somerset medical center
DESCRIPTION
Somerset Medical Center. Inet and BMDI Design and Implementation Dennis Dacquel, RN. 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 - PowerPoint PPT PresentationTRANSCRIPT
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Somerset Medical Center
Inet and BMDI
Design and Implementation
Dennis Dacquel, RN
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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
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Somerset Medical Center Strategies
Top 100 Community Teaching Hospitals
Leapfrog
Certificatione-Health
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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
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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
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Critical Care Pavilion
ICU(8 beds) CCU(12 beds) IMCU(8 beds) 85 Critical Care RNs 1 Intensivist, 1 PA, 1 NP
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Timeline Summary
Inet Project Timeline Summary 2003April May June July August September October November
Design Phase
Technical Team
Testing
Education
Go-live
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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
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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
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Design and Build
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Design Sessions
Multiple ‘wish-list’ meetingsEnsuring wish-list items are JCAHO
compliant.Form designBMDI data acquisition requirements
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Inet Build
Inet OCDsUpload Event CodesUpload Event SetsCreate DTAsTurn on the Flowsheets
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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
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Technical Design
Centralized Gateway Model
- ‘thin’ clients
- 1 BMDI gateway to capture data for all bedside devices via TCPIP network
- 1 Cerner reference database
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Hardware needs
• Purchase ASAP!!!!
• BMDI gateway
• Cerner BMDI server
• Cables/terminal servers/network access etc.
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BMDI Vendor Selection
Cerner only responsible for inbound data Client responsibility to acquire gateway
solution:
- HP/Philips
- GE
- Siemens/Legacy Integrators
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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
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Critical Care Bedside Devices
29 bedside monitors
- GE Marquette Unity network14 ventilators(floating)
- Siemens Servo 3003 IABPs(floating)
- Datascope system 97
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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
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Questions?