Sheryl D. Dodds, RN, MS Chief Executive Officer Nebraska Heart Hospital

1. From the Trenches Lessons Learned in Construction of a Digital Delivery System Sheryl D. Dodds, RN, MS Chief Executive Officer Nebraska Heart Hospital

3. Construction Process • February 2002: Vendor proposals for medical equipment and IT • GE • Philips • Siemens • May 2002: Siemens chosen* • Fully integrated, digital hospital *Lessons Learned

5. 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)

6. 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

8. Admissions Workflow: Front Lobby

9. Admissions Workflow: Case Management Greets Patient

10. Admissions Workflow: In-room Admissions

12. 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

14. Technology Solutions • Dashboard (portal to all medical and business applications)

17. 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

20. *As of December 31, 2003, 7 months of operation

21. Outcomes • Return on Investment • Staff Satisfaction* • Charting • Data Entry • Record Access • Economic Benefits *Lessons Learned