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Intelligent Hospital™ ED Script 2015PLEASE EMAIL [email protected] with any suggested changes

Table of ContentsScenario....................................................................................................................................................................3

ED1 Staff Identification (Intelligent Insites)..............................................................................................................4

ED2 Wireless Network (Extreme Networks).............................................................................................................4

ED3 RTLS System......................................................................................................................................................4

ED4 Patient Flow Visibility and Analytics: Improve Patient Experience, Operational Efficiency and Patient Throughput (Stanley Healthcare)...........................................................................................................................4

ED5 RFID Locating Overflow Management (TBD).....................................................................................................5

ED6 Supply Availability - KanBan Replenishment (Cardinal Health).........................................................................5

ED7 Mobile Wearable Device (Vocera)....................................................................................................................6

ED8 Environment Controls (Stanley)........................................................................................................................6

ED9 Receiving Information while Ambulance is in Transit (TBD)..............................................................................6

ED10 Consultation from Ambulance (Zebra Motorola)............................................................................................6

Patient #2: Bed 1: Samantha Millhouse:........................................................................................................6

ED11 the Worst Headache I have ever had": (Extension Healthcare).....................................................................7

ED12 Hand Hygiene (AiRista)....................................................................................................................................7

ED13 Bedside Registration (Zebra)...........................................................................................................................7

ED14 Communication direct to clinician Vocera / ASCOM.....................................................................................7

ED15 Initial Assessment – Physician Orders Extension Health...........................................................................8

ED16 Device Connectivity (Nuvon)......................................................................................................................8

ED17 Print Vial Labels at bedside (Zebra and Sunquest).....................................................................................8

ED18 Pneumatic Tube System (Swisslog)...............................................................................................................8

ED19 Smart Infusion Pump with EMR Interoperability (CareFusion)........................................................................9

ED20 Care Team Communications: (Vocera).....................................................................................................10

ED21 Bed Assignment Overflow Management (Airista).........................................................................................10

ED22 Asset Tracking Infection Control - (Airista)....................................................................................................10

ED23 RoboCourier ® Autonomous Mobile Robot (Swisslog):...............................................................................11

ED24 Staff Emergency Button (ASCOM / RTLS)......................................................................................................11

ED25 Real Time Vent Surveillance (CPC)................................................................................................................11

1 All contents copyright The RFID in Healthcare Consortium. ©2015. No part of this document may be reproduced or distributed without written consent from the RFID in Healthcare Consortium.

mailto:[email protected]


ED26 Medication Order & Blood Sample Delivery (Swisslog).................................................................................12

ED27 MedRover® Mobile Dispensing Cabinet / MedPortal™ Inventory Management Software (Swisslog)..........12

ED28 Eliminating Transfusion Errors and Increasing Efficiencies (Sunquest)..........................................................12

ED29 Medication Administration Infusion Pump Hospira....................................................................................12

ED30 Find Available Pump Emanate Wireless......................................................................................................13

ED31 Pump Utilization: Emanate Wireless.............................................................................................................13

ED32 High Value Supply Management (Cardinal)...................................................................................................13

ED33 Workflow Monitoring – Patient Experience (Intelligent Insites)............................................................14

ED34 Analytics (CreatAsoft)....................................................................................................................................14

Still to be added to script:......................................................................................................................................15

HID Global: HID supports compliant Electronic Prescriptions for Controlled Substances (EPCS........................15

HID Global: ActivID Tap: NFC Tablet and Mobile Phone authentication with ID Badge......................................15




Revised: Feb 16, 2015

ScenarioScenario to be updated as we develop the script based on use cases

Patient #1 : Name: Robert GrantAge: 59 years Condition: Mid-sternal chest pain radiating to his left jaw

Aortic StenosisType II Diabetes, Hypertension, Hypercholesterolemia, Obesity

Status: Sent directly to the Cardiology Suite (Cath Lab)

Patient #2:Name: Jacob Smith Age: Condition: Trauma Case: multiple orthopedic injuriesStatus: Assessed and routed to the OR

Patient # 3:Name: Samantha MillhouseAge: Condition: Worst Headache ever: Neuro Case

