Becker's Hospital Review

March-2024-issue-of-beckers-hospital

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19 EXECUTIVE BRIEFING EXECUTIVE BRIEFING Ardent's Hillcrest Medical Center in Tulsa, Okla. uses the BioButton® technology for patients on 10 units with 250 beds. While BSA Hospital in Amarillo, TX currently has the BioButton® device deployed on 3 units with 119 beds. "This technology has become an essential decision-making tool for doctors and nurses," Chan said. "In the first five months of use at Hillcrest Medical Center, there were 70 instances where clinicians on medical surgical units used the BioButton® for early patient deterioration. They were able to intervene before the patient's condition became more serious. 198 similar instances occurred at BSA Hospital in Amarillo since Sep 2022, where nurses could intervene quickly to provide more acute care for patients who were deteriorating." Ardent Health Services plans to expand the BioButton® program to more facilities across four states. Successful tech adoption requires the right solution and the right partner When choosing a technology solution, healthcare organizations must find one with the right form, fit and function to meet their requirements. "Technologies need to have the right performance characteristics," Chan said. "They must be interoperable, so they can integrate into hospital systems and simplify workflows for clinicians. They also need to be comfortable and durable for patient compliance." In addition, hospitals and health systems should select a technology partner that can provide a full spectrum of services and support, ranging from installation to workflow implementation, training, troubleshooting and ongoing support like device updates. With digital transformation, change management and stakeholder involvement are key For many hospitals and health systems, change management can be daunting. Clinicians and other new-technology users must be brought in early, so they understand why change is necessary and what value it will provide. "When users believe in the change and are part of the implementation, it leads to more successful technology adoption," Chan said. As organizations gather key stakeholders to embark on digital transformation, they must also remember that the IT function will play a prominent role in both selecting and implementing any technology solution. Including the IT team early in the transformation process will pay dividends later on. Medtronic's vision is to empower clinicians and patients with actionable insights to personalize care anytime, anywhere. Remote monitoring solutions like the Medtronic's HealthCast TM portfolio, which includes the BioButton® wearable, HealthCast TM VitalSync TM remote patient monitoring, and other innovative tools are designed to provide clinicians with the right information at the right time to help them make better decisions, faster. "We want to become a health technology provider of choice and help our partners improve patient outcomes, reduce healthcare costs and expand patient access to care," Chan said. 2 References 1. Keck School of Medicine of USC. A Public Health Crisis: Staffing shortages in healthcare. https://mphdegree.usc.edu/blog/staffing-shortages- in-health-care/ Oct. 25, 2022. Accessed Oct. 2022. 2. https://www.aha.org/costsofcaring 3. https://kffhealthnews.org/morning-breakout/data-show-thousands-upon-thousands-of-pros-leaving-health-industry/ 4. Stellpflug C, Pierson L, Roloff D, et al. Continuous physiological monitoring improves patient outcomes. Am J Nurs. 2021;121(4):40–46. 5. Khanna AK, Saager L, Bergese SD, et al. Opioid-induced respiratory depression increases hospital costs and length of stay in patients recovering on the general care floor. BMC Anesthesiol. Mar 20 2021;21(1):88. doi:10.1186/s12871-021-01307-8 6. Lam T, Nagappa M, Wong J, Singh M, Wong D, Chung F. Continuous Pulse Oximetry and Capnography Monitoring for Postoperative Respiratory Depression and Adverse Events: A Systematic Review and Meta-analysis. Anesth Analg. 2017;125(6):2019-2029. 7. https://hcup-us.ahrq.gov/reports/statbriefs/sb278-Conditions-Frequent-Readmissions-By-Payer-2018.jsp 8. Hamza M, Alsma J, Kellett J, Brabrand M, Christensen EF, Cooksley T, et al. Can vital signs recorded in patients' homes aid decision making in emergency care? A Scoping Review. Resusc Plus. 2021;6:100116. 9. https://www.aha.org/guidesreports/2022-08-15-pandemic-driven-deferred-care-has-led-increased-patient-acuity-americas 10. Anesi GL, Chowdhury M, Small DS, et al. Association of a Novel Index of Hospital Capacity Strain with Admission to Intensive Care Units. Ann Am Thorac Soc. 2020;17(11):1440-1447. 11. Verrillo SC, Cvach M, Hudson KW, Winters BD. Using Continuous Vital SignMonitoring to Detect Early Deterioration in Adult Postoperative Inpatients. J Nurs Care Qual. Apr/Jun 2019;34(2):107-113. 12. Weller RS, Foard KL, Harwood TN. Evaluation of a wireless, portable, wearable multi-parameter vital signs monitor in hospitalized neurological and neurosurgical patients. J Clin Monit Comput. Oct 2018;32(5):945-951. 13. Downey C, Randell R, Brown J, Jayne DG. Continuous Versus Intermittent Vital Signs Monitoring Using a Wearable, Wireless Patch in Patients Admitted to Surgical Wards: Pilot Cluster Randomized Controlled Trial. J Med Internet Res. 2018;20(12):e10802 14. https://www.ncbi.nlm.nih.gov/books/NBK573265/ Patient monitoring products should not be used as the sole basis for diagnosis or therapy and are intended only as an adjunct in patient assessment.

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