Intensive Care Telemedicine by chenleihor

VIEWS: 7 PAGES: 26

									  Accunurse
      In
Long Term Care

     Presented by

 Deborah Marasheski
Objectives

 What is AccuNurse?     Legal & Ethical Issues

 Hardware & Software   Role of the Informatics
                              Nurse

Information Systems    Informatics Competencies

   Advantages
       &                    Summary
  Disadvantages
                 What is
                AccuNurse?




Communication
                Access care plans
    and                             Call immediately
                       at
documentation                        for assistance
                  point of care
   system




                                           www.vocollect.com
What is AccuNurse?
 AccuNurse is voice-
 assisted care
 Hands-free wireless
 device
 Chart at the point-of-
 care simply by
 talking
 Computerized care
 plans

                          www.vocollect.com
How Does AccuNurse Work?


    Staff “talk” into                Information is
    voice-activated                  computed into
        headset                        database




                        EMR integration
                         occurs in
                         real-time
                                                      www.vocollect.com
   Hardware Utilized
                  AccuNurse Web Client
                           &
                      Nurse Station




 AccuNurse                               802.11B/G
Voice Assistant                          Wireless network
     (VA)




                       AccuNurse
                        Headset          www.mountainleverage.com
Hardware Utilized

                    AccuNurse VA is a
                    wearable computer



                    AccuNurse Headset
                    communicates via
                    microphone


                              www.mountainleverage.com
Software Utilized




                    www.wi-fi.org
WPA or WPA2 System
 Certification security
 program created by
 WiFi Alliance

 Requires 802.11
 wireless network

 Encryption &
 authentication
 components


                          www.wi-fi.org
Software Utilized
 Introduced by Sun
 Microsystems in 1992


 Supported by all major
 server vendors


 Supports a large
 number of CPUs



                          www.sun.com
Staggers (2003)
 Easy to learn

 Easy to use

 Efficient

 User satisfaction

 Error tolerance
                        100

                         50


                          0

                              1st

                              Qtr




 Task-oriented system
Effken (2002)

                            Worker
                          Competencies




   Control Tasks                               Work Domain
                           Cognitive
                             Work
                           Analysis



              Social
                                         Strategies
           Organization
Information System

  AccuNurse is an
  information system
  used in the
 long-term clinical
  setting




                       www.vocollect.com
Information Systems




                      www.vocollect.com
Information Systems
Data Standards & Classification System

 Institute of Electrical and Electronic Engineers
  (IEEE)

 International Statistical and Classification of
 Diseases and Related Health Problems
  (ICD-9)

                                              www.ieee.org
                                              www.cdc.gov
Information Systems
Nursing Practice Standards Classification

Nursing Minimum Data Set (NMDS)

Nursing Intervention Classification (NIC)

Nursing Outcome Classification (NOC)


                                    www.jointcommission.org
Advantages
 Reduced liability &         Better reimbursement
 workers comp exposure


                             Real-time management
 Reduced costs from          & instant
 improved staff efficiency   communication

                             Accurate
 Improved quality of care    documentation &
                             accurate information


                                       www.vocollect.com
Disadvantages
 Background noise

 99% accuracy rate

 Learning the system’s terminology
 recognition

 Breaking barriers to user acceptance

                                     www.vocollect.com
Legal & Ethical Issues
 Confidentiality & Data Security

 System Security

 Design Issues

 Compliance Issues



                                   www.itu.int/itudoc
Role of Informatics Nurse

                    Select & evaluate software


                             Train Staff


                   Keep up with latest technology


                       Annual Competencies


                            Troubleshoot

                                           www.vocollect.com
Informatics Competencies

        Classroom-based training




               Web-application training




                           Monthly meetings

                                              www.vocollect.com
Points to Remember


 AccuNurse is a point-of-care voice
 recognition documentation system

 Advantages far outweigh the disadvantages

 Security standards apply
References

American Public Health Association. (1991). The nursing minimum data set:
       abstraction tool for standardized, comparable, essential data.
       American Journal of Public Health, 81(4), 421-426. Retrieved
       October 30, 2009 from http://www.ajph.org/cgi/content/abstract/81/4/421

Centers for Disease Control and Prevention (CDC). (2009). Classification of
        diseases, functioning, and disability. Retrieved on October 29, 2009 from
         http://www.cdc.gov/nchs/icd.htm

Institute of Electrical and Electronic Engineers (IEEE). (2009). IEEE Standards
           Association. Retrieved October 29, 2009 from
          http://www.ieee/org/web/standards/home/index.html

The Joint Commission. (2009). Joint commission requirements. Retrieved
        October 29, 2009 from
        http://www.jointcommission.org/Standards/Requirements
References

McGonigle, D. & Mastrian, K. (2009). Nursing informatics and the foundation
     of knowledge. Sudbury:Jones and Bartlett Publishers.


Medical Records Institute. (2009). Confidentiality and security for e-health.
      Retrieved October 14, 2009 from http://www.itu.int/itu/itudoc


Mountain Leverage. (2009). AccuNurse voice in healthcare. Retrieved
     September 20, 2009 from http://www.mountainleverage.com


Sun Microsystems. (2009). Solaris operating systems. Retrieved September 20,
     2009 from http://www.sun.com
References
Vocollect Health Systems. (2008). AccuNurse. Retrieved September 14,
       2009 from http://vocollect.com


Wi-Fi Alliance. (2009). The wi-fi alliance: an in-depth look. Retrieved
       September 14, 2009 from
       http://www.wi-fi.org/knowledge_center/kc-wi-fiallianceindepthlook

								
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