Patient #4:Name: John HallowayAge:Condition: critical condition, He is awake, agitated, and complaining of severe chest wall, and

right ankle pain. He is tachycardic and hypoxic and placed in bed #1Status: Admitted Bed 1 in the ED

Patient # 5:Name: Samantha MillhouseAge: 26Condition: awake, stable and has minor visible injuries. had a brief loss of consciousness,

significant laceration over the parietal bone, concussiondiabetic




Start:

ED1 Staff Identification (Intelligent Insites)Hello, Welcome to the Emergency Department of the Intelligent Hospital. As you can see, I am automatically identified as I entered the room through my real-time location system, or RTLS, tag, working in conjunction with the hospital wireless infrastructure. (Point to Main screen when picture appears)

ED2 Wireless Network (Extreme Networks)A vital component of the ED’s operation is the underlying high performance wireless network providing a seamless blend of multi-carrier cellular and Wi-Fi services. This critical component is a key enabler for many of the new technologies and applications being reviewed here today. The high-performance wireless network extends the reach of these devices and allows enhanced information exchange and real-time communications for the many varied users typically present in the ED. (Actor point to wireless devices (RTLS/smartphone/wireless tablet) and then general indication to ceiling area.

ED3 RTLS SystemThis wireless network enables applications including multiple RTLS / RFID systems, with integrations including several modalities of communication and visualization

ED4 Patient Flow Visibility and Analytics: Improve Patient Experience, Operational Efficiency and Patient Throughput (Stanley Healthcare)

[Actor 1 points to patient badge on wrist, Actor 2 points to tag on lab coat] An RTLS patient flow solution makes it easy to quickly and accurately locate patients, staff and available lifesaving equipment as well as room status by color codes—all on one screen. In an ED environment, change can happen between the time emergency staff walks from a nursing station to a patient room—impacting the delivery of care. [Actor points to wall mounted iPad] A digital room sign mounted outside the patient’s room—verses visual controls traditionally located at the nursing stations—provides real-time information about what’s happening in the room—[Actor points out the different areas on the screen on the wall mounted monitor] room status, patient information and location, staff in room, wait time and special needs. Staff can easily see if patient is not in the room and where they are or if a room is soiled and ready for cleaning services. [Actor pushes the button on the tag next to the iPad, waits and then points to the color change on the monitor] Staff can also request physician consult for the patient which changes the color displayed on the digital sign and automatically sends an alert to the appropriate staff. Coupled with an EMR integration,




extending the visibility of an RTLS patient flow solution to the room level, your care team has up-to-the-minute information. Additionally, this captured data can be analyzed to understand underlying trends for process improvement or investigate root causes of a particular issue around wait times, room utilization and cycle times.

ED5 RFID Locating Overflow Management (TBD)As in most ED’s patients are continually arriving exhibiting a broad range of issues and acuity. The ED is a high pace environment requiring rapid triage, diagnostics, assessment and the transport patients to appropriate treatment area of the hospital. A critical and very common issue within the ED is patient overflow. To manage large numbers of patients and avoid diversion to other hospitals, RTLS solutions are used to establish and define virtual locations within the ED. Patients are doubled up and tightly placed in any location, within the corridors and even overlapping within the bays. [Actor points to the bank of stretcher on the back wall] In order to effectively manage patients, these virtual locations must enable patient centric identification and association to staff, equipment, supplies and pharmaceuticals. These applications require high accuracy RFID locating . Dedicated Location Transmitters are used receive signals from the RTLS tags enabling high resolution location definition, separation and tracking (actor points to the antenna) of equipment and other assets enabling the ED to flex its capacity at critical times of overflow. (TBD)

ED6 Supply Availability - KanBan Replenishment (Cardinal Health)Vital to the rapid management of a diverse set of patients is access and verification of the proper supplies and medications. The ED staff can interactively monitor and confirm the availability of all required supplies. General supplies are managed using the two-bin RFID system, which ensures optimum stock levels and demand accuracy. This practice eliminates the need for manual demand assessment rounds by triggering replenishment requests by users only when a predefined batch of a product has been depleted. When a compartment is empty, the RFID-enabled location tag is transferred to the RFID replenishment board. (Actor takes last item of a supply from a bin and transfers tag from the bin to the board). Independent of replenishment management, unitary consumption can also be captured and linked to patients with the patient charging kiosk (Actor point to the kiosk) and handheld RFID reader (Actor point to the RFID reader). The user can select a patient on the touch-enabled kiosk and use the RFID reader to scan the RFID-enabled location tag on the bin from which the supplies are taken(Actor touches a name on the kiosk, pick the supply needed and uses scanner to scan a tag). The supplies will then be charged to that patient, creating a record for the hospital’s billing system.

