Embracing Advanced Technologies for Enhanced Efficiencies – St. Luke’s

The Facility

CHI St. Luke’s Health – Baylor St. Luke’s Medical Center (formerly St. Luke’s Episcopal Hospital) has been a leader in the Texas healthcare community and on the forefront of new advances in heart health and technology for more than 60 years. CHI St. Luke’s Health (formerly St. Luke’s Episcopal Health System) contributes to enhancing community health by delivering superior value in high-quality, cost-effective acute care. As a community teaching hospital and a tertiary referral centre, the Hospital serves both the greater Houston area and the global community.

Challenges

When it came time to begin renovations on their medical tower in Houston, they wanted a Nurse Call system with leading-edge technology. Ensuring faster response times by nurses to patients was one of the main requirements for the new Nurse Call system. St. Luke’s was looking for a solution with a flexible range of call types, alarms, and display options that embrace today’s IP technology.

Solution

St. Luke’s chose Austco to install an all-in-one patient station, which provided the flexibility and range of options needed to help facilitate the first steps in faster response times. Each patient station can be configured for a private or semi-private room with varying levels of call types. This allows the nursing staff to discern between patient calls, staff assist, and code calls with ease. Having “clean mode” and “cord out” distinction allows for fewer false calls.

A favorite feature of the nursing staff is the colored alphanumeric LED Annunciators. The LED Annunciators provide an audio and visual notification of all active calls by displaying a text message with the alarm information, as well as sounding an accompanying alert tone based on the priority of the call.

Outcome

In November 2012, St. Luke’s received its ISO 9001:208 certification for compliance with the quality management system under the American National Standards. The three key requirements that St. Luke’s was able to achieve were providing consistent patient care, improving patient satisfaction, and continually improving goal-based performance. St. Luke’s has been able to fully implement their Austco Nurse Call system in seven areas of the medical tower (160 beds).

“ATIntegration [an Austco Retail partner] has been able to customize the Austco Nurse Call System to fit the needs of this area of the facility by making the system as quiet as possible so as ot to disturb the patients,” said Debbie Mathews is the Nurse Manager on the VIP Floor of St. Luke’s. “As soon as a call is activated, a message is sent directly to pagers that each staff carry with them. This ensures fast response times for staff. Two years ago, we were not talking about response times. Today, I can go and produce a report to show the response times. I love the system, and Ron’s exceptional service; he goes above and beyond.”

Austco Retail Partner: Advanced Technology Integration

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About Austco

Austco is a worldwide provider of IP Nurse Call Solutions with over 27 years experience in the healthcare market, across 4500+ sites, in over 60 countries. With products designed to comply with global healthcare standards, the Austco team is fully committed to providing quality products and global support services to all our clients. Our flexibility to integrate into various technologies enables a healthcare facility to continue to drive efficiencies to achieve an overall quality healthcare solution. Austco is a wholly owned subsidiary of Austco Healthcare Ltd (ASX:AHC).

For media inquiries, please contact marketing@austco.com.

Reaping the Benefits of Innovative Technology – Brampton Civic Hospital

The Facility

William Osler Health System’s Brampton Civic Hospital is an open, accessible, public hospital which provides the community with a modern facility, advanced medical equipment and a comp equipment and a comprehensive range of health services. In addition to paving the way for advanced health care, Brampton Civic Hospital is the largest health care infrastructure project completed in Canada and is one of the first green-field hospitals built this century.

This cutting-edge facility offers increased capacity, providing improved access to safe and high quality health services for the community’s growing population. Patients are more comfortable, with larger, more attractive rooms that are spacious enough to accommodate family members. The massive 1.2 million sq. ft. facility is located in Brampton, Ontario, just west of Toronto and was built to accommodate 608 beds and 18 operating rooms and is the centre of innovation, electronic health records and ultramodern technology.

Challenges

Brampton Civic Hospital replaced an outdated hospital built in 1923 and was designed with the goal of improving the quality, safety, speed and accountability of care to meet standards recently set by the Province of Ontario.

Anna Morgado, Clinical Informatics Analyst at Brampton Civic was involved with implementation and training of the newly installed Austco Nurse Call system and symbol device integration prior to the hospital’s grand opening. At the old hospital, Anna had worked with another nurse call system which she described described as “a box and a bell”. She shares a story from the old hospital of an event where a “ghost bell” was activated and none of the nurses could locate the origin of the call. Through process of elimination, staff went room-to-room pulling out call cords before finally locating the mystery call bell.

