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Infusion Pump Informatics. Our Path Forward. Ann Christine Catlin IPI Research and Development May 22, 2014. Infusion Pump Informatics Our IPI System 2009 – 2014 Metrics. Reviewing IPI … 2009-2014 R&D Effort 2013-2014 What’s new? What does it take to keep IPI going ?

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Infusion pump informatics

Infusion Pump Informatics

Our Path Forward

Ann Christine Catlin

IPI Research and Development

May 22, 2014


Infusion Pump Informatics

Our IPI System 2009 – 2014 Metrics

  • Reviewing IPI … 2009-2014

  • R&D Effort 2013-2014

    • What’s new?

    • What does it take to keep IPI going?

    • Working together to solve problems

  • Research 2014-2015

    • Our ideas & how to make them work


Infusion Pump Informatics

Our IPI System 2009 – 2014 : Metrics

The IPI Community of Hospitals

The IPI Community of Users

44

82

20

34


Infusion Pump Informatics

Our IPI System 2009 – 2014 : Metrics

IPI Alerts and Database Size

IPI Log Uploads

679

IPI Hospital Alerts and Database Storage

271

Almost 16 million alerts!

Total Database Size 14580 MB = 14GB


Infusion Pump Informatics

Our IPI System 2009 – 2014 : Metrics

Charts & Reports Generated by the IPI Community

Charts & Reports Generated by the IPI Community

19859


Infusion Pump Informatics

Our IPI System 2009 – 2014 … the Cutting Edge


Infusion Pump Informatics

Our IPI System 2009 – 2014 Metrics

  • Reviewing IPI … 2009-2014

  • R&D Effort 2013-2014

    • What’s new?

    • What does it take to keep IPI going?

    • Working together to solve problems

  • Research 2014-2015

    • Our ideas & how to make them work


Infusion Pump Informatics

What’s New? Time-to-Override Reports


Infusion Pump Informatics

What’s New? Time-to-Override Reports


Infusion Pump Informatics

What’s New? Time-to-Override Reports


Infusion Pump Informatics

What’s New? Time-to-Override Reports


Infusion Pump Informatics

What’s New? Compliance Upgrades


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


Infusion Pump Informatics

What’s New? Infusion types breakout & aggregation


Infusion Pump Informatics

What’s New? Infusion types breakout & aggregation


Infusion Pump Informatics

What’s New? Selects for datasets, facilities, …


Infusion Pump Informatics

Changing devices? You can track & assess changes!


Infusion Pump Informatics

Changing devices? You can track & assess changes!


Infusion Pump Informatics

Our IPI System 2009 – 2014 Metrics

  • Reviewing IPI … 2009-2014

  • R&D Effort 2013-2014

    • What’s new?

    • What does it take to keep IPI going?

    • Working together to solve problems

  • Research 2014-2015

    • Our ideas & how to make them work


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”


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


Infusion Pump Informatics

KP vs CQI Alerts Validation

THANK YOU ANDY


Infusion Pump Informatics

KP & CQI Alerts Timestamp Seconds

THANK YOU ANDY


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 


Infusion Pump Informatics

Our IPI System 2009 – 2014 Metrics

  • Reviewing IPI … 2009-2014

  • R&D Effort 2013-2014

    • What’s new?

    • What does it take to keep IPI going?

    • Working together to solve problems

  • Research 2014-2015

    • Our ideas & how to make them work


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 emails with links to remind user to continue to look at the “after” metrics


Infusion Pump Informatics

Research 2014: Outcomes Analytics

Intervention !


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


Infusion Pump Informatics

Your IPI Research and Development Group

  • Couldn’t happen without them

    • Sudheera Fernando

    • Ruchith Fernando

    • Sumudinie Fernando

    • RuwanGamage

    • Tharindu Mathews


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