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Akershus University Hospital in Norway has implemented advanced wireless solutions in their hospital, why? Where and what value does it give?

Akershus University Hospital in Norway has implemented advanced wireless solutions in their hospital, why? Where and what value does it give?. Vaaler S. eHealth week 2010 (Barcelona: CCIB Convention Centre; 2010)

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Akershus University Hospital in Norway has implemented advanced wireless solutions in their hospital, why? Where and what value does it give?

  1. 1. Akershus University Hospital in Norway has implemented advanced wireless solution in their hospital, why? Where and what value does it give?” Stein Vaaler, MD, PhD Deputy Managing Director Akershus University Hospital
  2. 2. • Key Figures (2011): • Area hospital for 500,000 inhabitants • 80 to 90 % of all services (somatic medicine and psychiatry) • > 60,000 over night stays • > 50,000 day treatments • > 200,000 outpatients (policlinic consultations) • 6,000 total staffing – Approx 650 medical doctors 2 May 18, 2009
  3. 3. Basic structure Wards Pediatrics and youth Acute entrance Treatment facilities Glassgate Main Entrance 3 May 18, 2009
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  5. 5. Why? • Our major goal is to be the most patient focused and friendly hospital in Norway • As Europe's most modern university hospital (1. oct 2008) we wanted to increase our productivity and be able to meet the economic challenge in the specialised health care sector. • With support of modern technology and wireless solutions we want to be an attractive working place – with highly skilled health professionals 5 May 18, 2009
  6. 6. 1. October 2008 A new building New equipment Significant organisational Incl. wireless technology development - Independent of, and as a result of new technologies 6 May 18, 2009
  7. 7. New technology (the basic challenge) New technology are automating or changing the work tasks 7 May 18, 2009
  8. 8. Smart Card – the Key to Communication name + picture • Parking house smart chip RFID • Working clothings magnet line bar code • Door opener / key – zones / restrictions • Priority in elevators • Network access • Printing • Home office solution (start-up and net access) • Cantina payment 8 May 18, 2009
  9. 9. The IP phone-system 1500 hand held terminals 300 line based terminals Backup 300 analoge phones Ascom alarmsystem (not IP service) mobile phones 9 May 18, 2009
  10. 10. The IP phone-system • THE CORNER STONE • Significant initial problems due to failure of large scale testing – Always backup • Normal function after 4 months. • Since then no technical problems and a success due to the fact that ”the phone is always there” (role based and person based phones). • One of the most important factors in increasing the effectiveness in a hospital where more than 90 % of the patient admissions are acute and not preplanned. 10 May 18, 2009
  11. 11. Computers 400 laptops (wireless) the number is steadily increasing 3800 stationary terminals 11 May 18, 2009
  12. 12. Computers • Hardware development; small, flexible and wireless • The major challenges – On site logon time – Too much basic software • Role based profiles is more needed • Personal profiles should be avoided in treatment areas – Software harmonization an development • To many products/programs • To little strategic control and development • Our major local problems is related to – RIS/PACS – The electronic curve – Speech recognition 12 May 18, 2009
  13. 13. Automated Drug Management System • Electronic prescription • Decision support • Information to the pharmacy  robot (”pill picker”)  packing and marking (bar code + text)  deliveries by tube transportation  message to the nurse (IP phone text message) • Administration and documentation (patient specific deliveries) • The electronic curve – connected to the electronic prescription 14 May 18, 2009
  14. 14. 15 May 18, 2009
  15. 15. Transport 16 May 18, 2009
  16. 16. 17 May 18, 2009
  17. 17. We had great ambitions • The goal was automatic delivery of patient specific medication based on electronic prescription from day one (1.october 2008). • It did not work! – Due to technical problems and the highly complex integration process between the electronic curve, the pharmacy system and the production systems • We had to restart with two focuses: – Automated delivery to local storage – Electronic subscription and follow up (the electronic curve) 18 May 18, 2009
  18. 18. Status, automated drug delivery Patient Bedside prescription (DIPS) Electronic Nurse curve Prescription registration Ward Local storage Pharmacy (Delta) Packing Distribution (Swisslog) Delivery, pneumatic tube system 19 May 18, 2009
  19. 19. AGV: Automatic guided vehicle – a success story • Carry goods < 750 kg • Top speed: 5 km/hr • Know the way, use the elevators • Leave the goods, send a report to the nurse (txt) • Wireless technology 20 May 18, 2009
  20. 20. We are gradually improving!! • People have learned to use the new infrastructure (buildings and ”known” equipment) • We are reorganising nurses and doctors (in mixed units again) • The infant diseases of many new technical systems have been solved • An last but not least: The personell are gradually willing to change the ways they are working as a consequence of new (wireless) technical solutions and eqiupment 21 May 18, 2009
  21. 21. What are the results? • Parameters of medical quality are improving – Hospital infections – Waiting time for operations – Etc • Budget balance (5 – 6 % increased productivity) are expected in 2011 22 May 18, 2009
  22. 22. I would do it again - but I would have done it in another way!! Stein Vaaler, MD, PhD Deputy Managing Director Akershus University Hospital

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