Rooster

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Updates

Q2 2025 Apr-Jun

Skip doctors on leave to avoid sending alerts to unavailable clinicians. Improved acknowledgement speed by 30% in one institution.
Backup alert to call centre for unacknowledged cases after 5 minutes. Reduced overdue cases to zero and cut longest delay by 27.4%.
Exclude departed doctors from alerts to speed up escalation to the right person in charge.
Improved doctor role logic to better distinguish between Authorising, Ordering, and Attending doctors.
Broadcast by roster to let users target messages to the right teams during urgent situations.

Conducted extensive user research to understand current pain points and identify area of improvements for the product across all institutions and related personnel (clinians and staff)
Complete development to prove concept for Microsoft Teams usage for Rooster
Started on user requirement gathering efforts to onboard Woodlands Health in 2025
Implement concurrent editing to enhance usability when multiple users are editing rosters simultaneously
Integrations support for YH NBS Cutover and Go-live, planning for Radiant migration

Performance enhancements reduced daily roster load time by 66% and login flow by 94%, enabling users to quickly access critical information
Support automated posting updates and institution transfers, allowing users to input future posting to manage mass movements of clinicians
Implement batching process to consolidate multiple test results into a single critical result
Roster improvements:
- Added ‘Notes’ to allow descriptive texts on Monthly Rosters
- Improve access to daily roster information by making daily roster PDFs accessible via Sharepoint site
Worked with NTFGH CMIO office to improve routing rules set up, reducing no response SMS rate by 30% and ‘not my patient’ responses by 38%

Launched Rooster in 7 NHG and NUHS institutions on 24 July 2024
Completed production readiness prepration prior to go-live: VAPT, load testing and end-to-end UAT with all PHIs
Integrated with hospital EMRs to receive patient location to escalate alerts to nearest available clinicans
Daily Roster improvements:
- Reduced loading times by 50%
- Added PDF and scheduled email exports to improve daily roster accessibility
- Updated UI to improve contrast for easier readability
Added background audio notifications for Lab Screens and Critical Result Dashboard to support call-center operations
Reworked shared directory to support multiple postings and bulk transfers between institutions

Onboarded 2 NHG PHIs and 5 NUHS PHIs to start using Rooster
Tested system features with hospital users to gather feedback & iterate on the product
Enhanced key system features:
- Added current and next posting in Directory to support mass clinician movements
- Introduced monthly rosters with on-call and team roster types to support hospital rostering practices
- New excel upload for bulk roster assignments to support roster admin workflows
- Enhanced result filters to support critical result detection using patient’s age, admission status and SMS configurations
- Upgraded routing rules to support more alerting options and multiple contacts per escalation level
- Improved critical result dashboard to view necessary clinician details and alert operators of outstanding cases
Integrated with SMS provider to send critical result notifications to clinican’s mobile phones

Built the initial version to achieve feature parity with the old system:
- Result Filters: To set thresholds for identifying critical test results
- Directory: To store information of clinicians, staff & resources for critical results alerts
- Monthly & Daily Rosters: To input and view clinicians/staff in rosters
- Routing Rules: To specify who to notify when a critical result is found
- Critical Result Dashboard: To enable call centre operators to work on cases if there is no response to critical result alerts
Integrated with hospital systems to receive test results from Laboratory, ECG, and Radiology systems