Using the following tools, Children's Hospital significantly reduced hospital acquired infections, reduce patient safety events, and improve patient throughput in the PACU.
I.T. Support Model
A new I.T. support model was created to meet the needs of the providers and clinicians. The traditional model of calling the helpdesk and waiting for a call back was no longer applicable. Physicians demanded real time service to real time IT problems. The new CDT (the Clinical Desktop Team) was designed as a mobile unit specifically to meet the user’s need for fast and efficient technical resolutions. This is an on-time support model for clinical areas. There are five technicians who round continually, have wireless phones and laptops, and wear backpacks that have tools and parts. These individuals are knowledgeable about the clinical application and technology. They round with new providers, they respond within minutes or seconds to calls, and they can be depended upon to meet the needs of the clinical users.
CHP was simultaneously building a new hospital while building the EHR. This allowed the hospital to be built with an I.T. infrastructure to support robust wireless technology, adequate cabling and wall ports for connectivity. In addition to infrastructure, a device refresh program was adopted for PCs, COWs, and mobile devices to ensure that I.T. components were refreshed before end of life.
iAware – Critical Care dashboard
iAware was developed in partnership with the EHR vendor, Cerner. iAware is the solution to the paper chart used in the critical care areas. The real-time data is displayed from the EHR in a format that the physicians designed to be effective for their workflow. There are screens above the patient beds that show real-time data of patient data attributes. The clinician can choose the attributes that display; however, the following are the most common:
- Patient weight, age, allergies
- Medication orders
- Heart rate in conjunction to medication dosage that may affect the heart rate
- Inputs and outputs
- Lab tests
- Respiratory data
Read Children's Hospital of Pittsburgh of UPMC's examples of how utilizing health IT improved clinical care.