Download Myhre Dorman, DC, RN / Erica Knippling

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
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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
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iPads
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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
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Suicide precautions/psychiatric
diagnosis
Prisoners
Ability to read & understand
English
Cognitive status
Infectious Disease precautions
Age of patient
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Teens age 12-17
NURSE DISCRETION
My Sanford Chart Bedside: Pilot
Training—staff
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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
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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
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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
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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
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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