De­liv­er­ing data bed­side in the ICU

Modern Healthcare - - INNOVATIONS - By Erica Te­ichert

Health­care providers are turn­ing to data an­a­lyt­ics and stan­dard­iza­tion as they try to cut costs and im­prove on qual­ity met­rics. But most have yet to har­ness data to make re­al­time shifts in care.

Hous­ton-based De­ci­sio Health saw an op­por­tu­nity to help providers see changes in pa­tients’ vi­tals im­me­di­ately and give them the chance to ini­ti­ate care pro­to­cols that could lead to bet­ter out­comes. The startup de­vel­oped the first Food and Drug Ad­min­is­tra­tion-ap­proved web-based clin­i­cal plat­form and cre­ated easy-to-read dis­plays that alert clin­i­cians to prob­lems as they emerge.

“My goal is to be the Bloomberg of health­care,” De­ci­sio co-founder and CEO Bryan Haardt said.

Spun out from tech­nol­ogy de­vel­oped at and li­censed from the Uni­ver­sity of Texas Health Sci­ence Cen­ter at Hous­ton, De­ci­sio took a clin­i­cian’s ap­proach to data. Ac­cord­ing to Haardt, the com­pany wanted to change the ret­ro­spec­tive na­ture of an­a­lyt­ics to make a big­ger im­pact on pa­tient care.

“We looked at that and said maybe a bet­ter way would be to start at the source, which is the pa­tient, and in­stead of top down, go bot­tom up and re­ally im­pact the uti­liza­tion of an­a­lyt­ics in real time by do­ing it at the point of pa­tient care,” Haardt said.

Haardt said he hoped De­ci­sio’s plat­form could help clin­i­cians re­duce vari­abil­ity of care and im­prove pa­tient out­comes. The plat­form can work on any mo­bile de­vice or sys­tem and pro­vides a cus­tom­ized bed­side or smart-de­vice dis­play for clin­i­cians to use. The mon­i­tors can dis­play vi­tal signs, glu­cose read­ings, test re­sults and graphs that clin­i­cians need to track pa­tients’ progress. The in­for­ma­tion is color-coded: green for nor­mal re­sults, yel­low for slightly ab­nor­mal and red for grossly ab­nor­mal. Physi­cians can also en­able “bun­dles” if a pa­tient might be de­vel­op­ing sep­sis, a uri­nary tract in­fec­tion or other con­cerns, which gives a time-stamped check­list of care pro­to­cols.

Me­mo­rial Her­mann-Texas Med­i­cal Cen­ter, a Hous­ton hos­pi­tal af­fil­i­ated with the Uni­ver­sity of Texas sys­tem but with no in­vest­ment in­ter­est in De­ci­sio, is the first hos­pi­tal to try the tech­nol­ogy.

Wal­lace Halum, a Me­mo­rial Her­mann shock-trauma charge nurse, said the in­ter­face has helped re­duce pre­ventable med­i­cal er­rors and made hand­offs dur­ing shift changes much eas­ier. “You can lit­er­ally walk into a pa­tient’s room and, along with a re­port and phys­i­cal ex­am­i­na­tion, you can have a re­ally good idea of what’s go­ing on with this pa­tient,” he said. “That was some­thing that be­fore this dash­board you re­ally couldn’t do.”

Halum was in­volved in the im­ple­men­ta­tion at Me­mo­rial Her­mann. Be­fore us­ing the dash­board, nurses and other clin­i­cians charted trends in pa­tient data by hand, and it could be hard to catch acute con­di­tions and de­ter­mine the proper course of care. Now, the in­for­ma­tion is doc­u­mented and eas­ily vis­i­ble on the plat­form, and Halum said the shock trauma in­ten­sive-care unit has seen pa­tient care im­prove.

“Re­ally, it’s all doc­u­men­ta­tion,” he said. “You have to have cer­tain things doc­u­mented to make sure you’re do­ing the right things for th­ese pa­tients.”

In the two years Me­mo­rial Her­mann has been us­ing De­ci­sio’s soft­ware, there has not been a sin­gle ad­verse event as­so­ci­ated with the soft­ware re­ported to the FDA, Haardt said. The tech­nol­ogy uses a hos­pi­tal’s cloud or phys­i­cal servers to store pa­tient data, min­i­miz­ing the risk of se­cu­rity breaches or data vi­o­la­tions.

De­ci­sio has taken a me­thod­i­cal, slow ap­proach to its roll­out since it re­ceived FDA ap­proval in Jan­uary 2015. It went live at a sec­ond site, the Uni­ver­sity of Cincin­nati Med­i­cal Cen­ter, last week. The med­i­cal cen­ter’s neu­ro­science ICU will use De­ci­sio’s tech­nol­ogy to dis­play neu­ro­log­i­cal in­for­ma­tion for clin­i­cians.

“I think De­ci­sio is unique in how it presents info to keep the provider aware of what’s go­ing on,” said Dr. Jay Jo­han­nig­man, chief of trauma and crit­i­cal care at the Uni­ver­sity of Cincin­nati Med­i­cal Cen­ter. “The provider at the bed­side is as­saulted with so many dif­fer­ent in­for­ma­tion streams that mak­ing sure you ac­tively sur­vey all of them at a given time while serv­ing a large num­ber of pa­tients is next to im­pos­si­ble.”

De­ci­sio says the plat­form will be in use at more hos­pi­tals soon, thanks in part to an im­ple­men­ta­tion part­ner­ship with Slalom, a Seat­tle-based con­sult­ing com­pany.

“We’ve been very con­sci­en­tious to make sure that we don’t drink out of the fire hose,” Haardt said. “We have a very, very, very large pipe­line and prod­uct back­log for this stuff.”

“My goal is to be the Bloomberg of health­care.” BRYAN HAARDT

Newspapers in English

Newspapers from USA

© PressReader. All rights reserved.