1. By: Amanda Napolitana & Jennifer Beals Palomar West- Hospital of the Future

2. GOAL: To provide information and visualization on Palomar West, the hospital of the future, and how it will provide direct and indirect patient care with new high-technological advances in the healthcare system.

3. OBJECTIVES Palomar West- hospital of the future Hardware and software systems used within this trend Information systems of Palomar West

4. OBJECTIVES (cont.) Roles and functions of the informatics nurse Legal/ethical issues McGonigle, D. & Mastrian. K. (2009). Nursing informatics and the foundation of knowledge. Boston: Jones & Bartlett Publishers. Fugazi, N. (2008, February 25). Palomar West hospital in second life. Retrieved November, 7, from Your 2 nd Place Website: http://www.your2ndplace.com/node/926.

5. OBJECTIVES (cont.) Advantages of Palomar West Disadvantages of Palomar West (Topics described in the objective are also described more in depth and detail in the following slides throughout the content of the PowerPoint. Please refer to notes under each objective slide also.)

6. Palomar Medical Center becomes the first public health system in San Diego County to offer a robotic surgery program Patient beds go high tech monitoring patients without the discomfort of being hooked up to medical devices

7. Normal patient room layout Scanning the patient at the bedside Scan at the bed in the patients room

8. Each patient has his/her own medical record which is displayed on the wall in the room while each visitor has his/her own wrist band which is worn to effectively guide the visit while in Palomar West Hospital

9. Advanced Robotics Communication & collaboration tools 3D medical imaging Nearly all aspects of a patient’s stay including ventilation, air conditioning, lighting, security, fire safety, digital devices and signage all on one network Visitors are guided through Palomar West by bracelets on radio frequency and sensors that enhance safety and security through patient tracking Acuity adaptable rooms and cross discipline interventional procedure/operating rooms

10. At Palomar West, all building, communication, IT, and clinical systems will be converged into a single Cisco Medical-Grade Network Nearly all aspects of a patient’s stay including ventilation, air conditioning, lighting, security, fire safety, digital devices and signage These will be monitored and managed via applications running on a single network freeing up clinicians to focus on providing quality care Fugazi, N. (2008, February 25). Palomar West hospital in second life. Retrieved November, 7, from Your 2 nd Place Website: http://www.your2ndplace.com/node/926. One network is used to manage nearly all aspects of patient’s stay

11. Operating rooms at Palomar West include advanced robotics and functional imaging systems which are capable of supporting medical procedures which include radiology, cardiovascular surgery, urology and gastroenterology There is an advanced surgical cockpit where the surgeon can manipulate robotic systems remotely while assessing vital signs and imaging information (Fugazi, 2008)

12. The one network system allows smooth patient and clinician communication An example would be that a radiologist can locate a specialist and contact them on their phone, laptop or PDA and initiate a desktop collaboration session to review and consult each individual patient scan images via communication tools (Fugazi, 2008). Communication and Collaboration Tools

13. Advanced Robotics Functional imaging systems TelePresence (where a virtual receptionist greets guests) Tracking systems Software

14. RIFD-enabled bracelets not only track patients but could automatically guide them to the appropriate areas of the facility based on what kind of service that they are scheduled for An example would be for a patient having surgery could automatically have the hospital elevator land on the correct floor based on the information that is programmed into the bracelet New, Highly Advanced Software

15. The first anxiom applies to the system by focusing the technology to assist patient’s and clinicians by allowing combined communication and collaboration to improve time management and quality of care The second and third anxioms may not be effective since this new hospital is still under construction and has not housed any “live” patients. We can only depend on the second life simulation and users opinions from the simulation Usability of the software evaluation

16. A virtual receptionist greets visitors and leads them in the right direction while visitor wrist bands also help to effectively guide them throughout the facility The computerized charting system at Palomar West allows information to be shared, documented and reviewed by a multi-disciplinary approach Information system and how it works

17. Review of information summary New information systems not only enhance the hospital stay of the patient but also helps the visitors to quickly find friends and family, eliminating stress and frustration Allows employees (as a team) to use the newest, most efficient software available to deliver the most effective care to the patient

18. Faster and clearer communication between disciplines Elimination of paper charting system Enhances and encourages patient independence Wireless room setup where procedures can be done effectively at the bedside Improved confidentiality by keeping an electronic patient chart in the patients room Nursing advantage of newest technology to improve patient assessments by specialty beds that closely monitor each patient while automatically uploading the information to the patients bedside chart ADVANTAGES of Palomar West

19. Elderly patients unfamiliar with new technology based care Virtual tour guide as opposed to real live person for feedback and information Unfamiliar non-traditional hospital setting Unavailable teaching resources for learning of new technology system for employees Employees unwillingness to learn new and improved higher technology system to better the patients care DISADVANTAGES of Palomar West

20. Private patient information is harder to access and is not easily accessed by unauthorized personnel Having robotics surgery –vs.- a real live surgeon and accidents that may resolve from this Legal/Ethical Issues

21. Nurses must have a basic computer knowledge to be efficient in this high tech environment They must also be open minded and be willing to learn the new system Nursing acquired skills and documentation This is the professional nurse competency

22. Functions and responsibilities The informatics nurse (IN) is responsible for the skills, knowledge and competencies when working with this trend. She/he must have an interest in the field The informatics nurse specialist (INS) is responsible for obtaining a graduate degree in this field of informatics or a related field and is then considered a specialist in the nursing informatics McGonigle, D. & Mastrain, K. (2009). Nursing informatics and the foundation of knowledge. Boston: Jones & Bartlett Publishers.

23. The ultimate goal of Palomar West (the hospital of the future) is to provide direct and indirect patient care with new high-technological advances in the healthcare system while monitoring and managing applications to run on a single network to provide patients with the best quality care possible TREND SUMMARY

24. Fugazi, N. (2008, February 25). Palomar West hospital in second life. Retrieved November, 7, from Your 2 nd Place Website: http://www.your2ndplace.com/node/926. http://www.your2ndplace.com/node/926 Kolbasuk-McGee, M. (2008). Hospital takes its grand opening to second life. Information Week. Retrieved November 17, 2008 from http://www.informationweek.com/news/internet/ebusiness http://www.informationweek.com/news/internet/ebusiness McGonigle, D. & Mastrain, K. (2009). Nursing informatics and the foundation of knowledge. Boston: Jones & Bartlett Publishers. Staggers, N. (2003). Human factors: Imperative concepts for information systems in critical care. 14, 3.