Using RFID for IV Pump Management

Transcription

1 Using RFID for IV Pump Management September 4, 2008 James Van Drasek System Director, Materials Management

2 HealthEast Care System Strategies Clinical Advantage Strategy: Provide clinical care that exceeds national standards and is delivered in a culture dedicated to safety through employee and physician partnership Operational Efficiency and Effectiveness Strategy: Implement process improvements that result in operational efficiency and effectiveness Consumer Strategy: Build consumer loyalty and design our care, services and products to exceed our consumers expectations Employee Strategy: Define our culture as one of a shared partnership in HealthEast s success.

3 Project Background Partnered with 3M to utilize Six Sigma practices to evaluate IV pump utilization. Goal: Reduce costs & improve service levels associated with IV pumps. Outcomes: Implemented new efficient processes Decreased damage & repairs Increased pump utilization Reduced # of replacement pumps required Capital savings Rental savings HealthEast implemented Smart pumps. Goal: Improve patient safety by providing advanced pump technology Outcomes: Implementation of drug formularies on pumps Formulary interfaced wirelessly to pumps using WiFi network. Ability to rent pumps eliminated > buy more pumps! New Goal: Improve management of Smart Infusion Pumps

4 $ $ Analyze Clean Unit (Floor) Store Room $ Centrally Procured & Tracked by HealthEast RTLS Search (S&D) Clean & Store (S&D Central Store Room) Order / Replace Load Drug Formulary (Wirelessly) Shipped by Supplier Directly to Requesting Site Network Settings Inputted & Verified Locate Pump for Patient Use Repackage and Ship Configure Attach Control Sticker Attach RTLS Tag Pump Located? Contact S&D (S&D) Receive Load Medication Manually Inspected Shipment [X # of Units] Passed Inspection? Pump Operating without Defect? Use Pump on Patient # Ordered = # Received? Document Work Order (St. Croix Systems) Preventive / Corrective Maintenance Performed Remove Medication Patient Discharged Update Drug Formulary (Upon Request) Clean Flag for Repair Medication Removed from Pump? Inspect Red Tag Affixed Placed in a Secure Location Inventory Count (3 x Daily) Remove Medication Pump Status is not Recalled? S&D Central Store Room Maintenance Required? RTLS Search (BME) Dirty Unit (Floor) Store Room Patient Room or Dirty Unit (Floor) Store Room Project Details HealthEast Infusion Pump Process Flow (RTLS) Materials Management Materials (MM) Management (MM) HealthEast Conducts a Process Optimization Project Defined project scope Prioritized focus (IV Pumps) Mapped current processes Evaluated potential solutions Biomedical Housekeeping Nursing Biomedical Stores & Distribution Housekeeping (HK) Nursing Engineering (N) Stores & Engineering (S&D) Distribution (HK) (N) (BME) (S&D) (BME) A A Decision Implement 3M s WiFi RTLS System to manage infusion pumps at HealthEast s Woodwinds Hospital Monitor & measure results for expansion justifications to other HealthEast facilities and other applications.

5 Woodwind s Hospital Pilot Technologyreceptive environment (e.g., wireless telemetry, VoIP, Wi-Fi) Collaborative staff Smaller facility to evaluate impact.

6 System Implementation RFID tags were attached to all infusion pumps Tags allow software to calculate relative location of the device by using the standard Wi-Fi signal Software installation, Tag attachment and Hospital calibration all occurred in less than less than one work-week of time on site

7 System Implementation Installed application software (Calibration modeling, a database, rule/event generation) transforms tag signal strengths into a useful graphical user interface User interface is accessed by Stores & Distribution, with some Biomed use related to maintenance

8 System Implementation Tags have two programmable buttons When either button is pressed the application software signals the potential availability of that pump. IV Pump Process Nurses remove all fluids/medications from the pump after last dosages administered to the patient. Nurses press either button on the tag to signal that the pump is no longer needed for their patient Stores & Distribution staff access the location system to see where potentially available pumps are located when requests exceed current pump inventory. Stores & Distribution staff retrieve pump if it is needed. If no immediate need, Housekeeping cleans the pump and transfers to a clean utility area per normal procedures The button press identifies infusion pumps available during peak needs creating a Virtual Inventory.

9 System Results Time required to locate pumps during peak needs reduced from 2 people, minutes to 1 person, 5-10 minutes. Labor-intensive hospital-wide pump searches have not occurred since system activation (Jan 2008) 8 unneeded pumps were taken out of inventory.

10 Expense Initial Cost Annual Cost RFID ROI Variables Savings Device elimination Pump, Firmware, Wireless Board Labor savings Bio Med, Nursing Time, Materials Soft Savings JCAHO, Pt Safety, Employee Satisfaction,

11 RFID ROI Results Year 1 - $2,500 Savings Year 2 - $18,000 Increase Cost

12 Next Steps Change in Vendor Relationship Explore different pricing models Evaluate expansion to other facilities