Implementing an Alarm Management Solution to Improve Patient Safety and Satisfaction Presented by: Bob Sarnecki, Chief Information Officer Chad Bohreer,

Implementing an Alarm Management Solution to Improve Patient Safety and Satisfaction

Presented by:

Bob Sarnecki, Chief Information OfficerChad Bohreer, Sr Systems AnalystMike Biegen, Sr Systems Analyst

Emergin Solutions for Healthcare

General

Inpatient

Outpatient

The only free-standing pediatric hospital in Arizona One of the 10 largest children’s hospitals in the United

States 128 employed physicians Located across multiple campuses

Phoenix, AZ (1919 E Thomas Rd) “Hospital within a hospital” (Banner Health, Good Samaritan

Hospital) $400M expansion underway

300 licensed beds; 137 critical care beds 100,000 sq ft 12,000 admissions; 56,000 ED visits

1 Ambulatory Care Center; 2 Urgent Care Centers under construction

80,000 sq ft 177,000 outpatient visits

About Phoenix Children’s Hospital


Emergin Addressed a Tactical Need …

The original need: Replace our existing wireless messaging & paging software Had outgrown the software (…and the vendor) Licensing was inflexible (per device licensing

only) Limited to “traditional” paging devices only

Emergin promised … A move toward ubiquitous communication Improved logging & tracking Commitment toward ongoing development Short learning curve


… And Addressed An IT Strategy

Component of PCH’s Service Oriented Architecture (SOA) initiative Device alerts coordinated through a single

solution Application systems can alert through Emergin Improve communications across applications

Event Management & Logging Eventual logging of all events in a single database Real-time event notification Standardization of alarms & events Reduce user management across systems Reduce maintenance across systems


Translating to Business Need

Not just “replacing the paging system” Improving patient safety & satisfaction

Improved receipt & response to patient alarms Tools for the analysis of alarms Improving patient assignments & transfers Additional data for Root Cause Analysis

Controlling costs through technology Consistent function & hardware independence Leverage existing technology appropriate Interoperability between systems Service Oriented Architecture (SOA)


Critical Success Factors

“Begin with the end in mind” Will become much more than a “paging

system”, but start with a success Understand event management before the

users do Communication was essential

Addressed through all possible venues Coordinated roll-out

Cultural & technical change Emergin users were not necessarily the

recipients “Branding” to make it “ours”


Phase 1: Emergin By Itself

Develop materials Educate: Quick reference guides, user guides,

video Communicate: Presentations, Stat!, Status Reports

Drive through the Change Management process early on

Gradual transition of Hospital staff to PCH OnCall Identified early adopters for direct training

Manual Conversion: A chance to “Spring Clean” Identify unused pagers

Planning for Phase 2: McDowell NICU


Phase 2: McDowell NICU


Multiple visual & auditory alerts, all the time Monitors Pumps Nurse Call & Hall Lights Pagers And so on…

Constant stream of data, but little information

The burden to adapt to new systems is on them Even sign-on can be time-

consuming and error-prone

Nurses: The Amazing “Human Interface”


When 4 Singles Equal A Grand Slam

Single device for Nursing (Vocera) Single sign-on across multiple systems

(Emergin) Vocera Philips Patient Monitoring Rauland-Borg Nurse Call System

Single data base for Event Management (Emergin)

Single solution across multiple campuses


Getting There Has Challenges

Cross-functional teams to define events Vendors: Technical specialists, not “sales

support” Hospital: Nursing, IT, other departments

Allocate time for research & education It may have been done before, but has it been

done together? Develop hands-on, in-house competency

“Wars are won on battlefields, not in classrooms”

Today, many solutions are proprietary Select vendor partners carefully


Emergin @ PCH: The Board Version

RAULAND NURSE CALL BOX PHILIPS PATIENT MONITORVOCERA

EMERGIN ENTERPRISE SERVICE BUS


Emergin @ PCH: The Geek Version


Emergin @ PCH: The Nursing Version


Next Steps …

Additional deployments Zettler Sentinel Nurse Call system at the

Thomas Rd campus Integration with location-based services (RF

tracking) Expand Emergin

SOAP “toolbox” for developing our own integration

Integration with telephony? Integration with application-based tracking? Integration with competitor’s products

Responder NET & Tracer


Making the Case for Patient Safety

Source: Healthcare Technology Foundation, Clinical Alarms Management, white paperSeptember, 2006.

Clinical Alarm Reports Involved in Patient Deaths Failure Analysis - Years 2002-2003

98

58

67

3

8

1

2

0 20 40 60 80 100 120

Device, unpredictable failure

Device, deterioration

Environment, external

Operator Error, education/training

Operator Error, distracted

Patient, active

Not Analyzable


Dashboards Help You be Proactive

Total Alarms per Shift


Dashboards Distribute Workloads


For More Information

Bob Sarnecki

Phoenix Children’s Hospital

Chief Information Officer

[email protected]

(602) 546-2500

Emerginwww.emergin.com(866) EMERGIN

Documents

Implementing an Alarm Management Solution to Improve Patient Safety and Satisfaction Presented by: Bob Sarnecki, Chief Information Officer Chad Bohreer,