The Science Journal of the American Association for Respiratory Care

2010 OPEN FORUM Abstracts


Kenneth Miller, Diane Horoski, Robert Leshko, Angela Lutz; Respiratory Care, LVHN, Allentown, PA

Introduction: Over the past several years, Respiratory Care departments have made unique changes in the methods of delivering care to their patients. Several years ago, our Institution had a major change involving itsÂ’ electronic medical documentation system. This change impacted the Respiratory Care department given that the new system collects data from medical devices, including mechanical ventilators. Once our department realized the need for an Application Analyst (AA) and a Clinical Informational System Specialist (CISS). Our goal was to have a designated departmental individual (the AA) who had the ability to transform the information from the documentation database into usable reports. The CISS would assess which data parameters have the greatest impact in our clinical practice and optimizes patient outcomes. Body: The AA was initially a part time position but because of the number of sites, the reports desired for our daily ventilator rounds, QA/PI requirements, development of a departmental website, monthly reporting needs, etc. this position inevitably became full time. (The AA has an IT background.) The CISS is a full time position and works with the Information Services. department on the continuous development of the electronic medical documentation system. This position is also responsible for respiratory order entry and charges. As a result, the department has an individual with the clinical experience (an RRT background) to address and adjust the problems that have been associated with these entries in the past. Results: Since the creation of these positions, our department has become an integral member of the hospitalÂ’s research team. Reports are now created and results, that in the past took a considerable amount of time, can be assessed in minutes. (see table 1) Conclusion: These positions have allowed our department to offer invaluable information on how clinical interventions affect outcomes and how to improve those outcomes with increased efficiency. Although these positions may not be feasible for every Respiratory Care department, they maybe something that needs further investigation by some Directors. The ability of departmental individuals to prepare reports from data collection systems can be a great asset to any Institution. Creative thinking and the ability to obtain additional clinical positions may allow departments to offer more factual data to their Administration and allow re-evaluation of their clinical practices. Sponsored Research - None