The value of medical device integration; a clinical perspective - - PowerPoint PPT Presentation

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Jul 17, 2023 29 likes •281 views

The value of medical device integration; a clinical perspective ADRIAN HUTCHINSON CHIEF NURSING AND ALLIED HEALTH INFORMATION OFFICER ROYAL CHILDRENS HOSPITAL MELBOURNE 2014 Parkville 1958 Parkville 1876 Carlton History 30 th April 2016

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The value of medical device integration; a clinical perspective

ADRIAN HUTCHINSON CHIEF NURSING AND ALLIED HEALTH INFORMATION OFFICER ROYAL CHILDREN’S HOSPITAL MELBOURNE

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1876 Carlton

1958 Parkville 2014 Parkville

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History

30th April 2016 - EPIC EMR – Big Bang Fully integrated EMR

Results
Prescribing
Orders / Results
Emergency Department
Intensive care / NICU
Clinical documentation
Oncology
Theatre / Recovery
Portals
Medical Device Integration

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Philosophy of build

Patient safety National standards Legislation Reduce variation

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National standards – Holy Grail

Deteriorating patient Observations (VICTOR) / Anaesthetic charts Medical Emergency Team / Rapid review

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In 2014/15 there were more MET calls (n=33,690) than ICU admissions (33,356 Victoria Admitted Episodes Dataset) MET / Deteriorating patient call occurs every 15.9 minutes in Victorian hospitals with an ICU (n=41) (Vic)

* ANZICS CORE data

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RCH MET Calls

YTD July 2017

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Deteriorating patient at RCH

Services Provided

Outreach (PICU team – all discharged patients + new referrals)
Rapid Review process (ward team)
MET team (PICU team)

Adjuncts in the EMR

VICTOR chart
Active alerts
MET modification
Device integration

Observation frequency

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What informed our approach for MDI?

Existing devices - device drivers – any device Philosophy of build – Patient Safety / National Standards / Reduce variation in care Network configuration of RCH / flexibility of implementation Knowledge transfer of vendor

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Vendor

Medical Device Integration Solution - Capsule (now Qualcomm Life) Enterprise wide licence Project timeline - 6 months

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What have we implemented?

Fixed / Mobile Bedside monitoring Anaesthetic devices Ventilators – PICU / NICU

270+ ++++ Capacity

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What is required?

Wireless network / cabled network Axon / Vital signs monitor DMM / cables – identifies the mobile device Gateway / Boot-P Server for each device type / Test server Technical - Biomedical department

Any medical device / device gateway EMR Server/s

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How does it work?

Variable ID from device send to Capsule’s Server Capsule’s server interprets

what variable
what device
what patient
Sends information via an interface to EMR
Devices built in EMR to accept variable being sent /

EMR is not required to get benefit

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Why did we implement a medical device integration solution?

Improve efficiency of documentation Improve outcomes for deteriorating patient through EMR Research opportunities

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Data

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More data

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Victor Chart / Thresholds

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Clinical benefits of medical device integration

Improved data accuracy Clinical alerts in EMR Audit and review Research

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Research potential / projects

“Multi-feed” and analytics – huge potential Neonatal thresholds Sending of clinical alerts to notify of deterioration NIRS Validation (Near Infrared Spectrometry)

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Project

Model ward – high acuity Monitor connectivity - 6 beds AUM handover PEWS scoring – triggers Send to nurse / AUM / MET team

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Future

Multi-feed – data extraction Capsule IQ - analytics Home devices

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