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A time management tool for hardworking nurses

A time management tool for hardworking nurses. Market. 3.2 million nurses ask: How much time do I have? What must I do next? Have I forgotten anything? …dozens of times on every shift. Nursing surveys reveal: Mental burden Compromised safety, quality A real problem!.

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A time management tool for hardworking nurses

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  1. A time management tool for hardworking nurses

  2. Market • 3.2 million nurses ask: • How much time do I have? • What must I do next? • Have I forgotten anything? …dozens of times on every shift. • Nursing surveys reveal: • Mental burden • Compromised safety, quality • A real problem!

  3. What’s Hard About Nursing? • Remembering everything • Several patients, varying acuity, lots of details • Knowing what to do next • Prioritizing in your head in a hurry • Many tasks are time-sensitive • E.g. must give meds within a narrow time window • Frequent interruptions • Stressful, error-prone • Huge implications • Outcomes, safety, on-the-job stress • Example: bed sores* • Remember to turn the patient every two hours

  4. Automate the Paper “Brain” • NursesGetItDone (NGID) • Does the remembering, reduces stress • Replaces paper “brain”

  5. Shift-at-a-Glance The heart of the app • How much time do I have? • What must I do next? • Have I forgotten anything? • Times at bottom: • Elapsed + remaining = 8.5 hrs = 1 shift • If time remaining < time needed, background turns red.

  6. What We Do That’s Special • A smart to-do list • With timing info • Deadlines for tasks • Durations (enable prediction, planning) • Unique graphical user interface • Shift-at-a-Glance • Build the to-do list with minimal effort • Share the data • Social networking • New info for mgmt, research

  7. The NGID Value Proposition The NGID Value Proposition value1 • Reduced stress staff nurses • Improved safety patients • Less overtime hospital bottom line • Bottlenecks anticipated charge nurses • New data managers, researchers value2 value3 value4 value5

  8. Technology • SmartPhone1 app • Data storage on server and cached • Works with and without wifi/3G • Quick and fun • Graphical/touch-driven user interface • Whip it out of pocket • A few taps and a glance • Proprietary • Intellectual property

  9. Better Than Paper? • If it’s slower than paper, forget it! No nurse will use it. • NGID is better than paper: • Well-tuned GUI • At a glance: what is due, overdue, soon due, ok to take a break? • Menus: common/recent choices at the top • User actions: a tap or two • NGID reminds; paper does not • Can alarm or vibrate • Forget nothing (safety) • Efficiencies, e.g. trips to fetch supplies • Automatic timestamps • A new way to organize nursing work: • Paper brain: unit of data is facts about the patient. • NGID: unit of data is the task -- Action-oriented.

  10. Data and Security • No protected health info (PHI1) collected • No HIPAA concerns • A task list for each type of nursing unit • Med-surg, rehab, maternity, periop, ortho, SNF, … • Aggregated shift summaries • Analysis of nursing work content

  11. Revenue Model • Unit price: $25 • Who buys it: • Tier 1: nurses • Buy through the iTunes store and in-app payment • Tier 2: hospitals • Packages include app licenses, backend software, support, training • Can run database on our servers or their own • The real cashflow is from subscriptions • $1.99/mo, $19.99/yr, $59 lifetime subscription (crowdsourcing)

  12. Checklists in Medicine • Precedent: aviation* • In health care, Gawande is the man • Funded, we can appeal to him

  13. Product Demo(features to observe in a demo) • Shift-at-a-glance • Task list by deadline • Data model • Note-taking • Vital signs

  14. Task List • Sort by deadline • Or by patient • Or by room • Add tasks on the fly

  15. Data Model • Shift definition • Generic task list for each type of nursing unit • E.g. med-surg, rehab, OR, SNF • Users customize for their hospital • Interventions/conditions • Additional nursing care for a patient • E.g. diabetes, allergies, risk for pressure ulcers, risk for falls, droplet precautions, wound care, Foley catheter, central IV line, NPO,1 many more • Hospital-specific “protocols2

  16. Note-Taking • Problem-oriented information as needed • Vital signs (a “notepad on steroids”) Pain Assessment Scale

  17. Our Vision • The old way • Nurses aren’t taught time management • Their only tool: “brains” • Stress, omissions, safety! • Our solution • Task tracking • Time management • Modern tools for nurses • Improved clinical decision-making hence outcomes • Changing nursing! Thanks for listening

  18. Contact • Dan Keller, Founder/CEO dan@nursesgetitdone.com (415) 861-4500

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