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Focusing on the use of patient tracking, benefits the systems add to a medical practice, and its emerging integration with EHRs.
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Patient TrackingWednesday, December 10, 2014
Disclaimer: Nothing that we are sharing is intended as legally binding or prescriptive advice. This presentation is a synthesis of publically available information and best practices.
• What is patient tracking?
• Why is patient tracking important?
– Benefits
– Metrics
• What analytic reports should be utilized?
• What is the future of patient tracking?
Patient Tracking Key Points
• Technology-based systems designed to track the status or location of patients as they move through a medical facility
• Provides broad snapshots of practice efficiency• Real-time tracking
– Real Time Location Systems (RTLS)– Automatic identification and tracking
• Semi real-time tracking– Manual data entry
• Current patient tracking system adoption is less than 5 percent– Expected to grow significantly
What is Patient Tracking?
• Common features– Medical facility floor plans– Easy to read metric dashboards– EHR integration– Current location and status– Metrics history log
• Additional features– Staff tracking– Equipment tracking software– Staff and patient alert systems– Hand hygiene tracking integration– Clinical workflow automation– Lab work integration
Patient Tracking System Features
• Patient-provider interaction times are increased
– Improves patient education
• Expedites order execution and care transitions
• Improves response for time-based care
• Ability to track infectious disease exposure
Improve Quality and Safety of Care
• Decreases patient wait times
• Shortens length of stay
• Eliminates patient misplacement or oversights
• Minimizes patient walk-outs
• Keeps patients and family more informed throughout the visit
• Results in higher HCAHPS patient satisfaction scores
Increase Patient Satisfaction
• Provides greater capacity without increasing staff levels– Improves bed turnover time 40-50 percent
• Peak patient volume data allows for more effective scheduling
• Improves staff productivity analysis
• Strengthens team communication and responsiveness
• Improves staff morale and lowers employee turnover
Positive Impact on Staff
• Improves quality measures compliance and time-based care milestones
• Increases customer throughput leads to faster revenue generation
• Higher customer satisfaction ratings directly impact Medicare payments
• Better recordkeeping reduces potential liability• 95 percent of organizations that implemented real-
time tracking systems have seen a positive return on investment
Positive Return on Investment
• Data to generate long-term improvements in care delivery
– Average and max wait time from check in
– Average and max wait time between intake and physician arrival
– Average and max wait time for check out
– Number of hand offs per patient
– Patients who left without being seen
Recommended Utilization of Reports
• Versus
• PatientTrak
• CenTrak
• TeleTracking Technologies
• And many EHRs
Patient Tracking Vendors
• Web-based patient tracking system– Patient tracking– Cycle time data
• Displays on large screen or individual workstations• EHR integration• Features:
– Floor plan displaying patient and provider location– Four dashboard dials display:
• Average wait time• Patients waiting• Number of patients in clinic• Longest wait time
– Matrix showing acuity, assigned provider, and location– Real time feed of clinical actions
Quirk Healthcare Bed Board
Bed Board Interface
• RFID Tracking Systems– True real-time tracking via radio frequency tags
• Wearable badges and bracelets
– Completely automated data mining and system feedback
– Communicates with other tagged equipment• Hand sanitizers for hand hygiene compliance
– Currently used to track staff and equipment with future growth in patient tracking systems
• External tracking systems and monitors– Currently in use via cell phone apps
– Expected to grow
Future Outlook
• Biomedical device paired with RFID tracking– Stores Patient basic information
• Name
• Address
• Insurance
– Stores medical data • EEG
• Blood Pressure
• Sugar level
• Temperature
Future Outlook