General Planning Application selection – matched to 3-5-year strategic plan; best of breed vs. best of cluster Assess IT capacity, expertise, resources Bar code requirements -- staff, patients, meds, inventory, assets, monitors Internal PR -- awareness & buy-in hospital-wide Communicate the benefits of the investment Change-management plan Determine federal government subsidy eligibility
Barcode Data Capture: What is Possible Today?DPM: Direct Parts MarkingImplants, Pacemakers, Surgical instruments… Scan & image capture Patient ID, insurance cards, driver’s license, prescriptions…
Selecting a POC Barcode Scanner Linear Scanner 2D Imager Linear bar codes Linear & 2D codes Does not capture images Omni-directional Not motion sensitive Image capture Low power usage Sensitive to motion Not omni-directional Higher cost 13 24 35 4 5 67 8 9 0 1 2
POC Barcode Scanner ConsiderationsRugged is a requirement! Anything that is picked up will be dropped – often!Ergonomics – form factor, weight, mounting options, cradlingScanning -- speed, accuracy, range, alarmsWhat is your cleaning methodology & protocol?Should you go corded or cordless?
Post-Deployment….Challenges “How do I get this new device to work?” “How can I rapidly deploy 2,000 devices?” “How do I centrally configure my networks?” “Is my connection secure?” “One of our devices is reported lost; Can I disable it?” “What are the connectivity holes in my network?” “Why is my network so slow?” “How do I apply OS patches and application updates?” “Why is my device acting funny?” “Why aren’t my batteries lasting long enough?”
Post-Deployment….PRInternal PRSolicit feedback regularlyCreate champions, train the trainerOwnership for the process and thedecisions; culture of safety External PR WebsiteLearning environment; no blame Patient safety groups Local newspaper Safety initiatives Engage patients & families
Resources for further exploration• A practical planning guide for bar code point of care (BPOC) solutions – MOTOROLA & M. Neuenschwander (2010)• The EHR starts with PPID 2010: Critical success factors for BCMA implementation (slides) – Mike Wisz• It’s all in the wrist: Improving patient safety with bar code wristbands – Zebra (2010)• Getting ready for bedside – Omnicell (2008)• The CIO’s guide to implementing EHRs in the HITECH era -- CHIME (2010)
Want to know more? Jimmi Leigh Griffin Wendy Thacker Pete Pleas Nathan Lord firstname.lastname@example.org email@example.com