A time management tool for hardworking nurses

Market• 3.2 million nurses ask:

– How much time do I have?– What must I do next?– Have I forgotten anything?

…dozens of times on every shift.

• Nursing surveys reveal: – Mental burden– Compromised safety, quality– A real problem!

What’s Hard About Nursing?

• Remembering everything– Several patients, varying acuity, lots of details

• Knowing what to do next– Prioritizing in your head in a hurry

• Many tasks are time-sensitive– E.g. must give meds within a narrow time window

• Frequent interruptions– Stressful, error-prone

• Huge implications– Outcomes, safety, on-the-job stress

• Example: bed sores*– Remember to turn the patient every two hours

Automate the Paper “Brain”• NursesGetItDone (NGID)

– Does the remembering, reduces stress– Replaces paper “brain”

Shift-at-a-Glance

The heart of the app• How much time do I have?• What must I do next?• Have I forgotten anything?

• Times at bottom:– Elapsed + remaining = 8.5 hrs = 1

shift– If time remaining < time needed,

background turns red.

What We Do That’s Special

• A smart to-do list• With timing info

– Deadlines for tasks– Durations (enable prediction, planning)

• Unique graphical user interface – Shift-at-a-Glance

• Build the to-do list with minimal effort

• Share the data– Social networking– New info for mgmt, research

• Reduced stress staff nurses

• Improved safety patients

• Less overtime hospital bottom line

• Bottlenecks anticipated charge nurses

• New data managers, researchers

The NGID Value PropositionThe NGID Value Proposition

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Technology• SmartPhone1 app• Data storage on server and cached • Works with and without wifi/3G• Quick and fun

– Graphical/touch-driven user interface1. Whip it out of pocket

2. A few taps and a glance

• Proprietary– Intellectual

property

• If it’s slower than paper, forget it! No nurse will use it.• NGID is better than paper:

– Well-tuned GUI• At a glance: what is due, overdue, soon due, ok to take a break?• Menus: common/recent choices at the top• User actions: a tap or two

– NGID reminds; paper does not• Can alarm or vibrate • Forget nothing (safety)• Efficiencies, e.g. trips to fetch supplies• Automatic timestamps

• A new way to organize nursing work:– Paper brain: unit of data is facts about the patient. – NGID: unit of data is the task -- Action-oriented.

Better Than Paper?

Data and Security

• No protected health info (PHI1) collected– No HIPAA concerns

• A task list for each type of nursing unit– Med-surg, rehab, maternity, periop, ortho, SNF, …

• Aggregated shift summaries – Analysis of nursing work content

Revenue Model

• Unit price: $25• Who buys it:

– Tier 1: nurses• Buy through the iTunes store and in-app payment

– Tier 2: hospitals• Packages include app licenses, backend software,

support, training• Can run database on our servers or their own

• The real cashflow is from subscriptions– $1.99/mo, $19.99/yr, $59 lifetime subscription

(crowdsourcing)

Checklists in Medicine

• Precedent: aviation*• In health care, Gawande is the man

• Funded, we can appeal to him

Product Demo(features to observe in a demo)

• Shift-at-a-glance

• Task list by deadline

• Data model

• Note-taking–Vital signs

Task List

• Sort by deadline– Or by patient– Or by room

• Add tasks on the fly

Data Model• Shift definition

– Generic task list for each type of nursing unit• E.g. med-surg, rehab, OR, SNF

– Users customize for their hospital• Interventions/conditions

– Additional nursing care for a patient– E.g. diabetes, allergies, risk for pressure ulcers, risk for falls, droplet

precautions, wound care, Foley catheter, central IV line, NPO,1 many more– Hospital-specific “protocols2

Note-Taking

• Problem-oriented information as needed• Vital signs (a “notepad on steroids”)

Pain Assessment Scale

Our Vision

• Our solution – Task tracking– Time management– Modern tools for nurses– Improved clinical decision-making hence outcomes

• Changing nursing!

Thanks for listening

• The old way– Nurses aren’t taught time management– Their only tool: “brains”– Stress, omissions, safety!

Contact

• Dan Keller, Founder/CEOdan@nursesgetitdone.com

(415) 861-4500