The new hospital needed a reliable nurse call system that would allow staff the ability to provide the highest quality of patient care with optimal responsiveness to patient needs, enhance staff efficiency and mobility plus, reduce intrusive overhead paging creating a quieter environment. The solution would need toto provide an efficient way of answering call bells.

Solution

Brampton Civic Hospital implemented an IP Nurse Call System from Austco for its operational flexibility and reliability. The hospital contains over 2800 Call Points (washroom pull cords and patient push buttons), 1600 over-door lights and 50 master stations stations supplied by Austco as well as 500 of Austco’s multi-function pillow speakers for nurse call, TV/Radio and light control.

Outcome

The nurse call system incorporates a comprehensive range of call types and priority levels while the integrated software solution is the glue that streamlines and enhances the communication efficiencies with the nurse call system. This event notification, escalation and reporting application provides the hospital’s management management teams with detailed reports on staff response times, number of escalated calls and call frequency. These simple-to-use reports are generated as needed and provide valuable data to support patient safety and satisfaction.

In some of the units at Brampton Civic, patient requests are routed directly to a designated nurse’s wireless device where he/she is able to communicate with the patient immediately. For calls of a non-urgent nature, the nurse can acknowledge the call in real-time and can either pick up a requested item along the way, or simply answer a question without visiting the room at all. The result is an increase in patient satisfaction, an increase in nurse productivity and staff members no longer need to send noisy overhead pages to locate a nurse which creates a more quiet and healing environment.

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What is patient-centered care?

Whether you have a small aged-care facility or a large hospital, you have probably heard about patient-centered care.

The patient-centered care model is making many healthcare facilities in the world shift their business model and focus their care more around the needs, preferences and outcomes relevant to patients and their families.

Although the concept has been around for a while, there is still some confusion about what the model actually is. In broad-terms, patient-centered care is based on the principle of a person’s individual needs and preferences being the central consideration during their care. This involves providing respect, emotional support, physical comfort; information that motivates and prepares patients across all the stages of their condition, continuity care coordination, as well as involving family and carers.

But why bother with patient-centered care?

There are number of studies that provide evidence that the patient-centered model is more effective. A study conducted by Stone for example, compared the performance of two similar hospitals over five years. The first hospital was using an extensive patient-centered program and the other one was not. The study demonstrates that in the hospital where patient-centered care was implemented, patients experienced a shorter average length of stay, a significantly lower cost per case, and higher than average overall patient satisfaction scores.

Additionally, in recent times, the effectiveness of the model has been recognized by governments around the world. Countries like the US and the UK, for example, had recently implemented patient survey programs to collect patient’s feedback at a national level.

The US in particular, has given the patient care model greater attention by financially penalizing or rewarding hospitals according to their patient satisfaction scores and by releasing data from the HCAHPS survey to the public.

Based on that, we can conclude that as patients become more informed by researching hospitals, their selection of a hospital is more likely to be impacted by patient experience survey results.

So how can you shift your current business model to patient centered care?

To thrive in patient-centered care, your facility needs to invest in six major areas. This will allow you to apply the model in a holistic way and reach the desired outcomes.

Communication Strategy

The first step your facility should look into is a communication strategy. Communication is critical for a patient-centered model to function and it needs to be taught and honed throughout the entire facility.

By communicating and educating staff about the care concept and helping them introduce it into their daily routines, your staff will transform their role from being characterized as an authority to one that has the goals of partnership, solidarity and empathy to patients.

Here are some initiatives your facility could use to develop communication:

Develop and use verbal communication guidelines for staff,
Scripting tools and cues for effectively communicating with patients
Communication boards with information such as staff member names and the date and time scheduled for specific procedures.

Patient and Family involvement

Patients and families involvement are also essential for the patient-centered care model and deserve greater attention. It is important that facilities provide support and information to patients and their families and encourage them to take ownership of their own health.

Examples include, providing information during the point of care delivery, giving them access to medical records and patient progress notes; and running educational programs where patients can understand more about their condition and participate in the process of healthcare planning.

