Setting Up IQ Scripts and Quality Checklist

I am Marc Posner. I am the Medical Director of Radiation Oncology at Northwestern Lake Forest Hospital, just outside of Chicago. I have been using a version of MOSAIQ known as Lantis since 2005 as a comprehensive electronic medical record in my department. We went paperless January 1st of 2005. Since then, we have upgraded to MOSAIQ. We are now currently on MOSAIQ 2.62. We utilize MOSAIQ for all of our informational needs. We are very heavy users of IQ Scripting, and almost every aspect of patient care is utilized through the use of QCLs and IQ Scripts.

IQ Scripts benefit the entire department in a multitude of ways. The most simple and straightforward way to think about it is that it automates steps, which means that the end user is no longer responsible for remembering to do multiple steps at a time. I get a notification that a plan is ready for me to review, I review the plan, and complete that QCL. An IQ Script then fires to create a new QCL for the physicist to tell him that the plan’s been reviewed and is ready to be QA’d. If I don’t like the plan, I skip the QCL. That sends a separate IQ Script to the physicist that says that the plan needs revision. This saves steps in terms of communication because it is instantaneous communication, and I don’t need to remember to fill out those QCLs as a separate step to identify when things need to be done by the rest of my staff. That is a very simple example of what we do with scripting.

IQ Scripting has a very small learning curve. It is a matter of minutes to learn how to set up the first IQ Script. Once you’ve set up one, it would become very obvious how to continue to set up more and more. It is a simple graphical interface. The variables are put in through drop downs. Then once the script has been activated, it simply works in the background.

Every staff member in my department utilizes IQ Scripts in one form or another. As I said earlier, the most basic use is passing QCL items back and forth between clinical members. From a clinician’s standpoint, IQ Scripting helps with templating, so certain elements of standard care can be scripted into place. Rather than me having to remember to do every last step, the system does it for me, which is very useful. We have IQ Scripting set up for the physicists for the same reason. There are IQ Scripts set up for the clinical therapists that also help them take care of tasks that used to take multiple steps. They can now accomplish those tasks in one or two clicks.