Providing alternatives to the traditional WOW (Workstation on Wheels) for the registration process using the existing EHR.

1. Case Study:
Mobility Solutions in the TMMC
Emergency
Department
HEA 476 Managing Health Information Systems
Tara Burke
Phonemany Inthisith
Jesenia Rodriguez
Trishia Cabreros

2. Introduction
● What needs to be fixed?
○ Current method of patient registration
utilizes a WOW
○ (Workstation on Wheels)
● WOW Problems
○ Heavy (30-40 Lbs.)
○ Malfunctions frequently
○ Older software (Windows 7) crashes frequently
○ Difficult to navigate into small rooms & narrow hallways
○ Reduced visibility during transportation

3. Requirements
● What needs to change?
○ WOWs need to be replaced with Ipad
○ Cerner Applications preloaded to work seamlessly with Ipad
● What would the new solution need to do?
○ Perform multiple functions eliminating need for unnecessary
equipment (ie: scanner, mouse, large monitor, large cart)
● What do employees and management REQUIRE of this
system?
○ Smaller, faster, lighter
○ Ability to:
■ Quickly update patient information
■ Take photos of documents (Photo ID, Insurance Card)
■ Sign consent forms

4. Major software vendor: Cerner
● Cerner's Mission: Contribute to the systems improvement of
health care delivery and the health of communities.
● Technologies connect people and systems at more than 18,000
facilities worldwide.
● Applications are developed with clients
● Work for today and think for tomorrow

5. Hospital and Health Systems
◼Digital solutions proven to:
▪ Streamline administration
▪ Reduce costs
▪ Enhance patient safety
◼Solutions enable:
▪ Physicians, nurses, and other authorized users
▪ Share data and streamline processes across the entire organization.
◼Online “digital chart” displays up-to-date patient information
◼Improved accuracy in:
▪ Ordering
▪ Documentation
▪ Billing
◼Remote hosting option
◼Assistance with upgrade

6. Software product: Apple
Ipad Pro “Thin. Light. Epic.”
● 12.9-inch screen: everything you do easier, faster, and
more engaged
● iOS 9: most intuitive, advanced, and secure mobile
operating system in the world
● Increased productivity
● Slim, light, well-balanced and sturdy
● Smart Keyboard is full-sized and portable
● Apple pencil
● Touch ID
● iPad starts at $799 (32 gb)
● Apple Care available

7. Gaps in the existing solutions
● WOW is difficult to navigate
● Malfunctions to WOW lift lever can cause an
unsuspected lift of 30-40 pounds
● Cost $10,000 each
● Maintenance & Repair requires third party,
offsite vendor

8. Formal framework
◼Create a budget to replace 7 WOW
stations and Cerner software.
◼Collaborate with Cerner to implement specific services
needed.
◼Replace one WOW station to test out new system before
replacing all 7 stations.
◼Formal training to learn new system

9. Prototype solution
● What is the solution?
○ Replace the 30-40 pounds
WOW station to a Ipad with
the cerner app.
● How will it work?
○ Cerner application work easily and
faster with the ipad to enter patient's
demographic and insurance
information.

10. How will it work...
◼Stylus will be use to signed
◼Consent forms using e-ink application
◼Photo ID and insurance cards photographed quickly, as opposed to
scanning them.
◼Allow providers to:
▪ Review schedule and patient charts
▪ Address routine requests such as simple orders and refills
▪ Review diagnostics & clinical results
▪ Document allergies, problems and histories
▪ Create and sign progress notes

11. System Implementation
● Purchased Ipads and Cerner software
● Apps downloaded
● Technical support must add all patient reps.
● Sync current and patient information to servers.
● E-ink pads configured to ipad
and Cerner app.
● Training program to educate users about the new system
and how to use it.

12. Gannt Chart

13. Conclusions and recommendations
● Conclusion
○ Small & fast, Ipad weighs about 2 pounds
○ Compatible with Cerner application for easy use and
simplicity
○ Reduces unnecessary:
■ Time
■ Equipment
■ Staff Injuries
■ Repairs
● Overall Benefits to Department
Fast and easy to update patients information
Built in camera for scanning purpose
Sign and complete documents

14. Mobility Solutions for the ED:
THE END!