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Poudre Valley Hospital’s Best Practices for
Emergency Notification

Tim Klippert
Emergency Preparedness Coordinator, Poudre Valley Healthcare
System
Keith Tyndall
Product Marketing, Everbridge
About Everbridge
•   Everbridge empowers better decisions with
    interactive communications throughout the
    incident lifecycle to protect your most important
    assets

•   The world’s recognized leader in incident
    notification and management solutions

•   Everbridge helps more than 30 million people
    communicate in a crisis and connect on a daily
    basis.

•   The company’s notification platform is backed
    by an elastic infrastructure model that delivers
    near infinite scale, advanced mobile
    connectivity, and real-time reporting and
    analytics.
        l ti

•   More than 1,000 organizations in over 100
    countries rely on Everbridge for their
    emergency needs


                                                        2
Agenda
 g                                   Are you on Twitter? Follow
                                     us at @everbridge and t
                                          t@      b id      d tweet
                                                                  t
                                     insights with your friends
                                     during the webinar using the
                                     hashtag #everbridge
Part 1 Presentation
P t 1: P       t ti
• Best practices for how to drive user adoption
• Innovative new uses for notification within your
    organization and across departments
• How to adapt your notification solution to department-
                    y
    specific uses

Part 2
P t 2: Q&A




                                                                      3
Note:
Q&A   Presentation slides are available on
      our Slideshare account at:
      http://www.slideshare.net/everbridge




                      Use the
                      Q&A
                      function to
                      submit your
                        b it
                      questions.



                                        4
Poudre Valley Health System &
         Everbridge

      Tim Klippert, MBA/HCM, MEP
   Emergency Preparedness Coordinator
              tbk@pvhs.org
Some Background on PVHS and Everbridge
• Initially purchased in 2007
• Everbridge replaced an outdated system called
           g    p                   y
  “Dialogic” that was used by our County as well as PVH
• We were able to use HPP (ASPR) funds to offset some
  of the cost
   f th     t
• Everbridge is also used in our County (Larimer) for
  notifications
Everbridge Implementation
• After the purchase, we started building groups
  of various Physician specialties and Clinical positions
• We also built groups of non-clinical employees such as
  Senior Management and Marketing
• We also started growing as an organization in 2007/2008
                                                    /
• Today-5400 employees/2 Hospitals/159 Off site locations
• How are we going to load the system with all of our
  employees contact info?
API or Application Programming Interface

