Improving in-patient clinical

care with MCA

Manuel Pérez Vallina

CIO

Gregorio Marañón Hospital

Some figures

H. General Universitario

Gregorio Marañón

RRHH

Población asignada: 700.000

Complejo Hospitalario: 24 Edificios

Personal: 8.000

Centros de Especialidades: 3

Equipo Directivo

Personal de

Dirección18

Equipo Asistencial

Personal

Facultativo1416

Personal Sanitario 4725

Personal No

Sanitario2732

Equipo Informático

CIO 1

Internos 10

Externos 15

Médico 23

Oncohematológico 32

Sida 7

Psiquiátrico 24

Camas

instaladas1730

Camas utilizables 1692

Consultas 207

Quirófanos 45

Q. de Urgencia 5

Paritorios 9

PC´s 2702

Servers 101

Printers 1047

LAN devices 160

CPD 50% virtualised

Recursos Materiales Puestos Atención de Día

Infraestructura

Área 1

Altas Totales 67.843

Ingresos Urgentes 41.045

Urgencias Atendidas 320.664

Consultas Realizadas 526.549

Actividad Quirúrgica 35.429

Hospitalización Domicilio 463

Tratamientos H. de día 30.000

Terapias respiratorias 108.000

Diálisis 53.790

Actividad Obstétrica 20.791

Extracciones/

Trasplantes190

Cuidados Paliativos 572

Actividad Asistencial

Why?

Hospital’s healthcare activity is, clearly, an example of mobility working environment.

Healthcare professionals has to do intensive queries of patient’s information (clinical data, test results, treatments,…) and data inputs.

Doing this with MPoC solutions would make tasks easier and improve efficiency.

Cardiology Service

64 beds

13 Day Hospital puestos

3 Hemodynamics wards

1 electrophysiology

30 medical staff, 15 residents

Short length of stay

Need to improve access to patient information

Project

The project aim at the Cardiology Service was to determine the value of the MPoC solution for the improvement of the ward daily rounds for hospitalised patients.

Key points:

» Quality of care

» Patient safety

» Staff productivity and satisfaction

First steps

»A delimited área of the cardilogy unit was selected for the pilot

»Test of ward round times without mobility solution

»2 doctors were equipped with MCA devices.

» The MCA’s provide access to the same patient’s clinical information as available on the office’s desktop computers.

Ward round workflow

Quality of Care

Availability of the patient data and update of clinical information

Improvement of the electronic prescription workflow

Improvement of orders circuit and access to lab and test results

Reduction of unnecessary or repeated tests

Quicker and more informed clinical decision-making

Improvement in team communication

Patient Safety

Quicker and more informed clinical decision-making

More informed patients Reduce risk of error Unnecesary lengh of stay

reduction

Staff Satisfaction

Perceived improvement in working conditions

Better visibility of workload

Quicker and more informed clinical decision-making

Improvement in team working

Improvement in ward round workflow

More time spend on clinical tasks

Areas of improvement

Wi-Fi coverage User interface design MCA Battery life Lack of availability of some

orders input

From pilot to daily work

Wireless LAN Optimization.

8 more MCA devices to extend the solution to all the Cardiology Unit.

Re-design of user interface

The results of the pilot were confirmed, with full staff satisfaction and improvement of the assistance delivered.

New implementations

Mobility solution with MCA for the 40 operating theatres of the Hospital

Target: Nursing and surgery data

All Circulating nurses with an MCA.

Ward round of hospitalised patiens of Surgery Units.

Thank you