Case Study:Mobility Solutions in the TMMC Emergency Department

HEA 476 Managing Health Information SystemsTara BurkePhonemany InthisithJesenia RodriguezTrishia Cabreros

Introduction

●What needs to be fixed?○ Current method of patient registration

utilizes a WOW ○ (Workstation on Wheels)

●WOW Problems○ Heavy (30-40 Lbs.)○ Malfunctions frequently○ Older software (Windows 7) crashes frequently○ Difficult to navigate into small rooms & narrow hallways○ Reduced visibility during transportation

Requirements

●What needs to change? ○ WOWs need to be replaced with Ipad ○ Cerner Applications preloaded to work seamlessly with Ipad

●What would the new solution need to do? ○ Perform multiple functions eliminating need for unnecessary

equipment (ie: scanner, mouse, large monitor, large cart)

●What do employees and management REQUIRE of this system?

○ Smaller, faster, lighter○ Ability to:

■ Quickly update patient information■ Take photos of documents (Photo ID, Insurance Card)■ Sign consent forms

Major software vendor: Cerner

● Cerner's Mission: Contribute to the systems improvement of health care delivery and the health of communities.

● Technologies connect people and systems at more than 18,000 facilities worldwide.

● Applications are developed with clients

● Work for today and think for tomorrow

Hospital and Health Systems◼Digital solutions proven to:

▪ Streamline administration ▪ Reduce costs▪ Enhance patient safety

◼Solutions enable:▪ Physicians, nurses, and other authorized users ▪ Share data and streamline processes across the entire organization.

◼Online “digital chart” displays up-to-date patient information◼Improved accuracy in:

▪ Ordering▪ Documentation▪ Billing

◼Remote hosting option◼Assistance with upgrade

Software product: Apple

Ipad Pro “Thin. Light. Epic.”

● 12.9-inch screen: everything you do easier, faster, and

more engaged

● iOS 9: most intuitive, advanced, and secure mobile

operating system in the world

● Increased productivity

● Slim, light, well-balanced and sturdy

● Smart Keyboard is full-sized and portable

● Apple pencil

● Touch ID

● iPad starts at $799 (32 gb)

● Apple Care available

Gaps in the existing solutions

● WOW is difficult to navigate

● Malfunctions to WOW lift lever can cause an unsuspected lift of 30-40 pounds

● Cost $10,000 each

● Maintenance & Repair requires third party, offsite vendor

Formal framework

◼Create a budget to replace 7 WOW stations and Cerner software.

◼Collaborate with Cerner to implement specific services needed.

◼Replace one WOW station to test out new system before replacing all 7 stations.

◼Formal training to learn new system

Prototype solution ●What is the solution?

○ Replace the 30-40 pounds WOW station to a Ipad with the cerner app.

● How will it work?○ Cerner application work easily and

faster with the ipad to enter patient's demographic and insurance information.

How will it work...

◼Stylus will be use to signed

◼Consent forms using e-ink application

◼Photo ID and insurance cards photographed quickly, as opposed to scanning them.

◼Allow providers to: ▪ Review schedule and patient charts▪ Address routine requests such as simple orders and refills ▪ Review diagnostics & clinical results ▪ Document allergies, problems and histories▪ Create and sign progress notes

System Implementation

● Purchased Ipads and Cerner software● Apps downloaded● Technical support must add all patient reps.● Sync current and patient information to servers.● E-ink pads configured to ipad

and Cerner app.● Training program to educate users about the new system

and how to use it.

Gannt Chart

Conclusions and recommendations

● Conclusion○ Small & fast, Ipad weighs about 2 pounds○ Compatible with Cerner application for easy use and

simplicity○ Reduces unnecessary:

■ Time■ Equipment■ Staff Injuries■ Repairs

●Overall Benefits to DepartmentFast and easy to update patients informationBuilt in camera for scanning purposeSign and complete documents

Mobility Solutions for the ED: THE END!