Beth Kaylor, RN, RPIAC Director of Clinical Innovation DeRoyal - PowerPoint PPT Presentation

Beth Kaylor, RN, RPIAC Director of Clinical Innovation DeRoyal Industries

Guide what supplies are pulled into a surgical case Often used as the foundation for patient charge sheet Used for resource forecasting

• Single user’s experience • An analysis of multiple users’ experiences • User’s recollection after the fact • Real time documented data • Increased touch points to transfer updates • Contained process • Updates based on a single event • Driven by trends • Identification of outliers Master cleanse farm-to-table magna, hashtag kale chips Master cleanse farm-to-table magna, hashtag kale chips proident try-hard synth nesciunt jean shorts knausgaard proident try-hard synth nesciunt jean shorts knausgaard Master cleanse farm-to-table magna, hashtag kale chips Master cleanse farm-to-table magna, hashtag kale chips proident try-hard synth nesciunt jean shorts knausgaard proident try-hard synth nesciunt jean shorts knausgaard

> 50% of items pulled for a case are returned to stock On average > 250K of items expire on the shelf

Stocked Case Pick 76347 Returned Received 012105467478 012105467478 012105467478 012105467478 Lap 18x18 5pk Lap 18x18 5pk Lap 18x18 5pk Lap 18x18 5pk $1.60 $2.10 $2.60 $3.35 Returned Case Pick 76521 Case Pick 76542 012105467478 012105467478 012105467478 Lap 18x18 5pk Lap 18x18 5pk Lap 18x18 5pk $3.85 $4.60 $5.10 Case Pick 77254 Case Pick 77310 Returned Returned 012105467478 012105467478 012105467478 012105467478 Lap 18x18 5pk Lap 18x18 5pk Lap 18x18 5pk Lap 18x18 5pk $5.85 $6.35 $7.10 $7.60 Case Pick 77422 Returned 012105467478 012105467478 Clinical Lap 18x18 5pk Lap 18x18 5pk $8.35 $8.85 Clerical

Door Openings: 1 every 1.5 minutes Title Here Total open door time during case in minutes: 10.75 Percentage of supply related openings: 30% Issues Increased risk of Surgical Site Infection Contributing factor to surgical mistakes

15216 Tympanoplasty 14776 Arthroscopy 12287 Splenectomy 14985 Total Hip Repair 16482 Lap Choley 16482 Lap Choley 16711 Exploratory Lap 14531 Appendectomy Ann K – Total Hip Repair 15211 Exploratory Lap XL Gown 14531 Appendectomy Single Basin 15216 Tympanoplasty 14115 Cholecystecomy 14776 Arthroscopy 15211 Exploratory Lap Lap Sponges 15007 ORIF Femur 14531 Appendectomy 16482 Lap Choley 14985 Hysterectomy Towels 15211 Exploratory Lap 14787 I & D Hip 14531 Appendectomy Light Handle Covers 15216 Tympanoplasty 14776 Arthroscopy 14776 Arthroscopy Ioban Drape 15765 Colectomy 15007 ORIF Femur 14187 Splenectomy Suction Liner 15197 Splenectomy 14531 Appendectomy 18421 Bowel Resection 15216 Tympanoplasty Fanfold Sheet 14776 Arthroscopy 14315 Debridement 15007 ORIF Femur Skin Stapler 12461 Abd Trauma 16482 Lap Choley 14521 Exploratory Lap 14776 Arthroscopy Size 8 Gloves 15007 ORIF Femur 15007 ORIF Femur 16482 Lap Choley 14776 Arthroscopy Prep Tray

Advocate Protector Voice Guardian Support Clinical Cashier

• Confirming the safety of products • Increasing visibility to inventory • Improving inventory accuracy • Quick access to resources in emergencies • Improving staff effectiveness • Protecting employees • Decrease item shrinkage

• 99.8% accurate usage and charge capture, > 30% increase • Association of supplies and implants to specific patients • Doctor Performance Cards • Accurate case cost • Item expiration alert • Automated UDI documentation • Wasted item documentation

Quantity on Item Location Hand Custody Approaching Exposure Expiration Unaccounted for Items

What Items to Tag Does someone count it? 01 Does someone reorder it? 02 Does someone pick in? 03 Does someone return it to stock? 04 Does someone charge for it? 05 Does it ever go missing? 05

UDI September 24, 2014 • Class III (including Class III Life Supporting or Life Sustaining) September 24, 2015 • Implantable (Class II) • Life Supporting or Life Sustaining (Class II) September 24, 2016 • Class II (other than Implantable, Life Supporting or Life Sustaining) September 24, 2018 • Class I or unclassified (other than Implantable, Life Supporting, or Life Sustaining)

UDI Labeling

• Reduction in excess inventory • Reduction in time spend on manual inventory practices • Decrease of expired products • Enhanced accuracy of charge capture • Reduction in time and money spent on rush orders • Standardization of supplies used by procedure • Focuses circulating nurses on patient care • Reduces costs of biohazard waste • Voice of the Item – Digital Custody

Live on 03/07/16 – 9 Weeks - 471 Cases • 11,279 Items Captured in Safe • 9,232 (would require RN manual entry) • Cost of these Items - $818,213* • Items on Cards - Picked Not Used or Opened - 1,273 • Cost of items processed through Safe - $865,920