SmartRoomTM

Quality and Efficiency on the Front Line

of Healthcare

Agenda

• Challenges of Caregivers at the Bedside

• SmartRoomTM Overview and Value

• Questions / Answers

2

Once upon a time…

• Latex allergy patient

• IV Team nurse

• Executive management team review of all

serious events

• How can we avoid this from happening

again?

3

Policy vs. Reality

• What should be done and what “does” get

done are often two (or more) different

things.

• Example: Observed nurses using bar

code medication administration and

recorded all of the different steps (both

actions and sequence of actions)

4

START

Obtain meds

scan self enter pt room

check med vs

devicescan self

scan med enter pt

room

enter pt

room

scan pt

ID band

doc

admin

give med

to pt

scan pt

ID band

give med

to pt

doc

admin

check med vs

device

scan med

scan pt

ID band

give med

to pt

doc

admin

scan self

obtain meds

check med vs device scan med

scan med

enter pt room

scan pt

ID band

give med

to pt

doc

admin

doc

admin

give med

to pt

give med

to pt

scan pt

ID band

doc

admin

doc

admin

double

check

enter pt room

scan pt ID band

give med

to pt

doc

admin

doc

admin

give med

to pt

scan pt

ID band

doc

admin

enter pt

room

give med

to pt

double

check

scan med

scan pt

ID band

give med

to pt

doc

admin

enter pt

room

scan pt

ID band

give med

to pt

doc

admin

enter pt

room

scan med

scan pt

ID band

doc

admin

give med

to pt

check med

vs device

enter pt

room

scan pt

ID band

give med

to pt

doc

admin

enter pt

room

scan pt

ID band

doc

admin

give med

to pt

Process of Medication Administration – Task Sequences

Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment

Carayon, Wetterneck, Hundt, Ozkaynak, DeSilvey, Ludwig, Ram, Rough, Journal of Patient Safety March 2007 5

Bar Code Medication Admin

There are 4 unsafe pathways and 6 most frequent workarounds

6

START

Obtain meds

scan self enter pt room

check med vs

devicescan self

scan med enter pt

room

enter pt

room

scan pt

ID band

doc

admin

give med

to pt

scan pt

ID band

give med

to pt

doc

admin

check med vs

device

scan med

scan pt

ID band

give med

to pt

doc

admin

scan self

obtain meds

check med vs device scan med

scan med

enter pt room

scan pt

ID band

give med

to pt

doc

admin

doc

admin

give med

to pt

give med

to pt

scan pt

ID band

doc

admin

doc

admin

double

check

enter pt room

scan pt ID band

give med

to pt

doc

admin

doc

admin

give med

to pt

scan pt

ID band

doc

admin

enter pt

room

give med

to pt

double

check

scan med

scan pt

ID band

give med

to pt

doc

admin

enter pt

room

scan pt

ID band

give med

to pt

doc

admin

enter pt

room

scan med

scan pt

ID band

doc

admin

give med

to pt

check med

vs device

enter pt

room

scan pt

ID band

give med

to pt

doc

admin

enter pt

room

scan pt

ID band

doc

admin

give med

to pt

Process of Medication Administration – Task Sequences

Bar Code Medication Admin

Many new innovations,

projects, safety devices,

computer systems and

improvements require more

time and effort on the part of

the front line. We have to

stop adding work….we must

to find a way to take hard

work away and make success

easy for the front line.

SmartRoom helps leverage

the large EMR investments. 7

Mind Clutter & Distractions

36 Hospital Med/Surg Nursing

Time and Motion

Source: A 36-Hospital Time & Motion Study: How Do Medical-Surgical Nurses Spent Their Time? – Hendrich/Chow-The Permanente Journal/ Summer 2008

8

What is SmartRoom

A “smart” patient room that…

– Organizes and simplifies the workflow of front-

line staff

– Makes retrieving the right patient information at

the right time as simple as walking into the room

– Pushes information to direct and indirect

healthcare workers in context of situation - who,

what, where

– Solves problems at the point of care

9

SMARTROOM VIDEO

10

Subtraction

• Study – 30 tasks in 10 rooms…

– Batch at end of day

– Chart between rooms using mobile COW

– Chart using Smart Room real time

0

100

200

300

400

500

600

700

Batching Mobile cart Smart Room

589612

255

57% reduction

in time spent

charting + real-

time

documentation

57% Reduction in Tasks

69% Reduction in ADLs

82% Reduction in Vital Signs

11 Batching Mobile Cart SmartRoom

SmartRoom Value

Value Drivers Examples of Benefits

Cost Reduction •Real time bedside documentation

•Compressed Workflow and dynamically balancing workloads

•Reduced OT, Agency Staffing, Turnover and Better Recruiting

Increased

Reimbursement

•P4P with Core Measures

•Minimize losses from Never Events

•HCAHPS Customer Services Reimbursement

•Legal fee may reduce as documentation exists

Improved Quality,

Outcomes and

Decreased Errors

•Tasks done as prescribed and reduced charting errors

•More time critical thinking and with patients

•Less time at shift report charting and more sharing/educating

•Less mis-transcribing numbers

Improved Caregiver &

Patient/Family

Satisfaction

•More time with patients and less documentation time

•More time critical thinking vs. task and documentation

•Patient/Family see caregivers more

•Wandering management

Perfection is achieved, not

when there is nothing left to

add, but when there is

nothing left to take away. -Antoine de Saint-Exupery

13

14

Thank you!