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Innovian ® Anesthesia 5.0. Helping you . focus on. patients…. not paperwork. . Innovian ® Anesthesia – An Overview Agenda. What is Innovian Anesthesia? Why is it Important? Benefits & Advantages Who are the Players? Anesthesia – “Not Everyone Goes Under”
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Innovian® Anesthesia 5.0 Helping you focuson patients… not paperwork. Innovian Anesthesia - What's It All About
Innovian® Anesthesia – An OverviewAgenda • What is Innovian Anesthesia? • Why is it Important? Benefits & Advantages • Who are the Players? • Anesthesia – “Not Everyone Goes Under” • Where is IA Used? - Understanding Workflow & Care Areas • Modules • Architecture & Components Innovian Anesthesia - What's It All About | Sept 2012
What is Innovian® Anesthesia ? • Commonly called: • ARKS – Anesthesia Record Keeping System • AIS - Anesthesia Information System • AIMS - Anesthesia Information Management System • “Anesthesia” Clinical Documentation system that provides an integrated electronic record of all the care they provide to the patient undergoing surgical or interventional procedures. • Innovian Anesthesia intended to be used as a data management system for electronically collecting, displaying, and recording perioperative information for anesthesia providers – Anesthesiologist & CRNA. Innovian Anesthesia - What's It All About | Sept 2012
History - Draeger Owned and Developed History of System Innovation & Reliability 4.0 Innovian Anesthesia Web PreOp Reporting Tool Co-Writer Vital Signs Plotter 1.0 Innovian Anesthesia 3.0 Innovian Anesthesia 2.0 Innovian Anesthesia Saturn Information System ORDM Networked AIMS ORDM DOS-Based AIMS 5.0 Innovian Anesthesia PACU Module 1985 1990 1994 1998 2001 2005 2008 2010 2011 Over 100 years of clinical expertise / over 26 years of IT experience 4th Generation AIMS Solution Innovian Anesthesia - What's It All About | Sept 2012
Why is it Important? - Goal Innovian Anesthesia Current Paper Record Electronic Anesthesia Record Innovian Anesthesia - What's It All About | Sept 2012
Benefits More focused on patient care Real time access to patient information Ease of Use Workflow Automation ↑ Clinical Efficiency Meet Regulatory & Compliance mandates (JCAHO, CMS) Integration into EMR Interoperability Eliminates Paper based processes Redundant data entry Illegible records Legwork to track patient information Why is it Important? - Advantages Innovian Anesthesia - What's It All About | Sept 2012
Who are the Players? • Anesthesiologist • CRNA - Nurse Anesthetist • Community & teaching facilities • Rural Hospitals • Military • AA – Anesthesia Assistant • The “Newcomer” • Master of Science in Anesthesia • Case Western Reserve University • University of Texas Health Science Center • Emory University School of Medicine • University of Missouri Innovian Anesthesia - What's It All About | Sept 2012
Types of Anesthesia – “Not Everyone Goes Under” • Anesthesia Goals • To block pain, relax a patient or control a patient’s level of consciousness in conjunction with surgery or other procedures. • General - lala land • Unconscious & have no awareness or other sensations. • IV Medications / drugs • Gases or vapors inhaled through a breathing mask, LMA, or ETT • MAC - patient awake • Light & moderate sedation via IV medication to allay fear & anxiety • Local anesthesia injected at the surgical site by surgeon • Conscious - Arousable by sleep and maintain their own airway • Early discharge from facility Innovian Anesthesia - What's It All About | Sept 2012
Types of Anesthesia – “Not Everyone Goes Under” • Neuraxial • Name used for spinal, epidural, & caudal blocks • Indications • Surgical Procedures • Obstetrics • Pain Control • Regional Peripheral • Injections temporarily numb area • Indications • procedures in the upper & lower extremities Innovian Anesthesia - What's It All About | Sept 2012
Care Areas Intra-Op Pre-Anes. Evaluation Pre-Op Holding Post-Op Where is Innovian Used? Understanding Care Areas Data Flow Patient Flow • Anesthesia care is provided in a variety of surgical locations. • All of them capture the various activities which occur to the patient and are displayed in their specific portion of the EMR Innovian Anesthesia - What's It All About | Sept 2012
Care Areas - Preop Care Areas Intra-Op Pre-Anes. Evaluation Pre-op Holding Post-op • Completed by nurses & anesthesia providers prior to morning of surgery • Preoperative testing - Bloodwork, chest X-ray, & EKG • Health assessment • Evaluation with special attention to airway, teeth, head, & neck • Physical exam • Medications & Allergies • Past Anesthesia & Surgical History • Risk Factors Innovian Anesthesia - What's It All About | Sept 2012
