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Leadership Symposium 2012. -Trinity Home Care & Hospice -Deb Hart & Julie Samuelson -April 17, 2012. Missing Telehealth Equipment. What is a Telehealth monitor? Monitor set up in home care patients home via phone line & modem. Patients with history of heart failure and other chronic disease
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Leadership Symposium 2012 -Trinity Home Care & Hospice -Deb Hart & Julie Samuelson -April 17, 2012
Missing Telehealth Equipment • What is a Telehealth monitor? • Monitor set up in home care patients home via phone line & modem. • Patients with history of heart failure and other chronic disease • Measures weight, BP, pulse, O2 saturation. • Results relayed daily to homecare office.
A3 Signal Received • Received signals from office staff cleaning equipment and admit RN’s installing telehealth equipment. • Problem: Equipment was not being returned, therefore, RN would be missing equipment when preparing monitors to take to patients homes.
Problem: My admit Telehealth visit was delayed- • Why: Because the RN did not have the Telehealth supplies to complete the visit • Why: Because the supplies were not in the Telehealth tote box. • Why: Because the supplies were not returned with the Telehealth machine when it was brought back to the office. 5
Why: Because the case manager who returned the Telehealth tote box was not aware of all the supplies to bring back. • Why: Because there is no process that specifies what Telehealth supplies to bring back to the office.
Countermeasures • Moving towards Ideal: • Create a new process for the case manager returning Telehealth equipment • Create a checklist that assists the process & identifies equipment to return • Create a new process for cleaning & inventory of all returned equipment • Create an inventory check list
Cleaned, inventoried & organized equipment room. • Educate clinicians/office staff the new process for returning Telehealth equipment. • Email process and inventory checklist to office staff that cleans/inventories equipment.
Checklist that was created • Telehealth Checklist • 1. Telehealth (Main Unit) • 2. Scale with four feet and VGA power cord • 3. Power cord for main unit • 4. Long gray phone line cord • 5. Modem (white) • 6. Short phone cord wire (typical hooked up to modem) • 7. Phone jack splitter • 8. Blue Ethernet cord • 9. Power strip/surge protector • 10. Gray three prong ground adaptor • 11. Blue blood pressure bag • 12. Blood pressure cuff • 13. Blood pressure VGA cord • 14. Pulse ox and USB cord • 15. Red Soiled plastic bag • 16. Extra batteries (4 AA) • 17. Telehealth checklist • 18. (optional) Cear plexi glass plate for scale *If you have questions please see the other side
Outcome, Follow-up, Communication • No reported problems with the case manager not having all the Telehealth equipment for the installation • Office staff report that all equipment is being returned. • Inventory is being done on equipment when it is returned.