Infusion Pump Informatics

Infusion Pump Informatics

Our Path Forward

Ann Christine CatlinIPI Research and Development

May 22, 2014

Reviewing IPI … 2009-2014

R&D Effort 2013-2014 What’s new? What does it take to keep IPI going? Working together to solve problems

Research 2014-2015 Our ideas & how to make them work

Infusion Pump InformaticsOur IPI System 2009 – 2014 Metrics

Infusion Pump InformaticsOur IPI System 2009 – 2014 : Metrics

The IPI Community of Hospitals The IPI Community of Users

4482

2034


IPI Log Uploads

679

Almost 16 million alerts!

271

IPI Hospital Alerts and Database StorageIPI Alerts and Database Size

Total Database Size 14580 MB = 14GB


Charts & Reports Generated by the IPI CommunityCharts & Reports Generated by the IPI Community

19859

What we did When Can anyone else?

Smart pump data analysis right in your browser, available online from anywhere

2009 Carefusion, but not until 2011-2012

Full data sharing between different hospital systems 2009 No

High level & detailed comparison charts between any # of hospitals

2010 No

Searchable, sortable reports for investigating data 2011 No

Automatic pivot tables 2011 No

Support for pumps from different manufacturers 2012 No

Clickable workflows for drilling-down to data of interest 2012 No

Normalized metrics for head-to-head compares 2013 No

Access to all your data, even after changing pump manufacturers

2014 No

New feature requests? You get exactly what you want, and fast

Often Not often

Verification and validation for every data value Always Not always

Infusion Pump InformaticsOur IPI System 2009 – 2014 … the Cutting Edge





Infusion Pump InformaticsWhat’s New? Time-to-Override Reports




Infusion Pump InformaticsWhat’s New? Compliance Upgrades

Infusion Pump InformaticsWhat’s New? Compliance Upgrades

Upload Hospira compliance

(it’s device specific and alert type specific)

Upload Excel spreadsheets (Carefusion & Hospira)

New: Carefusion KP compliance … validate first! 2 kind of KP compliance:

actual infusions & infusion starts (counter starts) KP counter starts should be the same as CQI counter starts.

Report is “Usage by Profiles” & both are affected by library updates

KP vs CQI… count numbers different, compliance percentages different

Infusion Pump InformaticsWhat’s New? Infusion types breakout & aggregation

Infusion Pump InformaticsWhat’s New? Infusion types breakout & aggregation

Infusion Pump InformaticsWhat’s New? Selects for datasets, facilities, …

Infusion Pump InformaticsChanging devices? You can track & assess changes!

Infusion Pump InformaticsChanging devices? You can track & assess changes!





Infusion Pump InformaticsChanges hit us from all sides. Almost daily.

The Pump Manufacturers Carefusion Knowledge Portal: new definitions, new formats, new processing Hospira: new pump devices, new data, new formats Significant changes to database & GUI resulting from changes in pump data

The Hospitals Changes in pumps and/or data reporting systems Partial pump replacements (SVH keeping PCA devices) New needs related to data and reports

The Hub and IPI infrastructure New security model, HIPAA compliance Database server changes and database reconfiguration Platform upgrades, software upgrades, new workflows New 3rd party software – like graphics routines Network issues Performance upgrades, code “retooling” Database “restructuring”

Infusion Pump InformaticsNew Input Formats, Definitions & Validation

Carefusion KP Alerts Monthly alerts = Field Limit + Cancel

All Other Alerts KP vs CQI “All Available Columns” files are actually

different (different sizes, different content) KP vs CQI Alert totals reported to users are different

Hospira Hospital Changes Pump replacements (two hospital solution)

Partial pump replacements (split device population) More complicated compliance data

Infusion Pump InformaticsKP vs CQI Alerts Validation THANK YOU ANDY

Infusion Pump InformaticsKP & CQI Alerts Timestamp SecondsTHANK YOU ANDY

Infusion Pump InformaticsProcessing Alert Uploads, Timestamp Seconds, etc.

Nightly hospital alert logs processing Long processing times when IPI not available Now processed off-line, so IPI is available 24/7

Alert logs and timestamp seconds Why does it matter? Hospitals with & without timestamp seconds Check at upload time will now be made

Will never see this screen again





Infusion Pump InformaticsResearch 2014: Outcomes Analytics

Presenting and understanding the outcomes of changes implemented as a result of IPI analysis

Metrics identify how to measure “before” and “after” Can be tied to analysis that triggered the decision to

change Annotation of change (Limit changes? Education? Policy?

What else?) Graphical User Interface to build and display metrics and

annotations You can set reports and we will send emails with links to

remind user to continue to look at the “after” metrics

Infusion Pump InformaticsResearch 2014: Outcomes Analytics

Intervention !

Infusion Pump InformaticsResearch 2014: Drug Limit Analytics

Create a new “environment” for investigating and understanding drug limits across hospitals

Uploading & viewing drug limit library datasets Database needs structure to support limit data and drug

comparison requests Graphical interface needs a design to support requests and

results display What are the parameters:

drug, profile, therapy, library, soft/hard, min/max,

other factors (concentration, …) Comments and annotations about changes to the libraries

Infusion Pump InformaticsYour IPI Research and Development Group

Couldn’t happen without them Sudheera Fernando Ruchith Fernando Sumudinie Fernando Ruwan Gamage Tharindu Mathews

Documents

Infusion Pump Informatics