Childrens Hospital of Omaha - Motion C5 MCA - Sponsored Whitepaper

Industry experience with inpatient clinical documentation and ordering systems has demonstrated the importance of providing clinicians with tools that enable real-time access to information at the points of care and decision. Children's Hospital (Children's) in Omaha, Nebraska, has deployed the Eclipsys Sunrise Clinical Manager™ EMR and provided access through desktop PCs and computers on wheels (COWs). In daily use, however, it became clear that access to fixed devices in the Children's Pediatric Intensive Care Unit (PICU) led to impediments in the pharmacists' workflow and made it difficult to fully optimize the EMRs' potential. Studies have indicated that the role of the clinical pharmacist is vital to ensuring the accuracy of drug selection and dosing, which is particularly important for pediatric patients, decreasing costs, and potentially improving length of stay.

Children’s collaborated with Motion Computing® (Motion) to explore a new mobile device designed to meet the needs of pharmacists in an acute care environment while they conducted rounds with the PICU team. Working within a formal clinician usability study methodology developed by Motion, Children’s piloted the use of the Motion™ C5™ mobile clinical assistant (MCA), with Eclipsys Sunrise Pharmacy™ pharmacy information solution along with other use case specific applications. The goal was to enhance and streamline the workflow, thus allowing for the pharmacist value-added time with the rounding team. Children’s incorporated the C5 into the pharmacist rounding workflow with the PICU team for medication order verification and access to drug information and patient charting data.

Data recorded during the study indicates substantial improvements in pharmacist time spent with the
multidisciplinary PICU care team resulting in improvements to both clinician productivity and overall
satisfaction. There was a significant decrease in the required clinician log-ins. Pharmacists preferred the C5 over the stationary PC’s. They reported that it was valuable to have bedside access for order verifications, review of clinical charts, and ability to access electronic references as questions came up within the rounding team. The pharmacists found the C5 supported their workflow and offered great mobility.

A summary of the study’s specific findings includes:

• Pharmacist time spent with the PICU rounding team members increased from 82.60% to 98.89%, allowing for more patient case specific discussion and multi-disciplinary collaboration.

• A preliminary finding suggests an increase of 15% productivity and efficiency within the Pharmacy rounding workflow.

– The number of required log-ons decreased by 78%.
– The time waiting for log-ons decreased by 87%.

• Pharmacist satisfaction increased by 16.67% in relation to the rounding workflow.