ED7 Mobile Wearable Device (Vocera)

All clinicians utilize multiple mobile hand held and wearable devices enabling them to readily communicate and deliver critical information, such as access to the clinical or lab data. These




systems are typically (Hold up iPad Vocera Pendant) integrated to the hospital phone system enabling incoming and outgoing calls. These devices improve the efficiency of care team communication and coordination by integrating with EHRs, across mobile and desktop devices. Alerts can be sent to these devices to provide notification of new orders and test results.

ED8 Environment Controls (Stanley)Within the ED patient care environment devices like freezer refrigerators as well as , patient and supply room level or overall facility monitoring of differential room pressures, temperature and humidity provide the ability to monitor specific areas or resources and generate alerts as specific limits are exceeded.

Patient #1: Robert Grant (Bypasses ED Directly to the Cath Lab)

We start the scenario with Robert Grant, a 59 year-old male, who called 911 after an hour of mid-sternal chest pain radiating to his left jaw. (Note: Patient Bypasses ED go’s directly to Cath Lab, OR , etc)

ED9 Receiving Information while Ambulance is in Transit (TBD)Receiving patient physiological data and demographics, while the patient is in transport can significantly impact the response time and treatment delivery, increasing the likelihood of a positive outcome. Even when outside the physical boundaries of the hospital, it is possible for the ambulance team to seamlessly leverage the available multi-carrier cellular network to connect directly with the hospital EMR. The ambulance team can transmit Robert Grant’s 12 lead ECG data and analysis, along with vital parameters, including invasive pressure, temperature, capnography, SpO2, and cardiac output directly to the ED from the ambulance defibrillator in the EMS vehicle.

ED10 Consultation from Ambulance (Zebra Motorola)Additionally, a consultation between paramedics and ED physicians can be facilitated via the ambulance tablet utilizing video, text, chat and screen sharing or via a 2 way radio. . (Actor point to display (shared from tablet) ACR assessment)

For some patients triage can be performed directly in the ambulance and in this case the patient can bypass the ED and be directed to the Cath Lab for further testing and follow-up diagnosis.

Patient #2: Bed 1: Samantha Millhouse:

ED11 the Worst Headache I have ever had": (Extension Healthcare)The next patient a 59-year old woman Samantha Millhouse arrives in the ED complaining: "The Worst Headache I have ever had". Blurred vision and neck pain - A sudden, severe headache that “feels different than any other headache I have ever had” -“It’s the worst headache that I’ve ever had and I have pain in my neck”- “I feel like I




am ready to pass-out” - “every time I’m near light, I get really nauseous. (Enter Actor 2, and walk right to beside 1, without washing hands)

ED12 Hand Hygiene (AiRista)As you can see, the clinician failed to sanitize their hands prior to entering the ED. An RTLS badge identifies staff through the RTLS reader correlating whether that tag was sensed at the hand-washing dispenser. (Point to reader and hand washing dispenser) Because the clinician entered the patient area without following the hand hygiene protocol, the RTLS badge provides a signal/reminder upon entry, allowing the clinician an opportunity to self-correct. (Point to the RTLS Badge and LEDs on Badge) Returning to the hand sanitizer dispenser and using the dispenser, the embedded dispenser module positively identifies the clinician and sends a wireless signal to the badge which cancels the alert. (Actor returns to hand washing dispenser and performs hand hygiene, then returns back to bedside) The Hand Hygiene Compliance Monitoring web-based software application provides administration and leadership with real-time validation and metrics, allowing collected hand hygiene compliance data to be evaluated over time.

