Research Poster

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ABSTRACT  

INTRODUCTION  

RESULTS   DISCUSSION  AND  CONCLUSIONS  

REFERENCES  

ACKNOWLEDGMENTS  

The  University  of  Texas  at  Aus.n,  Health  Informa.cs  and  Health  IT    Cer.ficate  Program,  Summer  2015  

Shilpa  Jose  and  Ashley  McDonald  

Technologies  Improving  Hospital  Efficiency  

METHODS  

CONTACT  INFORMATION              

This project was completed with guidance from Mr. Bob Ligon. We used Google Scholar and PubMed to locate articles for this poster. We used keywords such as technology, efficiency, and hospital setting. Articles from the Journal of Commonwealth, the Journal of Information Management, the Geriatric Nursing Journal, Journal of the American College of Radiology and the Journal of Robotics and Autonomous Systems were reviewed. We used articles published between 2001 and 2014 that reported on the core topic, “Technologies Improving Hospital Efficiencies”. Information was incorporated from a face-to-face interview with UT Southwestern Medical Center Vice President of Application Services, Ms. Kathryn Flores. Additionally, we used facts from videos titled, “Creative Destruction of Medicine” from Dr. Eric Topol and a presentation by the Austin Chapter of HIMSS featuring Dr. Kenneth Shine titled, “21s Century Medicine – A Team Sport”.

1. Silow-Carroll, Sharon (2012). Using Electronic Health Records to Improve Quality and Efficiency: The Experiences of Leading Hospitals. Commonwealth Fund pub. 17, 1608 2. Ferrari, M., DNP, RN, Harrison, B., PhD, APRN, GNP, BC, Rawashdeh, O., PhD, PE, Hammond, R., PhD, Avery, Y., BSN, Rawashdeh, M., MS, Sa’deh, W., MS, Maddens, M., MD, et al (2011). Clinical Feasibility Trial of a Motion Detection System for Fall Prevention in Hospitalized Older Adult Patients. Geriatric Nursing 33, 177-183. doi:10.1016/j.gerinurse 2011.11.011 3. Han, Y., Han, M., Hyungtae, C., Hong, M., Hahn, H., BSN, et al (2001). Tracking of a moving object using ultrasonic sensors based on a virtual ultrasonic image. Robotics and Autonomous Systems 36, 11-19. doi:10.1016/s0921-8890(01)00126-9 4. Yazici ,Hulya Julie (2014). An exploratory analysis of hospital perspectives on real time information requirements and perceived benefits of RFID technology for future adoption. International Journal of Information Management.34, 603-621, doi:10.1016/j.ijinfomgt.2014.04.010 5. Berkowitz, S., MD, Kung, J., MD, Eisenberg, R., MD, JD, Donohoe, K., MD, Tsai, L., MD, PhD, MSc, Slanetz, P., MD, MPH, et al. (2014). Resident iPad Use: Has It Really Changed the Game?. Journal of the American College of Radiology 11, 180-184. doi:10.1016/j.jacr.2013.04.017

PURPOSE  The purpose of this research was to determine technologies that improve efficiency in various ways throughout hospitals.

Rising costs and increased losses due to wastes have led healthcare employers, consumers, and governmental agencies to demand that health plans and providers improve the efficiency of healthcare delivery. Exact estimates vary, but analysts indicate that inefficiencies in administration, operations, and clinical care total billions of dollars per year. The Institute for Healthcare Improvement (IHI), a leader in quality improvement research and practice, incorporated the need to increase efficiency into one of its core teaching concepts—the Triple Aim. Improving hospital efficiency is a critical goal for managers and policy makers. The Medicare Payment Advisory Commission defines efficiency as using fewer inputs to get the same or better outcomes. Efficiency combines concepts of resource use and quality. Technology is arguably the best tool to accomplish the objectives of efficiency, keeping its attributes. Technology provides numerous channels to maximize efficiency of hospital operations; therefore, it saves time. Innovative devices can help greatly improve the way staff carry out tasks. These cutting-edge approaches can either speed up existing processes or allow new, more flexible ways of carrying out the job.

