The Health Care RFID Blog

In an article written by Stephen J. Dubner titled, “Is this the answer to Hospital-Acquired Infections?” , he mentions that it has been 10 years since first talks about the HAI (Hospital Acquired Infections) problem that the healthcare industry is now faced with and that in that ten years the problem has not gotten any better. But whose fault is it?

Many people like to place the blame on doctors, but in reality all healthcare workers should be held accountable. Trying to hold a single person and/or group accountable for something that is not tracked is impossible. Healthcare organizations need to start taking advantage of technologies that can aid in improving hand-hygiene compliance. Singling out one group, which will constantly be changing, will only be a temporary fix. Why not use technology as a tool to improve procedures?

Hospitals and other healthcare organizations should start implementing these new technologies in an effort to help change old habits and adopt new ones. Using technology to help mold a new culture within the healthcare industry would be a great start to improving the number of HAI incidents reported.

Now that the HAI problem has become visible to the public, hospitals, clinics and other healthcare organizations will need to start taking actions in an effort to improve compliance. RFID (radio frequency identification) and RTLS (real-time location systems) solutions have the ability to track compliance in real-time holding each healthcare worker accountable for themselves. Although there may be other variables involved in contracting nosocomial infections, improving hand-hygiene practices would show a significant increase in the annual improvement rate.

As EMR systems gain population in the industry, there will be many different applications available for use in an effort to manipulate all of the data collected. The systems are platforms for many different applications that can drive the industry to interoperability. Each “healthcare worker” has something different that they are focused on tracking, whether it is a mobile asset, compliance by healthcare workers or patient vitals.

According to an article published this week in Healthcare IT News, healthcare technologies have the potential to transform the industry. Lisa Suennen, a managing member at Psilos Group stated, “EMRs are becoming a commodity, but putting applications on top of EMRs to deliver usable data creates value.” Suennen also mentioned that another area with growth opportunity is patient safety.

RFID and RTLS technologies have the ability to seamlessly integrate with EMRs. What are the benefits that come from implementing RFID and RTLS solutions into EMRs?

·         Eliminate the need to manually enter data – by eliminating manual entry an organization will improve work flow, minimizing human error therefore minimizing costs.

·         Improving Patient Safety – Tracking compliance of hand-hygiene as well as OR/ED patient tracking and medication tracking.

The more activities that can be tagged and tracked on a sensory network provide an opportunity to manipulate additional data and additional input without additional manual entry. With real-time updates each staff member will have the ability to gain visibility geared toward their own interests within the organization, from wheel chairs to IV pumps. With this we can work to improve care, reduce costs and minimize risks.

According to the study, My five moments for hand hygiene by Dr. Didier Pittet and his colleagues, healthcare workers do not perform proper hand hygiene practices throughout their workday. This inferior quality of care has been a challenge to infection control management for many years. How can we change the culture of hand hygiene and improve patient safety and quality of care?

With any good study comes a great method of observation. Through the use of technology, not only can we record activity, we can attempt to prevent unsafe practices, educate real time and modify behavior. With the implementation of a hand hygiene compliance (HHC) solution, hospitals and other healthcare organizations can have the ability to capture all events and anticipate all situations in regards to patient contact.

Because infection never sleeps, our ability to practice safe hand hygiene must never sleep. Adoption of real time notification systems can help shine a light on the problems that healthcare organizations are faced with on a daily basis and help to fix them.

A recent in-depth study conducted by Cummings, Anderson and Kaye indicates a 1% rise in hand hygiene compliance (HHC) equals a $39K savings for the hospital. Models were set up to simulate several occurrences of hand-hygiene noncompliance by a single healthcare worker. According to the article, “Hand Hygiene Noncompliance and the Cost of Hospital-Acquired Methicillin-Resistant Staphylococcus aureus Infection”, Hand hygiene noncompliance events are associated with significant attributable hospital costs. Minimal improvements in compliance lead to substantial savings. The study used two different models:

1.       Events of noncompliance with patients of an unknown MRSA status (results: associated with 42 MRSA infections (Cost resulting in nearly $1,000,000 in cost to the hospital)

