Point-of-Care Bedside Bar Code Verification System Vanessa Luckman Alex Stramel Talbot Hansum Jason Whaylen Nicholas Ryan Project Sponsor: Patrick Harris (PharmaSys)

A Preventable Problem in Hospitals  Problem: Medicine administration errors 1.5 million Americans injured/year More than 7,000 killed $1.5 billion annual cost  Solution: FDA proposed bar code system NDC bar codes for all drugs  Our Proposal: Point- of-Care Bedside Bar Code Verification System

Product Description  Three step scanning process 1) Nurse barcode 2) Patient barcode 3) Drug barcode  Mismatch in 3 scans Visual Alert  System Saves Date/Time Size and # of Units Nurse’s Name Dose # of Total  Generates labels with barcodes  Easily viewable information and adaptable user interface

Cost Saving Example (St. Clair Hospital)  St. Clair Hospital in Pittsburgh *  annual admissions *  PADE (Preventable Adverse Drug Event) – 0.63 in 100 admissions *  (0.63/100)*15646=98.57 PADEs  Average $6400 per prevention * $630,000/yr *Cost savings data taken from St. Clair Hospital in Pittsburgh, PA using product called VeriScan

Market Growth for Barcode Systems Potential CustomersGrowth since coming to market CAGR* Small Hospitals3% % Medium Hospitals5% % Large Hospitals3% % Large(+) Hospitals3% % Other Markets0% % Total4.17% %  Target product towards specific market Medium hospitals- highest growth rate (5.12% above) Market Goal: Find one customer for piloting product Small Hospitals: 1 – 49 Beds Medium Hospitals: 50 – 250 Beds Large Hospitals: 251 – 499 Beds Large (+) Hospitals: Beds *CAGR-Compound Annual Growth Rate Projected number of hospitals to implement

Hardware Data Flow

Handheld PDA Device  A mobile device that is capable of barcode scanning at the point-of-care  The verification software we created is executed on the PDA  Requirements Alphanumeric Keypad Barcode Scanning Capabilities Windows OS WLAN Capabilities Multicolor Display Speakers  Factors Size of Display Weight and Size Processor Speed and Memory Environmental Sealing Durability/Drop Specs Battery Life Cost

Final Choice: Symbol MC50  Dimensions:5.35 in.H x 2.95 in. W x.94 in. L  Weight: 6.77 oz  Touch Panel Display: 4 in. H x 3 in. W, TFT-LCD, 65K colors  QWERTY 37 button keypad  1D Linear CMOS Scanner  CPU: Intel®XScale 520 Mhz processor  Memory: 64MB RAM/ 64MB ROM  Operating System: Windows Mobile 2003  WLAN: IEEE b  Battery: Rechargeable Lithium Ion 3.7V, 1560 mAh  Includes: Speakers, Microphone, SDIO Slot  Approximately $1200

Host Computer  For our initial prototype, laptop acts as: Servers  Patient and Nurse Databases  Drug Database  Accounts and Billing Database  Others Database access workstation Barcode printing workstation

Host Computer Choice  Requirements: Windows based for synchronization with windows based PDA Adequate memory to hold prototype databases  Final Choice: HP Laptop  Chosen by project sponsor and PharmaSys

Wireless Router  Creates LAN for communication between the host computer’s databases and the PDA  Router Choice: Linksys Router  Chosen by Project Sponsor

Barcode Label Printer  Prints barcode labels displaying information from databases and barcode for scanning with PDA  Barcode Label Printer Factors : Size, Weight, General Appearance Print Speed/IPS (inches per second) Print Resolution/DPI (dots per inch) Print Width (maximum size of labels) Color versus Black/White Thermal Transfer versus Direct Thermal Cost  Requirement: produce quality barcode labels

Final Choice: Intermec EasyCoder PC4  in L x 6.58 in H x 9.06 in W  5.07 lbs  Print Resolution: 300 dpi (dots per inch)  Print Speed: 4 ips (inches per second)  Maximum Label Width: 4.65 in  Black/White Thermal Transfer  Approximately $400  Included Software: Intermec’s LabelShop START label design software (included free)

Software Status  Completed SQL Server Databases SQL Server Connections PDA Prototype PC Program Shell  Remaining Increasing program capabilities Increasing robustness between systems and server types Functionalizing PC version of program Add tracking capabilities of financial information

Future Software Modifications  Descriptions and warnings for example medications to the database  Electronic Medication Administration Record When a drug is administered, the database is updated with a viewable record  Patient Picture Verification

Lessons Learned at HIMSS  St. Clair Hospital Pilot - Penn. Applications/Pros-Cons of Barcode and RFID Our software can be device independent for both methods Preventable Adverse Drug Events .63 admissions per 100  Cost per -> $6,400  Different perspectives into software features  Received vendor response that directed our system towards a pilot opportunity VS.

eMEDS Demonstration