Charlie Mountain Top Nowak Senior Director Public Sector Healthcare Solutions

Transcription

1 Charlie Mountain Top Nowak Senior Director Public Sector Healthcare Solutions

2 Important considerations for Alarm Management Equipment How many different models Integration ability proprietary, standard industry protocols Staff/Devices Hospital owned, or private Policies on responding to alarms Middleware Bi-Directional to all systems Require redundant capabilities Alarm Committees Are you ready for the mandate Only addressing Medical Device Alarms In the future

3 What is Extension? A data-aggregation and advanced multivariable rules engine that manages events and response collaboration. INPUT SYSTEMS VistA CPRS BCMA Telemetry Nurse Call Roam Alert Staff Duress Code and RRT Wander Guard Digital Signage Patient Check-In Fire / Emergency Bed Management Lab PACS Radiology Patient Entertainment OUTPUT ALERTS STAT Orders GetWell Network Critical Test Results Fall Prevention PACT Pt. Arrival PRN Effectiveness STAT MED Orders Report(s) Available Critical Lab Results Code and RRT Alerts Nurse Call Bath Assist Fire Bld46 Room 422 Med Shipped/Delivered Real-Time Discharge Notifications

4 A Coordinated Approach to Alerts, Alarms, and Secure Messaging Today s Situation Silo d independent system integrations creating chaos User experience is uncontrolled Extension s Approach Enterprise Alarm Management with Context, Prioritization, and Intelligence Common user experience that drives effective communication across the care team Alerts Alerts Alarms Alarms Text Messages Notifications Text Messages Notifications

5 Biggest Offenders Bed side monitors Proprietary alarm management Infrastructure support Infusion Pumps Proprietary alarm management Smart Nurse Call Notification Lights, Audible,TAP, SIP, WebServices

6 Sample from a 30-day Report of a 500-bed Customer

7 What type of analytics are available?

8 Staff and Devices Nurses Worried about big brother Want an iphone Doctors Limit my liability Has to work the way I want it to Administration Has IT blessed this Mobile Device Strategy Consumer driven I have this app I use at home Where is the PII/PHI Is it stored on the device, or on a server, in the cloud?

9 What does Extension Engage Event Response and Clinical Collaboration look like? Critical Lab Notification Sends instant notifications of a critical lab value to the responsible clinician. Full Report Notifications Sends full Radiology, Cardiology, Pathology, and other reports. Clinical Order Notification Instantly alerts a nurse when a clinical order has been placed that may require action. Nurse Call Alert Combines alerts from nurse call systems with HIS/EHR or other clinical data and sends notifications to the appropriate clinician.

10 Value of Context and Collaboration

11 What are the most commonly implemented workflows? Clinical STAT/NOW Orders Wireless Nurse Call Assists Telemetry False Positive Validation PRN Effectiveness Critical Lab Results Report Available Active Fall Prevention PACT Enablement CODE Team Patient Wander Real-Time Staffing Ratio s Medication status notification to veteran Non-Clinical Real-Time Discharge Notifications to Provider EMS i.e. Fire Alarm Ward 1 Area 5 Negative pressure rooms Adjust patient room environment Dietary orders/questions Education notifications Critical Utilities i.e. Cooling Tower Mobility for Field IT Ticket Responses HVAC Systems Security Team

12 What are your strategic integrations?

13 How does it plug into the architecture?

14 Are you ready for NPSG? Alarm Committee formed are you on it They need to know what Clinical Engineer can deliver NPSG mandate only addresses managing alarms from medical devices Why not manage all alarms, alerts, and notifications? Only managing medical device alarms doesn t effectively eliminate alert fatigue and associated errors. Are you alarming systems aware of each other? Multiple alarm management solutions are just adding another layer of confusion Alarm Floods Is Your Hospital Prepared? In the future