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Somerset Medical Center

Somerset Medical Center. Inet and BMDI Design and Implementation Dennis Dacquel, RN. Somerset Medical Center. Non-Profit Community Minor Teaching Hospital 355 Licensed bed 261 maintained / 240 average census Annual Statistics 40,000+ Emergency visits 30,000+ Inpatient Visits

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Somerset Medical Center

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  1. Somerset Medical Center Inet and BMDI Design and Implementation Dennis Dacquel, RN

  2. Somerset Medical Center • Non-Profit Community Minor Teaching Hospital • 355 Licensed bed • 261 maintained / 240 average census • Annual Statistics • 40,000+ Emergency visits • 30,000+ Inpatient Visits • 250,000+ Outpatient procedures • 1420 FTEs (1800 people) • 540 Independent Staff Doctors • Average LOS = 4.9 – 5.1 days

  3. Top 100 Community Teaching Hospitals Leapfrog Certification e-Health Somerset Medical Center Strategies

  4. Clinical Systems Vision: Nursing Process Automation & Redesign Standards of Care Documentation Charge automation Order Processing & Results Charting Care Delivery Task Management Medication Management GOAL: MORE TIME FOR PATIENT CARE

  5. Phase II: Add the Intelligence Phase I: Replace the Core Hospital-wide Integration at Somerset Patient Care / Physician Workflow Redesign Ancillary Departments: Lab, Rx, Radiology, OR Scheduling, EMPI, Registration Order Sets/Pathways Orders, Documentation ICU Integration Clinical Data Repository M.A.R. Chart Tracking & Deficiency CPOE Patient Safety Initiatives E-Sign M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12………………………………… M24

  6. Critical Care Pavilion • ICU(8 beds) • CCU(12 beds) • IMCU(8 beds) • 85 Critical Care RNs • 1 Intensivist, 1 PA, 1 NP

  7. Timeline Summary

  8. Project Organization

  9. Inet Project Team SMC IS staff Critical Care Clinician Specialist Critical Care Manager Critical Care Director Critical Care Staff Cerner Inet/Documentation Resource Cerner BMDI resource

  10. Design and Build

  11. Design Sessions • Multiple ‘wish-list’ meetings • Ensuring wish-list items are JCAHO compliant. • Form design • BMDI data acquisition requirements

  12. Inet Build • Inet OCDs • Upload Event Codes • Upload Event Sets • Create DTAs • Turn on the Flowsheets

  13. Technical Design • Local Model - ‘fat client’ PC with direct multiple serial connections to bedside devices for every bed - reference database needs to be copied to every PC - troubleshooting - maintenance - hardware

  14. Technical Design • Centralized Gateway Model - ‘thin’ clients - 1 BMDI gateway to capture data for all bedside devices via TCPIP network - 1 Cerner reference database

  15. Hardware needs • Purchase ASAP!!!! • BMDI gateway • Cerner BMDI server • Cables/terminal servers/network access etc.

  16. BMDI Vendor Selection • Cerner only responsible for inbound data • Client responsibility to acquire gateway solution: - HP/Philips - GE - Siemens/Legacy Integrators

  17. Siemens/Legacy Centralized Solution • Auto device ID & detection • Port independence - any device / any port. • Network based - efficient and fast. • Flexibility - 4 ports at the bedside • Scalability - deploy in 1 care unit, multiple units, or the entire hospital

  18. Critical Care Bedside Devices • 29 bedside monitors - GE Marquette Unity network • 14 ventilators(floating) - Siemens Servo 300 • 3 IABPs(floating) - Datascope system 97

  19. Questions?

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