University of Nebraska Medical Center DigitalCommons@UNMC
Posters and Presentations: State of the Art Nursing Conference Nebraska Medicine
3-26-2019
Embracing Technology as the Extension of Nursing Practice to Enhance the Patient Experience
Liz Raabe Nebraska Medicine, [email protected]
Brandon Fleharty Nebraska Medicine, [email protected]
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Recommended Citation Raabe, Liz and Fleharty, Brandon, "Embracing Technology as the Extension of Nursing Practice to Enhance the Patient Experience" (2019). Posters and Presentations: State of the Art Nursing Conference. 1. https://digitalcommons.unmc.edu/state_pres/1
This Presentation is brought to you for free and open access by the Nebraska Medicine at DigitalCommons@UNMC. It has been accepted for inclusion in Posters and Presentations: State of the Art Nursing Conference by an authorized administrator of DigitalCommons@UNMC. For more information, please contact [email protected]. Embracing Technology as the Extension of Nursing Practice to Enhance the Patient Experience
Liz Raabe Brandon Fleharty
1 Frequently asked patient questions
Asking for a dining menu, or waiting on the phone to place the order When their last pain medication(or any other PRN) was given? What were my lab results? Who is my doctor, nurse, case manager, respiratory therapist? When is my MRI? Why am I taking that medication? What is my diagnosis or reason What was my blood pressure this morning? When do I get to go home?
How often are patients just bored......
How long does it take you ask patients screening questions on admission?
2 Quote from Study
In one study, 71% of patients felt the application provided useful information and 76% used it at least once a day. A larger percentage of patients were able to identify at least one physician on the team (56% vs 29%) and identify their role correctly (47% vs 16%). The effect of tablet computers with mobile patient portal application on hospitalized patients’ knowledge and activation. JAMIA, 2015
• 90% of patients reported that it helped them understand their medications better
Inpatient Experiences with MyChart Bedside. Telemed J E Health, 2017
3 Why Bedside?
Patient value Organizational value • Labs • Promote patient and family engagement • Vitals • Strengthen the patient-provider • Medications relationship & improve communication • Allow for a more enjoyable hospital stay • Diagnostic procedures (entertainment) • Improve patient satisfaction scores • Scheduled Appointments • Meaningful Use • Care Team Members • Core Measures • Education topic • Reduce readmissions
4 What is Bedside? Home Screen
Reason for Admission • Info button linking • Medication List • Info button linking
5 Happening Soon - Schedule
Happening Soon • Schedule of events(Past and Future) • Visualization of medications given (Scheduled & PRN)
6 Taking Care of Me Care Team • Photos and Bio
7 One Chart| Patient Sign Up
Patient Portal Sign up
8 My Health
Vital Signs & Results • Trending
9 Dining Menu
Dining Menu
10 To Learn Interactive Patient Education •Content, Video, Teaching Sheets
11 Entertainment Applications
Entertainment Applications
Healing Arts Games News Sports Pinterest Candy Crush Omaha World Herald Fox Sports Go The CW Sudoku Fox News BTN2Go Kids Draw and Solitaire CNN ESPN Coloring Angry Birds WOWT NFL HGTV Mahjong NY Times MLB At Bat Infinite Painter The Weather Channel NBA Spotify Huffington Post PGA KETV KMTV
13 Implementation Timeline
2016 2017 2018 2019
Scoping/Pilot Cancer Hospital Evaluation & House-wide Go Live Re-engineering roll out Reference calls Specialty care Metrics Community Project plan Medical-surgical Workflow hospital Funding/approval Intensive care Technology Pilot on OHSCU Acute care hospital • LDRP • NICU • Pediatrics • ICU
14 How champions are made
COMFORT The more interactions with Bedside, the more comfortable nurses KNOWLEDGE become. EFFICIENCY • Provide resources to # of tablets More interactions over understand the why distributed time produces • and what of Bedside. # interactions with efficiency and • Tip sheets Bedside patient confidence. #1 • Training courses • # questions answered • Research articles by team CHAMPION The unique combination of knowledge, comfort, & efficiency helps create strong nurse champions.
15 Tablet Distribution Workflow
16 Tablet & Cleaning Distribution Workflow
Red light = not ready for patient use. Data wipe in progress
Green light = ready for patient use. Data wipe complete
Patient Joyfully Uses Tablet
17 Process Metrics
18 Outcome Metrics - HCAHPS Werner Hospital Patient Satisfaction Scores (Bedside Users vs Non-Bedside Users)*
100% 120
90% 100
80%
80 70%
Top % Score Top Box 60% 60
50% 40
40%
20 30%
20% 0 Info About Nurses Treat With Likelihood to Rate Hospital Overall Nurses Listen Staff Worked Nurses Explain Med Purpose Staff Took Med Side Effects Symptoms Courtesy/Respect Recommend Carefully Together Preferences Into Account
Bedside (n=300) Non-Bedside (n=1020) *Based on Discharges from 1/1/18 - 1/31/19 (Data as of 2/28/19) Bedside Percentile Rank Non-Bedside Percentile Rank
19 Outcome Metrics – Patient Portal
90 TOTAL PATIENT ACTIVATIONS IN ONE CHART PATIENT!!!
20 Outcome Metrics – Patient Engagement Activity usage (most to least) Hours of engagement My Health (Jan 2018 – February 2019) Happening Soon
Taking Care of Me 1,219
To Learn Patients
Notes 9,686 total hours of Let’s Eat engagement (average 9 hours/patient/encounter) Other Welcome Video 9,902 My Chart 16% Bedside Logins
21 Lessons Learned
People are resourceful
22 Motivation – Provider Feedback
23 Frequently asked patient questions Asking for a menu When their last pain medication(or any other PRN) was given? What were my lab results? Who is my doctor, nurse, case manager, respiratory therapist? When is my MRI? Why am I taking that medication? What is my diagnosis or reason What was my blood pressure this morning? When do I get to go home?
How often are patients just bored......
24 Motivation – Patient/Family Feedback
25 Motivation – Patient/Family Feedback
26 Questions?
27 Contact Information Liz Raabe Brandon Fleharty [email protected] [email protected]
28