Care Areas - Holding Care Areas Intra-Op Pre-Anes. Evaluation Pre-op Holding Post-op • “The Morning Of” the procedure • Start of anesthesia care • Prep for procedure • Chart review • Assessment of current condition • May initiate anesthesia method Innovian Anesthesia - What's It All About | Sept 2012
Care Areas - Intraop Care Areas Intra-Op Pre-Anes. Evaluation Pre-op Holding Post-op • Start or induce anesthesia to provide • Analgesia • Amnesia • Immobilty • Hypnosis • Skeletal Muscle Relaxation • Validate level or effectiveness of anesthesia method • Monitoring of physiological parameters Innovian Anesthesia - What's It All About | Sept 2012
Care Areas - Postop Care Areas Intra-Op Pre-Anes. Evaluation Pre-op Holding Post-op • Better known as PACU • Transfer of care • Monitoring of VS & Pain Management • Assessment of Outcomes • Length of stay • Phases Innovian Anesthesia - What's It All About | Sept 2012
Modules Innovian Anesthesia
Innovian Anesthesia Modules • E-forms / Preoperative Evaluation • Case Recorder – Care Area Clinical Documentation • Stores anesthesia data entered by clinicians or collected automatically from connected medical devices • List Manager – create site list & system setting • Environment Manager – configure templates • Case Manager – archive, delete, restore, purge, print • Report Viewer • Reporting Tool Innovian Anesthesia - What's It All About | Sept 2012
Case Recorder Overview: Admission Innovian Anesthesia - What's It All About | Sept 2012
Case Recorder Overview: Preop Innovian Anesthesia - What's It All About | Sept 2012
Case Recorder Overview: Intraop Innovian Anesthesia - What's It All About | Sept 2012
Case Recorder Overview: Postop Innovian Anesthesia - What's It All About | Sept 2012
Case Recorder Overview: Browse Innovian Anesthesia - What's It All About | Sept 2012
Innovian Overview: Reporting Tool Innovian Anesthesia - What's It All About | Sept 2012
Innovian Overview: Reporting Tool Innovian Anesthesia - What's It All About | Sept 2012
Innovian Anesthesia: What’s it all about!!!! Innovian Anesthesia Other Modules List Manager Environment Manager Case Manager Innovian Anesthesia - What's It All About | Sept 2012
IT structure IT Structure – Hardware & Integration
Architecture Innovian Anesthesia - What's It All About | Sept 2012
Workstations – Clinical vs. Non-clinical • Clinical • Medical grade workstation • Complies with UL, CE, & CSA standards • Medical Grade RS232 ports for connectivity • Isolated transformers prevent electrical leakage • Fluid resistant for clinical use • Medical grade power supply • Touch screen • Fanless Innovian Anesthesia - What's It All About | Sept 2012
Workstations – Clinical vs. Non-clinical • Non-Clinical • Commercial grade workstation • Innovian Installed along with all other applications • No RS232 ports for connectivity • Non-fault tolerant • Commonly used for Web Pre-evaluation Form & Configurations Innovian Anesthesia - What's It All About | Sept 2012
Architecture – Fault Tolerance • Transparent Operation During Network Interruptions • Local Database • Configuration Data • Site List Data • Environment Data • Security Data • Local Queue • Case Transactional Data Innovian Anesthesia - What's It All About | Sept 2012
Hospital Network Down Continue to: - Capture clinical data - Capture financial data - Remain on schedule Architecture – Fault Tolerance Fault Tolerance Real Life Example Innovian Anesthesia Continue to: - Capture clinical data - Capture financial data - Remain on schedule OR Devices Innovian Anesthesia - What's It All About | Sept 2012
Innovian Points of Integration Operating Room Devices Innovian Anesthesia EMR ADT Pharmacy Surgical Schedule Professional Billing Lab System Technical Billing Hospital Network Innovian Anesthesia - What's It All About | Sept 2012
HL7 - Inbound & Outbound Specifies # of flexible standards, guidelines, and methodologies where various healthcare systems can communicate with each other Allow information to be shared & processed in consistent & uniform manner. Leads to ease of sharing clinical information API – Application Programming Interface CCOW Benefits Seamless Integration into HIS Real Time Results Data Integrity All information correct; no fat fingering mistakes Efficiency Pt demographics & case info pre-populated Minimizes data entry for clinician Automation of processes Financial HIS integration Integration Points Innovian Anesthesia - What's It All About | Sept 2012
Integration: HL7 ADT Messages • ADT- Admit, Discharge, Transfer • Demographics • Name • Address • Phone • IDs • Next of Kin • Allergies • Billing • Insurance • Guarantor • Height and Weight • Patient Status Innovian Anesthesia - What's It All About | Sept 2012
Integration: HL7 Scheduling Messages • Scheduling • Demographics • Name • Address • Phone • IDs • Scheduled date and time • Staff • Resources • Location • Diagnosis in Free Text • Procedure in Free Text • Height and Weight Innovian Anesthesia - What's It All About | Sept 2012
Questions? Innovian Anesthesia - What's It All About | Sept 2012