The settings video also covers dosing plans. Dosing plans are the first topic covered in the video.
This article will cover the process for creating and editing dosing plans in Summit. Dosing plans are assigned to treatment plans and help to determine the appropriate progression through a treatment plan based on the number of days late a patient is for an injection.
Note: All values shown in images used in this article are for example purposes only.
Use the User Menu to navigate to Settings > Injection > Dosing Plans. The dosing plans screen comes configured with pre-defined local reaction values based on feedback received during the clinical design process. These reaction ranges are customized to an organization's specifications so your values may not look the same as those shown in the examples, but the process is the same. Below the reaction range options are multiple boxes noting how many days late a patient is for an injection.
By default, each reaction range value has boxes for 0 to 14 days late, but days can either be added or removed by entering a value into the Days to Add or Remove box then clicking the green plus icon or the red minus icon. In these days late boxes you can choose how you want the patient to proceed through the treatment plan. To procced as normal, enter a positive value in the box (1, 2, etc.). A value of 0 will have the patient repeat the last dose. Entering a negative number (-1, -2, etc.) will have the patient take that many steps back on the treatment plan. Populating the box with ASK will require provider input for selecting an injection value.
The Carry Forward button in each box will populate all boxes after the selected day with the same value. For example, in the dosing plan above, a patient more than two days late had a value of -1 entered for all values through 14 days late by entering -1 in the late 3 days box and clicking Carry Forward. The changed values are listed in yellow until you click the Update button to save the changes. Carry Forward only effects the days after box where the button is pressed, so any injection over a week late in the above example could be changed to ASK by entering ASK in the Late 8 Days box and clicking Carry Forward again.
The process for setting the number of steps forward or back for each day late is the same for each reaction range value. As a note, each value does not need to have the same number of days late. For example, a systemic reaction might have fewer days late options than an injection with no reaction, and would almost certainly have different progressions. Once each of the reaction ranges have been completed, the dosing plan is ready to be assigned to treatment plans. To do so, navigate to System Management > Treatment Plans.
Above is an example of a treatment plan. In the top right of the screen, there is a dropdown where a dosing plan can be set. Setting the dosing plan to this treatment plan will make adjustment to the dose a patient receives based on the number of steps forward or back the dosing plan recommends. For more information on creating treatment plans, please refer to the Treatment Plans in Summit article.
You are now able to create and edit dosing plans in Summit! For additional questions, please refer to our other knowledge base articles or contact Xtract support via support ticket or telephone.