View
213
Download
0
Category
Preview:
Citation preview
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 1
Copyright Scottsdale Institute 2014.
All Rights Reserved.
No part of this document may be reproduced or
shared with anyone outside of your organization
without prior written consent from the author(s).
You may contact us at
scottsdale@scottsdaleinstitute.org / 952.545.5880.
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 2
Our Experience:
ADC Queuing in EMR
Kyle Townsend, PharmD, BCPS
Jacob Thiesse, PharmD, BCPS
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 3
Billings Clinic
Based in Billings, Montana, Billings Clinic is a not-for-profit,
community-owned healthcare organization that is also part of the
Mayo Clinic Care Network.
Billings Clinic is comprised of:
• Multi-specialty physician group practice
• 272 bed level II trauma & tertiary referral hospital
• 90 bed assisted living and rehab center
• 3600 employees, including 241 physicians and 87 PAs/NPs
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 4
Billings Clinic
Organizational Vision: Billings Clinic will be a national leader in providing the best clinical quality, patient safety, service and value
Obsessive dedication to our vision, resulting in awards including Ranked #1 for patient safety by Consumer Reports
Accredited Accountable Care Organization
Top 100 Hospitals by Truven Health Analytics
Pharmacy technology: EHR, ADCs, carousels, packager, IV room automation, smart pumps, BCMA
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 5
Problem
Interdisciplinary Medication Use Safety Team
Identified via review of medication administration errors
Cause: ADC had a pick list, but not the actual eMAR
Options:
Low tech solution: bring EHR to ADC (laptop)
High tech solution: queue ADC meds from EHR
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 6
High Tech Solution Description
New screen in EHR
EHR credentials link to Automatic Dispensing Cabinet
credentials
Screen lists doses due within specified window
Staff choose orders rather than product
ADC dispenses queued meds
Waste recorded back to Automatic Dispensing Cabinet
server
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 7
eMAR
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 8
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 9
Waste Documentation
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 10
Feedback
Nursing
More time spent at patient bedside
Less time finding meds on Automatic Dispensing Cabinet for med pass
Able to queue meds from a remote location and have them immediately
available when logging into the Automatic Dispensing Cabinet
Exactly replicates the eMAR
Can waste remotely where witness is available.
Pharmacy
Less medication errors related to “profile” vs. “eMAR” differences
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 11
Adoption
Deployed to TCU (Transitional Care Unit)
Near 100% utilization for med passes/scheduled meds
Less utilization for PRN meds
SSU (observation): <50%
ICC (oncology): ~70%
CVU (cardiac): <50%, no training, just turned on
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 12
Metrics
Medication not on profile change from BCMA
Early/late administrations
TCU, ICC, SSU, CVU
© 2011 Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information which may not be reproduced or transmitted without the express written consent of Cerner. 13
Future
Deploy to remaining units
Remove laptop from med rooms
Allowing range doses to be queued
Clinical Decision Support (CDS) at queuing
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent .
We do more than connect devices
• Surpass simple EHR
documentation
• A common platform
across venues and
workflows
• EHR agnostic and
vendor neutral
• Enables smart
transformative
workflows
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent .
CareAware Architecture Overview
Services
© Cerner Corporation. All rights reserved. This document contains Cerner confidential and/or proprietary information belonging to Cerner Corporation and/or its related affiliates which may not be reproduced or transmitted in any form or by any means without the express written consent .
CareAware iBus Services
• Service Oriented Architecture (SOA)
• Java based service proxies and RESTful web service
bindings
• Over 50 different services available • Patient to Device
• Location
• Patient
• Encounter
• Orders
• Clinical Events
• RTLS
• Device Lifecycle
• Temporary Device and Event Data Stores
• Authentication
• Barcode
• Authorization
• Audit
• ……..
• Services are aggregated to create workflows
[1] http://martinfowler.com/articles/microservices.html
© 2014 Omnicell, Inc. Content is Confidential and Proprietary
What our customers tell us…..
Consolidation with increased
scale
Pressure to reduce duplicate
workflows
Continuing regulatory challenges
Broader spectrum of medication
control
© 2014 Omnicell, Inc. Content is Confidential and Proprietary
… And what we hear
True need for Connected Systems
Larger Institutions with complex populations
Solve for ROI and cost
Provide upgrade paths for
regulatory
Innovation for Scale, Workflow
© 2014 Omnicell, Inc. Content is Confidential and Proprietary
Interoperability Success - Commitment
• Resources
Technical teams dedicated to the project
Regular communication between development teams
• Customer Support
Jointly developed between Omnicell and Cerner
Omnicell supports OmniCenter system and connector
Cerner supports Millennium and iBus infrastructure
• Joint Testing
Performance testing in the Cerner Abilities Lab
Beta testing with key partners like Billings Clinic
• Experience
Applying our 20+ years of interfacing expertise in the development of the
connector to the CareAware iBus
© 2014 Omnicell, Inc. Content is Confidential and Proprietary
Interoperability Success
• Connection Benefits
23
Reduced system
complexity Access to data via iBus
not previously available
Integrated workflows
Streamlined
implementation
with minimal
customization
iBus connectivity enables smart transformative workflows
© 2014 Omnicell, Inc. Content is Confidential and Proprietary
The Future
• Executing swiftly on joint development roadmap
2012 2013 2014
Q4-2012:
Omnicell/Cerner
Agreement signed
Q4-2013:
Remote dispense
live @ Billings
Clinic
Q1-2014:
Omnicell iBus
Connector live @
Billings Clinic
Q2-2014: Remote
Dispense released
in OC18.5
Q4-2014: Targeted
Release of iBus
Connector in
OC19.0
More to come…
2015
© 2014 Omnicell, Inc. Content is Confidential and Proprietary
Summary
• Billings Clinic partnered with Omnicell & Cerner to test and refine
solution
• Results of collaboration - Features released to market quickly
• Joint development roadmap driving continued interoperability
between Omnicell & Cerner to transform workflows
Recommended