ED13 Bedside Registration (Zebra)

To expedite Jacob Smith’s admission process, a quick registration is performed at the bedside using a unique identifier. The hospital has a label printer mounted at the bedside enabling a wristband to be printed directly at the point of care. The patient wristband has a combination of bar code, passive along with text information. Using patient centric unique identifiers enables visibility to all aspects of the patient care processes around this patient, including patient identification, specimen, medication, asset, and staff identification.

An active RFID tag is added enabling visualization and tracking, both locally and institutionally. This unique ID is reconciled later to the patients electronic medical record .(Print wristband. Wrist band already around the arm of the patient in bed 1) (Actors 1 and 2 remain on the side of bed 1)

ED14 Communication direct to clinician Vocera / ASCOMOnce the initial assessment and admission process is complete, the nurse wishes to contact the physician about the patient’s pain level and his request to increase his pain medication. The nurse sends a secure alert to the physician. The physician receives the alert on his smart phone app, and simply taps an option to respond that she is on her way to assess the patient. The nurse can see when the message has been sent and read, and the response. (Vocera)

The staff can also press the workflow button, automatically paging the physician notifying him that the patient is ready to be seen. (ASCOM) (Which ever actor is closest to the workflow buttons will press button)




ED15 Initial Assessment – Physician Orders Extension HealthAfter initial review the ED Physician orders a STAT MRI to rule out the potential for brain aneurysm, brain bleed, clot, and/or tumor as well as a blood panel is Chest X-ray, ECG monitoring, and a urine analysis. These physician STAT Orders are sent via the hospitals ancillary notification system and accepted by ED Nurse on the voice over IP badge.

ED16 Device Connectivity (Nuvon)While the registration was in process, the nursing staff monitors the patient’s vital signs, including pulse and blood pressure (TBD). The patient is then associated to the vital monitor by wirelessly scanning the wristband and completing the positive patient identification process. At the Intelligent Hospital™, physiological parameters are continuously monitored using a network based system, providing real time measurement, visualization, archiving and dissemination of critical parameters. Research has shown that simple metrics associated with the monitoring of individual vital signs, has been used to identify patients at high risk of septicemia. Continuous monitoring of vital signs provides clinicians with access to real-time data, enabling them to identify patients trending towards adverse events.

The physiological data is available throughout the hospital as well as centrally, and can even be accessed from home. Connectivity to the EMR, was automatically established when the medical device was associated to the patient, through the positive patient identification process.

ED17 Print Vial Labels at bedside (Zebra and Sunquest)Following the STAT Physician orders the ED nurse draws standard trauma labs by using a bar code based sample collection system, scanning the patient’s wristband and printing sample vial labels directly at the bedside. Confirming the patient’s identification is critical to patient safety minimizing the chance of mislabeling errors, such unidentified or missing specimens and ensures that all the drawn samples are verified and associated with the correct patient (Actor 2 is in the middle of the beds, uses scanner to scan wrist band and print labels. Actor then pretends to stick label on the sample vials)

ED18 Pneumatic Tube System (Swisslog)Once the labs are collected, the nurse uses the handheld device to notify the lab that the samples are ready to be delivered to the laboratory via the pneumatic tube system. This tube system uses barcode technology to uniquely identify samples and carriers to ensure accurate delivery, save time and limit the need to re-draw from the patient. The system enables a variety of specimens, blood samples, supplies and pharmaceuticals to be rapidly routed and delivered to locations within the hospital . (Actor will simulate sending. 1.Actor retrieves specimen and carrier 2. Actor presses button called “Tracked”- Actor scans bar code on the specimen- 3.Actor puts specimen in carrier and shuts and latches it.- Actor scans bar code on the carrier- 4. Actor sets carrier on dispatch arm- 5.Actor presses 2 buttons (“confirm” then “Lab”)




While in waiting to be transferred to the OR, the physician orders the infusion of pain medications and saline to stabilize the patient for transport to the OR.

ED19 Smart Infusion Pump with EMR Interoperability (CareFusion) The nurse receiving this medication order will now get it ready for administration using a smart pump which communicates over the hospitals wireless network to the electronic medical record. The pump is designed to support multiple infusions with a central processor that contains a library of drugs with individual maximum & minimum dosing limits and safety parameters. These limits help prevent programming errors which can lead to over and under dosing of the medication.

