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Winter 2008 | | In This Issue
| | Message from the CEO Centers for Medicare & Medicaid Services (CMS) initiatives are laying the groundwork for pay-for-performance programs. Hospitals are subsequently faced with a new set of challenges related to measuring performance, many of which call for technological solutions. One such initiative, the Surgical Care Improvement Project (SCIP) is aimed at reducing postoperative complications through evidence-based care; and this is where LiveData has stepped in. This issue of LiveData Healthcare Insights features our work with St. Joseph Mercy Hospital to implement real-time documentation tools that assist with SCIP compliance. As recently covered by Atul Gawande in the New York Times, checklists and quality improvement efforts are receiving national attention. Part and parcel of these efforts is ensuring that documentation is both timely and accurate.
Jeffrey Robbins
| | CEO's Message | | | | | | | | Website Quicklinks
| | | | | | | | | SCIP Compliance and the Role of Concurrent Documentation
Surgical complications in the U.S. account for an additional 2.4 million days of patient hospital stay at an additional charge of $9.3 billion. SCIP has set specific guidelines to help hospitals reduce the incidence of postoperative surgical site infections, perioperative cardiac events, deep vein thrombosis, and postoperative ventilator-associated pneumonia, all of which have been identified as major contributors to post-surgical complications. This is creating several challenges for hospitals: - adhering to SCIP guidelines, making them part of standard hospital practice to improve surgical care;
- meeting CMS reporting requirements; and
- identifying and correcting deficiencies that can impact reimbursement by as much as 2%.
In response, LiveData has developed “concurrent documentation” tools to monitor and facilitate SCIP compliance. As the surgical case progresses from pre-incision to closing, concurrent documentation assesses the need to document a task, determines that it has been done, and provides highly visible reminders to the entire team until documentation requirements are fulfilled. Implementation of concurrent documentation to help meet SCIP guidelines for reducing post-surgical infections at St. Joseph Mercy Hospital, Ann Arbor, Michigan, is explored in the upcoming issue of Patient Safety and Quality Healthcare. SJMH is currently installing LiveData OR-Dashboard in 17 new operating rooms. A preview of the article, written by Kevin Brennan, SJMH Chief Perfusionist and Surgery Service Integration Lead, and Gabriel Spitz, LiveData Director of Human Factors, is available on LiveData’s website, at New Frontiers. | | Conference Update HIMSS08
Warren Sandberg, MD, PhD, and Mark Meyer, MD, MPH, MS, of Massachusetts General Hospital will present on interoperability and emerging technology at HIMSS08 on February 26. The presentation, “Everything, Everywhere: Integrated Real-time Process Management,” is included in the conference’s section on Interoperability Standards and Health Information Exchange. Also at HIMSS, LiveData OR-Dashboard will be featured "in action" at the Patient Care Devices area in the Interoperability Showcase from February 24–28. The Showcase walks visitors through simulated clinical scenarios, demonstrating how standardization applies to and impacts the efficiency and effectiveness of actual clinical environments. Visit us at Booth #5146, as well as at the Showcase, to learn about LiveData technology. AORN
Jeffrey Robbins, LiveData CEO, will present “Hot Topic: The Importance of Informatics to Perioperative Practice” on Thursday, April 3 at the AORN 55th Congress. He will examine the role technology plays when hospitals design quality improvement processes and how visually integrated ORs are transforming the perioperative work environment. The presentation will take place at the breakfast session, 8:00–9:30 a.m., and later at 1:30–3:00 p.m. | | LiveData Milestones New Installations
Massachusetts General Hospital has extended LiveData OR-Dashboard beyond the operating room, to the PACU, as part of the MGH Best Practice Pod Project. A cluster of three operating rooms streams information directly to a dedicated PACU, where the recovery team can view information relevant to incoming OR patients—such as OR location, scheduled procedure, physiologic data, and a list of staff in the OR. MGH plans to include LiveData OR-Dashboard as part of the design for all new and renovated operating rooms. Currently, the dashboard is live in two ORs, and planned for three more. NewYork-Presbyterian Hospital announced the November opening of its new “futuristic operating rooms,” deploying what it calls the “Wall of Knowledge” in four pilot ORs. NYPH engaged LiveData to implement Visually Integrated OR technology in two rooms at Columbia University Medical Center and two at Weill Cornell Medical Center. The Wall of Knowledge features an array of flat panel displays that present up-to-the-second information about the patient (including vital signs and lab results), the procedure (live video from an endoscope, laparoscope, or microscope), and the role of each clinician. Awards
We are proud to announce that LiveData’s CEO, Jeffrey Robbins, and the CIMIT Medical Device Plug-and-Play Program team were recipients of the sixth annual Edward M. Kennedy Award for Healthcare Innovation. Advances in Standardizing Medical Technology
Following last year’s success, LiveData is once again submitting the OR-Dashboard system to interoperability testing at the IHE North American Connectathon (January 28–February 1). The Connectathon, where participants test their implementations with those of other vendors, is dedicated to promoting the adoption of standards-based interoperability solutions as defined by IHE in commercially available healthcare IT systems. The testing event also serves as a prerequisite for inclusion in the HIMSS08 Interoperability Showcase. |
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