Workflow Initiatives:

Driving Finance and Quality in a Hospital Setting

Documentation tools, alerts and reminders – a nursing workflow enhancement process

Presenters:

Deborah Aders, RN, MS Senior Consultant, SharerVision

Healthcare Consulting

Carol Roesch, RN, BSN, MBA, FACHE CNO, Union Hospital Health Group

PICASO

Program of Integration

for Care and Safety Optimization

Technical Needs

Touch Screen Monitor in every patient room;

Badge swiper attached for user authentication;

Large “white board” monitor for hallway view of alerts;

Tablet PC for aids to carry – optional.

Technical Needs

Touch Screen Monitor in every patient room;

Badge swiper attached for user authentication;

Large “white board” monitor for hallway view of alerts;

Tablet PC for aids to carry – optional.

QUESTIONS??

Now What? Getting Real Time Information to the Nurse!

Data, Data, Data . . . . Real? Timely?

Real Time Information and Outcomes Questions to Consider?

How do we use the information we now have to assist the nurse at the bedside?

How do we improve outcomes with real time data?

Can real time data really improve nursing efficiencies? Right staff, right patient, right time!

How does the capture of right information for quality also benefit staffing mix and identify patient acuity?

Does IT really help improve patient safety?

Information at the Bedside

TOO MUCH! TOO LITTLE! Vital Signs Medications Equipment Diet Care Plans Teaching Needs Pain Assessments

Data and Outcomes can be Married!

Assessment design to collect complete information

Reminders Lab information at time of medication

delivery Protocols built into the system Documentation links directly to care

plan and teaching plan

Efficiencies Can Be Seen

Staffing and Acuity

How can real time information identify patient acuity? Measures of acuity include:

Total care Restraint usage Monitored patient Ventilator patient Fall risk precautions Blood administration Multiple IV Pediatric patients

Staffing Effectively

Staffing for activity and workload units at the time they occur allows more efficiency as well as appropriate staffing based on patient needs

This means staffing for the workload and real patient needs rather than maintaining a nurse: patient ratio

Flexibility in adjusting staffing based on workloads is needed at the unit level

Does IT improve quality?

Real time information Protocols and standards at the

caregivers fingertips Reminders, nothing forgotten! Evidence based practice driven

throughout the system Right staff with the right skill mix at

the right time for every patient

Questions?

Would you like a copy of this PowerPoint?

Please contact:

SharerVision Healthcare Consulting 866.440.4410 (toll

free)

www.SharerVision.com