improving impatient medical care with mobile devices
DESCRIPTION
Improving Impatient Medical Care with Mobile Devices. Perez Valina M. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)TRANSCRIPT
Improving in-patient clinical
care with MCA
Manuel Pérez Vallina
CIO
Gregorio Marañón Hospital
Some figures
H. General Universitario
Gregorio Marañón
RRHH
Población asignada: 700.000
Complejo Hospitalario: 24 Edificios
Personal: 8.000
Centros de Especialidades: 3
Equipo Directivo
Personal de
Dirección18
Equipo Asistencial
Personal
Facultativo1416
Personal Sanitario 4725
Personal No
Sanitario2732
Equipo Informático
CIO 1
Internos 10
Externos 15
Médico 23
Oncohematológico 32
Sida 7
Psiquiátrico 24
Camas
instaladas1730
Camas utilizables 1692
Consultas 207
Quirófanos 45
Q. de Urgencia 5
Paritorios 9
PC´s 2702
Servers 101
Printers 1047
LAN devices 160
CPD 50% virtualised
Recursos Materiales Puestos Atención de Día
Infraestructura
Área 1
Altas Totales 67.843
Ingresos Urgentes 41.045
Urgencias Atendidas 320.664
Consultas Realizadas 526.549
Actividad Quirúrgica 35.429
Hospitalización Domicilio 463
Tratamientos H. de día 30.000
Terapias respiratorias 108.000
Diálisis 53.790
Actividad Obstétrica 20.791
Extracciones/
Trasplantes190
Cuidados Paliativos 572
Actividad Asistencial
Why?
Hospital’s healthcare activity is, clearly, an example of mobility working environment.
Healthcare professionals has to do intensive queries of patient’s information (clinical data, test results, treatments,…) and data inputs.
Doing this with MPoC solutions would make tasks easier and improve efficiency.
Cardiology Service
64 beds
13 Day Hospital puestos
3 Hemodynamics wards
1 electrophysiology
30 medical staff, 15 residents
Short length of stay
Need to improve access to patient information
Project
The project aim at the Cardiology Service was to determine the value of the MPoC solution for the improvement of the ward daily rounds for hospitalised patients.
Key points:
» Quality of care
» Patient safety
» Staff productivity and satisfaction
First steps
»A delimited área of the cardilogy unit was selected for the pilot
»Test of ward round times without mobility solution
»2 doctors were equipped with MCA devices.
» The MCA’s provide access to the same patient’s clinical information as available on the office’s desktop computers.
Ward round workflow
Quality of Care
Availability of the patient data and update of clinical information
Improvement of the electronic prescription workflow
Improvement of orders circuit and access to lab and test results
Reduction of unnecessary or repeated tests
Quicker and more informed clinical decision-making
Improvement in team communication
Patient Safety
Quicker and more informed clinical decision-making
More informed patients Reduce risk of error Unnecesary lengh of stay
reduction
Staff Satisfaction
Perceived improvement in working conditions
Better visibility of workload
Quicker and more informed clinical decision-making
Improvement in team working
Improvement in ward round workflow
More time spend on clinical tasks
Areas of improvement
Wi-Fi coverage User interface design MCA Battery life Lack of availability of some
orders input
From pilot to daily work
Wireless LAN Optimization.
8 more MCA devices to extend the solution to all the Cardiology Unit.
Re-design of user interface
The results of the pilot were confirmed, with full staff satisfaction and improvement of the assistance delivered.
New implementations
Mobility solution with MCA for the 40 operating theatres of the Hospital
Target: Nursing and surgery data
All Circulating nurses with an MCA.
Ward round of hospitalised patiens of Surgery Units.
Thank you