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WK6Assgn Dharmo N.ppt - Data Driven Decision MakingICU...

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Data Driven Decision Making- ICU Expansion Neelam Dharmo Walden University
Definition of Evidence-Based Decision Making A technique for making decisions that are based on: • the best available research evidence • experiential evidence from the field • relevant contextual evidence Evidence supplies information to help: • Establish likelihood of attaining desired outcome • Increase confidence • Reveal risks • Achieve initiative goals
Relevance of EBDM in the Health Care Industry • Improve clinical decision making • Improve quality of care • Increase patient satisfaction • Reduce healthcare costs • Promote efficiency and efficacy • Create safer treatment pathways • Result in better patient outcomes • Foster patient-provider relationship by encouraging transparency • Enhance competitiveness of organization • Maintain clients • Increase patient flow
Definition of Problem • Community grew from 90,000 to 190,000 residents • ICU department operates at 120% capacity in a typical week • 40% of patients suffer from a 6-to-8 hour delay in transference to the ICU section • Patients in waiting remain in emergency room or post-op sections causing overcrowding and delayed surgeries
Types of HIT to Support Decision Making Clinical Decision Support System (CDSS) • Develops clinical advice based on patient-related data • Helps providers make more appropriate treatment decisions • Provides access to clinical guidelines • Sends computerized alerts to providers • Creates patient data reports and summaries
Types of HIT to Support Decision Making EHRs • Transfer patient health records in real time • Allows providers to view past medical information to make treatment decisions • More elaborate history = more accurate decision making Telehealth • Allows patients to use their mobiles to record health data to send to providers • Helps in creating treatment pathways for chronic disease patients
ICU Expansion Options • Subscribe to remote ICU monitoring services with a per usage model so that you only pay for services as they are rendered. • Expand the ICU with a combination of ICU beds and regular beds managed by a combination of bedside and remote ICU monitoring. • Expand the ICU and subscribe to remote ICU monitoring for rooms that will serve patients with more serious conditions.
Option One Subscribe to remote ICU monitoring services with a per usage model so that you only pay for services as they are rendered. • Service available when needed (night shift) • Benefit new employee requiring guidance • Offer patient monitoring • Minimize ICU errors • Reduced cost when compared to full time remote monitoring One disadvantage of this option is that it may limit how often ICU staff can use the system.
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