a time management tool for hardworking nurses nursemind
TRANSCRIPT
A time management tool for hardworking nurses
NurseMind
Market• 3.2 million nurses ask:
– How much time do I have?– What must I do next?– Have I forgotten anything?
…dozens of times on every shift.
• Nursing surveys reveal: – Mental burden– Compromised safety, quality– A real problem!
What’s Hard About Nursing?
• Remembering everything– Several patients, varying acuity, lots of details
• Knowing what to do next– Prioritizing in your head in a hurry
• Many tasks are time-sensitive– E.g. must give meds within a narrow time window
• Frequent interruptions– Stressful, error-prone
• Huge implications– Outcomes, safety, on-the-job stress
• Example: bed sores*– Remember to turn the patient every two hours
Automate the Paper “Brain”• NurseMind is a cognitive tool
– Does the remembering, reduces stress– Replaces paper “brain”
Shift-at-a-Glance
The heart of the app• How much time do I have?• What must I do next?• Have I forgotten anything?
Times at bottom:• Elapsed + remaining = 8.5 hrs = 1 shift• If time remaining < time needed,
background turns red.
What We Do That’s Special
• A smart to-do list• With timing info
– Deadlines for tasks– Durations (enable prediction, planning)
• Unique graphical user interface – Shift-at-a-Glance
• Build the to-do list with minimal effort• Share the data
– Social networking– New info for mgmt, research
• Reduced stress staff nurses
• Improved safety patients
• Less overtime hospital bottom line
• Bottlenecks anticipated charge nurses
• New data managers, researchers
The NurseMind Value Proposition
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Technology• SmartPhone1 app• Data storage on server and cached • Works with and without wifi/3G• Quick and fun
– Graphical/touch-driven user interface1. Whip it out of pocket
2. A few taps and a glance
• Proprietary– Intellectual
property
• If it’s slower than paper, forget it! No nurse will use it.• NurseMind is better than paper:
– Well-tuned GUI• At a glance: what is due, overdue, soon due, ok to take a break?• Menus: common/recent choices at the top• User actions: a tap or two
– NurseMind reminds; paper does not• Can alarm or vibrate • Forget nothing (safety)• Efficiencies, e.g. trips to fetch supplies• Automatic timestamps
• A new way to organize nursing work:– Paper brain: units of data are facts about the patient. – NurseMind: units of data are tasks -- Action-oriented.
Better Than Paper?
Data and Security
• No protected health info (PHI1) collected– No HIPAA concerns
• A task list for each type of nursing unit– Med-surg, rehab, maternity, periop, ortho, SNF, …
• Aggregated shift summaries – Analysis of nursing work content
Revenue Model
• Unit price: free• Who buys it:
– Tier 1: nurses• Buy through the iTunes store and in-app payment
– Tier 2: hospitals• Packages include app licenses, backend software,
support, training• Database runs on our servers or their own
• The real cashflow is from subscriptions– $3.99/mo, $39.99/yr, $79.99 lifetime
subscription (crowdsourcing)
Checklists in Medicine
• Precedent: aviation*• In health care, Gawande is the man
• Funded, we can appeal to him
Product Demo(features to observe in a demo)
• Shift-at-a-glance
• Task list by deadline
• Data model
• Note-taking–Vital signs
Task List
• Sort by deadline– Or by patient– Or by room
• Add tasks on the fly
Data Model• Shift definition
– Generic task list for each type of nursing unit• E.g. med-surg, rehab, OR, SNF
– Users customize for their hospital• Interventions/conditions
– Additional nursing care for a patient– E.g. diabetes, allergies, risk for pressure ulcers, risk for falls, droplet
precautions, wound care, Foley catheter, central IV line, NPO,1 many more– Hospital-specific “protocols2
Note-Taking
• Problem-oriented information as needed• Vital signs (a “notepad on steroids”)
Pain Assessment Scale
Our Vision
• Our solution – Task tracking– Time management– Modern tools for nurses– Improved clinical decision-making hence outcomes
• Changing nursing!
Thanks for listening
• The old way– Nurses aren’t taught time management– Their only tool: “brains”– Stress, omissions, safety!