Supportive work environment

The quality of care and how supportive a work environment is considered are directly linked. It may seem to be so obvious to not warrant mentioning, but it is true that when staff feel cared for, and enjoy their work environment, they provide better care to patients. That’s why facilities that want to build a patient care environment need to invest in initiatives that try to improve staff satisfaction and provide training, evaluation, compensation and support to their employees.

Measurements and Feedback

It is important that facilities systematically measure and monitor the feedback from patients and families. This can be done through patient experience surveys and by measuring rates of complaint. It is also mandatory that facilities monitor the impact of their strategy changes so they can understand what works and what does not.

Quality of the built environment

Another important factor you should consider is the quality of the built environment. Studies show that a facility’s design can influence many aspects of care, including improved interaction, better information flows between carers and patients, and increased staff efficiency to list a few.

Technology

Interaction between patient and health staff is key for patient-centered care. In order for the model to work, facilities need to meet patient’s needs and preferences at the right time, in the right setting, for the right reason, and at the right cost.

Technology can be a facility’s greatest ally to improve information exchange. Studies from Finkelstein (2012) concluded that by selecting technologies that help facilities to gather, store, share and use information, facilities can be more efficient, more effective and more focused on meeting the needs of patients.

So what do Nurse Call Systems have to do with Patient-Centered Care?

Suppliers of Hospital technology including manufacturers of nurse call systems are raising the bar and placing more emphasis on providing patient-centered care solutions. There are questions in the American patient satisfaction (HCAHPS) scores that directly relate to the effectiveness of the Nurse Call System. The reason for this is that with the right communication tools, hospitals can drastically improve their communication with patients resulting in higher HCAHPS scores.

Below are a few examples on how Austco Nurse Call Systems can improve the patient experience in your facility:

Nurse/Doctor Communication – Improve Response Times
Austco Nurse Call Systems allow nurses and doctors to be called directly on pagers, wireless devices or at the nurse’s station. By enabling direct voice communication between the patient and staff, Nurse Call Systems virtually eliminate unwanted noise. This all adds up to a quieter and more healing environment.

In addition to that, the numerous alerting options including phones, pagers, workstations and consoles available in Austco Nurse Call Systems ensure that the right staff receive the alert almost immediately. In case the staff member is busy or with another patient, our advanced call configuration will send the message to backup staff.

Finally, our systems provide reporting capabilities that allow management to analyze call response times through either calls of staff members so they will know exactly how long patients are waiting and can adjust processes if needed.

Quieter Environment
Direct messaging to staff has practically eliminated unwanted noise. Implementing a quiet, healing environment has proven to result in happier patients and faster recoveries.

Hourly Rounding
If a hospital is scoring high for fast response to call requests, patient/caregivers communication and in other areas, you can be sure that they are doing their rounds hourly. Automatic rounding reminders are activated with the push of a button on Austco touch duty Station. Having a standard rounding schedule can help staff meet patient needs before a lapse is detected.

Pain Management
A few things are more related to patient satisfaction than relieving pain, but pain management is about more than stopping pain. It is also about building a foundation of trust between patients and caregivers, which ties in to quality of care level of patient satisfaction, and higher patient experience survey scores. Using Austco staff terminal to schedule regular pain assessments, patients can better help manage a patient’s pain.

Austco pillow speakers are also equipped with pain management button that allow patients to contact the correct caregiver to provide pain relief.

Workflows
Austco system also allows hospitals to have access to a tremendous amount of real, actionable data, providing their organization with the tools they need to systematically examine workflows, alerts and escalations that happen once a call is placed from a patient’s room.

Conclusion

Patient-centered care is a model in which providers need to consider the individual preferences, needs and values of patients in clinical decisions and procedures. Studies proves that facilities adopting the model, experience great improvements in quality of care, safety, staff and patient satisfaction as well as decrease their costs.

Knowing that technology plays a key role in patient centered care, technology manufacturers are working hard to create patient-centered care solutions. Nurse Call Systems are one example of technology that has proved to be an important tool for improved patient satisfaction, especially due to the system ability to exchange information and improve areas such as nurse/doctor communication response, healing environment; hourly rounding and pain management.

References

http://www.safetyandquality.gov.au/wp-content/uploads/2012/01/PCCC-DiscussPaper.pdf

http://www.ache.org/PUBS/JHM/57-5/57-5_Cliff_PCC.pdf

http://www.thepermanentejournal.org/issues/2012/summer/4809-patient-centered-care.html

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