Technology Application Evaluation: EMSTAT

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Presentation Description

The Use of an Electronic Clinical Decision Making Tool to Improve Sepsis Care in the Emergency Department Information technology in healthcare is an essential tool to improve the delivery of care and patient outcomes. Evaluating software applications to be used for this purpose require a the creation of an interdisciplinary team, needs assessment of what current organization policy and procedures need improvement, research on available software, creation of a checklist of the product criteria, contact vendors for demonstration, and the evaluation of the product based on the user’s needs. As an advanced practice nurse, one should be able to lead a team on how to evaluate technology. One should also be able to keep up with changing technology, as knowledge of informatics is one competency that is required of an advanced practice nurse.

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Presentation Transcript

EMStat : 

EMStat Emergency Department Application Evaluation Clinical Informatics Estrella Evangelista-Hoffman, DNP, MEd, BSN, RN, CNL

Outline: 

Outline Discuss the need for information technology EmSTAT demo Application Decision making must be based on the use of accurate information… F. Nightingale 1850

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PERILS OF PAPER CHARTING

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Are we lost in translation?

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Strategic Framework Goal 1 Inform Clinical Practice Goal 2 Interconnect Clinicians Goal 3 Personalize Care Goal 4 Improve the health of the population

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Health Information … Anywhere, Anytime Federal Health Architecture

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The Problem "..to link all health records through an interoperable system that protects privacy as it connects patients, providers and payers, resulting in fewer medical mistakes, less hassle, lower costs and better health." -HHS Secretary Mike Leavitt

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Electronic Health Record Allows ordering and non-ordering clinicians electronic access to lab results Allows authorized clinicians access to historical or other lab results for clinical care

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EmSTAT Emergency Department Information System (EDIS) - consistent, complete, and efficient documentation with features such as discharge roadblocks, chart controls, and navigation buttons

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PURPOSE provide patients with high quality of care including shorter wait times accurate clinical decisions clear and concise instructions discharge planning and continuity of care through to disposition Maintain standards & performance measures Appropriate reimbursement

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The "Total Solution" for ED automation includes: Tracking and Patient flow management Department operations management Triage charting Nurse charting Physician charting Comprehensive order processing Automated reimbursement assistance Automatic paging and faxing Role-based security and access Online prescription writing Report writing Ambulatory/PCP connectivity Integration with Enterprise Clinical Data Repository (CDR) Proven interfaces

EmSTAT Demo: 

EmSTAT Demo

Evaluation Criteria: 

Evaluation Criteria Chart Features-efficient workflow, HIPPA compliant Managed Care-can be upgraded Communications and Infrastructure-accessible Usability-easy to use Cost-150,000 – 250,000 for license

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Biases/Disadvantages Cost Limited Interphase Interoperability Updates/upgrades takes time Limited Space

APPLICATION: SEPSIS: 

Triage Screen Sepsis Screen Pathway Initiation Decreased mortality from 45% to 10% in 8 months APPLICATION: SEPSIS

CONCLUSION: 

CONCLUSION

References: 

References Allscript Electronic Medical Record http://www.allscripts.com/ Carter, J. (2004). Tips for evaluating medical record software. American College of Physicians. Retreived June10, 2008, from http://www.acponline.org/clinical_information/ journals/publications/ acp_internist/apr04/emrs.htm Executive Order: Incentives for the Use of Health Information Technology and establishing the Position of the National Health Information Technology Coordinator http://www.whitehouse.gov/news/releases/2004/04/20040427-4.html Institute of Medicine of the National Academies (2003). The future of the public’s health in the 21st century. Washington, DC: The National Academies Press.