June 9, 2015

How the Five Rights of Clinical Communication puts Nurses Back at the Bedside

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Today’s Panel

Molly GambleEditor-in-ChiefBecker’s Hospital Review

Mary Beth Mitchell, MSN, RN, BC, CPHIMSChief Nursing Informatics OfficerTexas Health Resources

Rhonda Collins, MSN, RNChief Nursing OfficerVocera Communications

“Do more than less”

This is the day and age of hospitals being forced to "do

more than less," but before attempting that, they must

first do better with what they have.

Studies have shown nurses may spend less than two

hours of a 12-hour shift on direct patient care.

How nurses interact with patients

Hospitals must also defend how nurses interact with

patients.

Four interruptions in the course of a single drug

administration doubles the likelihood of a patient

experiencing a major error.

Clinical Perspective

Rhonda Collins, MSN, RN

Chief Nursing Officer

Vocera

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Are secure communications (texting and voice) a priority to your organization right now?

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Poll Question

High

Medium

Low

Not at all

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Extending Communication to the Community

Acute Care

Data Layer (EHR & Clinical Systems)

Home Care

Physician Clinics

Ambulatory & Outpatient

Post-Acute Care

Communication and Collaboration Layer (Vocera)

Patient

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Communication Challenges

80% of all medical errors are linked to communication failures2

89%of hospitals do not allow nurses to use their personal smartphones…67% do so anyway1

96% of physicians with smartphones use unsecure SMS for patient care1

References:(1) Spyglass Group Survey, April 2014(2) Joint Commission report 2014

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Cost of Communication Challenges

References:(1) New Evidence-Based Estimate of Patient Harms, Journal of Patient Safety, Sept., 2013; Centers for Disease Control, 2010 data; The Joint Commission(2) Agarwal et. al. Univ. of Maryland, 2010 (3) Centers for Medicare and Medicaid Services

$12B wasted annually in U.S. hospitals as a result of communication inefficiencies2

Over $50B spent in 2014 to purchase, install, and deploy EHRs, clinical systems, and IT services3

Communication breakdowns are the third leading cause of death in U.S. hospitals1

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Communication Solutions

Different Clinical Roles = Different Device Needs

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Hospital nurses spend only 20% of their time delivering care at the patient bedside.

Returning People to Purpose

Novant Health Study, 2010

Health System Strategy

Mary Beth Mitchell, MSN, RN, BC, CPHIMS

Chief Nursing Informatics Officer

Texas Health Resources

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• More than 22,000 employees

• 25 hospitals in North Texas

• 22 outpatient facilities

• More than 5,500 physicians with active staff privileges

• Physicians Group: 500+ physicians and 200+ physician assistants and nurse practitioners

Texas Health Resources

CIO of the Year Award

Recognition

Islands of CommunicationYesterday: Life was simple

Today: Islands of Information and Many Devices

WirelessWireless

Telephony

Wireless

Web

Wireless

Ventilator System

Wireless

EHR Wireless

iPhone

Wireless

Vocera Badge

Wireless

ADT System Wirele

ssOverhead

Paging

Wireless

Code Alerts

Wireless

Critical Labs

Wireless

Infusion Pump

Wireless

Med Mgt

Wireless

Pulse Oximeter

Wireless

Pager

Wireless

Desk Phone

Wireless

Shared Android

Wireless

Nurse Call

Wireless

SecurityWirele

ss

Tablet

Wireless

PatientMonitor

Wireless

PBX

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• Over-reliance on technology

• Lack of standard communication strategy

• Multiple devices used for communication» Pagers

» Wireless communication devices

» Personal devices

» Texting

• Delays in call-back can result in delays in care

• Lack of understanding who to call» Call schedule

» Staff changes/breaks/ etc.

Communication Challenges

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• Clear strategy for communication

• Person specific vs. role specific

• Flexibility to manage escalations, changes in staff, emergencies

• Ability to integrate various technologies

Bring the Communication Pieces Together

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• Standardized tools for communication» Vocera Badges for point-to-point notification

» Ability to escalate and establish role-based call paths

» Vocera Collaboration Suite for Messaging• Secure text messaging

• Managing physician call schedules

Texas Health’s Approach to Communication

• Defined guidelines and policies for communication management

• Management of personal devices vs. shared devices

• Accessibility and availability of tools» Access

• Integration with other systems» Alarm Management

» EHR

» Bed Alarms

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Conquering the Beast

Secure Real-time Communications, Anywhere

Closing Thoughts

Rhonda Collins, MSN, RN

Chief Nursing Officer

Vocera

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5 Rights of Clinical CommunicationTM

Reach the right person, instantly.At the right time.

On the right device. With the right information.

In the right place, anywhere.

Q&A (use the Q&A Panel)

Ask the PanelistsComplimentary

Communication Assessment

Use the Q&A panel to ask for it

Contact Information:

• Mary Beth, Texas Health Resources

• Molly, Beckers Hospital Review

• Rhonda, Vocera Communications

Rhonda.Collins@Vocera.com

Twitter.com/voceracomm