Case Study: Smart Pump EHR Integration Presented By: Jeff McGeath, Senior Vice President Software Solutions Iatric Systems, Inc.

Agenda Smart Pump EHR Integration definition IHE standards and why they matter The right team and # of FTEs Workflow analysis Testing The benefits Interactive session – Q&A throughout

In which department do you work? Nursing / Clinical Informatics Information Technology Pharmacy Biomedical Engineering

Smart Pump EHR Integration Definition: The electronic transfer of IV med orders from the EHR to smart pumps, and the electronic transfer of start times, stops times and other transfusion details back to the EHR. Bi-Directional EHR  Pump: Smart Pump Programming (a/k/a Auto-Programming) EHR  Pump: Auto-Documentation

Smart Pump EHR Integration AAMI Report (5-year period): How often human error occurs 56,000+ adverse events associated with IV pumps 710 *deaths* associated with IV pumps 34% happened during manual pump programming The Solution: Smart Pump Programming

Smart Pump EHR Integration Smart Pump Programming: IV med orders from EHR  smart pump No more manual pump programming, Saving nurses time and preventing adverse events.

Smart Pump EHR Integration Documentation Issues: Too time-consuming; not always documented Improper documentation = lower reimbursements The Solution: Auto-Documentation

Smart Pump EHR Integration Auto-Documentation: EHR  IV Start and Stop Times, etc. No more manual data entry, And can help increase reimbursements.

IHE Interoperability Standards Integrating the Healthcare Enterprise Standard of choice for smart pump vendors IHE home page: www.ihe.net “PCD” is Patient Care Devices IHE PCD standards include smart pumps IHE PCD page: http://ihe.net/Patient_Care_Devices/ “PIV” is Point-of-care Infusion Verification “IPEC” is Infusion Pump Event Communication

IHE Interoperability Standards IHE Integration Statement confirming PIV and IPEC IMPORTANT: Confirm Patient ID is stored on pump For more information, 1-hour on-demand webinar Go to You Tube and search for “How IHE is Advancing Medical Device Connectivity”

Questions?

The Right Team & FTEs KLAS Research® 2015 report: Smart Pump/EMR Integration: What Are My Best Options? Only 21 organizations (38 hospitals) Implementation = 6-9+ months Significant resources required from: Pharmacy – 500+ hours Nursing – 350+ hours Information Technology – 200+ hours Biomedical Engineering – 200+ hours

Workflow Analysis Need to determine: Order verification and approval process Process for starting/holding/stopping an IV solution How staff perform rate changes/titrations How subsequent IV solutions are administered

Workflow Analysis continued Don’t forget: Secondary/IVPB administration Bolus dosing (pump vs. manual) Transfer of IV solutions/emergency admin/syringe admin How to handle overfill Weigh-based dosing Priming tubing

Testing Overview: Smart Pump Programming Auto-Documentation Barcode and Wireless Network

Testing Smart Pump Programming: Connectivity Testing

Testing Smart Pump Programming: Connectivity Testing

Testing Smart Pump Programming: Connectivity Testing Functional Testing Ensure that the interface has all the required functionality specified in your agreements with your smart pump and EHR vendor (or MDI solution vendor) — for example, Patient ID

Testing Smart Pump Programming: Connectivity Testing Functional Testing End-to-end IV Medication Order Flow & Workflow Testing Dose/Rate/UOM combinations, additive testing, dosing-based scenarios Error/exception testing, including clinical workflow actions

Testing Auto-Documentation: Pump event messages – produced every 60 seconds

Testing Auto-Documentation: Pump event messages – produced every 60 seconds Data should include start/stop time, drug, volume, etc.

Testing Auto-Documentation: Pump event messages – produced every 60 seconds Data should include start/stop time, drug, volume, etc. Validate data criteria, workflow steps, and integration to EHR’s nursing documentation system

Testing Barcodes and Wireless Network

The Benefits of Smart Pumps EHR Integration Prevent errors and adverse events Saving lives = priceless! Reduces hospital’s liability Save nurses time Improve documentation Increase revenues Enforcement of drug library Start planning now

Questions?

Thank You | Contact Us Contact Us Jeff McGeath, Senior Vice President Software Solutions Iatric Systems, Inc. (978) 674-7205 Jeff.McGeath@iatric.com www.iatric.com