Information Technology:

Transcription

1 Information Technology: Developing Tools for a Respiratory Care Department Christopher Teegardin RRT Harborview Medical Center Seattle, WA 1

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3 IT 3

4 What is Information Technology? Information technology (IT)) is "the study, design, development, implementation, support or management of computer-based information systems, systems,, particularly software applications and computer hardware. - as defined by the Information Technology Association of America (ITAA) 4

5 What is Information Technology? IT deals with the use of electronic computers and computer software to convert, store, protect, process, process, transmit,, and securely retrieve information information - 5

6 What is Information Technology? - Operating systems - Spreadsheet applications - Database management systems - Presentation software - programs - Web site development applications - Content management systems (CMS) - Bulletin Board systems (BBS) - Audio and video equipment - Computer hardware 6

7 What is Information Science? Information science is an interdisciplinary science primarily concerned with the collection, classification,, manipulation, storage, retrieval and and dissemination of information. - Merriam-Webster and American Heritage Dictionary 7

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10 What is Information Science? What information do we need? How do we collect that information? How do we organize that information? How do we use that information? How do we interpret that information? How do we improve the way we do all of these? 10

11 Information Science and Informatics Informatics is: information and knowledge specific to a field of expertise. The management and processing of data linked directly to the concepts and theories that most impact that field of expertise. The APPLICATION of information science and computer science to the management and processing of data. 11

12 What about Respiratory Care Informatics? Respiratory Care Informatics is not yet recognized as an established discipline with a specialized focus. Little has been done by the respiratory care community to integrate informatics as a discipline within the respiratory care profession. - Constance C Mussa MSc RRT and Yedidyah Langsam PhD - Management and Processing of Respiratory Care Information in Respiratory Care Departments, RESPIRATORY CARE JUNE 2007 VOL 52 NO 6 12

13 ... so, why is all this important? Computer-aided instruction, problem-based based learning, and learning, and evidence-based practice demands that that health care professionals exercise increasingly sophisticated information management skills. - Constance C Mussa MSc RRT and Yedidyah Langsam PhD - Management and Processing of Respiratory Care Information in Respiratory Care Departments, RESPIRATORY CARE JUNE 2007 VOL 52 NO 6 13

14 Respiratory Care Informatics Staff management Patient management Department s s mission 14

15 Staff management Respiratory Care Informatics Procedures and Policies Work schedule Shift assignments Work acuity Staff communication Payroll Staff education Staff evaluation Recruitment and retention 15

16 Respiratory Care Informatics Patient management Procedures and Policies Medical Records Charting Therapist driven protocols clinical decision making QI (Quality Improvement) 16

17 Respiratory Care Informatics Department s s mission The goals set for your department that don t fit into the other two Ex: Part of our mission statement is community outreach 17

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20 Procedure Manual Shift Trade Request Vacation Request Department Communication 20

21 Procedure Manual Issues: Mandatory that a copy be at each nursing station A LOT OF COPIES in big ringed notebooks Difficult to update all copies Difficult to find the manual 21

22 Schedule Trade Requests To trade a shift between two employees Issues: Form required both employee s s signatures Required supervisor approval Forms misplaced between employees Could not be performed in a timely manner Supervisor accused of misplacing forms 22

23 Schedule Trade Requests To trade a shift between two employees Issues: Form required both employee s s signatures Required supervisor approval Forms misplaced between employees Could not be performed in a timely manner Supervisor accused of misplacing forms Sometimes did misplace forms 23

24 Vacation Requests Issues: Form required employee s s signatures Required supervisor approval Forms were sometimes misplaced Could not be performed in a timely manner 24

25 Communication Issues: Communication log was sometimes lost Staff did not diligently check their department mailbox (or their ) Multiple copies of important memos were provided provided ineffective 25

26 HTML - stands for Hyper Text Markup Language - predominant markup language for web pages.. It defines: - how a page is structured - how and what text and images are displayed - how parts of the page are labeled - how additional instruction is embedded in the page en.wikipedia.org/wiki/html 26

27 JavaScript PHP code is embedded into the HTML source document client-side scripting language for web pages it enables little program snippets to be performed on your computer by your computer - stands for Hypertext Preprocessor - code is embedded into the HTML source document - is a general-purpose scripting language - interpreted by a web server with a PHP processor module which generates the web page document en.wikipedia.org/wiki/php 27