• This is when we learned about an API
• An API is a way that all of our systems that hold
  employee data can talk to and download into Everbridge;
  we use Oracle, Meditech, Telecom, VIC (intranet),
  Cactus
• Our API downloads new employee data and removes old
  employee data on a nightly basis
• We used HPP funds to write the API
How the API Works
What we learned from the API
• Everbridge is only as good as the data that goes into it
  for Notifications
• D
  Department l
             level employee d
                  l    l     data i more current than
                                  is              h
  some data that resides in HR
• We should have done a system wide contact update
  before going live with the API
Learning continued…
• Contact changes should happen at the Department Level
  and with HR
• Addresses were always up to date due to receiving a W-2
• Education campaign about Everbridge prior to going live
• Develop a way for employees to update their own contact
  information
Screen Shot of
our secure self-
             lf
update page
How are we using Everbridge Today?
• Emergencies
• Exercises/Drills
• Routine Testing
• Joint Commission Survey
• Daily Staffing for Inpatient Units at MCR
• Daily Staffing for Emergency Department at PVH
Emergencies/Exercises/Drills
• Severe Weather              • Initial Notification
   – We notify all of our     • Staff Call down
     offsite locations with      – Employees
     weather information         – Physicians
                                        ys c a s
     from the NWS
     f      h
                              • Conference Calling
• For a community disaster
                                 – Command Center to
  of any kind                      Command C t
                                   C     d Center
Routine Testing
• All Physicians 2 times per year
• Other groups as needed (34 Groups)
• Depends on the response rate
   – If response rate is above 50% I consider the test
     effective
   – If below, do it again, (and maybe again)
Joint Commission
• Specific Group Built (Code R-Regulatory)
   – Senior Leadership
   – Directors
   – Managers
• When we learn that we are receiving a visit, the
  message goes out with further instructions to check
  email.
Pilot Program for Staffing Use
• Our Organization is
  heavy into implementing      Patient Care
  Lean methodology which
  L         th d l      hi h       Unit                         Patient Care
                                Employee                             Unit
  is all about doing tasks      15-20 calls
  more efficiently
                 y
• Making multiple phone
  calls to cover shifts is
  time consuming and
  ti           i       d
                                              Staffing Office
  inefficient
                                      30-60 minute process
Comment from Staffing Office
Prior to Everbridge I would have to go down a list of employees
(usually 15-20), wait for them to answer or leave a message.
(Usually with several interruptions as my ASCOM is constantly
ringing throughout the day). THEN my ASCOM would
sometimes ring while I was leaving a message for staff
members-I would h
      b     I    ld have people returning my call while I was
                               l  t i             ll hil
calling others, and I couldn't answer their calls in time and would
sometimes have to call them back AGAIN....you g the
                                                  y get
picture. It was messy. :)
Daily Staffing for MCR Inpatient Units
•     Cardiac CNA                         •   Mother and Family L and D Tech CM
•     Cardiac CNA Relief                  •   Mother and Family RN Relief
•     Cardiac RN                          •   Mother/Family Labor and Delivery Tech
•     Cardiac RN Census Managed           •   Mother/Family RN
•     Cardiac RN Relief                   •   Mother/Family RN Census Managed
•     Cardiac Ward Clerk                  •   Ortho Spine CNA
•     CICU RN                             •   Ortho Spine PCC
•     CICU RN Census Managed              •   Ortho Spine RN II
•     CICU UA II                          •   Ortho Spine UA II
•     CVI RN                              •   Ortho Spine UA II Relief
•     CVI RN Census Managed               •   Post Trauma PCC
•     CVI UA II Census Managed            •   Post Trauma RN II
•     MCR Float Pool / RN                 •   Post Trauma RN II Census Managed
•     MCR Float Pool CNA                  •   Post Trauma RN II Charge/Preceptor
•     MCR Float Pool CNA Census Managed   •   Post Trauma UA II
•     MCR Float Pool RN Census Managed
                                   g      •   Post Trauma UA II Census Managed
                                                                             g
•     Medical CNA Census Managed          •   SICU PCC
•     Medical CNA Relief                  •   SICU RN II
•     Medical RN Census Managed           •   SICU UA II
•     Medical RN II
•     Medical RN II Relief
•     Medical
      M di l UA II
•     Medical UA II Census Managed
•     Medical UA II Relief
•     Medical UA II Ward Clerk
Comments from Staffing Office
As the Staffing Coordinator here at MCR, Everbridge has been
such a time saver for me. Having the ability to contact several
staff members at once has helped me to fill open shifts very
quickly. What used to take me 30-60 minutes now takes less
than 5. This, in turn, frees up time for me to dedicate to other
pertinent job duties, which helps me to be much more effective in
my role.


                                            Thank you! ~Tammy
PVH Emergency Department

• Everbridge is used almost daily
• All Charge RN’s are trained and have access to their
          g
  department groups for messages
• Saves time calling so more time can be spent on patient
  care
• Same 30-60 minute process to cover a shift as with the
  MCR Staffing Office
Added Physicians to the API in 2011
• 965 Physicians
• All loaded into one Group
• Created the ability to Filter by Specialty and Credentialed
  Location
• 67 S
     Specialties and S
                     Secondary S
                               Specialties
• 7 Locations
• Example-Call all Trauma Surgeons Credentialed
     at PVH
Why are Filters and Attributes Helpful?
• Can call out by Specialty and Location
• Can be more specific in the request
• The API feeds from Cactus which is the Medical Staff
  Credentialing software
              g
• I don’t have to worry about updating the data
Future ideas
• Pull position and department information across in the
  API for all employees
• Pull location information across in the API
• Possibly tie into Kronos (scheduling software) so calls
  are made to off shift personnel only
• Members are called on and off shift
   – (Only negative feedback so far)
Everbridge Aware Mass Notification System

                                                              It is important for you to know how
                                                              PVHS will communicate with you at the
                                                                                             y
Communication is always an issue during a disaster. To        beginning of a disaster situation and
improve in this area, PVHS Emergency Preparedness             possibly during one. Please make sure
                                                              that your personal contact information
has started utilizing a mass notification system called       is up to date in your department and
Everbridge Aware. Everbridge Aware enables one                with HR. Routine testing will start
                                                                     HR
person to initiate a call down of key staff members that      taking place among select PVHS staff
are needed in an emergency. By utilizing this system, we      members. It is important for you to
are able to communicate in less time to a greater amount      respond to the real and test messages
of people using fewer resources. An example of a              so we know that we can reach you.
message you might hear is to the lower right.

