Request for Welch Allyn

Wireless
Vital Sign Equipment
Presented By
Judy Coursey, RN, BSN
Michele Kolbeck, RN, BSN
Mabelle Peretz
Eduardo Santoyo
Mark Macagba
 Project Overview
Implementation of Wireless Vital Sign machines to

allow for real time capture of patient vital signs.

Pilot program on a Med-Surg unit, then expansion to

acute care areas only.

Welch Allyn equipment is compatible with existing

IT infrastructure.
Consistent with Health Systems goals of

maintaining & robust IT capabilities.

 Project Objectives/Rationale

Improve patient safety & efficiency of care by having vital signs available

immediately rather than waiting for manual entry into EHR.

Significantly improve RN/CNA workflows & productivity by eliminating

paper vital signs worklist.

All Clinicians able to see vital information immediately & thus identify

problems earlier.
 Scope of Project

Implementation of wireless vital sings

technology on one Med-Surg unit as a pilot
program.
Expansion of project to other Med-Surg, Tele,
Oncology, & Pediatric units after six months.
Out of Scope is ICUs; There is existing
technology there.
NICU, and Outpatient areas are also Out of Scope.
Acute care only.
 Value to the Organization

Promotes our goal of maintaining a

robust IT infrastructure.

Reduce errors documentation.

Consistent with Meaningful Use goals to

implement patient safety measures.

77% of patients missing at least one vital

sign prior to an adverse event.
 Process Improvement Opportunities

35.3% of Nurses shift is spent on documentation.

Drop in documentation time from 12 to 2 minutes
per day.
Can be designed to capture potential drug
contraindication, i.e. antihypertensive meds.
Increased RN/CNA job satisfaction by
eliminating tasks.
Provide more time for patient care.
Requirements for Successful
Implementation

Proper & timely training of affected staff.

Competencies documented prior to go-live.
Policies & procedures completed & approved prior to Go Live.
Change Management

Staff completed a survey & were given opportunity for their

input on equipment.
Demos were made available.
Satisfaction surveys done online & consistent with
overwhelming staff buy-in.
Expect a smooth transition.
Staff already performing skill daily, thus this change in very
welcomed.
 Policiy & Procedure Updates

Security Plans
Risk Assessments
Vendor Responsibility
Maintenance
HIPAA
Protected Health Information definition
Mandatory Training
Reporting Misuse
 Potential Risks Identified

Software Interface
Organizational Readiness
Training
Project Timelines
Dependencies

Equipment with be useful on other units after pilot program.

Equipment will interface will future upgrades to IT system.
Sufficient resources are required for the success of the
project, i.e. extra staffing during go-live, vendors present, &
Super-Users.
PROJECT BUDGET

Capital Expenses

Operational Expenses

Ongoing Maintenance
 BUDGET: Capital Expenses

Cost of Machines: $3,000

Beds (30) 6 Units $18,000

Warranty ($425) $2,550

Software: $2,000

Project Contingency: $9,000

TOTAL 31,550
 BUDGET: Operating Funds

Trainings:
Cohort Training $70,840
Includes RNs, Nurse Assistants, Extra RNs (Super-Users)
Nurse Manager, and Nurse Educators

Facilities $0
Office Expenses $2,000
Supplies $1,500

TOTAL $74,340
 BUDGET: Ongoing Maintenance

Inventory Maintenance $13,500

BioMedical Technicians/IT Staff $2960
Replacement Costs $0
Software Upgrades Costs $0

TOTAL $16,460
Budget & Acquisition

Total Budget $122,350

Margin of Error (10%) $12,235

BUDGET: Future Needs Assessment

Ongoing maintenance & preventive

maintenance.
Schedule in-house Biomedical
Technicians to receive certification
in equipment
maintenance by end of
warranty expiration.
Replacement costs, software
upgrade costs.
Project Plan

Steering Committee
Project Meetings
Issue Management
Medical Staff Implementation

Department Director
Nurse Manager
Nurse Educator
60 RNs
15 Nurse Assistants
Project Timeline
Project Timeline: Assessment

Total 6 week process

Preparation
Department planning (3-4 days)
Receive physical inventory (1 week)
Preparing units (3-4 days)

Training
Intro/Familiarization (1 week)
End User Instructional Use (2 week)
Configuration Workshop (1 week)
Configure Documentation (1 week)
Competency Examination (1 week)
Training Strategy

One hour classes: 8am & 8pm

Training
Intro/Familiarization (1 week)
Intro to new product/ product overview
End User Instructional Use (2 week)
Functionality Assessment
Functionality Testing
Configuration Workshop (1 week)
Needs assessment evaluation
Configure Documentation (1 week)
Workflow management
Competency Examination (1 week)
 Project Timeline: IT System Development

Total 1 month Process

IT System Development
End User Pre-configuration (1 Week)
Hardware/Software Procurement (2 Week)
Performance Testing (2 Week)
End User Configuration (2 Week)
Project Timeline:
Implementation/Evaluation

Implementation
Total 4.5 month process
Vital Machine Use
Follow Up/Tech Support

Evaluation
Total 4.5 month process
Data Collection (3 months)
Data Analysis (1.5 month)
References