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Achieving Mobile Care Orchestration: How one hospital uses smartphones

· Kim Tucker,

Recently, I was privileged to participate in a webinar given by our development partner, Parkview Medical Center (Pueblo, CO). The Parkview mobility journey was shared with an audience from over 60 separate healthcare facilities across the country. Denise Crepeau, Senior Applications Administrator, and Amy Hough, Director of Clinical Informatics, described how their facility started with barcode medication administration with a compliance rate of 98 percent or better in all inpatient areas, then added other workflows such as blood administration, specimen collection, and most recently secured texting and VoIP communications using a single device. They explained how their HCAHPS scores in medication education rose from ~20% to 62%, and sustains with +/- 10% as the PatientTouch application reminds nurses if the patient hasn’t received their first dose education. Blood transfusions, a highly critical workflow, now use barcode scanning to properly cross-check and witness each event.

Adding communication technology has improved response time and helped the care teams feel more connected according to 86% of the clinicians surveyed post-implementation. And 71% felt that STAT lab order turnaround time improved. Sixty-seven percent felt that interruptions, the hobgoblin of clinicians’ days, had decreased.

Because Parkview has focused on handheld mobility since 2007, the use of workstation-on-wheels is minimal. Clinicians are thrilled that they don’t have to push around a cart to do barcode medication administration and that the hallways aren’t cluttered with carts. The admission assessment is the major workflow needed for a larger screen and full size keyboard.

Having interfaces with Meditech has opened the way to documentation of care interventions such as vitals, intake and output, nursing assessments such as pain scales, risk assessment tools and other quality metrics using the PatientTouch application. Denise and Amy closed with their roadmap of adding securing texting and communication with community physicians and other care team members.

But what was truly amazing was the Question and Answer session! The audience was primarily clinicians and it was obvious that they saw the value of the concept of Mobile Care Orchestration™ network using the PatientTouch application. Combining communication technology with having pertinent patient information no matter where the clinician is and point-of-care documentation has long been a dream…and applications for smartphones have made the dream a reality. It was sad that we had to stop the lively discussion at the top of the hour, but the dialogue with the attendees goes on…

Would a Mobile Care Orchestration network help your organization reach its goals?

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