At BIDMC, our Infection Control staff have sent out daily updates about the H1N1 Virus, our process changes to protect patients/staff, and our planning for future activities if the infection escalates.
There are many things that IT can do to support the hospital and the country during this outbreak. Here are five projects we've implemented.
Every day, BIDMC electronically sends 4000 data elements to the Centers for Disease Control using the HITSP Biosurveillance standards. Patients are not identified - no names, MRN’s or addresses are sent. Birthdays are month and year only. Here are the data elements we send:
Inpatients ADT information – a message that there was an admission, discharge or transfer with date and time Diagnosis Procedures Pharmacy orders Daily census
Emergency Department Visits Visit information Acuity Diagnosis Procedures Pharmacy orders Patient instructions
Outpatient Visits Visit information Diagnosis
All patients Microbiology orders and results (including viral studies) Radiology orders and results
The CDC uses this to track outbreaks and prioritize resource allocation.
2. Build an intranet site to educate faculty and staff
We've supported our Infection Control staff with template-based content management tools and launched " H1N1 Central". In this single intranet site we link together our institutional polices, CDC reports, local news, and best practices.
Also, all our login screens display the message
"H1N1 Influenza Employee Screen: In order to prevent spread of infection to patients and staff, the following guideline should be followed by all staff: If you have two or more of the following: - fever over 100 in past 7 days - flu symptoms (chills, cough, sore throat, stuffy nose, body aches, headache) in past 7 days - contact within 6 ft of someone who has a flu-like illness Please put on a mask if you are in the hospital, contact your manager/supervisor immediately to arrange coverage for your absence and to advise regarding need for swab testing. Contact your PCP if appropriate, and recover at home."
3. Employees have been told to stay home if they have flu symptoms. In the case of H1N1 or any infectious outbreak, it's important to support remote access to applications, data, and communications. BIDMC applications are all web-based and accessible anywhere in the world. All our files are web accessible as well as mountable via VPN. We have an SSLVPN from Juniper Networks available at https://secure.bidmc.harvard.edu. We have a web-based large file transfer systems available at https://transfer.bidmc.harvard.edu. We are testing the ability to route incoming phone calls to cell phones and home numbers. The combination of all these features makes working from home simple and seamless.
4. Provider Order Entry order sets for isolation of infected patients
We're enhancing our internally developed provider order entry system with order sets specific to H1N1 so that clinicians can easily order standardized protocols for H1N1 isolation and treatment.
lace front wigs make every lady look awesome although a best one makes us stand out. The difficulty with searching that ideal unit is not always since of the
lace wigs color, hair or quality. Few styles of the hair frame the
cheap lace front wigs look better than others while some, in fact, detract from your attractiveness. Search for the perfect hair wig that perfectly matches with your face shape. The hair is mostly hand-woven into the mesh-type lace, to give them the originality just like your natural hair.