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Medanets expands to Sweden – More time for patients in Västra Götaland

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In the region of Västra Götaland (VGR), healthcare works smartly with digital solutions. Patient data is registered directly via a smartphone, which reduces the time for administration and gives the care staff more time for the patient. The VGR is the first in Sweden to work like this.

When the Medanets mobile solution was introduced to healthcare, both the patient’s and the employee’s experience improved, while administration decreased and patient safety increased. In VGR, over 120 care departments are already using the mobile solution. The effects have been positive and immediate.

More time for the patient

During the first few months since VGR started using the solution, error documentations reduced by 75%, releasing 70 hours per department each month. The time is used instead to meet the patient. The solution includes real-time updates to the Electronic Health Record, which means that the right decision can be made at the right time. When patient data was manually registered, the statistics showed that the delay between measurement time and registration was around 25 minutes. Now, VGR is continuing with and connecting all departments – around 250 in total.

Collaboration for increased quality

The solution has been developed by VGR’s journal system supplier, Cerner, with the Finnish company Medanets. Similar solutions are used by more than 30 hospitals and health centers in Finland. Together, Cerner and Medanets have created a solution that facilitates nurses’ everyday life and increases patient safety.

“It’s amazingly exciting that we’ve found an innovative solution that makes a difference to healthcare,” says Ann-Sofie Ardfelt, head of department for VGR IT Healthcare system.

An important request from healthcare professionals has been to work with documentation near the patient so that they can focus on the patient rather than administration. The use of smartphones (both Apple IOS and Android) has saved valuable time that can instead be devoted to patient care. The time released so far for patient work is, according to VGR’s own calculations, over 5,000 hours per month.

Access to Mobile Point-of-Care Application Expands to New Primary Health Care Units

The documentation needs of primary health care are similar to those of a central hospital, which is why mobile documentation streamlines the work flow of care professionals working at health centres and clinics as well.

Kainuu Social Welfare and Health Care Joint Authority was the first to introduce Medanets mobile solutions not only to the hospital, but also to the primary health care units in Kajaani, Sotkamo, Suomussalmi and Kuhmo in 2015. The people in Kainuu have been satisfied with point-of-care documentation as it significantly improves patient safety and the efficiency of operations.

This year access to mobile solutions expanded from the mentioned primary health care units to the Central Finland regional health care centre, the Kaarina health centre and Rauma health care services.

Central Finland Regional Health Care Centre

On the primary health care side, Medanets mobile documentation of observation values was introduced at the units of the Central Finland regional health care centre situated in Joutsa, Laukaa and Keuruu. The introduced mobile solution enables data transfers directly into the Electronic Health Record via mobile device. With less time spent on information work, nurses are left with more time for the patient.

This is handy not to have to make entries on a piece of paper!

Mobile documentation allows for more immediate caregiving; more time for the nurses to spend with the patient.

At the same time, the wards began to evaluate the patients’ condition systematically with National Early Warning Score (NEWS). The Medanets application utilizes the observation values recorded for the patient and determines the risk score by comparing how much these values deviate from normal ones. The total score helps nurses to evaluate the patient’s overall situation, providing support to decisions on whether to send the patient to the specialized medical care emergency clinic.

Kaarina Health Centre

Wards 1 and 2 of the Kaarina health centre utilize the mobile point-of-care solution for mobile documentation of observation values, but also for calculating the NEWS and displaying the corresponding instructions for action.

These new mobile workings were put to use at once with great enthusiasm.

Incredibly good and it sure speeds up work!

It frees resources for caregiving significantly.

Especially the NEWS feature is truly useful since it gives the nurse instructions at once on what to do and automatically calculates the score from the entered values.

Very clear and easy to use!

Rauma Health Care Services

Three wards providing the Rauma health care services went mobile as well. Observation values, such as the blood pressure, the pulse and the temperature, which had previously been recorded on the computer, are now recorded at once via mobile device while with the patient. Previously measured values are also displayed through the mobile device, whereby the care staff is able to respond more rapidly to any changes in the patient’s condition.

Having heard so many good things about the mobile solution, the locals had already been eagerly anticipating access to it.

Reading the barcode on the patient’s wristband is really quick and easy.

This saves time for other work.

Quick entries to the EHR for the doctors and nurses to access.

The Medanets trainers were very capable and multi-professional.

