innovative uses for secure text messaging in healthcare
TRANSCRIPT
INNOVATIVE USES FOR SECURE TEXT MESSAGING IN HEALTHCARE
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INTEGRATIONS ARE DRIVING INVESTMENT DECISIONS
When making investment decisions for communications-related technologies for your
hospital, what factors are most important in the decision process? (top three of eleven)
Best meets clinician/organizational needs 82%
Ease of use for end user (e.g. physician/nurse) 80%
Ability to integrate with current systems (e.g. EMR) 75%
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INTEGRATIONS ARE DRIVING MOBILE STRATEGIES
Which of the following technology use cases are driving your selection and deployment
of mobile applications? (top two of nine)
Secure messaging and communication among care team 84%
EMR access/integrations 83%
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INTEGRATIONS ARE ABUNDANT
Electronic Medical Records 73%
Secure Text Messaging 54%
Nurse Call 47%
Patient Monitoring Equipment 36%
Emergency Response 36%
Critical Results Management 31%
Bed Management 31%
Staff Contact Directory 30%
Operator Console 29%
On Call Schedule 26%
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Spok Care
Connect®
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INNOVATIVE INTEGRATIONS
Critical ResultsManagement
Patient Monitoring
Electronic Medical Records
Emergency Response
On Call Scheduling
Staff Contact Directory
Secure Text Messaging
Nurse Call
Operator Console
System Alerts
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SECURE TEXT MESSAGING
• Secure TextingSCENARIO: ED doctor needs to consult with admitting Cardiologist
********
chris
Have a cardiac patient admit. Are you free to consult?
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ELECTRONIC MEDICAL RECORDS
• EMR IntegrationSCENARIO: Critical lab results
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Charge nurse carrying dedicated pager receives any escalations from Spok
CTRM system
Alert appears in the ED on the ED Information System. ED physician is
able to view results and acknowledge.
Radiologist initiates alerting process via Agfa PACS - opens Spok CTRM app for Radiologist to select acuity level.
Spok CTRM transfers closed alert info to Allscripts EMR system
CASE STUDY:MID-SIZE ACADEMIC HOSPITAL IN THE MIDWEST
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PATIENT MONITORING
• Clinical Monitoring SystemSCENARIO: Patient goes into cardiac arrest
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NURSE CALL
SCENARIO: Patient presses a nurse call button
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CASE STUDY: LARGE ACADEMIC HOSPITAL IN THE MID-WEST
On call surgeon for the room receives notification that the room is ready
Surgery tech presses button in surgery room
Spok Messenger connects button press to notification
Prevents surgeons from having to wait for readiness, freeing up time for them and ensuring they can remain mobile
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CASE STUDY:LARGE GOVERNMENT HOSPITAL IN WESTERN AUSTRALIA
On call clinical or operational resource receives notification of delivery or
maintenance/navigation issue
Robot transports food or linens through the hospital
Spok Messenger connects robot action to clinicians and ops
Prevents staff from having to take time to transport linens and food, while ensuring humans can monitor machine activities
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EMERGENCY RESPONSE
• Care CoordinationSCENARIO: Patient having a heart attack in an ambulance
ED 2Patient enroute to hospital
ED 2
Press 1 to accept. Press 2 to decline.
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MEASURING THE IMPACT
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If no response from primary On Call approver, escalates to backup
approver (head of department)
Approving MD On Call receives secure text message to accept/approve
medication
Medication ordered in EMR (Cerner), requiring specific MD approvals
CASE STUDY:LARGE ACADEMIC HOSPITAL IN THE NORTH EAST
EMR system sends email to Spok to activate event notification
Order approved in EMR
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SYSTEM ALERTS
SCENARIO: Server alert generated, on call tech needs to be notified
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CASE STUDY:LARGE ACADEMIC HOSPITAL IN THE SOUTHEAST
Ticket created in ITSM system (Service Now)
On call tech notified via secure text message, acknowledges alert
Third party server monitoring software (NetIQ)
logs an alarm
Web service talks to SpokAPI
Ticket updated with acknowledgement
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CRITICAL RESULTS MANAGEMENT
• Critical Test ResultsSCENARIO: Critical Radiology results
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ED physician listens to recording of Radiologist's findings, and
acknowledges having viewed the result on the Spok CTRM workstation.
Radiological exam is performed -Radiologist speaks results into mic
to initiate the results delivery process.
Result appears in the ED workstation
Time saved in delivering the result, as Radiologist and ED physician do not have to play phone tag to speak and discuss findings
ED physician can view scan in PACS directly from Spok CTRM workstation
CASE STUDY:MID-SIZE REGIONAL MEDICAL CENTER IN THE SOUTHEAST
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STAFF CONTACT DIRECTORY
• Web DirectorySCENARIO: Nurse had a recent change in contact information
SSmith
*********
55512345675559876543
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OPERATOR CONSOLE
• Contact Center SolutionsSCENARIO: Hospital patient goes into cardiac arrest
ALARMS <ALT+M>CODE BLUE – ROOM 405
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CASE STUDY:VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEMTaking Smart Console out of the call center:• Our visitor desks were experiencing issues with quickly & efficiently looking up patient locations• Personnel were using our clinical systems (IDX & Cerner) to look up the information• New employees were required to attend 4 days of training on these systems before they could be deployed
Our Solution:• A ‘Mini’ version of Smart Console• Much easier for personnel to quickly find patients• Training time reduced from 4+ days to about 20 minutes
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ON CALL CALENDARS
• On Call
********
card
Have a cardiac patient admit. Are you free to consult?
SCENARIO: Doctor needs to consult with on-call Cardiologist
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MEASURING THE IMPACT
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CASE STUDY:VIRGINIA COMMONWEALTH UNIVERSITY HEALTH SYSTEM• We initially wanted to use the existing Spok On-Call Module• Our department lacked the resources to do the daily schedule entries• On-Call Schedules are normally compiled by senior administrative staff in departments• These staff members were very set in their ways of doing things• Also had very strong influence on department leadership• Almost all of them objected strongly to using the Spok On-Call scheduling interface
The Challenge: Get Departmental “Buy-In” while still being able to utilize the power of the Spok Smart Suite
The Solution:An in-house designed On-Call system utilizing Spok APIs
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INTEGRATING WITH THE TECHNOLOGY YOU USE
ONSITE DEVICES
POINT-OF-CARE, PATIENT SAFETY
NURSE CALLACUTE CARE
NURSE CALLASSISTED LIVING
WIRELESS DEVICES & CARRIERS
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HomeFreeTel-TronStanley Senior
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PolycomSpectralinkKirk DectCiscoVoceraAlcatel-LucentAdaptiveAscomNortelAvayaNEC
AppleAndroidCiscoBlackBerryVerizonAT&TSprintSpok
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Spok Care
Connect®
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