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Respiratory Therapy Department Data Considerations

Respiratory Therapy Department Data Considerations. October 21, 2009. Best Ever Hospital Best City, IL. MMI – 405: HIT Integration, Interoperability, and Standards Suzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson. Agenda. Background Business Case Stakeholders Workflow

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Respiratory Therapy Department Data Considerations

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  1. Respiratory Therapy DepartmentData Considerations October 21, 2009 Best Ever Hospital Best City, IL MMI – 405: HIT Integration, Interoperability, and Standards Suzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson

  2. Agenda • Background • Business Case • Stakeholders • Workflow • Next Steps

  3. Background Best Ever Hospital Best City, IL

  4. Best Ever Hospital • Mission To meet the healthcare needs of our community by providing all services in a cost-effective and competent manner with compassion, integrity and efficiency while preserving dignity, enhancing quality, and being very mindful of patient satisfaction throughout the continuum of care. • Vision Best Ever Hospital will strive to be a leading acute care center providing cost-effective, patient-focused, quality healthcare utilizing new services and technology.

  5. Respiratory Care Services The mission of Respiratory Care Services is: • to provide the highest quality respiratory patient care in a timely, effective, safe and efficient manner; • to promote internally and with other areas of responsibility continuous quality improvement activities to improve the performance of the Respiratory Care Service as well as the overall performance of the organization; • and to provide support for clinical research activities. This requires that Respiratory Care Services assess needs, formulate action plans, instruct/inform as required, implement plans, evaluate actions taken for effectiveness and revise the action plan as needed

  6. Business Case

  7. Business Issue • Respiratory Care Services implemented a Respiratory Care Management Information System • Best Ever Hospital has deployed an integrated electronic medical record that does not have a Respiratory Care module • Modules for other ancillary services have been deployed including pharmacy, laboratory, and imaging.

  8. Current State – Future State Disconnected RT Department • Duplication of Documentation • Documentation Silos • Fragmented Medical Record • Lost Charges • Manual transmission of new orders • Difficult to manage resources • Delays in starting new services Integrated RT Department • Online, Accessible Documentation • Available to all providers • Integrated Medical Record • Automatic Charge Capture • Automatic transmission of new orders • Improved resource management • Fewer delays in starting new services • Improved patient care • Improved employee satisfaction

  9. Goals and Objectives

  10. Justification • Financial • Cost reduction • Revenue increase • Regulatory • ARRA • TJC • Organizational Strategy • Stakeholder satisfaction • Achieve mission and vision

  11. Stakeholders

  12. Key Stakeholders POWER INTEREST

  13. Stakeholder Roles

  14. Direct and Indirect Impacts D = direct, high impact I = indirect, high impact d = direct, low impact i = indirect, low impact

  15. Workflows

  16. Order Respiratory Care Services

  17. Document Service and Charge

  18. Next Steps

  19. Define the Information Architecture • Examine and document the standards • Determine and document the information system requirements • Bring the findings back to this group on November 4, 2009

  20. References • University of Connecticut Health Center.Respiratory Therapy Department. Retrieved October, 2009, from http://nursing.uchc.edu/unit_manuals/respiratory/index.html. • Johns Hopkins Medicine. Respiratory Care Services at Johns Hopkins. Retrieved October, 2009, from http://www.hopkinsmedicine.org/respcare. • Medical College of Georgia. Respiratory Therapy. Retrieved October, 2009 from http://www.mcg.edu/sah/respther/index.html. • Quality Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy of Sciences; 2001:39-40,100. • Aspden P, Wolcott JA, Bootman JL et al., eds. Preventing medication errors. Washington,DC: National Academies Press; 2007:4. • Safe practices for better healthcare: a consensus report. Washington, DC: National Quality Forum; 2003. • Joint Commission on the Accreditation of Healthcare Organizations. Proposed revisions to Standards MM.4.10 and MM.8.10. Retrieved October, 2009, from www.jointcommission.org. • Williams, B. 1990. How to do an ROI (return on investment). Healthc Inform 7(2):30-2. • Ford, Richard M. Respiratory Care Management Information Systems. RESPIRATORY CARE. (2004); 49(4): 367-377. • Pullen, EE. Computers help provide better care. RESPIRATORY THERAPY. (1980); 10(4): 25-27. • Nelson, Steven B. Conference Summary: Computers in Respiratory Care. RESPIRATORY CARE. (2004) 49(5): 531-536. • Mussa, CC. Respiratory care informatics and the practice of respiratory care. RESPIRATORY CARE. (2008); 53(4): 488-499.

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