The BCS administrative system for cochlear implant programmes is widely used in cochlear implant programmes throughout the UK and Ireland. The heart of the system is a patient information database and an appointment scheduling module which are fully articulated with the capture of assessment and rehabilitation records. Further modules of the system allow control of programme resources including stock, staff, equipment and locations and analysis of outcome measures.
The BCS system is a database application based on Microsoft's SQLServer. Users access the system through distributed workstations using a client application hosted by Microsoft Access. The application is fully intergrated with the Microsoft Office suite, allowing data such as appointment letters, research data, specialists' reports, assessment results and outcome charts to be published through Microsoft Excel and Microsoft Word.
Programme Administration
Registration of Patients
Registration of Patient Contacts
Registration of Family Members
Recording of Implant History
Assignment of Staff to Patient and Designation of Key Worker
Initiation and Tracking of Patient Actions
Creation of Appointments and Standard Appointment Letters
Scheduling of Staff, Locations, Patients and Equipment
Next Session Plans to determine the patients future treatment
Journal to record notes after contact with patients
Patient Records
Patient records comprise personal details, contact addresses including local professionals and family, implant history, history of diagnosis, and association with specialists.
Patient details can be imported from centralised hospital patient details repositories (such as PIMS, HISS or other hospital or clinic specific systems).
Each patient can have their own folder where documents, reports, audiograms, images for that patient can be stored.
Appointments
The appointment schedule enables a cochlear implant programme to manage a patient's assessment, implantation and rehabilitation and the programme's use of time, staff and resources. The outcomes of an appointment booking include printed letters implemented through Microsoft Word to the patient and other interested parties such as school teachers or local health professionals. Appointments are also entered in the diaries of the programme's staff.
Assessment, Implantation and Rehabilitation
The BCS system decomposes a cochlear implant programme's protocol for assessment, implantation and rehabilitation into a number of intervals, actions and assessments. The results of each activity, such as a 3 year TOD rehabilitation appointment, or the implantation operation itself, are recorded in the BCS system.
The BSC system provides an easy and reliable interface for input of assessment results. Data is validated at input.
A comprehensive online help system is available for users of the system. Context-dependant help can be accessed on screen by pressing the F1 button whenever the user feels they need help.
Once assessment and event data have been input to the BCS system, the results are available for analysis and reporting. Results can be output as printed reports, graphed information, or bulk data can be output to a Microsoft Excel spreadsheet for research purposes. The BCS system provides the tools to define patient populations on various attributes, such as duration of implant use, aetiology, or age.
A patient's record of assessment, implantation and rehabilitation can be audited at regular itervals to establish the compleTness or otherwise of that record. The audit may be formatted to indicate areas needing further work by individual specialist staff, at the level of speciality or grouped by assessment. That is, the audit can be used to support statements such as "Mr Brown is a TOD and has 96% completion of his caseload." or "The TOD speciality have 85% completion its caseload" or "Our programme has 99% completion of records of cochlear implantation".
Medical Reports
BCS can provided bespoke reports; documents or letters implemented as Microsoft Word documents which are populated with data recorded in the BCS system. These reports are usually despatched to patients, parents, or local professionals, and replace dictation or manual drafting of such documents.
The results of the following assessments and interventions may be recorded in the BCS System.
Medical
Clinical Assessment
Otolaryngological Workup
General Health
Implant Operation
Implant Device
Approach
Implantation
Closure
Post Operative Outcomes
Delayed Effects
Complications
Explant Operation
Further Treatment
ORL Appointment
Neuroimaging
MRI Scan
CT Scan
Post Implant X-Ray
Medical Physics
Threshold Auditory Brainstem Response
Neurological Auditory Brainstem Response
Tympanometry
Electrocochleography
Promontory Electrical Auditory Brainstem Response
Integrity Testing
Back Telemetry Impedance Measurements
Neural Response Telemetry
Intra-Operative Electrode Tests
Post Operative Electrode Tests
Audiological Physician
Dizziness
Imbalance
Vertigo
Tinnitus
TOD Reports
BCS can provided bespoke reports; documents or letters implemented as Microsoft Word documents which are populated with data recorded in the BCS system. These reports are usually despatched to patients, parents, or local professionals, and replace dictation or manual drafting of such documents.
