Pennsylvania’s Monongahela Valley Hospital (MVH) has integrated its RFID-based patient-management system and its Emergency Department Management (EDM) software in order to make the treatment of patients more efficient, by putting more data in the hands of staff members, without requiring them to enter information into separate software systems. The integration of the two systems enables employees, using a single software setup, to learn about not just the areas through which patients passed, and when, but also their symptoms and diagnoses, and any laboratory or diagnostic testing results.
MVH is a 226-bed, full-service facility with a 220-member medical staff, representing more than 40 specialties. The hospital installed a real-time location system (RTLS) hardware from Awarepoint in 2005, to provide more automated patient location and status monitoring using RFID badges worn by workers and patients. The facility also implemented Awarepoint’s AwareEDTracker software, for storing data regarding the locations of patients and staff members, as well as anyone with whom they may have met—for example, which specific patient was in contact with a particular health-care provider—and for how long. AwareEDTracker helps the hospital record its patient flow, identify any bottlenecks and assist the staff in determining, in real time, where emergency patients are located—for instance, waiting in an examining room, or undergoing diagnostic testing in a lab.
With the RTLS solution in place, when an emergency department patient checks into the facility, the hospital assigns that individual a 2.4 GHz active Awarepoint RFID tag. The tag is clipped onto the patient’s clothing, and it transmits its ID number, via the ZigBee protocol, to readers plugged into power outlets throughout the building. Thereaders, also known as access points, receive data from other nearby access points, until the information is received by a gateway wired to a computer that links the location data and tag ID numbers in the Awarepoint software. The software can then determine the person’s location with bed-level accuracy, the company reports.
Over the past few years, the hospital had also begun utilizing Meditech‘s health-information software, enabling employees to input clinical data from each department that the patient visits.
Because the Awarepoint and Meditech solutions provide value to the hospital’s clinical staff, says Tony Marsico, Awarepoint’s executive VP of business and global development, the facility began seeking a way to combine data from both systems so that workers could gain location and health-care details without having to manually key in excessive information.
With the integration, the Awarepoint software now pulls data linked to the same ID number from the Meditech EDM system, such as the patient’s name and reason for visiting, as well as a history of that person’s treatment and diagnosis up to that point. For example, if the patient had been to the radiation department, the Awarepoint technology would enable to system to determine when this occurred, and how long he or she remained in that section, as well as the radiation testing results stored by staff in the EDM.
Before physicians see waiting patients, the integrated system allows staff members to view enough details about each patient’s time of arrival and complaints to determine who should be treated first. For example, the integration enables employees to compare a patient with a leg injury who has waited for an hour, against someone else waiting for less time, but with a potentially more severe ailment.
MVH is employing a total of 175 tags for use by patients and employees throughout 25 emergency department treatment rooms, with about 150 access points plugged into outlets throughout the facility. The hospital has indicated to Awarepoint that patients are not finding the RTLS technology to be very noticeable, but they are receiving more timely treatment—though a hospital spokesperson declines to specify the degree of timeliness increase. According to Marsico, Awarepoint expects to reduce wait times for emergency visits by at least 25 percent.