Community Memorial Hospital Improving Patient Care with Barcoding

1. Community Memorial HospitalImproving Patient Care with Barcoding Project Manager, CMIO: Susan Cody CFO: Terresa Roulhac CIO: Harleen Kaur

2. The Background of CMH • Community - Based provider • Multi – Hospital/16 Primary Care Clinics • Senior communities including Home Care & Hospice • Staffing agency • Many existing commitments • ICD -10 mandates • Interchangeable data sharing and privacy issues • Lack of non-stop, secure, and reliable IT services • Infrastructure Issues

3. Challenges of CMH • Operational expenses continue to increase • Stricter regulatory standards in place • Protection of patient safety • Reducing medication errors • Increase of Integrated network

4. Uses of barcoding systems • Identifying patients • Tracking equipment • Materials management • Point-of-care technology • Laboratory and radiology functions • Medication administration

5. Barcoding for Medication Administration • Helps satisfy Meaningful Use requirements for improving quality, safety, and efficiency. • Patient Safety • Ensuring the “5 rights” • Right patient • Right drug • Right dose • Right route • Right time

6. Barcoding for Medication Administration • Barcoding assures accuracy • Provides drug-drug interaction warnings • Provides medication delivery warnings • Provides charting to the eMAR at time of delivery • Provides for expansion of technology to other departments

7. Goals for the Barcoding Project • Improve Patient Safety • Streamline workflow • Reduce costs over the long term • Determine improvement cycles for future implementation

9. Constraints • Overcoming resistance and training of staff • Cooperation between departments • Selection of appropriate vendor and software • Acquiring sufficient and appropriate hardware • Placement of equipment in departments • Proper utilization of resources

10. The Project Team • COO, CIO, CMIO, CFO • Physician Lead • Nursing Lead • IT information officer • Pharmacy Lead • Laboratory Lead • End Users

11. The Proposal • Proposed Timeline • Impact: Cost & Risks • Impact: Benefits & Opportunities • Alternative impact

12. Proposal of Timeline

13. Cost & Risks

14. Cost & Risks • Other items for consideration • Conventional Version Updates • Software Maintenance • Additional Staff Training • Hardware Maintenance • Includes replacement cost • Risks • Barcode quality • Lack of min. requirements in Policy & Procedures

15. The Budget

16. Benefits and Opportunities

17. Benefits and Opportunities

18. Alternative Impact @http://intelligenthospitaltoday.com/rfid-tracking-vs-barcode-scanning-how-to-determine-which-is-essential-for-your-healthcare-environment/

19. Project Details of Proposal • Why BCMA? • Project Fit • Implementation Process • Workflow • Addressing Constraints

20. Why BCMA? Where do medication errors occur ?

21. Cost Associated with Medication Errors

22. Project Fit • Increased efficiency of the healthcare operations • C3 Model (Better communication, coordination and cooperation ) • C3 process with pharmacists, nurses and physicians

23. Pilot Testing • BCMATechnology & Associated workflow will be tested in smaller units • Fixing glitches & ensuring sufficient technical support available • Rollout to larger & complex units of the organization • Plan-Do-Study-Act (PDSA) for process improvement

24. BCMA Implementation Approach

25. New Workflow

26. Addressing Constraints

27. Concluding Remarks • 54%-87% reduction in medication administration errors • More integrated healthcare delivery system • Increased patient safety • Increased revenue

28. THE END 

29. References Agrawal, A., & Glasser, A. (2009). Barcode Medication. Retrieved from: http://www.org/files/HIMSSorg/content/files/jhim/23-4/JHIM_Fall_Agrawal.pdf Barcoding hospital data capture solutions. (n.d.). Retrieved from: http://www.barcoding.com/hospital-acute-care-facility-data-capture-solutions.shtml Barcoding Sales and Inventory Control. (n.d.). Retrieved from: http://www.kcsi.ca/ barcoding_adv.html Barlow, R. (2013). Raising the bar on tracking products, people, equipment. Healthcare Purchasing News. Retrieved from: http://hynonline.com/inside/2013-10/310-PS- Barcode.html Brusco, J. M. (2012, July). Incorporating barcoding into the perioperative setting. AORN Journal, 96(1), 86-88. http://dx.doi.org/10.1016/j.aorn.2012.04.026 Cummings, J., Ratko, T., & Matuszewski, K. (2005, September/October). Barcoding to enhance patient safety [Article]. Patient Safety & Quality Healthcare. Retrieved from http://psqh.com/sepoct05/barcodingrfid1.html Duffy, V. (2009). Analyzing the Effects of a BCMA in Inter-Provider Communication. In Digital human modeling second international conference, ICDHM 2009, held as part of HCI International 2009, San Diego, CA, USA, July 19-24, 2009; proceedings (p. 749). Berlin Springer.

30. References Lan, M., Zhu, L., & Zhou, Q. (2013, February 19). Medication administration errors made by nurses reflect the level of pharmacy administration and hospital information infrastructure. Journal of Clinical Nursing, 23(5-6), 894-895. http:// dx.doi.org/10.1111/jocn.12495 Nachrieb, J. (2013). Raising the Bar on Barcode Risk. Retrieved from: http:// www.rmmagazine.com/2013/10/01/raising-the-bar-on-barcode-risk/ SG20 Healthcare 2d Imager. (n.d.). Retrieved from: http://www.intermec.com/products/SG20HPHC/ index.aspx Zebra HC100 Wristband Printer. (n.d.). Retrieved from: http://www.barcodesinc.com/zebra/ hc100.htm