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April 28, 2011

Award-winning collaboration: Cerner, WellSpan Health and Hospira

On April 28, 2011, Cerner was honored along with WellSpan Health and Hospira with the Collaboration Award as part of the 2011 Way-Paver Awards at the 6th Annual unSUMMIT Conference for Bedside Bar Coding. This award is significant; it’s the first-ever Way-Paver Award to recognize collaborative efforts and results between a healthcare IT company, a hospital and a device manufacturer.

In collaboration with Hospira smart infusion pumps, Cerner launched the infusion management system at WellSpan Health’s York Hospital Medical-Surgical ICU. This is the first I.V. clinical integration system in the world to accomplish true bidirectional communication, closing the loop on the infusion medication management process. Learn more in the video below.

We sat down with Eva Karp, Vice President and General Manager of Cerner’s EMR Operations, to learn more about the collaboration, the challenges and the successes of the partnership.

How has the collaboration between partners strengthened the relationships with each other?

We all have a shared vision of safer patient care. This initiative bought three parties together to reach the objective of patient safety by integrating technologies with a focus on safety, process and outcomes. The partnership between Hospira, WellSpan Health’s leadership and clinicians, and Cerner’s vision and strategies related to device integration provided an opportunity to innovate at the point of service. Having practicing clinicians involved from the conception of the strategy to production use was a key factor to the success of this solution. It required the collective vision and partnership of all three organizations to truly reach the goal of safer management of infusions.

This is first of its kind innovation – what was the experience like for you?

It was inspiring and gratifying. I have been in the field of healthcare informatics for 23 years and will not mention how long I have been in healthcare. My clinical background is in critical care where I felt you made a difference one patient at a time. I went in to this field because I thought I could impact safer patient care and improve the experience of nurses more broadly in the informatics field. This solution really connected with making that difference. I am grateful for the incredible opportunity to work on solutions like this.

What were some of the challenges faced and how did you overcome them?

Working across three organizations to solve technology problems is challenging when you all have competing priorities. The strength of the partnerships was felt in aligning the goals, objectives and focus. Strong communication and working closely with Kelly Marley, Cerner’s client results executive at WellSpan, were important factors in keeping all three organizations up to date on progress and working together to solve potential roadblocks.

How do you think this project will improve clinician workflow and lead the way for future innovation?

I think we made what seems impossible, possible! We have already seen other device manufacturers adjust their plans for device integration due to the success of this solution and the increasing demand from clinicians that all medical devices be integrated into their workflows. We have only begun to discover what we can do to improve workflow and communication of information that is available from different devices at the bedside.

How has do you think this has advanced patient care/safety?

Nurses no longer have to be the technology integrator. The ability to program the pump via an electronic order placed by the physician not only decreases the number of clicks the nurse would have to make, but it also prevents errors from incorrectly programming the pump. The nurse will no longer have to key the titrations and patient's physiologic data into the medical record because it now flows electronically thru cerner's iBUS. The nurses will now have more time to care for the patient and analyze the effect of the titrations on the patient’s physiological status and due to the graphical display if the data is the effect of the protocols more quickly.

There’s also improved communication and workflow. The unit view and pharmacy view provide a perspective of the infusion status as it relates to the physician orders without having to be physically in the room. This decreases the number of unnecessary steps to find this information and the pharmacist will have the same view. This improves the timely delivery of medications to the patient and prevents unnecessary waste by preparing another infusion when the infusion has actually been discontinued.

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