Merkel Matthias Johannes, Edwards Renee, Ness Joe, Eriksson Carl, Yoder Susan, Gilliam Stephanie, Ellero Katie, Barreto-Costa Coral, Graven Peter, Terry Jeffrey R, Heilman James
OHSU Health, Mission Control, Portland, OR.
Department of Anesthesiology and Perioperative Medicine, OHSU Health, Portland, OR.
Crit Care Explor. 2020 Jun 11;2(6):e0142. doi: 10.1097/CCE.0000000000000142. eCollection 2020 Jun.
This brief report describes the rapid deployment of a real-time electronic tracking board for all hospitals in the state of Oregon. In preparation for the coronavirus disease 2019 surge on hospital resources, and in collaboration across health systems, with health authorities and an industry partner, we combined existing infrastructures to create the first automated tracking board for our entire state, including bed types by health system and geographic area, and with granularity to the individual unit level for each participating hospital. At the time of submission, we have a live snapshot of 87% of beds in the state, including real-time ventilator data across eight health systems. The tracking board allows for rapid assessment of available bed and ventilator resources and pulls electronic health record data that is created through normal care processes rather than relying upon manual entry. It is updated every 5 minutes and is drillable from state to unit level. Together these factors make the data actionable, which is essential in a crisis. The new tracking system integrates seamlessly with our preexisting statewide, manually updated tracking board via bidirectional data sharing to ensure existing processes across the state can continue. This new tool allows any health system in our state to visualize occupancy by type and location in real time. Amid pandemic uncertainty, having a reliable tool for tracking critical hospital resources will enhance our statewide ability to maintain healthcare functionality in a world with coronavirus disease 2019.
本简要报告介绍了俄勒冈州所有医院实时电子追踪板的快速部署情况。为应对2019冠状病毒病对医院资源的激增需求，并在各卫生系统之间、与卫生当局及行业合作伙伴的协作下，我们整合现有基础设施，为全州创建了首个自动化追踪板，涵盖按卫生系统和地理区域划分的床位类型，并细化到每家参与医院的各个科室层面。在提交本文时，我们获取了该州87%床位的实时快照，包括八个卫生系统的实时呼吸机数据。该追踪板可快速评估可用床位和呼吸机资源，并提取通过常规护理流程创建的电子健康记录数据，而非依赖人工录入。它每5分钟更新一次，可从州级逐层深入到科室层面。这些因素共同使得数据具有可操作性，这在危机中至关重要。新的追踪系统通过双向数据共享与我们预先存在的全州手动更新追踪板无缝集成，以确保全州现有流程能够继续。这个新工具使我们州的任何卫生系统都能实时按类型和位置直观显示床位占用情况。在疫情不确定性的背景下，拥有一个可靠的工具来追踪关键医院资源将增强我们全州在2019冠状病毒病环境下维持医疗保健功能的能力。
