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Med O.S.® for Library Development Network Result

Large IDN Standardizes to Single Enterprise Smart Pump Drug Library in Under 6 Weeks

Study Overview

Situation

An 18-hospital system in the Northeast needed to consolidate its infusion pump drug libraries in order to implement a new system-wide infusion pump fleet and subsequently prepare for go-live on electronic health record (EHR) interoperability.

Business Case & Findings

Pharmacy, Nursing, and IT Leadership required a solution to drive consolidation and standardize on a single enterprise drug library within a limited 6-week timeframe. The 18-hospital system was using multiple libraries consisting of 9,300+ entries.

Results

Bainbridge Health utilized its Med O.S.® platform and national network benchmarks to drive consensus among a multi-disciplinary project team and deliver a single evidence-based and network-informed drug library within 6 weeks. The system was successfully able to roll out its new pump fleet and achieve its interoperability goals.

Situation

An 18 hospital, 3,400+ bed health system in the Northeast needed to consolidate its infusion pump drug libraries in order to implement a new enterprise-wide infusion pump fleet and subsequently prepare for go-live on electronic health record (EHR) interoperability.  The system had 6 drug libraries in use consisting of 9,300+ entries across a multi-vendor smart infusion pump fleet and required a single, standard drug library.

Business Case

The system partnered with Bainbridge Health to help drive a number of objectives:

  • Consolidate 6 drug libraries into a single library compatible for pump/EHR interoperability.
  • Leverage hospital-specific practice data and Bainbridge Health’s national network benchmarks to drive and develop buy-in for standardization decisions.
  • Complete the library consolidation process within 6-weeks in order to accept delivery of new infusion pumps.

Intervention & Impact

Bainbridge Health applied its Med O.S.® platform, national benchmark data, and supportive clinical evidence to:

  • Perform a comprehensive analysis and alignment of 6 libraries consisting of 9,300+ drug library line items across 53 care areas.
  • Lead bi-weekly meetings with increasing frequency towards project completion for detailed review and optimization.
  • Cross-reference proposed IV pump library configurations with the EHR to ensure consistency, focusing on aligning concentrations, dose units, and administration parameters.
  • Integrate pharmacists, nursing informatics, medication safety specialists, and nursing educators to validate and finalize the optimized library.
  • Ultimately provide a comprehensive, interop-ready drug library supported by evidence-based and national network benchmarks.

In less than six weeks, the health system successfully launched a single, standardized infusion pump drug library enterprise-wide in advance of their implementation deadline. Through this initiative, the team:

  • Streamlined library entries from 9,300 to approximately 4,800
  • Achieved the first hospital go-live in less than one month following library finalization and subsequently completed an enterprise, multi-state roll-out of the new infusion pump fleet
  • Kicked off a successful project plan for interoperability between infusion pumps and the EHR

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Disclaimer

This example is for informational purposes only and should not be relied upon to make specific clinician decisions.

All clinical opportunities identified by Bainbridge Health were evidence-based according to supporting literature and network data. They were also made under the surveillance of the Bainbridge Health Clinical Solutions team, an interdisciplinary group of subject matter experts who provide guidance and oversight.