Leadership Symposium Trinity Home Care & Hospice -Deb Hart & Julie Samuelson -April 17, 2012

Missing Telehealth Equipment What is a Telehealth monitor? –Monitor set up in home care patients home via phone line & modem. –Patients with history of heart failure and other chronic disease –Measures weight, BP, pulse, O2 saturation. –Results relayed daily to homecare office.

A3 Signal Received Received signals from office staff cleaning equipment and admit RN’s installing telehealth equipment. Problem: Equipment was not being returned, therefore, RN would be missing equipment when preparing monitors to take to patients homes.

Problem: My admit Telehealth visit was delayed- 5 Why: Because the RN did not have the Telehealth supplies to complete the visit Why: Because the supplies were not in the Telehealth tote box. Why: Because the supplies were not returned with the Telehealth machine when it was brought back to the office.

Why: Because the case manager who returned the Telehealth tote box was not aware of all the supplies to bring back. Why: Because there is no process that specifies what Telehealth supplies to bring back to the office.

Target Condition

Countermeasures Moving towards Ideal: –Create a new process for the case manager returning Telehealth equipment –Create a checklist that assists the process & identifies equipment to return –Create a new process for cleaning & inventory of all returned equipment –Create an inventory check list

Cleaned, inventoried & organized equipment room. Educate clinicians/office staff the new process for returning Telehealth equipment. process and inventory checklist to office staff that cleans/inventories equipment.

Telehealth Checklist 1. Telehealth (Main Unit) 2. Scale with four feet and VGA power cord 3. Power cord for main unit 4. Long gray phone line cord 5. Modem (white) 6. Short phone cord wire (typical hooked up to modem) 7. Phone jack splitter 8. Blue Ethernet cord 9. Power strip/surge protector 10. Gray three prong ground adaptor 11. Blue blood pressure bag 12. Blood pressure cuff 13. Blood pressure VGA cord 14. Pulse ox and USB cord 15. Red Soiled plastic bag 16. Extra batteries (4 AA) 17. Telehealth checklist 18. (optional) Cear plexi glass plate for scale *If you have questions please see the other side Checklist that was created

Outcome, Follow-up, Communication No reported problems with the case manager not having all the Telehealth equipment for the installation Office staff report that all equipment is being returned. Inventory is being done on equipment when it is returned.