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Infusion Pump Informatics Our Path Forward Ann Christine Catlin IPI Research and Development May 22, 2014.

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Presentation on theme: "Infusion Pump Informatics Our Path Forward Ann Christine Catlin IPI Research and Development May 22, 2014."— Presentation transcript:

1 Infusion Pump Informatics Our Path Forward Ann Christine Catlin IPI Research and Development May 22, 2014

2  Reviewing IPI …  R&D Effort  What’s new?  What does it take to keep IPI going?  Working together to solve problems  Research  Our ideas & how to make them work Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics

3 Infusion Pump Informatics Our IPI System 2009 – 2014 : Metrics The IPI Community of HospitalsThe IPI Community of Users

4 Infusion Pump Informatics Our IPI System 2009 – 2014 : Metrics IPI Log Uploads 679 Almost 16 million alerts! 271 IPI Hospital Alerts and Database Storage IPI Alerts and Database Size Total Database Size MB = 14GB

5 Infusion Pump Informatics Our IPI System 2009 – 2014 : Metrics Charts & Reports Generated by the IPI Community 19859

6 What we didWhenCan anyone else? Smart pump data analysis right in your browser, available online from anywhere 2009Carefusion, but not until Full data sharing between different hospital systems2009No High level & detailed comparison charts between any # of hospitals2010No Searchable, sortable reports for investigating data2011No Automatic pivot tables2011No Support for pumps from different manufacturers2012No Clickable workflows for drilling-down to data of interest2012No Normalized metrics for head-to-head compares2013No Access to all your data, even after changing pump manufacturers2014No New feature requests? You get exactly what you want, and fastOftenNot often Verification and validation for every data valueAlwaysNot always Infusion Pump Informatics Our IPI System 2009 – 2014 … the Cutting Edge

7  Reviewing IPI …  R&D Effort  What’s new?  What does it take to keep IPI going?  Working together to solve problems  Research  Our ideas & how to make them work Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics

8 Infusion Pump Informatics What’s New? Time-to-Override Reports

9 Infusion Pump Informatics What’s New? Time-to-Override Reports

10 Infusion Pump Informatics What’s New? Time-to-Override Reports

11 Infusion Pump Informatics What’s New? Time-to-Override Reports

12 Infusion Pump Informatics What’s New? Compliance Upgrades

13 Infusion Pump Informatics What’s New? Compliance Upgrades  Upload 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 updates  KP vs CQI… count numbers different, compliance percentages different

14 Infusion Pump Informatics What’s New? Infusion types breakout & aggregation

15 Infusion Pump Informatics What’s New? Infusion types breakout & aggregation

16 Infusion Pump Informatics What’s New? Selects for datasets, facilities, …

17 Infusion Pump Informatics Changing devices? You can track & assess changes!

18 Infusion Pump Informatics Changing devices? You can track & assess changes!

19  Reviewing IPI …  R&D Effort  What’s new?  What does it take to keep IPI going?  Working together to solve problems  Research  Our ideas & how to make them work Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics

20 Infusion Pump Informatics Changes hit us from all sides. Almost daily.  The Pump Manufacturers  Carefusion Knowledge Portal: new definitions, new formats, new processing  Hospira: new pump devices, new data, new formats  Significant changes to database & GUI resulting from changes in pump data  The Hospitals  Changes in pumps and/or data reporting systems  Partial pump replacements (SVH keeping PCA devices)  New needs related to data and reports  The Hub and IPI infrastructure  New security model, HIPAA compliance  Database server changes and database reconfiguration  Platform upgrades, software upgrades, new workflows  New 3 rd party software – like graphics routines  Network issues  Performance upgrades, code “retooling”  Database “restructuring”

21 Infusion Pump Informatics New Input Formats, Definitions & Validation  Carefusion KP Alerts  Monthly alerts = Field Limit + Cancel All Other Alerts  KP vs CQI “All Available Columns” files are actually different (different sizes, different content)  KP vs CQI Alert totals reported to users are different  Hospira Hospital Changes  Pump replacements (two hospital solution)  Partial pump replacements (split device population)  More complicated compliance data

22 Infusion Pump Informatics KP vs CQI Alerts Validation THANK YOU ANDY

23 Infusion Pump Informatics KP & CQI Alerts Timestamp Seconds THANK YOU ANDY

24 Infusion Pump Informatics Processing Alert Uploads, Timestamp Seconds, etc.  Nightly hospital alert logs processing  Long processing times when IPI not available  Now processed off-line, so IPI is available 24/7  Alert logs and timestamp seconds  Why does it matter?  Hospitals with & without timestamp seconds  Check at upload time will now be made Will never see this screen again

25  Reviewing IPI …  R&D Effort  What’s new?  What does it take to keep IPI going?  Working together to solve problems  Research  Our ideas & how to make them work Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics

26 Infusion Pump Informatics Research 2014: Outcomes Analytics  Presenting and understanding the outcomes of changes implemented as a result of IPI analysis  Metrics identify how to measure “before” and “after”  Can be tied to analysis that triggered the decision to change  Annotation of change (Limit changes? Education? Policy? What else?)  Graphical User Interface to build and display metrics and annotations  You can set reports and we will send s with links to remind user to continue to look at the “after” metrics

27 Infusion Pump Informatics Research 2014: Outcomes Analytics Intervention !

28 Infusion Pump Informatics Research 2014: Drug Limit Analytics  Create a new “environment” for investigating and understanding drug limits across hospitals  Uploading & viewing drug limit library datasets  Database needs structure to support limit data and drug comparison requests  Graphical interface needs a design to support requests and results display  What are the parameters: drug, profile, therapy, library, soft/hard, min/max, other factors (concentration, …)  Comments and annotations about changes to the libraries

29 Infusion Pump Informatics Your IPI Research and Development Group  Couldn’t happen without them  Sudheera Fernando  Ruchith Fernando  Sumudinie Fernando  Ruwan Gamage  Tharindu Mathews


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