HVA (Hospital Video Auditing)

Arrowsight Medical Impact Newsletter Winter '09

Newsletter cover Hot off the press, we are pleased to share our Winter 2009 newsletter:  Arrowsight Medical Impact.  In the newsletter, you will find helpful descriptions of how we work with hospitals and the outcomes we can produce in partnership. 

We have yet to see anything else on the market that does as comprehensive a job as Hospital Video Auditing at estimating compliance with patient safety practices that must be measured through observation.  And without the 24/7 measurement that HVA provides, there is no other way to produce near-real-time feedback to clinicians about their performance on an ongoing basis.

 Let us know what you would like us to cover in subsequent newsletters!

Applying Lessons from Data-Driven Baseball to Health Care -- by Suzanne Delbanco, Ph.D.

Baseball Unlikely co-authors Billy Beane, Newt Gingrich and John Kerry published an opinion piece in the New York Times on Friday, October 24, 2008 stressing that our health care system would benefit from the intense data collection and analysis that has driven transformative success in professional baseball.  “Number-crunchers now routinely use statistics to put better teams on the field for less money.  Our overpriced, underperforming health care system needs a similar revolution.”

 

Using data on both typical and more obscure statistics, the authors suggest, allows baseball teams to determine when “an attempted steal is worth the risk,” and which players should be drafted and in what order.  They argue that doctors have more ready access to statistics to make decisions about their fantasy baseball teams than for decisions about the care they provide to their patients.

 

There certainly are specific examples of where using statistics in medicine has saved lives.  The opinion article cites the compiling of statistics by the Cochrane Collaborative as the spark to drive improvements in the use of corticosteroids for women at risk of preterm birth. 

 

But such examples are too few and far between.  A study by RAND published in the New England Journal of Medicine in 2003 revealed that patients with the thirteen most common chronic conditions receive evidence-based care only 55% of the time. 

 

Similarly, hand hygiene is proven to help prevent hospital-acquired infections, but adherence nationally to hand hygiene protocols hovers under the half-way mark around 40%, according to the Centers for Disease Control and Prevention.

 

Beane, Gingrich and Kerry conclude that “The best way to start improving quality and lowering costs is to study the stats.”  Arrowsight's Hospital Video Auditing provides a deep analysis of hand hygiene compliance day by day, hour by hour, patient room by patient room, and provides health care workers with the insights they need to improve.  Going back to the power of the authors’ baseball analogy, it’s no accident that Arrowsight Medical describes itself as “game film for health care.”

 

Suzanne Delbanco is President, Health Care Division, Arrowsight, Inc.

Discussions about Hospital Video Auditing Ramp Up -- by Suzanne Delbanco, Ph.D.

As_medical_logo This has been an exciting week at Arrowsight Medical.  News of my appointment as President of Arrowsight’s Health Care Division has sparked conversations in the blogosphere about using Hospital Video Auditing (HVA) to improve hand hygiene and other quality and safety practices.  We welcome it and encourage you to join the conversation here at Patient Safety Focus where you can find more information on HVA and Arrowsight. 

 

Here are a few reports from the blogosphere to peruse:

 

In addition, Modern Healthcare covered the news. Let us know what you think.  We also welcome posts on other patient safety topics from guest bloggers. Interested in submitting content to PatientSafetyFocus.com? Please go here to learn more.

Arrowsight Announces Appointment of Suzanne Delbanco as President of Health Care Division

 Delbanco                 

Arrowsight, Inc. today announced the appointment of Suzanne Delbanco, Ph.D. as president of its newly formed health care division. Delbanco will oversee Arrowsight Medical, which focuses on helping hospitals improve the quality and safety of their care by using video to measure adherence to protocols and provide feedback on performance to hospital staff.

 

Prior to joining Arrowsight, Delbanco was CEO of The Leapfrog Group, a Washington, D.C.-based organization driven by major employers and other health care purchasers working to initiate breakthrough improvements in the safety, quality and affordability of care.  Among other accomplishments during her tenure there from 2000-2007, the proportion of hospital ICUs staffed by intensivists - doctors with special training in critical care - grew from 10% to almost 30%, saving an estimated 20,000 lives annually in the U.S.

