Wireless Hospital

1
Wireless Hospital

• Kirsi Isokanniainen, ODL Health Ltd
• Department of Surgery

2
Oulu Deaconess Institution

• Funded in 1896
• In a beginning trained nurses
• Mission promotion of wellness
• Core activities training, social and deaconess
  work, elderly care and sports medical research

3
ODL Health Ltd

• Part of Oulu Deaconess Institution group
• Founded in 2004
• Main business units medical centre, hospital,
  rehabilitation
• Employees about 330
• Customer groups companies, insurance companies,
  private individuals, municipalities, The social
  Insurance Institution of Finland, State Treasury

4
ODL-Wilho in a beginning

• Part of Oulu Wilho consortium
• ODL-Wilho started end of 2004
• Started to use new EPR in 2003
• Operating rooms and recovery room already had
  WLAN network
• Plans for the new hospital was going on.

5
Expectations from users point of view

• New technology will help everyday routines and it
  will enhance process from staffs point of view.
• Data will be collect automatically and it will
  transfer to hospitals electronic patient record
  automatically.
• The aim is that staff can record information
  where ever the information creates.
• No longer you don't need to write down on paper
  and later to the hospital's EPR.
• The information is available where ever you need
  it
• You don't have to interrupt yours work to find
  out the information on offices computer.

6
ODL-wilhos first steps

• Choose total endoprothesis process ? analysed
  very carefully
• Organized meetings were we innovated ? decided
  those things that we want to develop or improve.
• New WLAN- network built up to the operating
  rooms, recovery room and surgical ward.
• Pre-piloting

7
Pre-piloting

• Testing Nokia 9500 mobile phone
• Includes Duodecims information e.g.
  recommendations of the treatments , Medicine
  information, address- and phone book (hospitals,
  pharmacies).
• Not connected to hospital EPR.
• Participated of this test orthopaedists,
  anaesthetists, nurses and secretaries
• Testing period 2 months

8

• Nokia 9500 Communicator

9
Pre-piloting

• Experiences
• Most of users said that it was easy to find out
  information.
• This mobile phones minus point was limited
  information and too small screen.
• Users said that they would use it in everyday
  routines if hospitals EPR would be part of this
  application.

10
Pre-piloting

• RFID-testing
• Cleaning ladies used Nokia 3220 phones and
  RFID-shells.
• Two operating rooms was part of testing.
• Touching the tag information sends to the leader
  of the cleaning unit (SMS message).
• The aim of the testing was collect experiences
  how this technology fit in hospitals areas and
  get some information about process phases.

11

• Nokia 3320 and rfid-shell

12
Pre-piloting

• Experiences
• Users thought that it was very easy to use all
  thou they haven't use RFID-technology before.
• After this testing period the cleaning ladies had
  several ideas how to use RFID-technology in the
  future.
• Most important thing was that we get very
  valuable information of cleaning processes in
  operating rooms.

13
Pre-testing

• Pain measurement application
• Developed together with university of Oulu and
  Lapland's university.
• The first's prototypes were tested in recovery
  room year ago.

14
Pre-testing

• The pain is very subjective sensation. Its
  important to know how the pain intensity feels by
  a patient her/himself.
• Patients have devices for reporting the pain
  intensity, nurses have devices for monitoring
• Nurses can monitor patients pain intensities
• Remotely
• In real-time
• Also observe changes in pain intensity over time
• Patients can be at hospital or at home

15
Pre-testing

• The aim of this research is to increase the
  well-being of patients by
• developing the quality of treatment and
• increasing the effectiveness of pain medication
• A further goal is to increase the
  cost-effectiveness of treatment

16
Pre-testing

• Pain measurement application

17
Pre-testing

• The prototypes were tested in the recovery room
  of the ODL Health's in April 2005.
• Seven patients and four nurses participated the
  usability test.
• They experienced pain measurement meaningful,
  with the separate device and with the mobile
  phone as well.

18
Pre-testing

• We are currently testing the first version of a
  server software that delivers pain measurements
  from patient devices to nurses mobile phones
• Nurses can monitor patients pain intensities
  remotely and in real-time
• Tests were carried out at the ODL Health's in
  April 2006
• Both patients and nurses use mobile phones

19
Pain measurement application in a future

• We are also preparing a project for developing
  the system further
• Delivering the data to hospitals database
• Developing a new version of the 5-button device
• E.g. wireless connection to the server
• New version of software as well
• E.g. pain intensity development over time
• Large usability and user experience tests
• Comparing subjective well-being with objective
  well-being that is, with the pain recognizable
  from biosignals

20
Why technology?

• Healthcare costs are increasing all over the
  world.
• Peoples live longer and they have more chronic
  diseases.
• Recourses are going to degreased.
• Something must done. New technology might help.

21
Time for the patient

• All extra paper, laboratory or x-ray answers
  looking takes time.
• Double recording to paper and hospitals EPR
  takes time.
• Nurses makes many kind of orders every day e.g.
  medicine, material for the care and food for the
  patients. If we could make automatically those
  orders so we have more time for the patients.

22
Technology for the patient

• One possibility is to better communication
  between home and hospital.
• Patient can send information to the hospital ?
  less waiting in hospital than earlier, treatment
  can plan more individually.
• He/She can measure some parameters and send
  information to the hospital database. Some
  chronic diseases can be follow up very carefully
  and patient can stay at home.

23
Technology for the patient

• In hospital patient could have some monitor or
  separate device and hospital could bring
  important information to the patient.
• Information of the treatment and how to prepare
  for it.
• Patient's individually day schedule.
• Information of health promotion and prevention.

24
In conclusion

• Technology can help to improve quality of care if
  we study same time our own course of action and
  benefits of technology.
• Remember ask users experiences. ? this way you
  can get solutions which is going to live in
  everyday routines.
• Technology will never substitute leadership,
  management or stuff in hospital. But it can help
  us with the problems what we have in health care.
  

25

• Thank you !
• Kirsi Isokanniainen
• Kirsi.isokanniainen_at_odl.fi
• Mobile phone [phone]