28 SQL Stands for Structured Query Language the most widely used language for relational databases Its scope includes data query and update, schema creation and modification, and data access control. MySQL is a open-source (free) relational database management system (RDBMS) Dominant RDBMS used for web applications Hosted on a web server 28

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32 Procedure Manual Issues: Mandatory that a copy be at each nursing station A LOT OF COPIES in big ringed notebooks Difficult to update all copies Solution: Manual was electronically provided throughout the the hospital 32

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34 Schedule Trade Requests To trade a shift between two employees Solution: On line request, agree, and approve forms notifications are sent to employees When trade is requested When it is agreed on or turned down When it is approved (denied) by the supervisor notification is sent to the Supervisor only after the trade is agreed on. Trade status is provided on the staff page Can be performed in a very timely manner, all you need is access to a computer and the internet 34

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37 Vacation Requests Solution: On line request and approve forms notifications are sent to employees When vacation request is submitted When it is approved (denied) by the supervisor notification is sent to the Supervisor When vacation request is submitted Vacation status is provided on the staff page Data is readily available to the supervisor and staff Can be performed in a very timely manner, all you need is access to a computer and the internet 37

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39 Microsoft Access 39

40 Adobe Acrobat 40

41 Communication Solution: Staff Meeting Minutes were put on the web site Important and memos were put on the web site Personal messages were put on the website Staff to staff kudos Baby/marriage/get together announcements A peer-to to-peer form was also added 41

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45 Respiratory Care Informatics Staff management Procedures and Policies Work schedule Shift assignments Work acuity Staff communication Payroll Staff education Staff evaluation Recruitment and retention 45

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48 Respiratory Care Informatics Staff management Procedures and Policies Work schedule Shift assignments Work acuity Staff communication Payroll Staff education Staff evaluation Recruitment and retention 48

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52 Respiratory Care Informatics Staff management Procedures and Policies Work schedule Shift assignments Work acuity Staff communication Payroll Staff education Staff evaluation Recruitment and retention 52

53 Power Point Presentations Introduction to new equipment Review of protocols and procedures General clinical care practices Inservices Introduction to new equipment Review of protocols and procedures General clinical care practices 53

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58 Respiratory Care Informatics Staff management Procedures and Policies Work schedule Shift assignments Work acuity Staff communication Payroll Staff education Staff evaluation Recruitment and retention 58

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65 Respiratory Care Informatics Patient management Procedures and Policies Medical Records Charting Therapist driven protocols clinical decision making QI (Quality Improvement) 65

66 Patient Care - Electronic medical record (EMR) software 66

67 - Data specific to respiratory care - General patient data Respiratory Care (EMR) Age, sex, height, etc. Diagnosis Medical history - Ventilation data - Airway data - Clinical presentation - Respiratory care record - Billing - Quality improvement data 67

68 These are bags of rectangular lego blocks that we need to create circles with. 68

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73 Quality improvement data collected on BHP patients was inadequate to accurately quantify quantify protocol adherence, effect on patient outcome, or cost-effectiveness of care. Bronchial Hygiene Protocol 73

74 Bronchial Hygiene Protocol 74

75 - Strict adherence to the protocol recommendations was estim ated estimated at 45-55% prior to the initiation of the decision tree tree flowchart -Adherence was 67% following the introduction of the decision decision tree flowchart Adherence further increased to 81% following adjustments to the flowchart questions and the inclusion of detailed explanations to the decision tree flowchart flowchart - Adherence is now at 85% (therapists are performing the recommended care or more than the recommended care 95% of 95% of the time) -Days on service decreased from 5.1 days to 3.75 days -ICU transfers related to bronchial hygiene issues remained mostly unchanged (from 5.6% to 5.5%) -Intubations secondary to bronchial hygiene issues decreased decreased from 4.2% to <1% Bronchial Hygiene Protocol 75

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78 Tracheostomy Management Protocol 78

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81 Respiratory Care Informatics Staff Recruitment Department s s mission The goals set for your department that don t fit into the other two Ex: Part of our mission statement is community outreach 81

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85 ml resptherapist.html Outreach/Professional-Education/Respiratory-Therapy-Program.aspx Program.aspx

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