Figure 5. iPad Use Among Radiology Residents

Figure 1. Live Video in Surgeries for Education and Diagnostics Karl Storz’s Cutting Edge Medical Video Technology is Currently Used at

University of Texas Southwestern Medical Center •  Surgeries Live and Video Taped for Educational Purposes Eliminating Distant Balcony Viewing •  Full High Definition Video Able to be Saved for Patient Procedural Documentation Purposes •  Live Video Consultation Availability for Physicians with In-Body Live Endoscope in Full HD •  Real Time Pathology Diagnostics Made by Endoscope Viewing, Improving Surgical Efficiency  

Radio  Frequency  IdenLficaLon,  also  Known  as  Barcode  Scanning  Saves  Time,  Money  and  Improves  Safety  in  Hospitals  

•  Real Time Asset Tracking, Management of Patient Conditions, Staff Movement •  Reduced Medical Errors, Medication Safety System, Reduced Data Entry Errors •  Efficiency through Process Innovation, Delivery Process, and Ease of Product Location •  Increased Patient Security with Immediate Verification for Identity and Medications

iPad  Use  in  Radiology  is  Making  Healthcare  Providers  More  Efficient  and  VersaLle  

iPads Used Among Radiology Residents

•  iPad Applications for Radiology Image Reading and Patient Explanation

•  Reading Medical Journals and Educational Materials

•  Final Radiology Image Readouts •  Dictating Medical Reports and Patient

Documentation

•  Improves Patient Safety with Accurate Patient Identification, including Unresponsive Patients •  Provides Efficient Patient Admission and Registration Process with Verified Identification •  Confirms Physician Identification before Submitting Prescriptions for Controlled Substances •  Integrates into Patient’s Electronic Health Record and Helps to Prevent Against Fraud

UT  Southwestern,  Parkland  Hospital  and  Children’s  Medical  Center  of  Dallas    to  incorporate  with  Enterprise  Master  PaLent  Index    

We would like to thank Mr. Bob Ligon, Mr. Michael Field, University of Texas Southwestern Medical Center Vice President of Application Services, Ms. Kathryn Flores, and Parkland Hospital Application Systems Analyst / Senior Programmer, Mr. Justin Armstrong.

Ashley McDonald [email protected] 214-478-7886

Shilpa Jose [email protected] 817-694-9494

Figure 3. Ultrasonic Sensors Used in Patient Tracking

Dell Children’s Hospital of Central Texas is Using Ultrasonic Sensor Tracking for Both Patients, Patient’s Parent & Providers

Technology offers countless opportunities to maximize efficiency within clinical and business operations. According to our review of new and innovative technologies, the majority of healthcare facilities use advanced technologies to improve performance which impacts factors like saving time, reducing costs, improving workflow and reducing errors. Here we highlight technologies that are being used to help hospitals enhance their efficiency and patient satisfaction.

Efficiency generated by cutting-edge technology benefits both healthcare providers and patients; therefore increasing patient satisfaction scores. •  The RFID technology had a tremendous impact on the improved

hospital efficiency with process innovation, real time tracking and monitoring of medical assets, and staff movement.4

•  RFID Technology played a significant role in cost reduction, productivity improvements, process automation, reduction of labor costs, transaction errors and shrinkage due to theft.4

•  iPads used in the Radiology department made workflow more simple and convenient. The study showed that 88% of the iPad uses were the radiology applications which facilitated the radiology image readings and explanations to the patients. Reading medical journals, final radiology readouts and dictating reports were the additional ways iPads made improvements in efficiency within the radiology department.5

•  Vascular pattern technology is a secure way to accurately identify patients quickly regardless of health status as well as verify physician authorization for prescribing controlled substances.2

•  Ultrasonic sensor provides system wide efficiency while patient tracking, room status tracking and even family member and physician tracking, all while coordinating with smart phones.3

•  Live endoscopic video technology provides both real time education, diagnostics and detailed patient documentation.1