2.       Events with a known MRSA patient followed by events of an unknown MRSA patient (results: associated with 980 MRSA infections)(Cost resulting in nearly $22,000,000 in cost to the hospital)

The cost savings involved with an HHC solution are immense. With the data collected by Cummings, Anderson and Kaye and an analysis of their findings by a partner of DCC below are the conclusions that have been discovered:

·         1% increase in HHC = $200 savings per bed / year; 100% HHC = nearly $10k savings per bed / year

·         A conservative 25% increase in HHC should equate to $5k per bed / year or $1M total for a 200 bed hospital

·         Assume 500k CCM beds in the US times $10k per bed / year = $5B / year CMS problem.

o     The Hi-Tech act “hopes” that EMRs will save $1.7B per year over 10 years

o     A 25% HHC increase would result in $2.5B savings per year (forever)

o    $2.5B is a 50% GREATER savings than Hi-Tech and saves 50,000 lives per year forever

RFID and RTLS technology has the ability to track each and every occurrence within a facility whether compliant or noncompliant. The HHC solution uses sensors in soap dispensing units that have the ability to read staff badges in real time in an effort to monitor each and every interaction with the patient. If a staff member is noncompliant one or more of the below actions can be taken:

·         Automatic email to a supervisor

·         Audible message in the room

·         VoIP “please wash hands”

·         Send message to handheld devices

·         Specific actions possible as requested

This solution is highly customizable and can be configured to work with each individual organizations needs. The HHC solution offered by DCC is highly reliable, affordable and beneficial to healthcare organizations seeking to improve care, reduce costs and minimize risks. “This is an example of how innovative technologies are transforming the way we deliver care. Everyone is a stakeholder,” Farida Ali, DCC CEO.

As HIMSS10 came to a close today there was a lot of buzz involving new technologies that can achieve measurable value and help improve care, reduce costs and minimize risks in the industry. Hospitals and other healthcare organizations are in major need of achieving “real” ROI from the software and hardware tools that they will be implementing in an effort to reach their 2015 goal for compliance. It is important for organizations to look at implementing the right technologies that can help them sustain ROI over time.

Patient tracking seemed to be a major buzz at HIMSS10. Patient tracking is a more unique solution than asset tracking in that it involves moving assets. (Patients) A patient tracking solution consists of granularity and a much faster refresh rate than an asset tracking solution. If a quick refresh rate and a high level of granularity are absent then the patients will be out of sight before the appropriate staff is notified. Dynamic Computer Corporation offers a variety of solutions using RFID (Radio frequency identification) and RTLS (real-time location systems) technologies that can automatically update location and status information of patients in as little as 3-second intervals. Healthcare organizations have options when implementing RTLS and RFID systems into their infrastructure. There are both wired and Wi-Fi technologies available to implement a successful patient tracking solution. Wi-Fi solutions use Wi-Fi-enabled tags that interact and communicate with access points within a building to define their location over an existing 802.11 wireless infrastructure. Wired solutions use IR (infrared) and RFID technologies that communicate to determine the ultimate location of a patient in real-time. Much like a wireless access point, wired solutions can either use IR and/or RF antennas to communicate with a tag in real time as a patient moves about the facility.

Another topic buzzing around HIMSS10 was how to get smaller hospitals and healthcare organizations on board with implementing EHRs. Data standardization is extremely important and will need to be clearly defined and seamless in order for the industry as a whole to achieve meaningful use objectives. The American Recovery and Reinvestment Act, as we all know, includes $19 billion in grants and loans available to healthcare organizations in an effort to aid in implementing an infrastructure and processes to improve care, reduce costs and minimize risks. Along with funding comes choosing the right solution for each individual organizations needs. Smaller clinics with less staff will have a problem keeping up with manual data entry processes. RFID and RTLS solutions can eliminate the need for manual entry and let the staff focus on providing quality patient care and sustaining financial stability and compliance with standardization.

With emerging technologies come advantages and disadvantages. It is important to determine what individual requirements fit your organizations needs when evaluating each solution. Dynamic has the ability to customize a solution that will not only take into consideration your current pains but will also help you plan for your future needs.