                                                                 “This is an important message from
                                                                 Poudre Valley Health System
                                                                 Please listen to the message in its
                                             How Everbridge      entirety, please do not hang up. This
                                                 Works           message is a test of the PVHS
                                                                 emergency notification system.
                                                                 If this would have been a real
                                                                 emergency, you would have been
                                                                 given further instructions or
                                                                 information. Thank you for your
                                                                 participation”.
Closing
• Everbridge works very well for us the way we have it set
  up, especially with the API
• I would recommend an API f the larger organizations
       ld            d        for th l          i ti
• Check your processes for how contact info is updated for
  y
  your entire organization
                g
   – Department data and HR level data can differ
• The more you use Everbridge, the better you get at
  sending messages and the better they are received
Keith Tyndall
K ith T d ll
Product Marketing, Everbridge
Trusted by Healthcare Organizations

Employee Protection & Life Safety                 Community Health Support
•   Safety Alerts                                 •   Community Information Line
•   Public Health emergencies                     •   Community Health Education
•   Facilities Evacuations                        •   Public Health Alerts
•   Shift Filling/Cancelations                    •   Vaccination Coordination

Incident Response & Management
•   Code Alerts
•   STEMI Alerts
•   Response T
    R         Team A ti ti
                    Activation
•   Regional Collaboration

Compliance
•   Drills and Mock Surveys
•   Regulatory Agency Visits
•   Message Confirmations & Interactive Surveys
•   Reporting and Analytics



                                                                                   29
Improve Staff Productivity by
50% During Incidents
          g



“   We’re prepared for patient surges
    and wildfires, but we hadn’t
    planned on a localized incident like
    a highway blockage that would
                                                    Incident
                                                     • A solution that didn’t require significant hospital
                                                      IT and staff time to implement
                                                    • Interested in flexible solution for both emergency
    prevent 40% of our staff from                     and non-emergency use
                                                                  g   y

    reporting to work in non-                       Solution
    emergency circumstances. Using                  • Exceptional ease-of-use for non-technical staff
    Everbridge Aware, I contacted                   • Rolled out first-time use of notifications to
    hundreds of patient care                         regulatory compliance office to improve response
    employees in the time it used to
    take to make one call and fully
                                         “
                                         “           rate to CMS and Joint Commission surveys


    staffed the shift within the hour.
                                 hour               The Everbridge Advantage
                   Steve Storbakken
                                                    • One 20 minute session fully trained hospital
                   Director of Safety, Providence
                                                     response team
                   San Fernando Valley              • New use for nurse staffing increased productivity
                                                     by 50% from filling shift gaps to core tasks



                                                                                                             30
Advanced Connectivity for a Mobile World

                       • Communicate from anywhere, under
                        any circumstances or conditions
                       • Low-bandwidth optimized to ensure
                        reliability in adverse conditions
                       • Native application designed for
                        specific mobile platforms
Note:
Q&A   Presentation slides are available on our
      Slideshare account at:
      http://www.slideshare.net/everbridge




                        Use the
                        Q&A
                        function to
                        submit your
                          b it
                        questions.



                                          32
Everbridge Resources
                                  On-Demand Webinars:
Contact Information               www.everbridge.com/webinars

                                  White papers, case studies and more
                                  www.everbridge.com/resources

                                  Follow us:

Tim Klippert                           www.everbridge.com/blog
                                       @everbridge
tbk@pvhs.org                           facebook.com/everbridgeinc




Keith Tyndall
Keith.tyndall@everbridge.com

                                      Reminder
                                      Everbridge Insights webinars
                                      qualify for Continuing Education
                                      Activity Points (CEAPs) for DRII
                                      certifications. Visit www.drii.org
                                      to register your credit.
Thank you for joining us today!       Item Number (Schedule II): 26.3
                                      Activity Group: A
                                      1 Point for each webinar

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Poudre Valley Hospital’s Best Practices for Emergency Notification

