Newsletter - Nov 2012

Enigma General News

It’s been a busy and exciting year here at Enigma

We’ve moved into new premises at a Technology Park in Albany and we have:

  • significantly upgraded our Predict CVD/Diabetes product to integrate with both Primary and Secondary Care,
  • integrated our Predict CVD health screening from Secondary Care back to Primary Health Care to increase their CVD target screenings,
  • extended our Predict CVD offering to include visual enhancement and further ‘self help’ messages for patients,
  • delivered significant new platform capability to improve regional health outcomes such as our Primary Care Referral Management System (PCRMS) in Northland for mental health services,
  • develiered in September the Early Years Hub - a centralised web-based hub for 0-6 year olds in Northland.

Enigma looks forward with confidence to bringing new products, capabilities and innovative solutions to the Health sector to improve outcomes in the future.

Early Years Hub

Official launch took place in Dargaville on Thursday 11th October. Representatives from the local Iwi, the Ministry of Social Development, local primary health care providers, Plunket, Northland DHB and the Early Years Hub were present, along with members of the project team; Ken Leech, PHO staff and Enigma.

The Early Years Hub is a centralised, web based portal for primary care providers, other external health and welfare workers, educators and parents to track various interventions delivered to the population of 0-6 year olds.

It brings together a wide collection of those who interact with the kids and deliver services to the families. ‘It takes a village to raise a child’, this enables the collection of care providers to see which of the planned interventions for 0-6 year olds have been delivered and which remain outstanding. This will be the most comprehensive collection of service delivery information for 0-6 year olds attempted within New Zealand.

This project was completed with funding from the Ministry of Social Development under a grant awarded through Kaipara Care Inc. 

It has taken an enormous degree of collaboration and cooperation from the groups servicing these families, and a real willingness to contribute to improved processes and outcomes from all involved, it is a real credit to those in Northland who have shown that by placing the children first it is possible to break down the walls and silos which have been present in the past.

This is a very interesting programme and should be watched closely.

Your Heart Forecast

Your Heart Forecast (YHF) continues to be well liked by providers as a risk communication tool. It has played a strong part in aiding specifically the nursing workforce to get far stronger engagement from patients.

It integrates directly with Predict, if you use YHF from the CVD Risk Assessment response page, no further data entry is required, you're straight into the graphing and story telling.

This tool has been a very powerful motivator for patients who smoke, we've heard stories of patients who have immediately committed to quiting when they see the difference it makes to their risk.

Usage is just over 2,000 NZ uses of this tool monthly:

Thanks to our partners in this tool, the Heart Foundation of NZ, and the University of Auckland. We're all very proud of this tool.

Predict CVD/Diabetes Product Enhancements:

CVD Screening from Secondary Care.
(Coming to a DHB near you soon).

This is an extension of our Secondary Care CVD Diabetes platform, previously known as Acute Predict. This extension is aimed at helping primary care to increase their CVD Risk Assessment health target measurement through activity conducted within secondary care; helping to screen those hard to reach patients. Secondary care often get to see patients who might not regularly turn up in primary care, so by linking the secondary admission records to primary care CVD screening histories, we’re helping the secondary care workforce to know who to target while the patients are within the hospital setting.

CVD Risk screening activities will only be counted within the health target measurement if the records get found and counted within the PPP counts, so ensuring that the information flows back into the appropriate primary care clinic, and in a manner which can automatically be placed into the correct and meaningful place has been critical.

Waitemata DHB have pioneered this approach with Enigma to create mapping tools which will enable the automatic flow of data from an inbox record (same as a normal Lab result) into the relevant place within the PMS. When the primary care users ‘File’ the message, it will be written back into the appropriate place. This ensures that the PPP tools (CPI extract) will find and count the screenings for that practice (and against the PHO).

The efforts provided here by the DHB are two fold, they are helping the practices and PHOs to achieve better health target counts, and they’re also providing a valuable clinical service to the patients by helping to risk assess those who haven’t already been assessed. The DHB are passing back the CVD Risk profiles, along with a request for the primary care groups to undertake appropriate CVD Risk Management where warranted.

It doesn’t matter whether the practice is a Predict user or not, we’ve adopted messaging standards which will enable the primary care users to view and use the information being provided.

Other DHBs are very interested in this approach and have shown interest in this project, so it could very well come to a DHB near you soon.

Predict CVD Diabetes updates: target release date November

  • There’s a heap of new features and content including visual enhancements within Predict CVD Diabetes which has been held ‘in-the-wings’ while we go through our thorough QA and testing processes. We’re almost ready to push these changes out to our live products. All current users of our ‘CVDDM4’ version will get these updates rolled out, and we’re aiming for mid/late November to do this.
  • More details of these changes can be found here
  • We have now screened over 320,000 patients with Predict.

Our Primary Care Referral Management system is going strongly in Northland and delivering significant improved health outcomes. (Over 5000 services delivered).

The first implementation of this is the Primary Care Mental Health Services product, aimed at allowing PHO coordinators, and the allied health providers who deliver mental health services in Northland to receive inward referrals.

Key features:

  • it handles communication of the referral status back to primary care, 
  • provides details of remaining quotas of packages of care within the primary care referral interface (through HealthLink),
  • presents the inward referrals either directly to the chosen service provider, or to the coordinators if no provider is directly chosen,
  • allows the coordinators to custom build a suitable ‘package of care’ for each patient
  • accounts for the services delivered to the patient and provides billing invoices (BCTIs) to the providers from the funding PHO
  • reporting, reporting, reporting…

This project has brought Enigma and HealthLink together in a working collaboration to deliver the back-end and front-end of the referral system respectively. Enigma’s part has been to deliver the web based, central system aimed at managing the referral once it’s left the PMS.

Usage is showing good strong upward trends, and we’re all eagerly awaiting the delivery of HealthLinks v2 eReferral platform into Northland.

Epinet v3 Release

‘Epinet’ is an international web-based registry (in use in 13 countries worldwide), for use by groups of neurologists and epileptologists, to undertake research into the clinical management of epilepsy.

Although primarily for research purposes, the registry is also designed to provide a useful clinical tool for the clinicians who use it. In use since September 2010, its most recent update includes: 

  • Enhancement of the workflow between Investigators and their Research Assistants
  • Easier entry of data enabling more data to be captured and in a more consistent manner
  • Simplified access to pre-existing data, making comparisons between previous patient visits and current visits more transparent 
Predict Health Monitoring
(Formally called Predict Workplace)

Speed improvements have been made, new pages load in a fraction of the time they used to.

Changes ahead:

  • Creation of working steering group
  • Realignment with newest guidelines


1. All Predict Forms: Click on the question mark to the right of form items for additional information, we call this the ‘Helper Text’. 
2. All Predict Forms: You can use the TAB key on your keyboard to move from one field to the next.  
3. All Predict Forms: Often you can find the right option in dropdown boxes by using the first letter of the option on your keyboard (useful if you know the forms well). 
4. CVD Diabetes: Your Heart Forecast is available from the Risk Assessment Page, it uses data from Predict and populates the forecast tool so you don’t need to re-enter anything. 
5. Predict Health Monitoring: Offline forms – Keep your data safe while on the road. A database backup utility is available for download here:
6. Predict Health Monitoring: Offline forms – Periodically it is a good idea to clean out data you have finished with. Do this by going to the options menu and selecting ‘Purge’.

7. Lunch box alternative:

8. Cable tidy system for your desk: 9 9129100
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