Complete Demographics & Referral • Add Height & Weight • Enter Key Lab Results • Albumin, Creatinine, Calcium, Glucose, Hemoglobin, Parathyroid Hormone, Phosphorus, ABO, PRA • Start Evaluation • Complete “Transplant Risk Factors” tab (NEW)

15. OTTR workflow / User Experience • Ideal Workflow • Push “XYN Validate” on “XYN” toolbar or Tools menu • Push “Send to XYN” on “XYN” toolbar or Tools menu • View Reports • Later find Reports in Text Documents

16. Workflow Discussion Discussion?

17. OTTR / XYN – Screen Shots Toolbar on Menu

18. OTTR / XYN – Screen Shots Toolbar on Menu

19. OTTR / XYN – Screen Shots Tools Menu

20. OTTR / XYN – Screen Shots • Evaluations should have new tab • “Transplant Risk Factors” • For the Evaluations • Kidney Transplant Evaluation – Adult • Kidney Transplant Re-Evaluation - Adult • Kidney Transplant Evaluation

21. OTTR / XYN – Screen Shots • Transplant Risk Factors • New Tab in Evaluation • Contains 4 tables: • Solid Organ Risk Factors • Individual Comorbidities – Solid Organ Risk Factors • Charleston Co-morbidity Index - Solid Organ Risk Factors • Desensitization Procedures - Solid Organ Risk Factors

22. OTTR / XYN – Screen Shots • Transplant Risk Factors • Solid Organ Risk Factors

23. OTTR / XYN – Screen Shots • Transplant Risk Factors • Individual Comorbidities – Solid Organ Risk Factors

24. OTTR / XYN – Screen Shots • Transplant Risk Factors • Charleston Co-morbidity Index - Solid Organ Risk Factors

25. OTTR / XYN – Screen Shots • Transplant Risk Factors • Desensitization Procedures - Solid Organ Risk Factors

26. OTTR / XYN – Screen Shots • XYN Forms • XYN Object – Adult Kidney • XYN Adult Kidney Transplant Candidate Registration

27. XYN Object – Adult Kidney

28. XYN Object – Adult Kidney

29. XYN Object – Adult Kidney

30. XYN Object – Adult Kidney

31. XYN Adult Kidney Transplant Candidate Registration

32. XYN Adult Kidney Transplant Candidate Registration

33. XYN Adult Kidney Transplant Candidate Registration

34. XYN Adult Kidney Transplant Candidate Registration

35. XYN Adult Kidney Transplant Candidate Registration

36. XYN Adult Kidney Transplant Candidate Registration

37. Screen Shots - Discussion Discussion?

38. Xyn – Listing Evaluation Report

39. Xyn – Listing Evaluation Report

40. Xyn – Listing Evaluation Report

41. Xyn–Evaluation Summary Report

42. Screen Shots - Reports Discussion?

43. XYN Integration Deployment • Warning • Technical Content Follows • Your eyes may glaze over…..

44. XYN Integration Deployment • Pre Requisites • OTTR 6sr6 – Application • Registry Agent – Solid Organ • Deployed in Production • Need RA Engine • Need RA – Solid Organ Workflow • Application HP (Registry Agent component) • Configuration

45. XYN Integration Configuration • Programs • Program “Registry Agent - XYN” • Parent of: “Registry Agent – UNOS” • License Keys • Module: "Registry Agent - XYN"

46. XYN Integration Configuration • Configuration • Registry “XYN” • Registry Form Type “XYN” • Registry Forms • “XYN - Adult Kidney Transplant Candidate Registration 2012” • “XYN Object – Adult”

47. XYN Integration Configuration • Configuration • Workflow Forms / Evaluation Document Kinds • “Transplant Risk Factors” • SDF Tables • Solid Organ Risk Factors • Individual Comorbidities - Solid Organ Risk Factors • Charleston Co-morbidity Index - Solid Organ Risk Factors • Desensitization Procedures - Solid Organ Risk Factors

48. XYN Integration Configuration • Configuration • Patient Lists • XYN|Listed Patients w/XYN Forms - %P • XYN|Eval Patients w/XYN Forms - %P • Tool bar “XYN” • XYN Validate • Send to XYN • XYN Management • RA Forms

49. XYN Configuration Deployment • Configuration Deployment • Check out Configuration http://devsvn/DatabaseConfigXml/Database-Builds/trunk-database/XYN • Upload Folder to Site • Use Shipping OttrDataTool • Import Configuration OttrDataTool –loadConfig XYN

50. Technical Discussion Discussion?