Information Innovation

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Team Members

Kristin Hermann

Jon Koehler

Rung-Yu Tseng

Budget

High Cost: $850 - $1000

Medium Cost: $650 - $850

  • Flat Panel Computer - ~$300-$500
  • Printing and Copying Cost - $50
  • Sign/Display System for Wall - $200

Principle

Eliminate barriers by creating systems that make information more accessible to patients and families.

Problem

In the healthcare system there is limited access to information that patients and families need.

Project Goals

1. Create an information system that:

  • Informs
  • Eases Anxiety
  • Educates
  • Sets Expectations

2. Ability to interpret information in different languages

3. Cater to different age groups

Question

1. Who are the users: Patients, Families, Care team, Visitors (all of them? any else?)

2. Where should message board be placed: in the patient rooms? waiting room? or both? Somewhere else?

3. How is information currently communicated between patients and caregivers? What written documentation is given out? Could this be replaces with an electronic format on the message board?

4. What will they need/want to know:

  • Patients and Families:
    • Today’s Schedule - what procedure/exam/treatment I will do today
    • Treatment Information - procedure/exam/treatment introduction and educational materials
    • Medication Lists – what medication am I taking, why am I taking it, how long and how often do I need to take it
    • Care Team Name & Duty - who can I look for help, what are there names and what do they do
    • Time Line - when can I leave here predict/inform the period of treatment/waiting Time; (inpatients: maybe several days; outpatients: maybe a couple of hours)
    • Education/Medical Information - where can I find more information about my disease, do I have the home health information and directions that I need, is there special equipment I have to take home?
    • Translator - ability to display information in various languages to close the communication gap
  • Care Team:
    • Patient Location - how can I find the patient exactly (in room: good; not in room: what’s patients’ location?)
    • Special Patient Needs/Regulations - what things I need patients to cooperate with? (i.e., NPO<non-per-oral> 12 hrs before taking CT scan)
    • Discharge Status – has everyone on the care team singed-off on the patient’s discharge and what do I need to send the patient home with
  • Visitors
    • Visiting Hours
    • Hospital Rule and Locations - how did I find the patients’ room and where is the giftshop (Hospital Map), how can I find the patient exactly (in ward: good; not in ward: should I wait or just leave some message because the patient will not come back soon. What’s patients’ location?)

5. What type of technology should we use? Interactive device or not? What considerations should we make for keeping the devices clean? If use FLASH to do auto-display, when I miss an information I want to know, I have to wait for it run again. However, as Ellen mentioned, self-control will also make chaos (how to go back; well-navigation?). Or, we can talk about what level of interactive information board we will provide.

6. What information is prohibited by HIPAA or would the caregivers not want to disclose?

7. How many different care givers could a patient interact with? Do they all have to sign-off on the treatment/discharge? What tools currently exist to share the information?

8. Is there any information or materials that you wish you could provide that you can’t today due to lack of time or resources?

9. Is there functionality that you would like to have with the message board? Would it be beneficial to use it for checking off tasks? Is there a use to keep all members of the care team informed?

10. Would the information board provide one-way communication or two-way communication?

11. During your site visit I would suggest that your group ask for all written material a patient and their family receives on admission. This may come from Patient Access/Registration (statement of confidentiality, HIPPA information, hospital rules, etc.)

Site Visit

1. Monday, Oct. 22, 2007: Starla B. Jones - Radiology Supervisor

2. Wednesday, Oct. 24, 2007: The rest of the supervisors/directors

Evidence

Patient Satisfaction

  • “Studies have shown that the lack of communication between hospital staff and the patients and their families is the most aggravating aspect of the hospital experience.” - Healthcare USA
  • Press Ganey indicates the following questions pertaining to access to information are highly correlated to the overall patient experience.
    • Staff identifies themselves – 0.78
    • Adequacy of info to family/friends – 0.79
    • Informed about delays – 0.68
    • Doctors / nurses informative – 0.75

Psychological theory:

  • Maslow’s human needs theory-safety need: Human will fear of unknown so grab information to enhance feeling of safety.
  • Developmental Psychology-different age children with different fear

Benchmarks

Get Well Network

Patient, bed-side technology that empowers the patient and their family to be engaged and active in the care process.

-Education

-Entertainment

-Feedback

             Patient Engagement (Service + Quality) = Optimal Outcomes

VA

iMedConsent software will provide:

-Step-by-step informed consent process

-Displays detailed educational material about risk and benefit of proposed treatment

-Generated and stores consent forms

-Incorporates electronic signatures into records and imports info. Into patient records

Idea

Radiology

Interactive, multi-lingual educational information system

  • Located in the Radiology waiting room
  • Ability to select language and age specific materials
  • Provides step-by-step information on each procedure
  • Provide answers for FAQ

Inpatient

“Information Station” provides details on hospital and community offerings. Located near the nursing station.

ER

“Welcome to the ED” information system.

  • Helps set expectations for the ED visit
  • Eliminates confusion for the ED process
  • Uses video/visuals to demonstrate triage procedures

ED director expressed concerns about application of certain technologies.

Reference

1. Blackwell Synergy

2. http://www.thomson.com/content/pr/tsh/MDX_MDXandMERCURYMDpartnerToImpr?view=Print

3. VA iMedConsent Program

4. HIMSS about healthcare technology

5. Get Well Network

6. HIMSS information on RFID

7. Maslow's Hierarchy of Needs

8. Starlight Starbright

9. Bowlby's Secure Base Theory



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