wardinhand

WardInHand

Pilot tests in HCPB

Felip Burgos, RPFT, RN

HCPB

Area served by the HCPB:

400000 inhabitants

Mixture of private/public health care providers

HCPB

Area served by the HCPB:

400000 inhabitants

Mixture of private/public health care providers

Public organisation including:

3 Hospitals

16 Primary Care Units

2 Transplant Services companies

Biomedical Research Foundation

HCPB Main figures

Beds 840

Inpatients 41643

Out-patients 40772

Casualties 147577

Surgical Procedures 18812

Transplants 344

Employees 3500

Budget (million €) 170

LOS (days) 7

Complexity (DRG-All, v12.0) 1.99

HCPB Institutional strategy

TranslationalResearch

Integratedcare services

Innovationin curricula

HCPB Institutional strategy

Integratedcare services

InnovationIT Platform

Cooperationacross levels

Pilot environmentBusiness case:

Pharmacy prescriptionPrescription Validation of prescriptionReactions & adverse effects

Nurse collection of vital signsVital signs Fluids, biological testsNurse comments

LocalisationWard 9.2. Internal Medicine

19 rooms (36 beds)2 Access points.

Ward 10.4. Internal Medicine (control)Users

Physicians, Pharmacists, Nurses, Administrator

Architecture

Internet

FirewallHCPB

Intranet vlan-12

Firewall European projects

Acces point

Acces point

-

PC-CLIENT

WIH SERVER

DMZ

DMZRemote

connections

Main Features: Workflow

Track actions planned by ward staff and dispatch tasks.

Participating professionals

Round Physicians Nurses

Morning 73 nurses + 3 aux

4 nurses + 4 aux (weekends)

Evening7 (till 17:00)

1 (from 17:00)

3 nurses + 2 aux

4 nurses + 3 aux (weekends)

Night 1 2 nurses + 1 aux

Evaluation

Verify the completeness of the specifications (functionality)

Verify the adequacy of non-functional characteristics, in particular usability, configurability, stability, and impact on existing Information Systems.

To get feedback from the pilot users on cost of ownership, organisational and skill requirements.

To quantify the benefits and verify the return on investments made by customers that will adopt WIH in the future.

General

Usability

Functionality

Conclusions

Clear screen displays, big fonts and data entry boxes

Sequential ordering of screens as an aid to navigation

Judicious use of workflow tools to avoid hampering creativity.

Incremental strategy for successful introduction

Always choose a very specific procedure and move it, completely, to the PDA platform (ex: vital signs collection)

Be clear about the fact that benefits are to be expected from a global vision of the procedure rather than in the particulars of single tasks. However, be cautious and try to keep a correct effort/benefits balance.

Think about the current organisation of the procedure chosen and change it, if necessary, before the introduction of new IT applications.

Market analysis

Utility and acceptance

Impact on provision of healthcare

Impact on productivity

Impact of the system on work reorganisation process.

Accuracy