R ESPONDER 5: I MPROVING COMMUNICATION AND WORKFLOW THROUGH INTERDEPARTMENTAL INTEGRATION Responder 5 Regional Users Group Hanover Hospital September 24, 2014

R ESPONDER 5 Background Goals: 1. Improve staff communication 2. Improve staff workflow 3. Improve patient communication 4. Patient safety 5. Patient satisfaction

R ESPONDER 5 Integration with Ascom companion phones promotes: - Staff to staff communication - Patient to staff communication – patient call options - Physician to staff communication - Workflow improvements - Patient satisfaction– HCAHPS “Call button help as soon as wanted it” – 72% Top Box Score; 79% Ranking in Press Ganey data base - Patient safety – “No Harm” campaign

R ESPONDER 5 Interdepartmental integration opportunities: 1. Environmental Services 2. Respiratory Therapy 3. Pharmacy 4. Physical Therapy 5. Radiology, Cardiac Diagnostic Unit 6. Volunteer Services 7. Emergency Department

R ESPONDER 5 Environmental Services EVS button pulls up EVS requests 1. One button initiates text message communication to EVS Ascom phone to clean D/C patient room - D/C - D/C c.diff. - D/C MRSA 2. EVS staff – “Clean in Progress” 3. EVS Staff – “Room Clean” status - Nursing Supervisor – Patient Flow - Charge Nurse 4. Other EVS functions

Workflow Terminal Layer 1 Call Dr More Epid- ural Code Pink Immi- nent Birth Emergency C-Section Code RRT Staff Assist PT out of Room Boost Pain 30 Turns MD Rounds PCA Rounds RN Rounds More

Professional Services Home Layer 2 Clean Me Resp Therapy EVS Equip

Professional Services Back Layer 5 Spill BathroomTrash Linen Bags Empty Sharps DC Clean In Progress Room Clean DC MRSA DC C.diff

R ESPONDER 5 Respiratory Therapy 1. RT button pulls up list of Respiratory Therapy requests: - New order - Respiratory assist - Remove equipment 2. RT buttons determined in collaboration with Respiratory Therapy and Nursing staff

Professional Services Home Layer 3 Remove Equip New Order Resp Assist

R ESPONDER 5 Volunteer Services 1. Equipment Requests - Go-Live October 1st 2. Transport Requests - Volunteer training - Test functionality - Go-Live October 28th

Professional Services Home Layer 4 Stre- tcher IV Pole Wheel Chair IV Brain- Module IV Blue IV Brain IV Pink IV Green IV Orange

R ESPONDER 5 Pharmacy - Access to “electronic whiteboard” for all Responder 5 units - Allows pharmacy staff to see nursing staff location and Ascom phone number for direct communication - Canned text messages developed for pharmacy to nursing 1. “Call Pharmacy ext. ___” 2. “Heparin drip rate change to ___” 3. “Med in tube room ___”

R ESPONDER 5 PT/OT Imaging Services Cardiac Diagnostic Services Access to “electronic whiteboard” to view unit patient lists for procedure and test schedule coordination

R ESPONDER 5 Emergency Department 1. Next department for Responder 5 installation 2. Staff team developing workflow and communication processes, including staff terminal buttons 3. Charge RNs currently have access to inpatient unit “electronic whiteboards” to view room readiness and RN room assignment for new admission patient SBAR hand-off

R ESPONDER 5 Planned system expansion for FY 2015: 1. Emergency Department 2. Maternal- Child Services 3. Critical Care Department

R ESPONDER 5 What’s Next? The opportunities are only limited by your imagination! Ask Responder 5 what they can do for you and your patients! Questions??