mobility solutions for registration in emergency departments
TRANSCRIPT
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!