1. Workflow Initiatives: Driving Finance and Quality in a Hospital Setting Documentation tools, alerts and reminders – a nursing workflow enhancement process

2. Presenters:  Deborah Aders, RN, MS Senior Consultant, SharerVision Healthcare Consulting  Carol Roesch, RN, BSN, MBA, FACHE CNO, Union Hospital Health Group

3. PICASO Program of Integration for Care and Safety Optimization

17. Technical Needs  Touch Screen Monitor in every patient room;  Badge swiper attached for user authentication;  Large “white board” monitor for hallway view of alerts;  Tablet PC for aids to carry – optional.

19. Technical Needs  Touch Screen Monitor in every patient room;  Badge swiper attached for user authentication;  Large “white board” monitor for hallway view of alerts;  Tablet PC for aids to carry – optional.

20. QUESTIONS??

21. Now What? Getting Real Time Information to the Nurse! Data, Data, Data....Real? Timely?

22. Real Time Information and Outcomes Questions to Consider?  How do we use the information we now have to assist the nurse at the bedside?  How do we improve outcomes with real time data?  Can real time data really improve nursing efficiencies? Right staff, right patient, right time!  How does the capture of right information for quality also benefit staffing mix and identify patient acuity?  Does IT really help improve patient safety?

23. Information at the Bedside  TOO MUCH! TOO LITTLE! Vital Signs Medications Equipment Diet Care Plans Teaching Needs Pain Assessments

24. Data and Outcomes can be Married!  Assessment design to collect complete information  Reminders  Lab information at time of medication delivery  Protocols built into the system  Documentation links directly to care plan and teaching plan

25. Efficiencies Can Be Seen

26. Staffing and Acuity  How can real time information identify patient acuity? Measures of acuity include:  Total care  Restraint usage  Monitored patient  Ventilator patient  Fall risk precautions  Blood administration  Multiple IV  Pediatric patients

27. Staffing Effectively  Staffing for activity and workload units at the time they occur allows more efficiency as well as appropriate staffing based on patient needs  This means staffing for the workload and real patient needs rather than maintaining a nurse: patient ratio  Flexibility in adjusting staffing based on workloads is needed at the unit level

28. Does IT improve quality?  Real time information  Protocols and standards at the caregivers fingertips  Reminders, nothing forgotten!  Evidence based practice driven throughout the system  Right staff with the right skill mix at the right time for every patient

29. Questions?

30. Would you like a copy of this PowerPoint? Please contact: SharerVision Healthcare Consulting 866.440.4410 (toll free) www.SharerVision.com