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Leveraging Technology to enhance the patient experience Myhre Dorman, DC, RN Erica Knippling Myhre Dorman, DC, RN Lead Application Support Analyst – My Sanford Chart My Sanford Chart Bedside Overview My Sanford Chart Bedside is a tablet based application that allows a patient admitted to the hospital to track information relevant to their current stay. When a patient is admitted, their current hospital chart is linked to the tablet. Either the patient or a proxy can access their information via the tablet using a unique passcode to log in. My Sanford Chart Bedside: Pilot Phase 1: November 2015 Sanford-owned tablets only Pilot locations in Fargo and Sioux Falls hospitals Fargo units: Sioux Falls units: Peds/PICU Women’s Palliative Care OB Rehab My Sanford Chart Bedside: Pilot Technical Setup • • • Dedicated network for iPads Tablets were all Sanford-owned iPads were kept in single-app mode using MOBI mobile-device management My Sanford Chart Bedside: Pilot Devices • iPads – • • • • Purchased for 20-50% of beds Ready Dock sanitizing station for each unit Chef Sleeve disposable cover 6-ft charging cords Powerstrip My Sanford Chart Bedside: Pilot Patient Use Considerations • • • • • • Suicide precautions/psychiatric diagnosis Prisoners Ability to read & understand English Cognitive status Infectious Disease precautions Age of patient – Teens age 12-17 NURSE DISCRETION My Sanford Chart Bedside: Pilot Training—staff • • • • • A quick start guide was utilized 1.5 hour classroom training was required for all nursing staff CI Ops staff were on-site in the units during go-live week Brief computer based training module addressed the culture and philosophy changes Providers were given a handout My Sanford Chart Bedside: Pilot Training—patients • A welcome video guided the patient through the application • Nurses answered a lot of patient questions • Handout available My Sanford Chart Bedside: Pilot Features Available • Introductory video • Upcoming events & appointments – Medications – Therapy appointments – Clinic appointments • Treatment Team details • Send non-urgent messages My Sanford Chart Bedside: Pilot Features Available Request list Approved by Operations Assistance • Make non-urgent requests – Request water, ice, etc. • View up-to-date health information – Vital signs • View lab results • Review educational materials – Able to mark understanding Cleaning Food and Drink People Comfort Move to chair Bedding change Snack Visit from spiritual care Warm blanket Take a walk New gown Water Visit from social worker Lights dimmed Take a shower or bath Washcloth Coffee Visit from case manager Backrub Shave Towels Ice chips Heating pad Brush teeth Empty garbage Drink Ice pack Get item Remove food tray Pillow Extra blanket Position change My Sanford Chart Bedside: Pilot Features Available • Review hospital diagnoses • Save notes to self – For example, questions or exercise instructions • Review Krames content for medications, diagnoses, and problems My Sanford Chart Bedside: Pilot Features Available • Other hospital visits • Information available postdischarge via My Sanford Chart – Notes to self – Education materials – Messages My Sanford Chart Bedside: Pilot Phase 2 Phase 2: June 2016 Sanford-owned tablets Bring Your Own Device functionality enabled Additional locations in Fargo and Sioux Falls hospitals Fargo units: Sioux Falls units: Oncology Ortho Ortho/Neuro Surgical/Renal Med Onc My Sanford Chart Bedside: Optimization Bring Your Own Device—March 2016 Added functionality for patients to bring their own device to their hospital stay and still utilize the My Sanford Chart Bedside Application Provider Notes—July 2016 Progress Notes, Consult Notes, H&P notes, and Operative Notes were made available, upon signing by provider My Sanford Chart Bedside: Metrics Nurse Feedback • • • • Nurses struggled to see value for their workflow Felt it was “one more thing” they were required to do upon admission Did not want to spend significant time answering questions about the tablet’s use Difficulty tracking patient requests & messages My Sanford Chart Bedside: Metrics Patient Feedback • • • • Information was easily accessible Parents of admitted children liked the ability to see up-to-date information Liked seeing medication information and test results Like reading about their treatment team My Sanford Chart Bedside: Metrics Patient Suggestions • • • Desired it be available from their mobile phone, not just via tablet Short-term patients preferred our My Sanford Chart application Desired access to entertainment apps and internet access My Sanford Chart Bedside Future State *Increase staff engagement and promotion* Edit features available to meet both staff & patient needs New mobile device management software Allow access to the internet and other applications on Sanford-owned tablets Questionnaires & e-signatures Integration with menu order & paging systems Mother-baby access via one tablet Enterprise-wide rollout Magic Info Powerful and intuitive content management solution for Brookings Health System Erica Knippling Clinical Informatics Specialist Goal: Find a technology that would allow increase communication for patients and employees • • • • Cost Effective User Friendly Easily deployable Visually appealing Setup • Existing wireless infrastructure • IIS setup • User and content friendly application • Create multiple users • Marketing and IT • Word, PowerPoint, PDF, WMV, etc Application Dashboard Phase 1: Deploy in OB • Introduce new physicians • Photos • Video Phase 1: Deploy in OB • Show off the new arrivals • Screens updated daily How does this allow BHS to enhance the OB patient’s experience? • Found that parents where waiting before discharge to see their newborns • Encourage traffic to website to view images • Family members enjoyed viewing while in waiting area Phase 2: Hospital wide rollout • Local Clinics • Arlington Medical Clinic • White Medical Clinic • Neighborhoods at Brookview• Volga Medical Clinic • Yorkshire Eye Clinic • Hospital areas • Front Lobby • All waiting areas Phase 2: Hospital wide rollout • Upcoming clinics • Foot Clinics • Diabetic Education • Wound Care • Outreach clinics Wayfinding during construction Promotional Events Final Phase: Employee Areas • Keeps all staff informed and up to date • Used by clinical staff to help reinforce policies or patient centric procedures • Still within patient site Final Phase: Employee Areas • Introduce new employees to the BHS family • Birthdays • Retirements • Etc • Updated Monthly or as needed Final Phase: Employee Areas Questions