Somerset Medical Center

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Somerset Medical Center

• Inet and BMDI
• Design and Implementation
• Dennis Dacquel, RN

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Somerset Medical Center

• Non-Profit Community Minor Teaching Hospital
• 355 Licensed bed
• 261 maintained / 240 average census
• Annual Statistics
• 40,000 Emergency visits
• 30,000 Inpatient Visits
• 250,000 Outpatient procedures
• 1420 FTEs (1800 people)
• 540 Independent Staff Doctors
• Average LOS 4.9 5.1 days

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Somerset Medical Center Strategies

• Top 100
• Community
• Teaching
• Hospitals

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Clinical Systems Vision Nursing Process
Automation Redesign

• Standards of Care
• Documentation
• Charge automation
• Order Processing Results Charting
• Care Delivery Task Management
• Medication Management

GOAL MORE TIME FOR PATIENT CARE
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M1 M2 M3 M4 M5 M6 M7 M8
M9 M10 M11 M12 M24

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Critical Care Pavilion

• ICU(8 beds)
• CCU(12 beds)
• IMCU(8 beds)
• 85 Critical Care RNs
• 1 Intensivist, 1 PA, 1 NP

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Timeline Summary
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Project Organization
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Inet Project Team

• SMC IS staff
• Critical Care Clinician Specialist
• Critical Care Manager
• Critical Care Director
• Critical Care Staff
• Cerner Inet/Documentation Resource
• Cerner BMDI resource

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Design and Build
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Design Sessions

• Multiple wish-list meetings
• Ensuring wish-list items are JCAHO compliant.
• Form design
• BMDI data acquisition requirements

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Inet Build

• Inet OCDs
• Upload Event Codes
• Upload Event Sets
• Create DTAs
• Turn on the Flowsheets

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Technical Design

• Local Model
• - fat client PC with direct multiple serial
  connections to bedside devices for every bed
• - reference database needs to be copied to every
  PC
• - troubleshooting
• - maintenance
• - hardware

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Technical Design

• Centralized Gateway Model
• - thin clients
• - 1 BMDI gateway to capture data for all bedside
  devices via TCPIP network
• - 1 Cerner reference database

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Hardware needs

• Purchase ASAP!!!!
• BMDI gateway
• Cerner BMDI server
• Cables/terminal servers/network access etc.

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BMDI Vendor Selection

• Cerner only responsible for inbound data
• Client responsibility to acquire gateway
  solution
• - HP/Philips
• - GE
• - Siemens/Legacy Integrators

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Siemens/Legacy Centralized Solution

• Auto device ID detection
• Port independence - any device / any port.
• Network based - efficient and fast.
• Flexibility - 4 ports at the bedside
• Scalability - deploy in 1 care unit, multiple
  units, or the entire hospital

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Critical Care Bedside Devices

• 29 bedside monitors
• - GE Marquette Unity network
• 14 ventilators(floating)
• - Siemens Servo 300
• 3 IABPs(floating)
• - Datascope system 97

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Questions?