Mary Aldrich, Nicole Bammel, and Brad Schwartz Med Info ...nicolebammelcapstone.weebly.com/uploads/4/5/0/3/... · Standards/Regulatory Environment Programs Vendor Selection Implementation

Mary Aldrich, Nicole Bammel, and Brad Schwartz Med Info 404 Winter 2014

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Goals and Objectives RTLS Applications RFID Technology Benefits and Barriers to Adoption Standards/Regulatory Environment Programs Vendor Selection Implementation Strategy Workflow Revenue Cycle

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Goal: To implement a Radio Frequency Identification (RFID) system in the OR setting by Q2 2014, with hospital rollout Q1 2015

Objectives

Improve operational efficiency

Decrease rental equipment costs

Decrease shrinkage

Decrease hospital acquired infection (HAI) rate

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Real-Time Location Systems (RTLS)

Novel uses: asset tracking, in surgery, temperature monitoring, protection of personal health information (PHI), and drive efficiency and improve workflows

RFID is a type of RTLS

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Wireless system compromised by tags and readers

Readers have one or more antennas that produce radio waves and receive signals from the RFID tag

Tags use radio waves to communicate with nearby readers

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Improved patient safety or reduced medical error

Time and cost saving Improved medical process Other benefits

Protecting drug supply, improving resource utilization, enhancing patient satisfaction

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Cost Privacy concerns Other barriers

Lack of organizational support, trust issues, security issues

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Federal Communications Commission (FCC)

Governs RFID frequency allocation

U.S. Food and Drug Administration (FDA)

Analyze effects RFID to ensure patient safety

▪ Works with medical device manufacturers to test products for potential adverse effects from RFID

▪ Participates and reviews the development of RFID standards to mitigate potential electronic medical interference (EMI)

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Technology Standards

International Organization for Standardization (ISO)

▪ ISO/IEC 18000

▪ Defines parameters for different frequencies

▪ Addresses protocols and parameters relating to air interface

Data Standards

ISO/IEC 18000

▪ Defines the coding structure for the identification of products

EPC Global

▪ Electronic Pocket Code (EPC)

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RFID operates on several frequencies Low frequency

▪ 125 - 134 kHz and 140 - 148 kHz

▪ Applies to smaller devices and low distance reading

High frequency ▪ 13.56 MHz

▪ Applies to product tagging, product packaging and patient wristbands

Ultra high frequency ▪ 860-960 MHz

▪ Applies to transportation and long distance reading

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RFID tags may cause electromagnetic interference (EMI)

Conduct comprehensive network analysis

Ensure medical device manufacturers validate their products for potential adverse effects from RFID

▪ EMI testing is required by FDA and FCC

▪ Medical Device RFID Susceptibility Program

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Passive

Powered by the reader and do not have batteries

Can only communicate with reader when near it

Active

Powered by batteries

Power integrated circuits

Broadcast response signal to reader

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Real Time Locating Systems use active tags Tracing and tracking of higher value assets

such as infusion pumps, hospital beds, wheelchairs.

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xx

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Used in areas where it is not necessary to track the exact location of an item

Sponge counting

▪ Foreign object left in body

Medication tracking and inventory

▪ Minimizes costs due to expired medications, identifies counterfeit medication

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Supply Chain Asset Management

Infusion Pump Tracking in OR

Sponge Count Hand Hygiene

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Integrated with RTLS Goal - decrease the rate of hospital acquired

infections (HAIs)

Battery powered dispenser monitors, mounts to any dispenser, canister or sink

Generate reports that show visits to hand hygiene stations as well as missed opportunities

Reminders to staff to encourage compliance in real-time, 24/7.

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Objective: implement an RTLS system that is not disruptive and can leverage existing WiFi infrastructure

Proven track record in healthcare Assessment management versus asset

tracking Battery powered Easy to install Participates in network analysis and training

and education

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1. Setting reasonable expectations 2. Understanding and designing a system to implement

your company's desired process 3. Defining and agreeing upon the system requirements 4. Collecting and analyzing the necessary site data 5. Integrating various technologies smoothly 6. Selecting the proper tags 7. Understanding the system's data needs 8. Properly installing and setting up equipment 9. Planning adequate time for testing and changes 10. Documenting the lessons learned from each new

project

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Pilot the technology before deploying system-wide

Limit to the afore mentioned programs

Limit location

Conduct improvement cycles for the pilot Devise plan for further implementation

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End-User Training Benefits of location services Best practices Sensor education Viewing, reporting and search options

System Analyst Training Analysis Support Troubleshooting

Hardware Vendor Training Sensor use Program goals

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Initiation: Define and authorize the project Planning & Analysis: Plan the project and

document current state and requirements Execution:

Design: Create the new process and determine how to use the technology to support it

Implement: Deploy the new process and technology

Monitoring and Controlling: Measure results

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Assessment Data Analysis Staff Interviews

Workflow Redesign Review Current State Eliminate Waste

Change Management Communication Plan Support

Technology Implementation Tag Track

Optimize

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Project Preparation RFID Hardware RFID Software Installation Costs Maintenance/Administration Training

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Asset Tracking Staff Productivity:

Significant time savings

Infection Reduction: Decrease preventable infections

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References

Centrak. (n.d.). Clinical-Grade Locating™ Solutions. Retrieved from Centrak: http://www.centrak.com/Clinical-GradeLocating.aspx Healthcare IT News. (n.d.). Real Time Location Systems (RTLS). Retrieved from Healthcare IT News: http://www.healthcareitnews.com/directory/real-time-location-systems-rtls McNickle, M. (2012, May 15). 5 Novel Used for RTLS Technology. Retrieved from Healthcare IT News: http://www.healthcareitnews.com/news/5-novel-uses-rtls-technology?single-page=true U.S. Food and Drug Administration. (2013, August 13). Radio Frequency Identification (RFID). Retrieved from U.S. Department of Health & Human Services: http://www.fda.gov/Radiation-EmittingProducts/RadiationSafety/ElectromagneticCompatibilityEMC/ucm116647.htm Yao, W., Chu, C.-H., & Li, Z. (2010). The Use of RFID in Healthcare: Benefits and Barriers. U.S. National Security Agency .