[Nurse Actor scans the barcode on the patient wristband, drug label, and pump][Screen Shots: workflow: scanning of wristband, scanning of drug label, scanning of pump]

As soon as the nurse scans the barcodes on: the patient ID band, medication, and on the infusion pump an association is established which pre-populates the order for the ordered drug and programs the pump with the exact dose and rate that the physician ordered.

[Nurse Actor hangs the bag, verifies the parameters, presses NEXT, finishes verification and presses START.]Screen Shots: verification of parameters on pump, pressing NEXT / START]

the association between the smart pump and EMR system is bi-directional, which allows all of the infusion status information to flow back to the EMR. Every titration, pause, start and stop is recorded in near real-time. This provides a single reliable record to increase accuracy and timeliness of infusion documentation.

[Nurse Actor stands at the workstation on wheels as if typing in documentation. Monitor shows a close up of the pump screen with I&O flow sheet receiving documentation messages.]

[Screen Shots: EMR documentation, data feed going into EMR.]




ED20 Care Team Communications: (Vocera)

The moment the radiological results are final, a Critical Finding notification is sent to all members of the care team The ED physician is reviewing a patient’s chart in the EHR app on her smart phone, and needs to review the case with the Radiologist. From the EHR application, the physician simply selects the name of the Radiologist and instantly opens with the option to call or send a secure text message. The physician opts to call, and the Radiologist receives the call on his Vocera badge and answers in a hands-free manner.

The ED physician can additionally coordinate calls between the patient’s attending doctor to discuss the next steps and it is determined that emergency interventional neuro surgery is required.

A message is sent to the OR scheduling staff to inform them of the pending procedure, Upon receiving an acknowledgement, the Neurosurgeon presses a single button on the screen to initiates a call to the OR Scheduling to clear an OR Suite and PREP for the procedure.

Patient #3: Bed 2:

The next patient is John Smith. He has arrived in critical condition and been sent priority one. He is awake, agitated, and complaining of severe chest wall, right ankle pain and has lost a significant amount of blood as a result of an automobile accident. He is tachycardic and hypoxic and placed in bed #1 (Actor 2 Point to bed 1).

ED21 Bed Assignment Overflow Management (Airista)The ED is typically represents a very tight footprint and consequently requires bay-level location accuracy to ensure the unique ID of the patient, devices, supplies and pharmaceuticals are correctly associated with the right patient. This is achieved by a virtual bay environment is created using an RTLS transmitter accurately dividing the bays. (Actor points to the Virtual Wall between the bays). At any moment the ED can be at full capacity requiring other area of ED to manage non-critical patients. These locations are defined as virtual bays and defined in the EMR.

ED22 Asset Tracking Infection Control - (Airista)Of increasing important to infection control management is the ability to track the history of devices and their association with specific patients. Using a historical View of an Asset’s movement following an exposure outbreak track and trace asset location history to prevent further exposure within the hospital.

As before the initial assessment requires the patient be registered, placed on physiological monitoring and requires a blood laboratory panel performed.




ED23 RoboCourier ® Autonomous Mobile Robot (Swisslog):Laboratory specimens from the patient are sent via the Autonomous Mobile Robot to the clinical laboratory for processing and analysis. The lab technician removes the specimen and ensures the sample is correctly sequenced for processing in the laboratory.

ED24 Staff Emergency Button (ASCOM / RTLS)Before any results are returned or the physician can get to the bedside, Mr. Smith becomes highly agitated. His heart rate increases and pulse oximetry decreases. (Drager) The nurse pushes the Staff Emergency button on the patient station for extra assistance. (ASCOM) Activating this button generates a call at the staff station as well as notifying the appropriate responders. (Actor 1 presses the patient emergency button on patient console, then points to the table where the “Nurse’s console station” is to show the emergency call. Actor 2 then holds up the Vocera pendant showing that the staff emergency call also went to other responders) Notice the flashing green light which indicates that help is needed immediately.(Point to light)

At times while trying to settle the patient it is hard to reach the wall console. In these cases it is possible to issue a staff emergency call from the staff worn RTLS Badge Tags. With this simple pull [TBD ] multiple staff members wearing badge tags can be notified of this emergency and the user's location which appears as a text message on their badge. [focus shifts to second actor that shows the B4 tag message and points t] This web based software enables proximity-based alerts so those closest to an emergency can get there without logging onto a computer, and it makes this notification visible throughout the Hospital. TBD )

It is determined that Mr. Smith’s worsening symptoms are due his hypoxemia which requires him to be intubated for ventilation management and placed on IV and transfused.

