1) The document discusses several medical organizations that have implemented mobile and cloud-based nursing informatics solutions. 2) It highlights implementations at JiangSu Province Hospital in China, where a mobile nursing information system helped standardize nursing processes and assessments. 3) It also describes how a medical center in Taiwan implemented mobile devices to reduce nurses' time spent on documentation from over 20 minutes to under 5 minutes. 4) Overall the document promotes mobile and cloud-based solutions for improving nursing documentation, communication, and workflows.

1. Medical Total Solution
Nov. 2015

2. Mega trend we rides together
Jason Fratzke
Chief Nursing Informatics Officer
Mayo Clinic
“
”
The core of nursing is documentation
and communication….
And the future of these is MOBILE.
Patient Safety Director
Baylor Hospital
“
”
We have many PCs, even every room
has one. But there are still many PC
request even though more than half of
installed PC are idle.

3. Medical Business
Overview
Nursing Informatics
11
Long Term Care Cloud Service
22
Intelligent Healthcare Service
(Future)
33
Business
Approaches

4. Nursing Informatics
Mobile Nursing-MiNIS
11
• Enhance Patient Safety
• Prevent medical legal problem
• Increase care quality
• Fulfill point of care
• Improve management
performance
• Closed-loop flow control
• Improve SOP compliance
• Integrated CPOE and EMAR
– Paperless
• Nursing terminology
implemented
– NNN，GORDEN 11
• Decision support for
nursing plan

5. Long Term Care Cloud Service
• Long-term care management system
• Home Care assessment
• Nursing Home assessment
22
Layer 2
Layer 1
Easy to use – w/ learning
Smart key-in
Quality monitoring
Resource management

6. Intelligent Healthcare Service
• Event recorder
• Telemedicine
33
Data collection
Vital sign analysis
Professional medical device

7. Mobile Health / Tele-Health
need dedicated devices
Sterilization? Water Resistant? Patient Identification?
Cheng Hsin General Hospital, Taipei
Designed dedicated for Mobile Health and Tele-Health

8. Hardware Features
Easy to carry 1m drop Sterilization
Big ScreenEasy Hand overCommunicationBed side work
Surgery gloves touch-enable

9. What we have achieved

10. China
JiangSu Province Hospital

11. China
JiangSu Province Hospital
11
A 3000 beds Medical Centre in Jiang Su
China
Lead in mobile nursing information system
(mNIS)
A long-term cooperation to complete JSPH
NIS in phases
Order execution-> Nursing process (Phase1)
Assessment -> Nursing Intervention (Phase2)
Nursing Care-> Nursing advise
Nursing record
Nursing management, Quality management
(Phase3)
Performance for JSPH
Nursing process reengineering
Set up Nursing process SOP by using
informatics tools
Announcements of paper and conference
Goal for JSPH
Become the nursing work standard in JiangSu
province
Become the nursing accreditation index

12. User scenario

13. 13
Value
Take out pen Take note Put pen back Find stamp Take out stamp Stamp sign Finish one
12 seconds for each drug filing
Process Driven
• What if the time
decreased into 0.8
seconds?

14. China
Mobile Health Aids in Surgery Wards
14

15. China
Mobile Health Aids in Surgery Wards
15

16. China
Mobile Health Aids in Surgery Wards
16

17. China
Mobile Health Aids in Surgery Wards
17

18. China
Mobile Health Aids in Surgery Wards
18

19. United Kingdom
NHS Foundation Trust Hospital

20. United Kingdom
Hospital - NHS Foundation Trust
20

21. Taiwan
Medical Center

22. With Mio Pad time consuming reduce to:
Original time consuming: 20’ 51”
4’ 46”
Time consuming data from nurse supervisor at Cathy General Hospital
Observation: Oncology Nurse’s Daily Work

23. What do nurses need?
More efficient
Less work
Few process

25. Thank you
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