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

2. 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

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

4. 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

5. 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

6. 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.

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

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

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

10. 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”

11. Questions?

12. 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

13. 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

14. 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

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

16. Testing
Smart Pump Programming:
Connectivity Testing

17. Testing
Smart Pump Programming:
Connectivity Testing

18. 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

19. 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

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

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

22. 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

23. Testing
Barcodes and
Wireless Network

24. 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

25. Questions?

26. Thank You | Contact Us Contact Us Jeff McGeath, Senior Vice President
Software Solutions
Iatric Systems, Inc.
(978)