ED25 Real Time Vent Surveillance (CPC)To enhance ventilator patient management the Intelligent Hospital has deployed real time surveillance of ventilator patients using Wi–Fi wireless bridges on their mobile critical devices, such as the ventilator. This enables patients to be monitored anywhere in the hospital regardless of their location. All ventilator and oximetry parameters, respiratory rate and tidal volume along with pulse oximetry can be wirelessly monitored in real time at any location including the Wall of Knowledge, as well as delivered to mobile devices throughout the facility. Mr. Smith is put on the ventilator in the ED, and is later transferred and admitted to the ICU. (Actor 1 points to the ventilator)

Patient 4: Automobile Accident

As the next patient arrives into the ED he is quickly triaged, registered and placed on a monitor. This trauma patient has been involved in severe automobile collision is bleeding, and clearly has orthopedic injuries.




ED26 Medication Order & Blood Sample Delivery (Swisslog)

The physician has ordered medication via the HIS including saline, pain medications, and has ordered a transfusion to be administered as soon as possible.

ED27 MedRover® Mobile Dispensing Cabinet / MedPortal™ Inventory Management Software (Swisslog)Medications orders are sent via the HIS and received by Mobile Dispensing Cabinet. Within the Pharmacy the Medication is scanned out of l Inventory Management Software and into the Mobile Dispensing Cabinet Wedge. Product quantity is decremented automatically from pharmacy stock. Pharmacy tech transports medication wedge to the Mobile Dispensing Cabinet in the ED. The nurse brings the Mobile Dispensing Cabinet to the patient bedside and interacts with the software to remove the medication from the cabinet and administer the medication to the patient. The Dispensing Cabinet automatically sends a replenishment request to the pharmacy through the Management Software (TV monitor in pharmacy to show incoming order).

ED28 Eliminating Transfusion Errors and Increasing Efficiencies (Sunquest) At the bedside the Transfusion Manager application is used to positively identify patient and ensure the correct blood is given to the patient. (Actor/Actress uses handheld device to scan patient ID and carries out positive patient identification. Using the same device, a unit of blood is scanned. The match is confirmed, and the patient is given the blood transfusion.

ED29 Medication Administration Infusion Pump HospiraThe Intelligent Hospital has deployed an advanced infusion system operating wirelessly with interoperability with the EHR system. This integration helps to close the safety loop in the medication administration process by associating the pharmacy validated order with the patient, the medication, the IV pump and the patient record using bar code medication administration technology. The physician has ordered a pain medication for the patient. To ensure the complete 5 Rights administration of this powerful medication the nurse first scans the patient wristband with the clinical vendor's Barcode Medication Administration device to verify his identity, then, using the same device, scans the barcoded IV medication, and finally scans a permanent barcode on the IV pump. These actions associate the patient, the IV medication and the infusion pump, and automatically program the IV pump to the pharmacy verified, physician order. The nurse then verifies the order, as displayed on the pump, and starts the device. With IV pump integration, not only is the device Auto-Programmed, but Auto Documentation to the patient's eMAR and I&O Flow sheet becomes a seamless by-product of the administration; all enhancing patient safety, improved outcomes, and workflow efficiency.




In the ED, pharmacy-verified physician orders are not always available for IV Medications. If no order is available, infusion pumps can be pre-programmed with multiple protocols that allow clinicians to quickly administer the IV medications most commonly used in these departments.

