David Boxbergerdboxberger@peer-tech.com503-297-0337 ext 111Jon LeBrejlebre@peer-tech.com503-297-0337 ext 118

OCHIN Learning Forum 2012

Device Placement to Improve Patient Care and Provider Happiness

Goal

Share our experiences helping offices and hospitals pick and place computing equipment with the intent of improving patient care and keeping providers happy.

Technology should be…•easily accessible•appropriately located•properly resourced•appropriate for the provider/patients/office•supportive of work flow•dynamic (not static)

There is no one right answer.

Unfortunately, there are lots of not quite right answers.

Global Concepts

Patient’s HomeAccess to chart and relevant health information

ReceptionPatient kiosk

Front deskNow – Electronic signature pad, Barcode printer, multipurpose scanner, cameraFuture - ??? (ask Paul Matthews ) Phone integration…Lots of peripherals = lots of USB portsFront desk is getting crowded!

Exam roomPlacement is paramountThin clients are OK Work with provider to fine tune placement by roomWall mount, cabinet, counter, or cart

Charting stationWorkflow and office infrastructure dictate placementSingle purpose system

Provider’s HomeAccess to EHR and other office tools

Ambulatory Office – Focus Areas

BudgetThis is not the low cost optionBudget has been our biggest challenge

FacilitySpaceInfrastructure

Provider preferencesProviders directly exert influence

ResourcesTechnologyPlanningTrainingOngoing evaluation

Ambulatory Office - Challenges

Ambulatory Office- Approach

1. Walk throughFollow patient’s path

2. Treat each exam room separately

3. Use a floor plan4. Review

placement prior to budgeting

HP LaserJetP4014n

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Manager PC

Server

Sonicwall TZ170

PowerConnect2024

Scanner

Scanner

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Front Desk PC

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Front Desk PC

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Billing PC

DR Office

DR Office

Exam

Exam

Exam

Exam

Ultrasound

Procedure

MA Station

Lab

MGR Office

HP LaserJet4050

NetgearWGR614

NetgearWPN824

LinksysBEFSX41

Label Printer

Waiting Room

Restroom Restroom

EmployeeLounge

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MA PC

Label Printer

`

MA PC

`

MA PC

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Ultrasound PC

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Provider PC

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Provider PC

`

Provider PC

`

Provider PC

Exam Room TC

Exam Room TC

Exam Room TC

Exam Room TC

Exam Room TC

AdmissionsNow -Scanning, barcode printing, electronic signatures, photos, printing, bracelet printingFuture – Phone integration

Patient roomsWireless or web kiosk/tv in roomTrend towards hiding hospital technologyThin client, barcode reader Workflow and built infrastructure determine placement (Charting is not popular in patient rooms)

Charting stationThin client (location, location, location)

EDNow - Order entry, scanning, barcode printing, electronic signature, payment, status boardFixed devices or cartsLots of access

Critical Access Hospitals – Focus Areas

FacilityInfrastructure

ComplexityProcess and Delivery

No Clear Vision/Many Clear VisionsDifficult to get leadership to agree

Complex patient demographicNot much time to experimentNascent planning processes

Critical Access- Challenges

Critical Access- Approach

1. Walk throughFollow patient’s path

2. Each department is unique

Solicit feedback from the staff working in each area

3. Find common denominators

4. Use a floor plan5. Review placement

prior to budgeting6. Be open to change7. The clinic will be

totally different

•Engage patients, staff, and providers•Prepare for sticker shock•Embrace novel solutions•Don’t be afraid to change

Closing Thoughts