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  • 26 June 2015

    Arcitecta improving children’s health with CAReHR through the Pathway to Good Health Project

    Arcitecta today announced the successful implementation of its Clinical Audit Research electronic Health Record (CAReHR) in the Pathway to Good Health Project. This is an initiative led by the Victorian Department of Health and Human Services.

    The aim of this project is to improve the wellbeing of children and young people in out-of-home care by capturing information about their health. This is important to ensure vulnerable children and young people have their physical, developmental, psychosocial and mental health needs assessed and attended to in a timely way.

    Paediatricians, mental health clinicians and speech pathologists are using CAReHR to create health assessments and treatment plans for these children and young people, and they are doing this across a number of Pathway To Good Health multi-disciplinary sites.

    CAReHR, a combined research and clinical electronic health record, makes it easy to securely store, manage and share clinical information between practitioners and professionals involved in the care of children and young people in out-of-home care in Victoria.

    The production of consistent reports of the healthcare needs of these children and young people makes it easier for the teams involved in their care to know what assessments and treatments they have had, and what treatments they need. The use of a simple tick list saves time in collecting this valuable information. The ability to review their responses to treatments from visit to visit also makes it much easier to revise and refine individual plans.

    Jason Lohrey, founder and chief technology officer at Arcitecta said: “CAReHR can easily be configured by the clinicians and hospital administrators who use it and can be adapted to any patient group or clinical service. This is a key point of innovation with CAReHR and one that arises from our collaboration with the clinicians involved in its design and those seeking a better way to manage patients with multiple health conditions,” said Mr. Lohrey.

    The clinics involved in the Pathway to Good Health Project are using CAReHR to:

    • generate health management plans and health summaries that can be sent to the child’s carer and general practitioner,
    • identify health trends and health interventions needed for children and young people sharing common health conditions, from de-identified clinical information, to ensure their healthcare needs are met and,
    • add assessment templates that cover the domains assessed by paediatricians, speech therapists and mental health workers.

    The Pathway to Good Health Project provides the child or young person with a ‘medical home’ and a comprehensive health management plan.

    Selected general practitioners conduct initial health checks, after which they refer children to a priority access system for a comprehensive, multi-disciplinary assessment led by a paediatrician.

    Currently across Victoria, there are more than 6,400 children and young people living in out-of-home care, according to figures quoted in the Department of Human Services out-of-home care five-year plan.

    The successful implementation of CAReHR for the Pathway to Good Health Project follows similar implementations in immigrant health, refugee health and the treatment of infectious diseases at a number of leading hospitals and clinics across Victoria.

    Arcitecta sees the potential to enhance patient care across a range of complex health conditions by leveraging the strong customisation and secure collaboration capabilities of CAReHR, in conjunction with clinicians and other healthcare professionals.

    About The Pathway to Good Health Project

    The project implements a comprehensive healthcare approach based on the National Clinical Assessment Framework for Comprehensive Health Assessments for Children and Young People in Out of Home Care. The Pathway to Good Health project commenced in November 2012 in Melbourne’s northwest metropolitan region, and provides a flexible healthcare pathway that includes participating general practitioners across 13 GP practices who have priority access to specialist multi-disciplinary clinics led by a paediatrician.

    The target group is all children and young people who enter any type of out of home care for the first time, as well as all children and young people currently residing in residential care.

    See what's been written about this project in Pulse+IT Magazine

  • 24 June 2015

    Protecting and improving our freshwater environment with Mediaflux

    Arcitecta’s Mediaflux data management platform is being used to capture and analyse crucial pollution data from the Edgars Creek catchment in the City of Whittlesea in Victoria.

    Stormwater is the major source of pollution in urban waterways and poor stormwater management practices in industrial catchments are thought to be an important factor.

    Previous studies of heavy metal and hydrocarbon contamination in the stormwater drainage network have found industrial estates produce more than their share of pollution, but also that targeted education and enforcement programs can substantially reduce this pollution.

