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

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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

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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

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… 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

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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)

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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”

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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

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Phase 2: McDowell NICU

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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”

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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

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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

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Emergin @ PCH: The Board Version

RAULAND NURSE CALL BOX PHILIPS PATIENT MONITORVOCERA

EMERGIN ENTERPRISE SERVICE BUS

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Emergin @ PCH: The Geek Version

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Emergin @ PCH: The Nursing Version

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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

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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

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Dashboards Help You be Proactive

Total Alarms per Shift

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Dashboards Distribute Workloads

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For More Information

Bob Sarnecki

Phoenix Children’s Hospital

Chief Information Officer

rsarnecki@phoenixchildrens.com

(602) 546-2500

Emerginwww.emergin.com(866) EMERGIN