ED30 Find Available Pump Emanate WirelessTo rapidly locate an available infusion pump we refer to the RFID system where you can see the location and availability of all the hospital infusion pumps. (Actor 1 points to the display) RFID enables all devices to be tracked globally throughout the institution. Since the RTLS solution also integrates with various institutional applications, such as inventory management system and biomed database, accurate device business status is always available. Advanced WiFi RTLS tag mounts on your asset in line with the AC power. It contains a rechargeable lifetime battery so once it’s mounted on the asset, you never need to replace it.

ED31 Pump Utilization: Emanate WirelessFrom a business perspective this implementation can assess the true utilization of your devices based on power consumption measured over time. This information to provide metrics to determine your lease or rental budget for the next fiscal period. The tag has a low energy Bluetooth interface to connect with your mobile device when coupled with the mobile application can help find the device within the last 30 feet. In this mode all the devices within range are listed. By selecting the device from the list, the tag will provide an audible and visual alert to quickly identify the specific device. which device I’m looking for.(Point to the tag upon starting the script.( Point to the utilization report on the monitor when highlighting reporting power consumption) (Point to "finder mode" screen shot when talking about mobile application) Push button on mobile device to have tag blink and flash.

ED32 High Value Supply Management (Cardinal)

Based on the ED assessment we know that the patient additionally has multiple orthopedic injuries. The trauma surgeon is called to discuss the case and determines to send him to the OR immediately for a small fracture operation once stabilized in the ED. Prior to transferring the patient to the OR, the trauma nurse checks available inventory and its location using an inventory wireless app. (Actor uses WaveMark inventory program on ElitePad or on the stand alone desktop touch screen. Pretends to check for inventory in the OR) (Actor 2- during the WaveMark inventory section, makes their way outside the door and waits there for the hand hygiene piece)

It is determined that two small fracture kits are available. At this point the surgical team can use the app to notify the manufacturer’s rep of the case and request assistance. A message is also sent to the OR scheduling staff to inform them of the procedure. (Cardinal)




We can see that the ED represents a complex environment with a large volume and varying acuity of patients, requiring rapid response and management of patients, tests, and transfer to other departments. Enabling the continuous monitoring of the environment, patient status and workflow can significantly enhance operations and increase throughput within the ED.

ED33 Workflow Monitoring – Patient Experience (Intelligent Insites)Within the ED patient status is continuously monitored using the workflow status dashboard highlighting the state of the entire ED at a glance. (Actor 2 points to the dashboard scenario).

As soon as the nurse enters the bay to take vital signs, the RFID system will automatically detect the patient-staff interaction and will automatically assign the nurse to the patient. Cycle Time Reports focus on the different parts of a patients visits an reflects the patients experience in the ED, including key parameters Time it takes patient to register - Time patient is in Waiting Area - Time patient is in Exam Room with LPN - Time patient is in Exam Room with RM - Time patient is in Exam Room with Provider - Time patient is in Exam Room without staff (actor points to monitor = 6 screenshots). This information is available to trigger alerts if patients have not seen a staff member for more than a specific time and used to review and optimize operations. (Intelligent Insites)

ED34 Analytics (CreatAsoft)

RTLS technologies integrated with the EMR enable predictive performance metrics of the ED’s near-future performance including potential bottlenecks, inefficiencies, and the impact on provider workload. Based on the identified problems, the system suggests real-time improvements to the workflow in order to minimize delays and increase operational efficiency.

Within this ED scenario as the patients become stable and are admitted or discharged the nurse call system can integrate the hospital systems such as bed management, cleaning services, and biomed automatically notifying these services to prepare the area for the next patient.

Please visit the other rooms in the Intelligent Hospital™ to find out how our patients fair, pick up an ED Tour Guide and visit our sponsors in the Pavilion kiosks to learn more about these dynamic technologies. Please leave your headset in the wall pockets prior to exiting the room.

Thank you

Still to be added to script:

HID Global: HID supports compliant Electronic Prescriptions for Controlled Substances (EPCS)




HID Global: ActivID Tap: NFC Tablet and Mobile Phone authentication with ID Badge



Documents

ihassociation.orgihassociation.org/wordpress/wp-content/u… · Web view · 2015-02-24ED4 Patient Flow Visibility and Analytics: Improve Patient Experience, Operational Efficiency