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From the Trenches Lessons Learned in Construction of a Digital Delivery System. Sheryl D. Dodds, RN, MS Chief Executive Officer Nebraska Heart Hospital. Construction Process. February 2002: Vendor proposals for medical equipment and IT GE Philips Siemens May 2002: Siemens chosen*
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From the Trenches Lessons Learned in Construction of a Digital Delivery System Sheryl D. Dodds, RN, MS Chief Executive Officer Nebraska Heart Hospital
Construction Process • February 2002: Vendor proposals for medical equipment and IT • GE • Philips • Siemens • May 2002: Siemens chosen* • Fully integrated, digital hospital *Lessons Learned
NHH Care Model • Universal Bed (Patient-Centered Care) • Hospital was Designed Around Patient Flow • Patients Greeted in the Front Lobby • Admissions Done in Patient Rooms • No Restriction on Visitation Hours • All Patient Rooms are ICU Capable • All Nursing Staff are ICU Trained or in ICU Training (if desired)
NHH Care Model • Universal Bed (Patient-Centered Care) • Patient is not Transported Unless to OR/Cath Lab/Some Imaging • Services Brought to Patient (Echo, X-ray) • Nursing Consistency • Physician Communication • Staff • Patient
Admissions Workflow: Front Lobby
Admissions Workflow: Case Management Greets Patient
Admissions Workflow: In-room Admissions
Technology Support • EHR available from all computers. Computers in every hospital room • Single Sign On (SSO) to all medical and business applications • Smartcard provides SSO, picture ID, door access, and café checkout • Voice Over IP (VoIP) Phone Solution • Computerized switchboard • VoIP phones throughout including in-patient rooms utilizing large displays to give menu driven phone and data navigation
Technology Solutions • Dashboard (portal to all medical and business applications)
Physician Use of Technology • Information Access • Cath Documentation • Patient/Family Education • Cath Conference • Weekly cardiology/surgery discussion of complex cases • Use of the ACOM.web to review cases
*As of December 31, 2003, 7 months of operation
Outcomes • Return on Investment • Staff Satisfaction* • Charting • Data Entry • Record Access • Economic Benefits *Lessons Learned