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

2. Infusion Pump Informatics
Our IPI System 2009 – 2014 Metrics
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

3. Infusion Pump Informatics
Our IPI System 2009 – 2014 : Metrics
The IPI Community of Hospitals
The IPI Community of Users 44 82 20 34

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

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

6. Infusion Pump Informatics
Our IPI System 2009 – … the Cutting Edge
What we did
When
Can anyone else?
Smart pump data analysis right in your browser,
available online from anywhere
2009
Carefusion, but not until
Full data sharing between different hospital systems No
High level & detailed comparison charts between any # of hospitals
2010
Searchable, sortable reports for investigating data
2011
Automatic pivot tables
Support for pumps from different manufacturers
2012
Clickable workflows for drilling-down to data of interest
Normalized metrics for head-to-head compares
2013
Access to all your data, even after changing pump manufacturers
2014
New feature requests? You get exactly what you want, and fast
Often
Not often
Verification and validation for every data value
Always
Not always

7. Infusion Pump Informatics
Our IPI System 2009 – 2014 Metrics
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

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. Infusion Pump Informatics
Our IPI System 2009 – 2014 Metrics
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

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 3rd 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. Infusion Pump Informatics
Our IPI System 2009 – 2014 Metrics
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

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