1. It’s Not Just For Research Anymore Using VPS As a Dynamic Problem-Solving Tool Kim Pearson, RN, MPH

2. The Future of Medicine is… Your Smartphone? “…[E]xcept for ICUs, operating rooms, and emergency rooms, hospitals of the future are likely to be roomless data surveillance centers for remote patient monitoring.” –Eric J. Topol, Wall Street Journal

3. We Need to Be Ready Using data to drive our decisions, even day-to- day choices, prepares us for the future when data-driven medicine rules the world.

4. EMRs Can’t Always Do The Job EMRs can be incredible data management tools Can also be limited in responsiveness/ timeliness With VPS, once the data are entered, they’re accessible

5. We Use VPS In Many Ways: Track 24h readmittance rates; To understand our average LOS; OR To solve DAILY PROBLEMS

6. How Do We Use VPS to Solve Daily Problems? First application: EV D-68 outbreak Alerted via VPS LISTSERV thread in mid-August

7. 2014 EV D-68 Outbreak Started seeing Minnesota cases near the end of August Created a report for PICU leaders that arrived before news was in the local media

8. Trends in Respiratory Admits, CVICU/PICU Percent of Total All Cases, 2014 (YTD):744-- Respiratory Cases, 2014 (YTD):31943% Percent of Total All Cases, 2013:1042-- Respiratory Cases, 2013:42441% Q1Q2Q3Q4 Cases by Quarter, 2014:258226260 Respiratory Cases by Quarter, 2014:1379486-- Asthma Cases by Quarter, 2014:161339 Q1Q2Q3Q4 Cases by Quarter, 2013:261271250260 Respiratory Cases by Quarter, 2013:1219886116 Asthma Cases by Quarter, 2013:8122219 TOTAL ADMITS BY DAY, 8/29-- 10/01/14 8/29/148/30/148/31/149/1/149/2/149/3/149/4/14 Respiratory Admits0100103 Total Admits3223224 9/5/149/6/149/7/149/8/149/9/149/10/149/11/14 Respiratory Admits2213211 Total Admits4348421 9/12/149/13/149/14/149/15/149/16/149/17/149/18/14 Respiratory Admits0223421 Total Admits3326442 9/19/149/20/149/21/149/22/149/23/149/24/149/25/14 Respiratory Admits1010100 Total Admits1222531 9/26/149/27/149/28/149/29/149/30/1410/1/14 Respiratory Admits100200 Total Admits302455

10. Solving Resource Allocation Issues When we needed to use all our PRISMA or ECMO circuits at the same time, calculate the average length of time patients use the equipment to estimate how long we might tie up the equipment

11. Improve Post-Op Cardiac Care Use VPS to track post-op milestones for cardiac patients Become part of the daily patient rounding process with cardiac care team Incorporate pre- and post-op PRISM III and PIM2 scores

13. Create a Failsafe Notoriously challenging to ensure we meet our asthma care bundles—we’ve tried many different interventions When an asthma patient admitted in VPS, we can intervene with reminder to bedside nurse about completing all portions of the bundle

14. We’ve Only Scratched the Surface E-mails several times a week with ideas for new applications that use VPS data Talk to physician groups, other stakeholders— let them know what VPS can do

15. I Want to Say Just One Word to You, Benjamin. Yes, Sir. Are you listening? Yes, I am. PLASTICS. DATA.