Vanderbilt Medical Center: Tracking Patients, Costs Wirelessly
Each year physicians at Vanderbilt University Medical Center in Nashville,
Tennessee, treat 32,000 inpatient admissions in its hospitals and more than
800,000 adult and pediatric patients in its outpatient clinics. On such a scale,
even small improvements in processing and tracking patients through the hospital
system can yield huge gains in efficiency and financial performance.
With those factors in mind, VUMC’s information technology staff has created
a patient tracking and operating room management system that follows each patient
to each point of care, from admission until they are checked out of the hospital.
As surgery patients enter the hospital doors, medical center employees known
as “greeters” log them into the system using a wireless Compaq Corp.
iPAQ Pocket PC, immediately notifying each station in the surgical care cycle
that the patient has arrived. By accessing the surgical schedule, the greeter
is also aware of the time that the patient’s surgery is scheduled, which
operating room is to be used, and who the patient’s doctor is.
Once the patient is logged into the system, developed as part of a surgical
center redesign project, the medical staff updates the patient’s status
as they proceed through pre-op, surgery, the recovery room, a move into the
patient room and continuing until the patient leaves the hospital.
The iPAQ supports the secure, wireless exchange of patient information via
an Intranet Web browser between the care provider and Vanderbilt’s systems.
The system avoids the need to store patient data on the iPAQ itself, which adheres
to the requirements of the Health Care Insurance Portability and Accountability
Act (HIPAA), federally mandated rules that take effect in 2003 governing the
privacy of medical records and patient information.
Dr. Michael Higgins, an anesthesiologist and vice chairman for Adult Perioperative
Services at Vanderbilt, said getting surgery patients into the tracking system
quickly is the key to keeping the process moving efficiently. “We discovered
that most of the delayed patients were actually at the medical center on time,
but had simply gone to the wrong waiting area or otherwise couldn’t be
located right away,” he said.
For more information, contact Michael Higgins at mike.higgins@vanderbilt.edu.