1. TM
SmartRoom
Quality and Efficiency on the Front Line
of Healthcare

2. Agenda
• Challenges of Caregivers at the Bedside
• SmartRoomTM Overview and Value
• Questions / Answers
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3. Once upon a time…
• Latex allergy patient
• IV Team nurse
• Executive management team review of all
serious events
• How can we avoid this from happening
again?
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4. Policy vs. Reality
• What should be done and what “does” get
done are often two (or more) different
things.
• Example: Observed nurses using bar
code medication administration and
recorded all of the different steps (both
actions and sequence of actions)
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5. Bar Code Medication Admin
Process of Medication Administration – Task Sequences
START
Obtain meds
scan self
obtain meds
scan self enter pt room
check med vs check med vs device scan med
scan self
device
check med vs double check med enter pt
scan med enter pt
device check vs device room
scan med room
enter pt
room
scan med enter pt scan pt
scan med double scan pt enter pt
enter pt room scan med room ID band
check ID band room
enter pt scan pt
scan pt
room ID band
scan pt doc ID band scan pt scan pt scan pt doc
ID band scan pt enter pt room admin ID band ID band ID band admin
give med
scan pt give med ID band to pt give med give med doc give med give med
ID band to pt give med scan pt ID band enter pt to pt to pt admin to pt to pt
to pt room
give med doc scan pt doc doc doc give med doc
doc doc to pt admin ID band admin give med doc give med admin admin to pt admin
admin admin to pt admin to pt
doc doc
admin doc give med
give med admin doc give med
admin to pt
to pt admin to pt
Evaluation of Nurse Interaction With Bar Code Medication Administration Technology in the Work Environment
Carayon, Wetterneck, Hundt, Ozkaynak, DeSilvey, Ludwig, Ram, Rough, Journal of Patient Safety March 2007
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6. Bar Code Medication Admin
Process of Medication Administration – Task Sequences
START
Obtain meds
scan self
obtain meds
scan self enter pt room
check med vs check med vs device scan med
scan self
device
check med vs double check med enter pt
scan med enter pt
device check vs device room
scan med room
enter pt
room
scan med enter pt scan pt
scan med double scan pt enter pt
enter pt room scan med room ID band
check ID band room
enter pt scan pt
scan pt
room ID band
scan pt doc ID band scan pt scan pt scan pt doc
ID band scan pt enter pt room admin ID band ID band ID band admin
give med
scan pt give med ID band to pt give med give med doc give med give med
ID band to pt give med scan pt ID band enter pt to pt to pt admin to pt to pt
to pt room
give med doc scan pt doc doc doc give med doc
doc doc to pt admin ID band admin give med doc give med admin admin to pt admin
admin admin to pt admin to pt
doc doc
admin doc give med
give med admin doc give med
admin to pt
to pt admin to pt
There are 4 unsafe pathways and 6 most frequent
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workarounds

7. Mind Clutter & Distractions
Many new innovations,
projects, safety devices,
computer systems and
improvements require more
time and effort on the part of
the front line. We have to
stop adding work….we must
to find a way to take hard
work away and make success
easy for the front line.
SmartRoom helps leverage
the large EMR investments.
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8. 36 Hospital Med/Surg Nursing
Time and Motion
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Source: A 36-Hospital Time & Motion Study: How Do Medical-Surgical Nurses Spent Their Time? – Hendrich/Chow-The Permanente Journal/ Summer 2008

9. What is SmartRoom
A “smart” patient room that…
– Organizes and simplifies the workflow of front-
line staff
– Makes retrieving the right patient information at
the right time as simple as walking into the room
– Pushes information to direct and indirect
healthcare workers in context of situation - who,
what, where
– Solves problems at the point of care
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10. SMARTROOM VIDEO
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11. Subtraction
• Study – 30 tasks in 10 rooms…
– Batch at end of day
– Chart between rooms using mobile COW
– Chart using Smart Room real time
57% reduction
700 in time spent
charting + real-
600 612
589 time
500 documentation
400
300 57% Reduction in Tasks
200 255 69% Reduction in ADLs
100 82% Reduction in Vital Signs
0
Batching Mobile Cart
Batching Mobile cart SmartRoom
Smart Room 11

12. SmartRoom Value
Value Drivers Examples of Benefits
Cost Reduction •Real time bedside documentation
•Compressed Workflow and dynamically balancing workloads
•Reduced OT, Agency Staffing, Turnover and Better Recruiting
Increased •P4P with Core Measures
Reimbursement •Minimize losses from Never Events
•HCAHPS Customer Services Reimbursement
•Legal fee may reduce as documentation exists
Improved Quality, •Tasks done as prescribed and reduced charting errors
Outcomes and •More time critical thinking and with patients
Decreased Errors •Less time at shift report charting and more sharing/educating
•Less mis-transcribing numbers
Improved Caregiver & •More time with patients and less documentation time
Patient/Family •More time critical thinking vs. task and documentation
Satisfaction •Patient/Family see caregivers more
•Wandering management

13. Perfection is achieved, not
when there is nothing left to
add, but when there is
nothing left to take away.
-Antoine de Saint-Exupery
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14. Thank you!
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