Documentation: Always Performed for a Good Reason, Not Just to Pass the Time

Hoitotyön kirjaamisen tärkeys

There is no getting around documentation. It is indispensable to patient care.

During a treatment period, the patient may have several different doctors and nurses. How could the care staff keep track of the patient’s condition and the procedures performed without exchanging information? The answer, of course, is that they couldn’t. Documentation is a prerequisite for safe, high-quality care.

According to an article in Sairaanhoitajalehti [1], a magazine published by the Finnish Nurses’ Association, point-of-care documentation still has some shortcomings, however.

Not Documented Means Not Done

The reason, why not all information related to patient care might not be documented, is related to the workload of the documentation and the time it takes. One study [2] shows that documentation consumes no less than 31% of a nurse’s working time. According to the same study, only 21% of the working time is left for interaction with the patient. There is no good reason for undocumentation, however. Each documentation entry is important.

Research [3] has shown that sub-standard documentation leads to prolonged hospital stays and even increased mortality among patients. There will be consequences when communication among healthcare professionals breaks down.

Failing to document not only undermines patient care, but also makes nurses more vulnerable to legal claims.

A Case of Absent Documentation

A nurse measures the blood pressure, the temperature and the oxygen saturation of a patient during the medication administration round. The values are slightly outside the normal reference values, but since the patient appears to be doing very well, the nurse is not concerned. The nurse is called to provide some urgent care and forgets to document the measured values.

Later, the evening shift nurse checks the patient’s data and does not find any mention of the patient’s differing values. This nurse administrates the patient’s evening medication and moves on to see another patient. The night shift nurse does likewise, deeming the patient’s condition normal since the patient appears to be doing well and the patient data indicates no differing values.

Is the patient’s condition deteriorating? No one knows because no one perceives that the measurement values are, indeed, sinking more than they should.

On Behalf of Better Care

Documentation enables better care both now and in the future.

  • Now – the people caring for the patient have up-to-date information on the patient’s condition.
  • In the future – documentation will bring content to clinical decision support systems, whereby patients in a similar situation can receive better care.

References:

[1] Sairaanhoitajalehti (03/2019). Kirjaamisessa yhä puutteita. <https://shlehti.sairaanhoitajat.fi/share/13671/276a72> 28 Feb. 2019.

[2] Ascom & Wilke (2015). How do nurses spend their time? An analysis of tasks and time use.

[3] Mathloudakis A., Rousalovia I., Gagnat A.A., Saad N. & Hardavela G. (2016). How to keep good clinical records. Breathe 12(10), 371–375.

Great Additions to the Medanets Team Bring New Viewpoints to Product Development and User Interface Design

Medanets_toimisto

The Medanets office situated in the Hiironen district of Oulu was expanded during 2018, providing double the amount of space compared with the previous premises. The added space has been put to good use since today Medanets already has 23 employees—including Ville, Marko and Hanna, who started working there this year.

Strong Expertise for Java Development

Ville Oikarinen was searching to belong somewhere as a coder and found his way to us at the turn of the year. Being a hard-core professional, Ville has plenty to give the agile software development model, as well as the software life cycle stages.

Ville is at his best working as a team builder, helping the team obtain the best possible developer experience and target its work with precision and agility by striving to achieve a good understanding about the actual needs of the end user. Ville also has many years of experience in certain kinds of healthcare industry software.

The Medanets team gave me a warm welcome and the teamwork began to run smoothly at once in a congenial atmosphere. I already learned all kinds of new things and had the opportunity to help solve some delicious problems.” —Ville Oikarinen

An Experienced Professional to Step up iOS Development

Marko Posio, an iOS professional, joined our ranks in January. Having versatile competence in the fields of mobile and backend development, Marko is a true agility professional, who is going to step up our iOS development.

Medanets gave me a warm, sincere welcome. It was easy to come and join this working community.” —Marko Posio

User Interface and Corporate Identity Gain a Fresh Look

Hanna Ahvensalmi, a user interface/user experience (UI/UX) designer, began working with us last week. Her job description includes taking the usability and appearance of our product usability to a new level by means of design, as well as strengthening the Medanets image in general. Previously, Hanna was working with a wide range of user interfaces and web sites, as well as corporate identity and conventional graphic design.