    As part of their commitment to reducing water pollution, the City of Whittlesea wanted to target their stormwater education program at the catchments responsible for the most pollution. The Centre for Aquatic Pollution Identification and Management (CAPIM) was commissioned to identify the dirtiest catchments. CAPIM used a combination of approaches to measure the relative contribution of small industrial catchments to non-point source pollution, including passive samplers, bioassays, and surveys of stream ecology.

    These studies involve multiple teams from different scientific disciplines and catchment management roles working together to identify the major trends in pollutant concentrations in each catchment.

    One of the challenges of bringing such diverse teams together is to agree on a common vocabulary for the metadata associated with the samples collected. It is common for different disciplines to use conflicting conventions for sample descriptions. Added to this is the range of diverse data types generated in the field and later in the lab.

    Data from the field includes measurements from in-situ water quality meters, the results and observations from onsite tests and details of the spatial distribution of heavy metals, hydrocarbons and silver. Data from the lab includes toxicity tests, chemical assays, biomarkers and metabolomics. These data are in the form of text, word documents, spread sheets, scanned images or PDF documents.

    Mediaflux helps CAPIM to capture and manage the range of data collected by allowing a wide range of data types and formats, while enforcing minimum standards of metadata. For example, CAPIM can easily associate photos (JPG) and site notes (text) with a site location, and link these unambiguously with analytical results (PDF).

    Mediaflux also allows CAPIM to control access to data at a very fine level, which is especially important for projects, which include collaborators from diverse institutions with varying levels of involvement. This means CAPIM can easily separate the location information, which is accessible to all, from the analytical data, which is accessible only to specific parties.

    Steve Marshall, aquatic scientist for the Centre for Aquatic Pollution Identification and Management said: “Our aim is to provide catchment managers with the tools to protect and improve our water quality by identifying the source of pollutants and measuring their impact on the environment.”

    “So, the ability to search for data using spatial queries is extremely useful when combined with the basic metadata such as project name or sampling range. This means we can easily identify areas of interest based on visual searches and combine these with other geospatial data, such as catchment and drainage maps.

    “Pollution events are often episodic, so a fast response is critical to identification and diagnosis. Mediaflux helps us distribute assay results quickly and effectively to all project members,” Mr Marshall concluded.

    Jason Lohrey, founder and chief technology officer at Arcitecta said: “The ability to interrogate data from field studies and laboratory tests provides our water resources managers with better ways to identify pollution impacts on our vulnerable aquatic ecosystems and the most cost-effective management options to address these impacts. Mediaflux is critical to these studies and reflects Arcitecta’s sustained investment in environmental research.”

    “Our work with the Centre for Aquatic Pollution Identification and Management reinforces our belief in innovation and excellence in research data management, through our research partner The University of Melbourne,” Mr. Lohrey said.

    About The Centre for Aquatic Pollution Identification and Management (CAPIM)

    The Centre for Aquatic Pollution Identification and Management (CAPIM) is a scientific research organisation, established to identify and address the impact of pollution in water environments.

    CAPIM's goal is to improve aquatic ecosystem health by developing innovative approaches to pollution detection for inland waters and estuaries, and working with environmental managers to reduce pollution impacts.

    CAPIM achieves this aim by applying multidisciplinary and collaborative science between environmental management agencies and other research institutes, engaging in high quality "forensic" science to identify pollution impacts, developing novel pollution identification technologies for inland waters and estuaries and by developing cost-effective, integrated water monitoring tools.

    CAPIM is also actively involved in creating opportunities and forums for the transfer of integrated water pollutant information and knowledge between agencies.

    Since commencing in January 2010, CAPIM has developed pollution detection technologies to detect acute pollution events, especially in storm water drains, detect pesticides and endocrine disrupting chemicals, and monitor water sediment quality.

    Visit for more information.

    See what's been written about this project in pages 40 and 41 of Waste + Water Management Australia