 

Commenting on the appointment, Arrowsight CEO Adam Aronson, who supported The Leapfrog Group as a partner member and award sponsor said, “Suzanne Delbanco has a proven track record in pioneering efforts designed to create change.  We are excited to have her on our team as we continue rolling out a groundbreaking strategy to help hospitals and other health care settings improve the delivery of patient care.”

 

Across multiple safety-sensitive business sectors such as food processing, food services and manufacturing, Arrowsight has helped improve practices, compliance and employee morale with long-lasting effects.  In its first health care pilot, launched in January of 2007, Arrowsight’s hospital video auditing service (HVA) improved hand-hygiene compliance from 38 to 90 percent within three months, and kept it above 90 percent for twelve months running.

 

“It is extremely gratifying, after a long and rigorous search, to find another opportunity to have an impact on the quality and safety of health care,” said Delbanco.  “While there is much activity in this arena, I found nothing as compelling as Arrowsight’s approach.  Arrowsight helps not just with improvement, but also with sustaining it.  I’m thrilled to have the chance to make a measurable difference for patients, this time by giving hospitals new tools that help them get to the top of their game.” 

As part of its service, Arrowsight sends automated intra-shift emails to nurse managers and attending physicians that rank current shift performance metrics room by room.  Additionally, Arrowsight automates the delivery of aggregate team metrics to LED boards at the work site, which are updated every ten minutes 24/7/365.

 

Aronson also noted “As hospitals work to reduce the incidence of hospital acquired conditions, or so-called never events, Arrowsight can provide methodologies to improve hand hygiene, adherence to protocols for central line insertions, and other practices that reduce the incidence of some of the other preventable conditions for which Medicare and many other health care payers are no longer willing to absorb added costs.”

 

Along with developing Arrowsight Medical, Delbanco will edit this Arrowsight-sponsored blog (www.patientsafetyfocus.com) for health care workers, hospital administrators and insurers seeking new ways to improve patient safety.  Patient Safety Focus welcomes contributions from experts in the field.

 

In addition to her duties at Arrowsight, Delbanco is on the Advisory Committee to the Director and the National Biosurveillance Advisory Subcommittee of the Centers for Disease Control and Prevention (CDC), the boards of Bridges to Excellence and Prometheus Payment, Inc., the SafeMed, Inc. Advisory Council, and in the Healthcare Executives Leadership Network.  Modern Healthcare has regularly listed Delbanco as one of the 100 most powerful people in health care.  She speaks frequently at conferences and has published several peer-reviewed articles on hospital quality and safety as well as consumer access to care.

 

Interview Series: Dr. Meghan Dierks discusses how HVA increases hand-hygiene compliance

As we continue our interview series with today’s thought leaders in patient safety, we spoke with Dr. Meghan Dierks, Assistant Professor, Harvard Medical School.

HVA (Hospital Video Auditing) is an innovative, non-intrusive, 24/7 auditing technology that significantly improves compliance with patient safety and hand washing practices and protocols

In structuring the HVA program at a surgery center in the southeastern United States, Dr. Dierks has witnessed compliance scores soar from 35% to 90%+... and even more striking, she's seen compliance rates remain there.

In what ways, and to meet which specific goals, is the healthcare facility using HVA?

"We applied the technology to tackle a refractory problem in the healthcare compliance arena--the very basic safety protocol revolving around hand-hygiene and getting physicians to modify their safety behavior. The technology was two-fold: first, it would provide us the ability to collect highly reliable data and we hadn't been able to in the past. And, second, by nature of collecting high-quality data and instilling a feedback loop to relay that data to physicians practicing in that environment we could achieve a behavioral change.

We had two goals, both of which were achieved through the use of HVA. First, we needed to be able to collect highly reliable data over a sustained period of time on hand hygiene behaviors--something that has been difficult to achieve using other strategies. Second, in order to achieve a behavioral change, we needed to be able to use this data to provide continuous performance feedback to the healthcare workers practicing in that environment."

What significant points of success and improvements have you witnessed from the surgery center using the technology?

"Prior published studies have demonstrated that other efforts and interventions--such as employing human observers or posting educational signage--achieve short term, but not sustainable improvements in compliance. HVA is a highly reliable data-collection technique that enabled us to continuously measure performance over a long period of time in the surgery center, and document positive movement toward an established goal.

