Infusion Pump Informatics
description
Transcript of Infusion Pump Informatics
Infusion Pump Informatics
Our Path Forward
Ann Christine CatlinIPI Research and Development
May 22, 2014
Reviewing IPI … 2009-2014
R&D Effort 2013-2014 What’s new? What does it take to keep IPI going? Working together to solve problems
Research 2014-2015 Our ideas & how to make them work
Infusion Pump InformaticsOur IPI System 2009 – 2014 Metrics
Infusion Pump InformaticsOur IPI System 2009 – 2014 : Metrics
The IPI Community of Hospitals The IPI Community of Users
4482
2034
Infusion Pump InformaticsOur IPI System 2009 – 2014 : Metrics
IPI Log Uploads
679
Almost 16 million alerts!
271
IPI Hospital Alerts and Database StorageIPI Alerts and Database Size
Total Database Size 14580 MB = 14GB
Infusion Pump InformaticsOur IPI System 2009 – 2014 : Metrics
Charts & Reports Generated by the IPI CommunityCharts & Reports Generated by the IPI Community
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What we did When Can anyone else?
Smart pump data analysis right in your browser, available online from anywhere
2009 Carefusion, but not until 2011-2012
Full data sharing between different hospital systems 2009 No
High level & detailed comparison charts between any # of hospitals
2010 No
Searchable, sortable reports for investigating data 2011 No
Automatic pivot tables 2011 No
Support for pumps from different manufacturers 2012 No
Clickable workflows for drilling-down to data of interest 2012 No
Normalized metrics for head-to-head compares 2013 No
Access to all your data, even after changing pump manufacturers
2014 No
New feature requests? You get exactly what you want, and fast
Often Not often
Verification and validation for every data value Always Not always
Infusion Pump InformaticsOur IPI System 2009 – 2014 … the Cutting Edge
Reviewing IPI … 2009-2014
R&D Effort 2013-2014 What’s new? What does it take to keep IPI going? Working together to solve problems
Research 2014-2015 Our ideas & how to make them work
Infusion Pump InformaticsOur IPI System 2009 – 2014 Metrics
Infusion Pump InformaticsWhat’s New? Time-to-Override Reports
Infusion Pump InformaticsWhat’s New? Time-to-Override Reports
Infusion Pump InformaticsWhat’s New? Time-to-Override Reports
Infusion Pump InformaticsWhat’s New? Time-to-Override Reports
Infusion Pump InformaticsWhat’s New? Compliance Upgrades
Infusion Pump InformaticsWhat’s New? Compliance Upgrades
Upload Hospira compliance
(it’s device specific and alert type specific)
Upload Excel spreadsheets (Carefusion & Hospira)
New: Carefusion KP compliance … validate first! 2 kind of KP compliance:
actual infusions & infusion starts (counter starts) KP counter starts should be the same as CQI counter starts.
Report is “Usage by Profiles” & both are affected by library updates
KP vs CQI… count numbers different, compliance percentages different
Infusion Pump InformaticsWhat’s New? Infusion types breakout & aggregation
Infusion Pump InformaticsWhat’s New? Infusion types breakout & aggregation
Infusion Pump InformaticsWhat’s New? Selects for datasets, facilities, …
Infusion Pump InformaticsChanging devices? You can track & assess changes!
Infusion Pump InformaticsChanging devices? You can track & assess changes!
Reviewing IPI … 2009-2014
R&D Effort 2013-2014 What’s new? What does it take to keep IPI going? Working together to solve problems
Research 2014-2015 Our ideas & how to make them work
Infusion Pump InformaticsOur IPI System 2009 – 2014 Metrics
Infusion Pump InformaticsChanges hit us from all sides. Almost daily.
The Pump Manufacturers Carefusion Knowledge Portal: new definitions, new formats, new processing Hospira: new pump devices, new data, new formats Significant changes to database & GUI resulting from changes in pump data
The Hospitals Changes in pumps and/or data reporting systems Partial pump replacements (SVH keeping PCA devices) New needs related to data and reports
The Hub and IPI infrastructure New security model, HIPAA compliance Database server changes and database reconfiguration Platform upgrades, software upgrades, new workflows New 3rd party software – like graphics routines Network issues Performance upgrades, code “retooling” Database “restructuring”
Infusion Pump InformaticsNew Input Formats, Definitions & Validation
Carefusion KP Alerts Monthly alerts = Field Limit + Cancel
All Other Alerts KP vs CQI “All Available Columns” files are actually
different (different sizes, different content) KP vs CQI Alert totals reported to users are different
Hospira Hospital Changes Pump replacements (two hospital solution)
Partial pump replacements (split device population) More complicated compliance data
Infusion Pump InformaticsKP vs CQI Alerts Validation THANK YOU ANDY
Infusion Pump InformaticsKP & CQI Alerts Timestamp SecondsTHANK YOU ANDY
Infusion Pump InformaticsProcessing Alert Uploads, Timestamp Seconds, etc.
Nightly hospital alert logs processing Long processing times when IPI not available Now processed off-line, so IPI is available 24/7
Alert logs and timestamp seconds Why does it matter? Hospitals with & without timestamp seconds Check at upload time will now be made
Will never see this screen again
Reviewing IPI … 2009-2014
R&D Effort 2013-2014 What’s new? What does it take to keep IPI going? Working together to solve problems
Research 2014-2015 Our ideas & how to make them work
Infusion Pump InformaticsOur IPI System 2009 – 2014 Metrics
Infusion Pump InformaticsResearch 2014: Outcomes Analytics
Presenting and understanding the outcomes of changes implemented as a result of IPI analysis
Metrics identify how to measure “before” and “after” Can be tied to analysis that triggered the decision to
change Annotation of change (Limit changes? Education? Policy?
What else?) Graphical User Interface to build and display metrics and
annotations You can set reports and we will send emails with links to
remind user to continue to look at the “after” metrics
Infusion Pump InformaticsResearch 2014: Outcomes Analytics
Intervention !
Infusion Pump InformaticsResearch 2014: Drug Limit Analytics
Create a new “environment” for investigating and understanding drug limits across hospitals
Uploading & viewing drug limit library datasets Database needs structure to support limit data and drug
comparison requests Graphical interface needs a design to support requests and
results display What are the parameters:
drug, profile, therapy, library, soft/hard, min/max,
other factors (concentration, …) Comments and annotations about changes to the libraries
Infusion Pump InformaticsYour IPI Research and Development Group
Couldn’t happen without them Sudheera Fernando Ruchith Fernando Sumudinie Fernando Ruwan Gamage Tharindu Mathews