Surgical Information System (SIS)

1. Surgical Information System (SIS) Presented by: Brenda Squires, RN

2. Objectives • Describe SIS • Describe the hardware and software elements of SIS • Discuss and evaluate the information system used for SIS • Indicate the roles and responsibilities of the Informatics Nurse using SIS • Examine the legal and ethical issues of using SIS • List the advantages and disadvantages of the system from the nursing perspective

3. The SIS Mission • To “provide fully integrated software solutions uniquely designed to add value at every point of the perioperative process. Developed specifically for the perioperative environment, the SIS solution allows you to improve patient safety, optimize revenue, reduce costs and ensure compliance.” (Digital Positions, 2009, About SIS, our mission)

4. Goals of SIS • Reduce time spent documenting across the perioperative services by sharing information. • Improves accuracy with automated vital sign capture • Improve patient safety • Optimize revenue • Reduce costs • Ensure compliance (Digital Solutions, 2009)

5. Technology in Surgical Services • Can generate more than 70% of revenue • Can monopolize less than 40% of the budget • Decrease delays/increase efficiency in surgery • Impacts patient outcomes • Reduce cancellations • Identify discrepancies (Digital Positions, 2009)

6. System Hardware • Mobile laptop stations • Desktop computer systems • Handheld barcode readers • Network printers • Family waiting room update monitor • Real-time scheduling monitors

7. Mobile Laptop Stations • Located in all perioperative areas • On wheeled stands for portability • Wirelessly linked together for consistent documentation • Connected to printers in all perioperative areas • Interface with all other hospital computer programs (Yaple, 2009)

8. System Software • SIS Nursing Documentation • SIS Rules Based Charging • SIS Analytics • SIS Anesthesia • SIS Com (Digital Positions, 2009)

9. System Software (cont) • SIS Material Management / SIS Inventory Control • SIS Scheduling • SIS Web • SIS Reports • SIS Trax (Digital Positions, 2009)

10. SIS Nursing Documentation • Reduced time spent documenting patient care • Share information across the perioperative continuum • Increase clinician satisfaction with documentation that mimics workflow • Improve accuracy with automated vital sign capture • Quickly and easily document patient care without mistakes through clinical assistant wizards (Digital Positions, 2009)

11. Nursing Documentation Main Page

12. SIS Usability AXIOM 1 AXIOM 2 AXIOM 3

13. SIS Information System • Administrative • Best practices support • Quality control • Resource allocation and reimbursement • Admission • Scheduling (Digital Solutions, 2009)

14. SIS Analytics (Digital Solutions, 2009)

15. SIS Information System • Clinical Information System • Clinical documentation • Standard plan of care • Real-time data collection • Patient centered • Master patient index (Digital Solutions, 2009)

16. Disadvantages • Not as easy to change patient chart after case • Limited to computer access • Limited to user’s operational ability • Longer learning curve • Can be intimidating to new users • Costly start-up (Digital Solutions, 2009)

17. Advantages of SIS Increases reduces • Efficiency of the O.R. schedule • Surgeon and Anesthesia satisfaction • Charge capture • Communication • Perioperative staff effectiveness and satisfaction • Standard of patient care • Unit operational costs • Errors in charting and patient charges • Valuable nursing time spent charting • Redundant phone calls for patient status • Infection rates • Anxiety of patient’s loved ones (Digital Positions, 2009)

18. Ethical/Legal • Built-in security features • HIPAA compliance • Case status updates • Protect private patient information • Hospital’s virtual private network (VPN) (Digital Positions, 2009)

19. Informatics Competencies • Windows Operating System • Microsoft Word products • Basic computer operating knowledge (Digital Positions, 2009)

20. Functions/Responsiblities • Documentation • Scheduling • Charting

21. Summary • Single database • Operational transparency • Improves accuracy • Flexibility and customization • Ensures compliance (Digital Positions, 2009)

22. References • Digital Positions (2009). SIS’s Technology Helps Relieve the Pressure. Surgical Information Systems. Retrieved September 25, 2009, from http://www.sisfirst.com. • Effken, J. (2009). Improving the human-technology interface. In K.Sullivan, E. Ekle, A. Sibley, & P. Donnelly (Eds.), Nursing informatics and the foundation of knowledge (pp. 61-76). Sudbury, MA: Jones and Bartlett. • Staggers, N. (2003). Human factors: Imperative concepts for information systems in critical care [Electronic version]. AACN Clinical Issues, 14, 310-319.

23. References (cont) • Staggers, N., Gassert, C.A., Curran, C. (2002). Results of a Delphi study to determine informatics competencies for nurses at four levels of practice. Retrieved July 31, 2009, from University of Utah, College of Nursing Web site: http://www.nursing.utah.edu/informatics/competencies.pdf • Yaple, L. (2009, April). Documentation: The legal aspects with SIS upgrade. Paper presented at the meeting of Saint Vincent Surgical Services, Erie, PA.