Point of Care Computing for Nursing

Publication Date:           November 2007
Number of Pages:          88
Number of figures:         35
Report Price:                 $2,495 U.S. Dollars
                     
enterprise pricing available upon request

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Introduction  (download paper overview)

Point of Care Computing for Nursing presents the findings of an end-
user market study focused on the current state of computing adoption by
nurses across the United States.  The report uncovers strong opinions
regarding the market opportunities and challenges for adopting
computing solutions at the point of care to enhance patient safety, reduce
the risk of medical errors and improve nursing productivity.

Point of Care Computing for Nursing is an outgrowth of a similar study
published by Spyglass in June 2004 entitled Mobile Computing for
Nursing.  Throughout this report, Spyglass will compare and contrast
interesting trends identified across both studies.  

Content for
Point of Care Computing for Nursing was derived from
more than 100 in-depth interviews with nurses working in acute care and
ambulatory environments nationwide.  Nurses interviewed were
technically competent and representative of a broad range of nursing
specialties and institution sizes.  

Spyglass conducted the telephone interviews over a four-month period
beginning April 2007. The purpose of the interviews was to identify the
needs and requirements for point of care computing through discussions
about:
  • existing workflow inefficiencies in accessing clinical information,
  • current usage models for computing devices and solutions,
  • barriers for widespread adoption

Spyglass also evaluated key vendor product offerings and identified early
adopter organizations that have successfully deployed point of care
solutions.

Target Audience

  • Software and hardware vendors, systems integrators and
    management consulting groups who are selling hardware,
    applications and services into the healthcare industry
  • Healthcare administrators and IT executives who are making
    strategic decision to fund clinical information technology solutions
  • Clinicians who are involved in informatics and clinical system
    evaluation and selection
  • Investment bankers and private equity investors


Abstract

Point of care computing is poised to revolutionize the way nurses
practice and deliver patient care enabling access to clinical information
quickly and securely from any location, at any time to enhance patient
safety, reduce the risk of medical errors and improve nursing
productivity.  

Nurses are mobile workers.  There are 2.9 million registered nurses in
the United States representing the single largest healthcare professional
group with approximately 4 nurses for every physician.  Nurses are a
scarce resource that work in high-stress, data-intensive environments
dominated by inefficient paper-based processes.  They are continuously
on-the-go and have a constant need to access relevant clinical
information and to collaborate with colleagues and patients.

Patient acuity levels on the rise.  Patients are sicker with more
physical and cognitive impairments than a decade ago requiring more
complex nursing care involving multiple medical specialties.  Nurses are
taking care of more patients who are staying for shorter periods.  They
are under pressure to coordinate, communicate and document patient
care more effectively across a wider array of care team members.

Healthcare organizations have made significant investments
upgrading their clinical information systems and technical infrastructure to
extend the reach of existing systems enabling nurses, physicians, and
other allied health professional access to patient health information at- or
near- point of care. Organizations have deployed fixed location terminals
and wide variety of mobile computing devices including Smartphones,
laptops, TabletPCs and mobile clinical carts.  

Point of care computing devices is inadequate.  Nurses interviewed
are concerned about the usability and portability of computing devices
deployed at point of care.  Business class computers are not well suited
to meet the heavy demands of a healthcare environment.  

Point of care clinical solutions is not well integrated with nursing
workflow.
 Nurses interviewed are concerned about the usability and
complexity of clinical information solutions.  Clinical information systems
are being using BUT not necessarily in real-time nor at the point of care.  
Nurses are documenting first on paper at point of care and then re-
entering the patient information into the electronic medical record later on
during their shift.  

Technical infrastructure is immature to support point of care
computing.
 Nurses interviewed believe their organizations lack the
appropriate technical infrastructure to support point of care computing
including reliable networks, systems interoperability across the continuum
of care, and security requirements that do not impede nursing
productivity.  
Spyglass Consulting Group
Market Intelligence for Competitive Advantage