Presentation on theme: "Infusion Pump Informatics"— Presentation transcript:
1Infusion Pump Informatics Our Path ForwardAnn Christine CatlinIPI Research and DevelopmentMay 22, 2014
2Infusion Pump Informatics Our IPI System 2009 – 2014 MetricsReviewing IPI …R&D EffortWhat’s new?What does it take to keep IPI going?Working together to solve problemsResearchOur ideas & how to make them work
3Infusion Pump Informatics Our IPI System 2009 – 2014 : MetricsThe IPI Community of HospitalsThe IPI Community of Users44822034
4Infusion Pump Informatics Our IPI System 2009 – 2014 : MetricsIPI Hospital Alerts and Database StorageIPI Alerts and Database SizeIPI Log Uploads679271Almost 16 million alerts!Total Database Size MB = 14GB
5Infusion Pump Informatics Our IPI System 2009 – 2014 : MetricsCharts & Reports Generated by the IPI CommunityCharts & Reports Generated by the IPI Community19859
6Infusion Pump Informatics Our IPI System 2009 – … the Cutting EdgeWhat we didWhenCan anyone else?Smart pump data analysis right in your browser,available online from anywhere2009Carefusion, but not untilFull data sharing between different hospital systemsNoHigh level & detailed comparison charts between any # of hospitals2010Searchable, sortable reports for investigating data2011Automatic pivot tablesSupport for pumps from different manufacturers2012Clickable workflows for drilling-down to data of interestNormalized metrics for head-to-head compares2013Access to all your data, even after changing pump manufacturers2014New feature requests? You get exactly what you want, and fastOftenNot oftenVerification and validation for every data valueAlwaysNot always
7Infusion Pump Informatics Our IPI System 2009 – 2014 MetricsReviewing IPI …R&D EffortWhat’s new?What does it take to keep IPI going?Working together to solve problemsResearchOur ideas & how to make them work
13Infusion Pump Informatics What’s New? Compliance UpgradesUpload Hospira compliance(it’s device specific and alert type specific)Upload Excel spreadsheets (Carefusion & Hospira)New: Carefusion KP compliance … validate first!2 kind of KP compliance:actual infusions & infusion starts (counter starts)KP counter starts should be the same as CQI counter starts. Report is “Usage by Profiles” & both are affected by library updatesKP vs CQI… count numbers different, compliance percentages different
16Infusion Pump Informatics What’s New? Selects for datasets, facilities, …
17Infusion Pump Informatics Changing devices? You can track & assess changes!
18Infusion Pump Informatics Changing devices? You can track & assess changes!
19Infusion Pump Informatics Our IPI System 2009 – 2014 MetricsReviewing IPI …R&D EffortWhat’s new?What does it take to keep IPI going?Working together to solve problemsResearchOur ideas & how to make them work
20Infusion Pump Informatics Changes hit us from all sides. Almost daily.The Pump ManufacturersCarefusion Knowledge Portal: new definitions, new formats, new processingHospira: new pump devices, new data, new formatsSignificant changes to database & GUI resulting from changes in pump dataThe HospitalsChanges in pumps and/or data reporting systemsPartial pump replacements (SVH keeping PCA devices)New needs related to data and reportsThe Hub and IPI infrastructureNew security model, HIPAA complianceDatabase server changes and database reconfigurationPlatform upgrades, software upgrades, new workflowsNew 3rd party software – like graphics routinesNetwork issuesPerformance upgrades, code “retooling”Database “restructuring”
21Infusion Pump Informatics New Input Formats, Definitions & ValidationCarefusion KP AlertsMonthly alerts = Field Limit + CancelAll Other AlertsKP vs CQI “All Available Columns” files are actually different (different sizes, different content)KP vs CQI Alert totals reported to users are differentHospira Hospital ChangesPump replacements (two hospital solution)Partial pump replacements (split device population)More complicated compliance data
22Infusion Pump Informatics KP vs CQI Alerts ValidationTHANK YOU ANDY
23Infusion Pump Informatics KP & CQI Alerts Timestamp SecondsTHANK YOU ANDY
24Infusion Pump Informatics Processing Alert Uploads, Timestamp Seconds, etc.Nightly hospital alert logs processingLong processing times when IPI not availableNow processed off-line, so IPI is available 24/7Alert logs and timestamp secondsWhy does it matter?Hospitals with & without timestamp secondsCheck at upload time will now be madeWill never see this screen again
25Infusion Pump Informatics Our IPI System 2009 – 2014 MetricsReviewing IPI …R&D EffortWhat’s new?What does it take to keep IPI going?Working together to solve problemsResearchOur ideas & how to make them work
26Infusion Pump Informatics Research 2014: Outcomes AnalyticsPresenting and understanding the outcomes of changes implemented as a result of IPI analysisMetrics identify how to measure “before” and “after”Can be tied to analysis that triggered the decision to changeAnnotation of change (Limit changes? Education? Policy? What else?)Graphical User Interface to build and display metrics and annotationsYou can set reports and we will send s with links to remind user to continue to look at the “after” metrics
27Infusion Pump Informatics Research 2014: Outcomes AnalyticsIntervention !
28Infusion Pump Informatics Research 2014: Drug Limit AnalyticsCreate a new “environment” for investigating and understanding drug limits across hospitalsUploading & viewing drug limit library datasetsDatabase needs structure to support limit data and drug comparison requestsGraphical interface needs a design to support requests and results displayWhat are the parameters:drug, profile, therapy, library, soft/hard, min/max,other factors (concentration, …)Comments and annotations about changes to the libraries
29Infusion Pump Informatics Your IPI Research and Development GroupCouldn’t happen without themSudheera FernandoRuchith FernandoSumudinie FernandoRuwan GamageTharindu Mathews