We are now reaching our sixth month of continuous measurement and feedback. Using HVA, we identified a relatively low baseline compliance rate of 38%. We provided weekly feedback, and over the next several weeks, saw dramatic improvements in compliance. This relatively high compliance rate has now been sustained in the 88%-98% range for six months. While the fact that we achieved 98% compliance within four weeks is remarkable, equally striking is the sustainability of the behavior change."

Continue reading "Interview Series: Dr. Meghan Dierks discusses how HVA increases hand-hygiene compliance" »

HVA: Solution to the Medicare Solution

Interesting feedback in the March 7th Ann Arbor News article titled "Medicare Plan May Backfire in its results, Penalizing of hospitals is overly punitive". According to the piece:

"Come October, Medicare will stop paying hospitals for certain medical mistakes. The plan is not unreasonable. However, the list of mistakes that will no longer be reimbursed might go too far.

Few medical providers would quibble with not being paid for serious errors such as operating on the wrong limb, leaving sponges or other surgical equipment inside a patient's body or using the wrong blood type. But not being paid if a patient gets a bed sore or suffers a fall seems overly punitive.

Given the patient population served by Medicare - the elderly and disabled - it's impossible to believe that every fall or bed sore can be prevented. That could require increased staffing to provide virtually 24-hour monitoring for some patients prone to bed sores or who have balance issues. Or it could prompt more intrusive admission policies that require significant time and costs to identify pre-existing conditions before a patient is admitted.

Continue reading "HVA: Solution to the Medicare Solution" »

Interview with Adam Aronson, developer of HVA (Hospital Video Auditing)

Adam Aronson, CEO of Arrowsight Inc., developer of Hospital Video Auditing (HVA), discusses what inspired him to develop solutions to dramatically improve patient safety and preventable medical errors, what HVA offers and the striking results it's providing.

Q: What prompted you to develop and market HVA?

A: "The short answer is that Arrowsight works to improve practices, performance and compliance in many safety-sensitive industries, such as food processing, food services and manufacturing...so improving the healthcare industry, especially with the very basic, but altogether critical area of hand hygiene compliance, was a natural next step.

But the longer answer hits much closer to home.

First, my father, Dr. Mark Aronson (pictured up top on the right with Adam), has been in healthcare for several decades. While watching hospitals grapple with the issues and growing fatalities associated with Hospital-Acquired Infections (HAIs), he watched me develop my video auditing business and made the connection that the technology and services we offered to improve safety for food processing were all too apt for healthcare facilities.

Due to being focused on growing my company across many sectors, I knew it would only be a matter of time before we developed a practice area in the medical sector. But that timing was placed on a fast-track after both my mother and my sister developed HAIs in separate top-notch hospitals due to what should have been short hospital stays for them both.

My mother, after a car accident which shattered her ankle acquired a preventable infection and one surgery turned into several, along with a permanent limp.  In the same year, my sister, after having her baby, and preparing to be released in a few days with a new bundle of joy, developed Scarlet Fever. Both cases were preventable--and both cases could have been potentially prevented with the assistance that HVA offers hospitals. Now that technology and service is available to all hospitals."

Continue reading "Interview with Adam Aronson, developer of HVA (Hospital Video Auditing)" »

Video Monitoring Saves Lives: Interview with Meghan Dierks, M.D.

16357603_3 In structuring the HVA (Hospital Video Auditing) program at a surgery center in the southeastern United States, Dr. Meghan Dierks, Assistant Professor, Harvard Medical School, has witnessed compliance scores soar from 35% to 90%+...and even more striking, she's seen compliance rates remain there.

Q: In what ways, and to meet which specific goals, is the healthcare facility using HVA?

A:
"We applied the technology to tackle a refractory problem in the healthcare compliance arena--the very basic safety protocol revolving around hand-hygiene and getting physicians to modify their safety behavior. The technology was two-fold: first, it would provide us the ability to collect highly reliable data and we hadn't been able to in the past. And, second, by nature of collecting high-quality data and instilling a feedback loop to relay that data to physicians practicing in that environment we could achieve a behavioral change.

We had two goals, both of which were achieved through the use of HVA. First, we needed to be able to collect highly reliable data over a sustained period of time on hand hygiene behaviors--something that has been difficult to achieve using other strategies. Second, in order to achieve a behavioral change, we needed to be able to use this data to provide continuous performance feedback to the healthcare workers practicing in that environment."

Continue reading "Video Monitoring Saves Lives: Interview with Meghan Dierks, M.D." »

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