At Medanets, I get to work on an application that is useful to many people, ranging from nurses to patients. This gives our work meaning. The new challenges are inspiring and the crew is the nicest imaginable.” —Hanna Ahvensalmi

Global Mobile Awards Nominees Announced: Medanets Rises to Rival Giant Companies

This year’s nominees for the Global Mobile Awards (GLOMO Awards) were announced by GSMA, the world’s biggest mobile event organizer. The list of nominees includes global companies, such as Google, Apple and Accenture —and alongside them Medanets, a health technology company based in Oulu.

The GLOMO Awards is a competition that awards innovative mobile industry products, such as applications, devices and services. Winners from around the world are selected from ten different categories. The prizes will be presented in the MWC Barcelona ceremony in the presence of more than 107,000 expected attendees on 26 February.

Medanets from Oulu is competing in the category Fourth Industrial Revolution for the title of the Best Mobile Innovation for Health and Biotech. See the full list of nominees hereGLOMO_Logo

A Pioneer in Its Industry Targeting the World

Through the Medanets smartphone application, hospital and health centre care staff can browse and record patient data immediately in conjunction with the care event. As the data is transferred directly into the Electronic Health Record, there is more time left for what is essential, namely taking care of the patient instead of working on the computer.

According to the latest study conducted in Sweden, the Medanets mobile point-of-care solution brings time savings of more than 70 hours a month for units accessing the solution since the patient data can be checked and recorded immediately while in the patient’s room. With the new procedure, the flow of information regarding the patient’s condition is not broken and the patient can be offered safer care of better quality.

This mobile innovation is now accessed by more than 30 hospitals and a number of health centres in Finland and Sweden, making Medanets the industry market leader in the Nordic countries. The company vision is to provide its solutions globally in the future.

An Aid to the Increasingly Growing Workload of Nurses

Medanets has further developed its solution together with its customers, the healthcare professionals. Through the mobile solution, they can now record the observation values (such as the blood pressure, the pulse and the temperature) measured from the patient, fill interactive forms, determine the patient’s risk score and make medication administering entries, among other things.

In addition to going global, the future plans of the company include bringing mobile solutions to an increasing number of tasks performed on the computer, which burden the nursing process. The purpose is to support and facilitate the increasingly growing workload of nurses and provide the patients better care.

Where to Meet Us This Spring?

This spring you can meet us at the following events:

Head Nurse & Nursing Manager Days 2019, 15.-16.1.2019 | Tampere, Finland

ArabHealth, 28.-31.1.2019 | Dubai, United Arab Emirates

Social & Healthcare IM Seminar, 11.-12.2.2019 | Tampere, Finland

HIMSS19 Global Conference & Exhibition, 11.-15.2.2019 | Orlando, USA

Cerner Forum, 26.-28.2.2019 | London, UK

Nursing Congress & Exhibition, 21.-23.3.2019 | Helsinki, Finland

Future Hospital, 27.-28.3.2019 | Helsinki, Finland

Medanets User Days 2019, 2.-3.4.2019 | Helsinki, Finland

DMEA, 9.-11.4.2019 | Berlin, Germany

Social & Healthcare ICT Conference, 6.-8.5.2019 | Tampere, Finland

Vitalis, 21.-23.5.2019 | Göteborg, Sweden

HIMSS Europe 2019, 11.-13.6.2019 | Helsinki, Finland

 

Avoid Risk, Avoid Damage

Preventive measures make the most effective way of avoiding risks in human and economic terms. A variety of indicators have been developed to support caregiving, helping to identify the risks at an early stage and target medical resources properly.

Among the risk assessment tools used most commonly in Finland are the Braden Scale assessing pressure ulcer risk, Nutritional Risk Screening 2002 (NRS 2002) predicting the risk of malnutrition, and the Falls Risk Assessment Tool (FRAT) predicting the risk of falls. However, the practical implementation of these risk assessment tools (i.e. paper forms, mental scores calculation, table interpretation and the challenge of documentation) as well as the busyness of caregiving often cripples their use.

Treatment costs when risks are realized

Risk assessment by nurses should be systematic and continuous in both hospital wards and home care. Recurring risk assessment takes its time, but considerably less in terms of cost than having the risk realize.

