Telemetry Everywhere
A history of staggered investments in physiological monitoring had resulted in a patchwork of systems from multiple vendors at Jackson Memorial Hospital. Leadership at the hospital recognized that standardizing on a single vendor for all monitoring would help streamline integration, so all vital records are captured throughout the patient stay. This new approach would also help boost staff efficiency, ensure that vital signs are measured with the same technology across monitors, and provide a common monitoring platform for ease of use, staffing flexibility, and simplified staff education.
“Before 2018, we had physiological monitors from at least four different companies. When we added staff or conducted continuing education, we had to train on four different systems,” said Carol Biggs, DHSc, Jackson’s senior vice president and chief nursing executive. “And while we had a central monitoring area, it couldn’t even be called a unit because we were using so many systems.”
In 2018, to meet its needs for standardized, and up-to-date monitoring to support its plans for “telemetry everywhere,” Jackson entered into a groundbreaking, 11-year enterprise monitoring as a service (EMaaS) agreement with Philips Healthcare. The agreement covers house-wide physiological monitoring, including telemetry, transport, bedside, and spot-check monitoring in all of Jackson Memorial’s clinical locations, running on Jackson’s existing 802.11 wireless infrastructure.
Description
A history of staggered investments in physiological monitoring had resulted in a patchwork of systems from multiple vendors at Jackson Memorial Hospital. Leadership at the hospital recognized that standardizing on a single vendor for all monitoring would help streamline integration, so all vital records are captured throughout the patient stay. This new approach would also help boost staff efficiency, ensure that vital signs are measured with the same technology across monitors, and provide a common monitoring platform for ease of use, staffing flexibility, and simplified staff education.
“Before 2018, we had physiological monitors from at least four different companies. When we added staff or conducted continuing education, we had to train on four different systems,” said Carol Biggs, DHSc, Jackson’s senior vice president and chief nursing executive. “And while we had a central monitoring area, it couldn’t even be called a unit because we were using so many systems.”
In 2018, to meet its needs for standardized, and up-to-date monitoring to support its plans for “telemetry everywhere,” Jackson entered into a groundbreaking, 11-year enterprise monitoring as a service (EMaaS) agreement with Philips Healthcare. The agreement covers house-wide physiological monitoring, including telemetry, transport, bedside, and spot-check monitoring in all of Jackson Memorial’s clinical locations, running on Jackson’s existing 802.11 wireless infrastructure.
Reconfiguration of Inpatient Units on Jackson Behavioral Health Hospital
Accordion
Moved pediatric intake area from area adjacent to adult behavioral health emergency department to space adjacent to pediatric behavioral health unit. New pediatric intake is staffed with pediatric behavioral health staff instead of adult emergency department staff.
Flexed South Florida’s only designated COVID-positive behavioral health unit from a designated nine-bed unit to a designated 21-bed unit and four-bed isolation area on the co-occurring disorder unit.
Developed and implemented a 21-bed co-occurring disorder unit, originally a nine- bed detoxification unit, to help address the three-fold increase in patients admitted with substance use disorder diagnoses during pandemic.