Teacher of the Deaf
The results of the following assessments may be recorded in the BCS System:
Categories of Auditory Performance
Connected Discourse Tracking
Evaluation of Auditory Responses to Speech
Edinburgh Reading Test
Environmental Sounds Taped
Glendonald Auditory Screening Procedure
Iowa Closed-Set Sentence Test
Listening Progress
Listening Skills Questionnaire
Meaningful Auditory Integration Scale (Parent and Teacher)
Meaningful Use of Speech Scale
Parent 1 Year Questionnaire
Parent 3 Year Questionnaire
Parent Annual Questionnaire
Parent Pre-Operative Questionnaire
Parent Views Questionnaire
Raven's Matrices
Renfrew
Teacher 3 Year Questionnaire
Teacher Rating
Telephone Profile
Video Analysis Summary
SLT Reports
BCS can provided bespoke reports; documents or letters implemented as Microsoft Word documents which are populated with data recorded in the BCS system. These reports are usually despatched to patients, parents, or local professionals, and replace dictation or manual drafting of such documents.
Speech and Language Therapist
The results of the following assessments may be recorded in the BCS System:
British Picture Vocabulary Test
Clinical Evaluation of Language Fundamentals - Revised, 5 - 7 Years
Clinical Evaluation of Language Fundamentals - Revised, Over 8 Years
Suprasegmental Aspects (CID Phonetic Inventory)
Edinburgh Articulation Test
Functional Listening and Lip Reading (BKB)
Profile of Actual Linguistic Skills
Profile of Actual Speech Skills
Preschool Language Scales 3
Pragmatics Profile of Everyday Communication Skills (Adult)
Pragmatics Profile of Everyday Communication Skills (Preschool)
Pragmatics Profile of Everyday Communication Skills (School)
Renfrew Action Picture Test
Reynell Development Language Scales III
Renfrew Word Finding Vocabulary
Speech Inteligibility Rating
Story Narrative Assessment Procedure
Symbolic Play Test
South Tyneside Assessment of Syntactic Structures
Test for Auditory Perception of Speech
Test for Word and Grammatical Awareness
Test for the Reception of Grammar
Voice Skills Assessment
Audiology Reports
BCS can provided bespoke reports; documents or letters implemented as Microsoft Word documents which are populated with data recorded in the BCS system. These reports are usually despatched to patients, parents, or local professionals, and replace dictation or manual drafting of such documents.
Audiology
The results of the following assessments and clinic sessions may be recorded in the BCS System:
Stapedial Reflex
Middle Ear Mobility
Current Hearing Aid
Test Hearing Aid
Evoked Otoacoustic Emissions
Toy Test
Audiometry and Audiogram
Electrode Faults
Tuning Map Summary
Deactivation of Electrodes
Unaided Speech Audiogram
FM Radio Hearing Aid
UCH Middlesex Cuny Sentences
BKB Sentences
IHR Sentences
VCV Bisyllables
Audiograms
An audiogram production package is also available. The package can be used on its own, or integrated with the BCS System for Cochlear Implant Programmes. The package enables you to produce audiograms consistent with the standards defined by either the British Society of Audiodology or the American Society of audiology. The audiograms can be exported fro the BCS system or manually input, and the resulting audiogram can be annotated, titled, viewed on screen, saved and printed.
BCS Patient Clock
In response to the NHS directive for 18 weeks referral to treatment, the BCS System includes a Patient Clock. Fully integrated with the main BSC System, the Patient Clock provides a pictoral representation of a patient's progress within the 18 weeks.
Furthermore, BCS style Patient Clock provides a generic solution; so users can define their own clocks in response to future directives from NHS or local programme managers.
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