  • Annually, the cost of pressure ulcers in Finland is more than 400 million euros, or about 2–3% of Finnish healthcare expenditures. About 95% of these pressure ulcers would be avoidable with preventive measures. [1.]
  • Malnutrition lengthens a hospital stay period by 3–6 days, up to tripling the cost of treatment [2].
  • In 2000, the cost of acute outpatient and inpatient treatment of falling injuries sustained by people over the age of 64 in Finland was about 39 million euros. The expenses are expected to rise up to 72 million euros by 2030. [3.]

Moving to Digital

Completing risk analyses and forms along with filing risk scores ought to be brought into this decade. The practical implementation of risk assessment tools should support caregiving and not burden it. Paper forms are a burden to work.

In the autumn of 2018, Seinäjoki Central Hospital began utilising the Medanets application in risk assessment. The mobile solution steps through the assessment criteria of the selected risk indicator (e.g. Braden, NRS 2002 or FRAT) and automatically calculates the total score. In addition to this, it shows the nurse the instructions for action corresponding to the score. The risk score itself is filed via the mobile solution directly into the Electronic Health Record. When work that was previously done manually is automated, the nurse can focus on patient care.

Mobile Forms Lower the Threshold

As the patient risk status can be assessed quickly and easily, it is also assessed more frequently. A smart phone goes along with the nurse not only in terms of work flow, but also in terms of other duties. Thus, the threshold for completing a mobile form is not big. Regular risk assessment, in turn, helps to prevent harm to the patient.

In addition to Seinäjoki Central Hospital, the solution is being used at Satakunta Central Hospital, Kainuu Central Hospital, and Raahe Hospital. Kanta-Häme Central Hospital and Päijät-Häme Central Hospital will be introducing the risk assessment mobile function in the early part of 2019.

Moreover, Päijät-Häme Central Hospital is introducing not only the Braden, the NRS 2002, and the FRAT mobile functions, but the following other risk assessment functions as well: Geriatric Depression Scale 30 (GDS30), Alcohol Use Disorders Identification Test  for the over 65s (AUDIT65), Alcohol Use Disorders Identification Test—Consumption (AUDIT C), Pain Assessment in Advanced Dementia (PAINAD), Beck Depression Inventory 21 (BDI-21), Mini Nutritional Assessment (MNA), and Complementary and Alternative Medicine (CAM).

References:

[1] Harjumaa, M. 2013. Painehaavat käyvät kalliiksi. Sairaanhoitaja 13, 10.

[2] Karuvuori, A. 2013. Ruoka on nostettu pöydälle. Sairaanhoitaja 12, 16–25.

[3] Piirtola, M, et al. 2002. Iäkkäiden kaatumisvammojen akuuttihoidon kustannukset. Suomen Lääkärilehti 57, 4,841–4,848.

New Medanets User Group: Medical Emergency Team (MET)

Central Finland Central Hospital is the first one to utilize the Medanets application for Medical Emergency Team documentation.

The Medical Emergency Team (MET) is alerted to the scene whenever a patient’s condition deteriorates while away from the intensive care and monitoring unit. The criteria for raising the alarm at Central Finland Central Hospital are determined by utilising the National Early Warning Score (NEWS) scoring system. The NEWS system helps to detect clinical deterioration by changes in the physiological measured values.

The NEWS scoring at Central Finland Central Hospital is performed via the Medanets application, whereby the score calculation is automated and instructions for action are displayed to the care staff immediately. Central Finland Central Hospital is the first hospital to introduce the Medanets application to the MET.

Assessing The Patients Condition

Through the application, the MET records its initial assessment of the patient’s condition (the airways, respiration and pulse, level of consciousness, and external injuries or haemorrhages). Depending on the urgency of the treatment, a decision is made as to whether the patient will be treated according to the initial assessment or whether there is time for a more accurate medical evaluation. Based on this decision, the necessary procedures are performed on the patient. However, an accurate evaluation of the patient’s condition should be performed once the acutest situation is over.

After the performed procedures, the patient’s NEWS score is recalculated, evaluating the progress of the patient’s condition.

Entries made during this whole treatment process are saved directly into the patient data via the mobile solution without anyone having to record them separately by computer. Previously, risk scoring and MET entries were recorded less often due to documentation challenges. More than 30 MET entries are made for every patient, whereupon manual data transfers take time.

Without an appropriate record, performing patient treatment and monitoring becomes more difficult.

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