So Why Bedside Terminals?• This series of HIS-tory episodes covers 3 of the earliest PC/micro systems that first placed HIS devices at the patient’s bedside: – NCR’s “PNUT” (Portable Nursing Unit Terminal), circa 1982 – CliniCom’s “CliniCare,” launched by Peter Gombrich in 1984 – Patient Technology Inc’s 1970’s Survalent and 1980’s “MedTake”• So why such interest to put devices right at the patient’s bedside? - Well, check out this actual collection of how nurses captured data back then: - Scribbles on med wrappers, paper towels, anything they could stuff in the pockets of their scrubs, to remind them of what to chart when they got back to the nurse station.
Meanwhile, Back at the Nurse Station…- Those scraps of paper were pulled pulled out and used to inspire these un-retouched handwritten scribbles that comprised Nurses Notes.- Pretty similar to the problem the IOM saw when they reviewed the paper nightmare physicians go through to order meds in a paper system: illegible scribbles on source documents (med orders) transcribed onto equally illegible MARs.- Imagine being a doctor and looking at these nurse notes the next morning to see how your patient fared over night? These graphics may help remind your MDs when they complain about your CPOE
MedTake’s New Owner• So who was the NJ firm who bought MedTake from PTI?• Per their 1986 Prospectus: – Formed in 1971 as “Claims Processing Co.” for OP billing – Grew their products to a full suite of financial systems – Running on DEC VAXes, the hot box in the mid-80s mini mania. – Later re-Named “Micro Healthsystems Inc.” in 1982 – With 50 employees serving 50 client throughout NY/NJ. – Added additional software such as a Home health Care
The Men Behind the Name• As usual in HIS, there were a number of little-known HIS-tory heroes behind the scenes who did the heavy lifting and deserve the credit: Ron Gliates Doug Haas Some bum VP Product Manager, Ron was another Sr. VP of Delopment, we’ll talk McAuto alumnus, and one of the best CSR Doug led the more about reps in HIS-tory: clients loved him, and he hardware team that later… worked long, hard hours to keep them happy. pulled the QWERTY keys off the keyboards, and Jim Pesce software team that Who we first met wrote the code to many episodes ago automate nursing. when he worked for GE’s “MediNet,” then as the Northeast Sal Caravetta Regional CSR Founder and Chairman manager at McAuto. of the Board – one of Jim was Health the classiest guys in Micro’s CEO – HIS: smart & well- running the financial spoken, sadly passed system division that away all too soon. met the payroll.
Daring MedTake Pilot Sites• Two daring hospitals served as pilot sites who nursing staff as “early adopters” deserve credit for many improvements to the system:Palisades General Hospital – right on the NJ banks of the Hudson, 202 beds, managed by HCA at the time, 108 devices on all their floors, 1985 pilot. Northwestern Medical Center – in frozen St. Albans, VT, where the warm summer season lasts almost the entire month of June! 98 beds, also HCA-managed, 33 units on their 3 nurse stations. Their hard drives were prepared with a special coating of anti-freeze… live in 1986
Typical Sales Challenge• It was actually PTI who found and sold Northwestern in Vermont. Here’s the great story from JoAnn Karl, RN, one of PTI’s veterans: – Back in those pre-HIMSS days, the annual IT conference was AHA’s annual national convention, where PTI bought a booth. – JoAnn and her team (wo)manned the booth for days, with not a single decent demo or lead among the hundreds of booths.• By the end of the week, thoroughly depressed at the lack of prospects, they shared a cab to the airport with a nice gentleman, who turned out to be the CEO of Northwest!• With a ½ hour captive audience, they hooked him on the concept of bedside terminals, scheduled a demo, and the rest is HIS-tory…
So How Did I Get Involved?• I was working for Sheldon Dorenfest in the mid-80s, and Shelly’s wealth of market analyses (his “3000” data base was the precursor to HIMSS’ “Analytics”) made me acutely aware of the hot market opportunity for a PC-based product, and working with Shelly on Peter Gombrich on his CliniCom bedside idea had me primed!• I knew Jim Pesce from our McAuto days, and Jim had watched how we penetrated the mainframe market at HIS Inc. in nearby Brooklyn in the early 80s.• Jim was looking for someone to head up MedTake sales and called me asking if I was interested. Does a bear do-do in the woods? Sold! Here’s the note that changed my HIS-tory: