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Infusion Pump Informatics

Infusion Pump Informatics. Our Path Forward. Ann Christine Catlin IPI Research and Development May 22, 2014. Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics. Reviewing IPI … 2009-2014 R&D Effort 2013-2014 What’s new? What does it take to keep IPI going ?

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Infusion Pump Informatics

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  1. Infusion Pump Informatics Our Path Forward Ann Christine Catlin IPI Research and Development May 22, 2014

  2. Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics • Reviewing IPI … 2009-2014 • R&D Effort 2013-2014 • What’s new? • What does it take to keep IPI going? • Working together to solve problems • Research 2014-2015 • Our ideas & how to make them work

  3. Infusion Pump Informatics Our IPI System 2009 – 2014 : Metrics The IPI Community of Hospitals The IPI Community of Users 44 82 20 34

  4. Infusion Pump Informatics Our IPI System 2009 – 2014 : Metrics IPI Alerts and Database Size IPI Log Uploads 679 IPI Hospital Alerts and Database Storage 271 Almost 16 million alerts! Total Database Size 14580 MB = 14GB

  5. Infusion Pump Informatics Our IPI System 2009 – 2014 : Metrics Charts & Reports Generated by the IPI Community Charts & Reports Generated by the IPI Community 19859

  6. Infusion Pump Informatics Our IPI System 2009 – 2014 … the Cutting Edge

  7. Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics • Reviewing IPI … 2009-2014 • R&D Effort 2013-2014 • What’s new? • What does it take to keep IPI going? • Working together to solve problems • Research 2014-2015 • Our ideas & how to make them work

  8. Infusion Pump Informatics What’s New? Time-to-Override Reports

  9. Infusion Pump Informatics What’s New? Time-to-Override Reports

  10. Infusion Pump Informatics What’s New? Time-to-Override Reports

  11. Infusion Pump Informatics What’s New? Time-to-Override Reports

  12. Infusion Pump Informatics What’s New? Compliance Upgrades

  13. Infusion Pump Informatics What’s New? Compliance Upgrades • Upload Hospira compliance (it’s device specific and alert type specific) • Upload Excel spreadsheets (Carefusion & Hospira) • New: Carefusion KP compliance … validate first! • 2 kind of KP compliance: actual infusions & infusion starts (counter starts) • KP counter starts should be the same as CQI counter starts. Report is “Usage by Profiles” & both are affected by library updates • KP vs CQI… count numbers different, compliance percentages different

  14. Infusion Pump Informatics What’s New? Infusion types breakout & aggregation

  15. Infusion Pump Informatics What’s New? Infusion types breakout & aggregation

  16. Infusion Pump Informatics What’s New? Selects for datasets, facilities, …

  17. Infusion Pump Informatics Changing devices? You can track & assess changes!

  18. Infusion Pump Informatics Changing devices? You can track & assess changes!

  19. Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics • Reviewing IPI … 2009-2014 • R&D Effort 2013-2014 • What’s new? • What does it take to keep IPI going? • Working together to solve problems • Research 2014-2015 • Our ideas & how to make them work

  20. Infusion Pump Informatics Changes hit us from all sides. Almost daily. • The Pump Manufacturers • Carefusion Knowledge Portal: new definitions, new formats, new processing • Hospira: new pump devices, new data, new formats • Significant changes to database & GUI resulting from changes in pump data • The Hospitals • Changes in pumps and/or data reporting systems • Partial pump replacements (SVH keeping PCA devices) • New needs related to data and reports • The Hub and IPI infrastructure • New security model, HIPAA compliance • Database server changes and database reconfiguration • Platform upgrades, software upgrades, new workflows • New 3rd party software – like graphics routines • Network issues • Performance upgrades, code “retooling” • Database “restructuring”

  21. Infusion Pump Informatics New Input Formats, Definitions & Validation • Carefusion KP Alerts • Monthly alerts = Field Limit + Cancel All Other Alerts • KP vs CQI “All Available Columns” files are actually different (different sizes, different content) • KP vs CQI Alert totals reported to users are different • Hospira Hospital Changes • Pump replacements (two hospital solution) • Partial pump replacements (split device population) • More complicated compliance data

  22. Infusion Pump Informatics KP vs CQI Alerts Validation THANK YOU ANDY

  23. Infusion Pump Informatics KP & CQI Alerts Timestamp Seconds THANK YOU ANDY

  24. Infusion Pump Informatics Processing Alert Uploads, Timestamp Seconds, etc. • Nightly hospital alert logs processing • Long processing times when IPI not available • Now processed off-line, so IPI is available 24/7 • Alert logs and timestamp seconds • Why does it matter? • Hospitals with & without timestamp seconds • Check at upload time will now be made Will never see this screen again 

  25. Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics • Reviewing IPI … 2009-2014 • R&D Effort 2013-2014 • What’s new? • What does it take to keep IPI going? • Working together to solve problems • Research 2014-2015 • Our ideas & how to make them work

  26. Infusion Pump Informatics Research 2014: Outcomes Analytics • Presenting and understanding the outcomes of changes implemented as a result of IPI analysis • Metrics identify how to measure “before” and “after” • Can be tied to analysis that triggered the decision to change • Annotation of change (Limit changes? Education? Policy? What else?) • Graphical User Interface to build and display metrics and annotations • You can set reports and we will send emails with links to remind user to continue to look at the “after” metrics

  27. Infusion Pump Informatics Research 2014: Outcomes Analytics Intervention !

  28. Infusion Pump Informatics Research 2014: Drug Limit Analytics • Create a new “environment” for investigating and understanding drug limits across hospitals • Uploading & viewing drug limit library datasets • Database needs structure to support limit data and drug comparison requests • Graphical interface needs a design to support requests and results display • What are the parameters: drug, profile, therapy, library, soft/hard, min/max, other factors (concentration, …) • Comments and annotations about changes to the libraries

  29. Infusion Pump Informatics Your IPI Research and Development Group • Couldn’t happen without them • Sudheera Fernando • Ruchith Fernando • Sumudinie Fernando • RuwanGamage • Tharindu Mathews

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