Care Theme: Maternal and Newborn Health

1. Use Case 2 Care Theme: Maternal and Newborn Health Use Case: Keeping a Newborn Safe with Medical Devices and Alarm Management • Primary Goal: Demonstrate the ability to collect and manage real-time intensive care patient information in an NICU setting. • Key Points: • Information from upstream sources are available through the EMR and assist with patient care. • Medical devices collect real-time data, supporting monitoring and management of high risk patients by making timely information available and accessible through the EMR and alarms. • Infusion pumps receive order information and transmit alarms. • Alarm management from both physiologic monitoring and medication delivery systems trigger pre-defined priority-driven workflows to inform and engage appropriate personnel. • Single alarm manager capability eliminates the need for staff to carry multiple notification devices (e.g. multiple pagers, cell phones, wireless phones, etc) • Meaningful Use Relevance: Improving Quality, Patient Safety, Efficiency. IHE Profiles & Actors Visit the IHE Product Registry at: ihe.net/registry

2. Care Theme: Maternal and Newborn Health Use Case 2: Keeping a Newborn Safe with Medical Devices and Alarm Management Clinical Workflow: 1. Labor & Delivery 2- NICU 3- Physiologic Monitors 4. Medication Delivery 5- Alarm Management • Mother arrives in the labor and delivery unit in active labor at 32 weeks gestation and delivers a baby boy. Due to complications umbilical arterial and venous catheters are placed prior to transfer to the NICU. All information is recorded and tracked using the hospital’s EHR system throughout the episode of care. • Upon arrival in the NICU the care team reviews information in the EHR. • At the NICU, the newborn is placed on monitoring and medication delivery systems due to his medical condition: • Data collected by the warming bassinet and physiological monitors are communicated to the EHR, and monitored by the NICU team and the alarm management systems. • Medication delivery is managed through the use of infusion pumps, which are programmed by orders from the neonatologist communicated via the EHR through an interface (PIV message) with the Bar Code Medication Administration (BCMA) system and the infusion pump.  • The Neonatologist and Charge Nurse are engaged with appropriate communication devices (e.g. text messages, pages, cell phone calls) when automated alarms are triggered by physiologic and medication monitoring devices. • The Charge Nurse receives a page and responds by adjusting medication flow on the infusion pump. • The Neonatologist receives information on a smartphone application and responds by evaluating the patient and forwarding appropriate communications to the care team. Visit the IHE Product Registry at: ihe.net/registry