8 months ago

Decisio White Paper


CLINICIAN EXPERIENCE Physicians Thomas Bodenheimer and Christine Sinsky have proposed 12 that in order to meet the IHI Triple Aim goals of improved population health while simultaneously improving the patient’s experience of care and reducing costs, a fourth aim may be required. Attending to the work life of clinicians and the staff providing the nation’s healthcare is crucial. In essence, we must care for the people who care for us. At Decisio Health, we think this makes perfect sense. It’s why we have designed a visualization system that collects data passively and does not require clinicians to do extra documentation of any kind in order to generate a sepsis score. We create interfaces with the information systems we need to make the algorithms run undetected in the background. Here are some of the other ways we demonstrate care and respect for the clinicians we work with: • We bring the tools to our clinical partners and let them decide how to implement them. We do not tell them which sepsis bundle to use or what should be in it. Our clinical partners can use existing order sets or go through their existing governance councils to update whatever they wish, but we do not push anything on them. • Our clinical partners decide how the sepsis alerts should look and feel. We adapt to their needs. They can look the same in every unit within the organization or can be designed to meet the needs and preferences of different departments. • We adapt to the changing workflow requirements of clinical departments and program the software accordingly. Where should the sepsis alert go? To the bedside nurse? To the physician? To the chief resident? We can customize alerts based on our partner’s preferences. • We understand that dashboard reporting can make a big difference in the quality of care you are able to provide. We are available to help and make real-time changes as needed. We’re here to support your clinicians so they can do what it takes to keep your patients happy and healthy, as these stories demonstrate. Decisio Health supports their clinical partners with a 24/7 help line that is available to make immediate changes to the configuration of dashboards that clinicians rely on to provide care. One evening in the ICU the nursing director called because data known as the March 2018 DECISIO | 12

“ABGs” (Arterial Blood Gases – lab results that ICU staff rely on tell them how well a patient’s lungs are moving oxygen into cells and carbon dioxide out of the body) were not displaying on the dashboard. The Decisio team was able to immediately investigate the situation and let the nurse know that although this data is coming through for other patients, there wasn’t an order for it in the EHR for this patient. As soon as the order was placed and blood was drawn, the results pushed through and displayed on the dashboard. Problem solved! Bedside nurses? Happy! The DECISIOInsight ® dashboard can be configured in any number of ways to meet the needs and preferences of its hospital partners. In one ICU, it was configured by design so that when a patient was being supported by mechanical ventilation, the visual on the dashboard defaulted to a view of the waveform (the visual image, or PPV graph) that measures the respiratory cycle. When that image was on the screen other information, such as lab values, were hidden from view. One day, the nurse caring for a patient on a vent had several family members in the room who were all carefully monitoring the dashboard alongside her. It turns out they were all doctors and they wanted to know why the liver function labs were no longer being displayed! She explained that the patient’s liver function, along with many other indices, were still being monitored, dynamically, real-time, in the background, but it just wasn’t on the screen. Before the nurse went off shift, she called Decisio and explained the family’s concerns. Overnight, Decisio re-configured the dashboard. The next day when the family came back to visit, they were thrilled to see all of the data that they wanted. Everyone in the ICU was surprised at the speed with which this happened. Problem solved! Physicians? Happy! March 2018 DECISIO | 13

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