Demonstrates: Implementation of Ocean's Multiprac Infection Control System in a private hospital

Project:

Multiprac deployment at St Andrew's Hospital, Toowoomba

Date:

January, 2013

Background:

St Andrew's Toowoomba Hospital is a 137-bed, acute care private hospital situated on the north-western side of Toowoomba and committed to providing high standards of healthcare to the community of Toowoomba and the Darling Downs, Queensland, Australia. Established in 1966, the Hospital is a not-for-profit private hospital and a registered charity.

Goals:

Urgent replacement of the old infection control system (EICAT) with the Multiprac Infection Control System, including configuration of the system, training and the interface of Multiprac to the Patient Administration System.

In addition to speed of implementation, St Andrew's also wanted to:

  • create a solution that integrated to the Patient Administration Systems; and
  • reduced the input time for Pathology, with the future possibility of an automatic interface.
Objectives:
  • Reduction of risk due to the old Infection Control system failing
  • Improvement of the efficiencies and effectiveness of Hospital Acquired Infection (HAI) clinical surveillance activities
  • Improvement of staff health activities, such as staff occupational exposure management
  • Ability to identify, develop and measure clinical improvement programs across the facility that will increase patient and healthcare worker safety
  • Reduction in costs associated with HAI incidence
Our solution:

The Multiprac Infection Control HAI surveillance system delivered a suite of surveillance-related modules to the clinicians, enabling detailed surveillance and reporting of:

  • Blood stream infections;
  • Significant organism infections/monitoring;
  • Surgical site infection;
  • Occupational exposures; and
  • Outbreak management, including contact tracing.

This detailed data collection, based on openEHR archetypes for the data structures, couples with templated infection management activities to provide a complete infection management system.

The manually input pathology data is interrogated real time by the systems HAI business rules (these are configurable by clinicians) and electronically presented to facility based Infection Control teams for action via active dashboards. The Multiprac Infection Control system has built in workflows and greatly improves quality assurance.

The implantation of the project was possible as the system is web-based and the change management was minimal, due to similarity, but improved functionality to the old system. The solution provided is a .NET application running on SQL and IIS. For reporting, there is a separate SQL reporting database with industry standard reporting tools. Importantly, the new system integrates directly into the PAS system. Further integration is planned with pathology.

Roll-out:

The project went live in the St Andrew's Hospital in July 2012 after a one-month project. It was a fast project roll-out, due the system being easy to use, ICP designed and web-based. The system has since been extended to have all the modules of Multiprac Infection Control implemented.

Key results:

Since implementing the Multiprac Infection Control system, St Andrews has achieved the following results:

  • Increased time for the ICPs to implement infection improvement programs by reducing data capture workload through integration with:
    • Patient Administration System
    • Pathology systems improved input
  • A single consistent Infection Control Database for reporting
  • Implementation of a solution that is capable of being supported, enhanced and follows health standards to future-proof the solution
  • Implementation of a high quality solution that was thoroughly tested, including:
    • Unit testing in the Agile methodology
    • User Acceptance and Functionality testing
    • Independent Load and Performance
    • Independent Access and Security testing

Key Benefits:

  • Reduced risk
  • Improvement of the efficiencies and effectiveness of HAI clinical surveillance activities
  • Improvement of staff health activities
  • Ability to identify, develop and measure clinical improvement programs across in St Andrews that will increase patient and healthcare worker safety
  • Reduction in costs to St Andrews associated with HAI incidence
  • An enterprise system with a low Total Cost of Ownership (TCO) with ongoing development and support

 

Testimonial:

“The IC project will improve IC management and prevention in St Andrew's” – Jan Miller, ICP, St Andrews Hospital Toowoomba.