Somerset Medical Center
description
Transcript of Somerset Medical Center
Somerset Medical Center
Inet and BMDI
Design and Implementation
Dennis Dacquel, RN
2
Somerset Medical Center
Non-Profit Community Minor Teaching Hospital 355 Licensed bed 261 maintained / 240 average census Annual Statistics
– 40,000+ Emergency visits– 30,000+ Inpatient Visits– 250,000+ Outpatient procedures– 1420 FTEs (1800 people)– 540 Independent Staff Doctors
Average LOS = 4.9 – 5.1 days
3
Somerset Medical Center Strategies
Top 100 Community Teaching Hospitals
Leapfrog
Certificatione-Health
4
5
Clinical Systems Vision: Nursing Process Automation & Redesign
Standards of Care Documentation Charge automation Order Processing & Results Charting Care Delivery Task Management Medication Management
GOAL: MORE TIME FOR PATIENT CARE
6
M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12………………………………… M24
Ancillary Departments: Lab, Rx, Radiology, OR
Hospital-wide Integration at Somerset
Scheduling, EMPI, Registration
Clinical Data Repository
Chart Tracking & Deficiency
Orders, Documentation
Phase I: Replace the Core
CPOE
M.A.R.
Patient Safety Initiatives
Order Sets/Pathways
Patient Care / Physician Workflow Redesign
ICU Integration
Phase II: Add the Intelligence
E-Sign
7
Critical Care Pavilion
ICU(8 beds) CCU(12 beds) IMCU(8 beds) 85 Critical Care RNs 1 Intensivist, 1 PA, 1 NP
8
Timeline Summary
Inet Project Timeline Summary 2003April May June July August September October November
Design Phase
Technical Team
Testing
Education
Go-live
9
Physicians SM CDepartm ents(As needed)
Care ProviderClinicalContent
Com m ittee
Care ProviderClinical Content Cm te
Chair: Sys Adm in,M edical Inform atics, M D
SM C ProcessFacilitator
Dir, Perform anceM anagem ent
Patient AccessM anagem ent
Team
Patient CareDelivery
Team
RecordsM anagem ent
Team
eBusinessTechnology
Team
SM C Im plem entation& Process Design
Project Team s
SM C ProjectExecutiveSM C M gr,
Clinical Infrom atics
Clinical System sSteering
Com m ittee
Project Organization
10
Inet Project Team
SMC IS staff
Critical Care Clinician Specialist
Critical Care Manager
Critical Care Director
Critical Care Staff
Cerner Inet/Documentation Resource
Cerner BMDI resource
Design and Build
12
Design Sessions
Multiple ‘wish-list’ meetingsEnsuring wish-list items are JCAHO
compliant.Form designBMDI data acquisition requirements
13
Inet Build
Inet OCDsUpload Event CodesUpload Event SetsCreate DTAsTurn on the Flowsheets
14
15
16
17
18
19
20
21
22
23
24
25
Technical Design
Local Model- ‘fat client’ PC with direct multiple serial connections to bedside devices for every bed- reference database needs to be copied to every PC- troubleshooting - maintenance- hardware
26
Technical Design
Centralized Gateway Model
- ‘thin’ clients
- 1 BMDI gateway to capture data for all bedside devices via TCPIP network
- 1 Cerner reference database
27
Hardware needs
• Purchase ASAP!!!!
• BMDI gateway
• Cerner BMDI server
• Cables/terminal servers/network access etc.
28
BMDI Vendor Selection
Cerner only responsible for inbound data Client responsibility to acquire gateway
solution:
- HP/Philips
- GE
- Siemens/Legacy Integrators
29
Siemens/Legacy Centralized Solution
Auto device ID & detection Port independence - any device / any port. Network based - efficient and fast. Flexibility - 4 ports at the bedside Scalability - deploy in 1 care unit, multiple
units, or the entire hospital
30
Critical Care Bedside Devices
29 bedside monitors
- GE Marquette Unity network14 ventilators(floating)
- Siemens Servo 3003 IABPs(floating)
- Datascope system 97
31
Bedside Medical Devices Architecture(Block Diagram)
Bedside Medical Devices Architecture(Block Diagram)
Mainframe(Oracle Database)
Patient Room
Network
Terminal Server
BedsideDevice
RS-232Connections
BedsideDevice
BedsideDevice
TCP/IPBedside PC(Windows NT 4.0 Work Station)
PowerChart
Interfaces BMDI Async
(Access Databases)
Reference Activity
Active Copy of Activity Databaseon Network File Server
32
33
34
35
36
Questions?