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The Use of Telehealth Tools to Enhance Infection Controls March 30, - - PowerPoint PPT Presentation
The Use of Telehealth Tools to Enhance Infection Controls March 30, - - PowerPoint PPT Presentation
The Use of Telehealth Tools to Enhance Infection Controls March 30, 2015 Disclosures None. OHSU Overview Hospital Summary Located in Portland, Oregon 576 Beds 2861 Students OHSU Overview IT Infrastructure 72,000 Networked Devices 2,460
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OHSU Overview
Hospital Summary Located in Portland, Oregon 576 Beds 2861 Students
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OHSU Overview
IT Infrastructure 72,000 Networked Devices 2,460 Wireless Access Points 492 Physical Servers 1,796 Virtual Servers 17,000 Networked Computers (Data Center West) 3,000 Networked Printers 14,000 Telephones 30,000 E-mail Accounts 2,843 Databases 3 Petabytes Storage 2 Data Centers 125 Buildings & 5,640,000 Square Feet Serviced
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OHSU Overview
Telehealth Program began 2007 27 Sites Service Lines
Stroke, PICU, NICU, Genetics, Trauma, Neurosx, Psychiatry
In-Home Care
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Telehealth Engineering
Innovation through Improvisation Know your toolbox Adapt known technologies Focus on interoperability and scalability
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August 2014
Infected Ebola Caregivers Arrive in US for Treatment
Treatment conducted at established centers Hospitals educate IC/Hygiene best practices Occurs in a detached reality media bubble
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October 2014
The Bubble Breaks First US cases diagnosed Media panic ensues Hospitals now on Ebola-watch Infection Control protocols are re-evaluated Additional resources sought
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Infection Control
IT Resources Evaluation Telehealth for enhanced communications? Device selection Protection and decontamination Footprint in EB space
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Infection Control
The Unit Designated on-call “EB” space Reverse pressure room in the MICU Limited space Nearby team room
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Infection Control
Existing Tools Physical barriers Clumsy at times Truly Analog
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Infection Control
The Telehealth Toolbox Communications (Clinical and Family) Diagnostic Imaging Patient Monitoring
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Infection Control
Non-Telemedicine IT Tools Wireless monitoring Mobile Apps Degowning robots HUD/”Glass” tools to bring screens inside PPE
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EB Drills at OHSU
Drills were primarily for staff readiness Telemedicine tools placed on-site
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EB Drills at OHSU
Telemedicine Tools Intouch RPLite Avizia CA700 3M Littmann Stethoscope “EB” Laptop
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EB Drills at OHSU
Findings Quick deployment Technology was intimidating at first Ad Hoc clinical presence Off-Site intervention options
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Hospital Preparedness
Outfitting Units Define Clean and Contaminated Spaces Pre-set Key Infrastructure Validate Network Connectivity Familiarize Tech Teams with Location Define the workflow
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Hospital Preparedness
Clean Team Deployment Define the storage location and access Preconfigure existing infrastructure Compile complete equipment inventory On-site staffing of the tools
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Hospital Preparedness
Contamination Team Deployment Define the storage location and inventory Preconfigure and test when possible Equipment positioning in space Know diagnostic equipment connections PPE training for IT staff
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No Ebola in Portland
But… The EB scenario proved an effective setting to develop Telehealth and IT based infection control tools.
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Findings
Takeaway #1 Decide on the importance of preserving the IT tools Know what is expendable
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Findings
Takeaway #2 Normal IT rules can be broken (within reason) Scalability and Interoperability not important Consumer IT tools should be considered
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Findings
Takeaway #3 Know your on-site diagnostic connectivity Itemize necessary cabling
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Findings
Takeaway #4 Develop a set of IT “Go-Bags”
Clean Room Kit
- Bluetooth receiver for stethoscope
- Cheap tablet preloaded to access
medical records, EPI Info software from CDC, stream doffing and gowning videos
- Teleconferencing receiving equipment
- Written instructions on how to receive
the wireless medical device readings Contaminated Room Kit
- Bluetooth stethoscopes
- Cheap tablet preloaded to access
medical records, EPI Info software from CDC, stream doffing and gowning videos
- Wearable device for video streaming
- Wireless pulse oximeter, heartrate and
blood pressure cuff
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Conclusions
Telemedicine tools are an excellent complement to infection control protocols The experience informed hospital administration of the value of these tools for infection control
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Collaborators Kyle Hall
Telehealth Coordinator Nebraska Medical Center
Rachel James
Security Engineer Oregon Health & Science University
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