  • 1. Poudre Valley Hospital’s Best Practices for Emergency Notification Tim Klippert Emergency Preparedness Coordinator, Poudre Valley Healthcare System Keith Tyndall Product Marketing, Everbridge
  • 2. About Everbridge • Everbridge empowers better decisions with interactive communications throughout the incident lifecycle to protect your most important assets • The world’s recognized leader in incident notification and management solutions • Everbridge helps more than 30 million people communicate in a crisis and connect on a daily basis. • The company’s notification platform is backed by an elastic infrastructure model that delivers near infinite scale, advanced mobile connectivity, and real-time reporting and analytics. l ti • More than 1,000 organizations in over 100 countries rely on Everbridge for their emergency needs 2
  • 3. Agenda g Are you on Twitter? Follow us at @everbridge and t t@ b id d tweet t insights with your friends during the webinar using the hashtag #everbridge Part 1 Presentation P t 1: P t ti • Best practices for how to drive user adoption • Innovative new uses for notification within your organization and across departments • How to adapt your notification solution to department- y specific uses Part 2 P t 2: Q&A 3
  • 4. Note: Q&A Presentation slides are available on our Slideshare account at: http://www.slideshare.net/everbridge Use the Q&A function to submit your b it questions. 4
  • 5. Poudre Valley Health System & Everbridge Tim Klippert, MBA/HCM, MEP Emergency Preparedness Coordinator tbk@pvhs.org
  • 6.
  • 7. Some Background on PVHS and Everbridge • Initially purchased in 2007 • Everbridge replaced an outdated system called g p y “Dialogic” that was used by our County as well as PVH • We were able to use HPP (ASPR) funds to offset some of the cost f th t • Everbridge is also used in our County (Larimer) for notifications
  • 8. Everbridge Implementation • After the purchase, we started building groups of various Physician specialties and Clinical positions • We also built groups of non-clinical employees such as Senior Management and Marketing • We also started growing as an organization in 2007/2008 / • Today-5400 employees/2 Hospitals/159 Off site locations • How are we going to load the system with all of our employees contact info?
  • 9. API or Application Programming Interface • This is when we learned about an API • An API is a way that all of our systems that hold employee data can talk to and download into Everbridge; we use Oracle, Meditech, Telecom, VIC (intranet), Cactus • Our API downloads new employee data and removes old employee data on a nightly basis • We used HPP funds to write the API
  • 10. How the API Works
  • 11. What we learned from the API • Everbridge is only as good as the data that goes into it for Notifications • D Department l level employee d l l data i more current than is h some data that resides in HR • We should have done a system wide contact update before going live with the API
  • 12. Learning continued… • Contact changes should happen at the Department Level and with HR • Addresses were always up to date due to receiving a W-2 • Education campaign about Everbridge prior to going live • Develop a way for employees to update their own contact information
  • 13. Screen Shot of our secure self- lf update page
  • 14. How are we using Everbridge Today? • Emergencies • Exercises/Drills • Routine Testing • Joint Commission Survey • Daily Staffing for Inpatient Units at MCR • Daily Staffing for Emergency Department at PVH
  • 15. Emergencies/Exercises/Drills • Severe Weather • Initial Notification – We notify all of our • Staff Call down offsite locations with – Employees weather information – Physicians ys c a s from the NWS f h • Conference Calling • For a community disaster – Command Center to of any kind Command C t C d Center
  • 16. Routine Testing • All Physicians 2 times per year • Other groups as needed (34 Groups) • Depends on the response rate – If response rate is above 50% I consider the test effective – If below, do it again, (and maybe again)
  • 17. Joint Commission • Specific Group Built (Code R-Regulatory) – Senior Leadership – Directors – Managers • When we learn that we are receiving a visit, the message goes out with further instructions to check email.
  • 18. Pilot Program for Staffing Use • Our Organization is heavy into implementing Patient Care Lean methodology which L th d l hi h Unit Patient Care Employee Unit is all about doing tasks 15-20 calls more efficiently y • Making multiple phone calls to cover shifts is time consuming and ti i d Staffing Office inefficient 30-60 minute process
  • 19. Comment from Staffing Office Prior to Everbridge I would have to go down a list of employees (usually 15-20), wait for them to answer or leave a message. (Usually with several interruptions as my ASCOM is constantly ringing throughout the day). THEN my ASCOM would sometimes ring while I was leaving a message for staff members-I would h b I ld have people returning my call while I was l t i ll hil calling others, and I couldn't answer their calls in time and would sometimes have to call them back AGAIN....you g the y get picture. It was messy. :)
  • 20. Daily Staffing for MCR Inpatient Units • Cardiac CNA • Mother and Family L and D Tech CM • Cardiac CNA Relief • Mother and Family RN Relief • Cardiac RN • Mother/Family Labor and Delivery Tech • Cardiac RN Census Managed • Mother/Family RN • Cardiac RN Relief • Mother/Family RN Census Managed • Cardiac Ward Clerk • Ortho Spine CNA • CICU RN • Ortho Spine PCC • CICU RN Census Managed • Ortho Spine RN II • CICU UA II • Ortho Spine UA II • CVI RN • Ortho Spine UA II Relief • CVI RN Census Managed • Post Trauma PCC • CVI UA II Census Managed • Post Trauma RN II • MCR Float Pool / RN • Post Trauma RN II Census Managed • MCR Float Pool CNA • Post Trauma RN II Charge/Preceptor • MCR Float Pool CNA Census Managed • Post Trauma UA II • MCR Float Pool RN Census Managed g • Post Trauma UA II Census Managed g • Medical CNA Census Managed • SICU PCC • Medical CNA Relief • SICU RN II • Medical RN Census Managed • SICU UA II • Medical RN II • Medical RN II Relief • Medical M di l UA II • Medical UA II Census Managed • Medical UA II Relief • Medical UA II Ward Clerk
  • 21. Comments from Staffing Office As the Staffing Coordinator here at MCR, Everbridge has been such a time saver for me. Having the ability to contact several staff members at once has helped me to fill open shifts very quickly. What used to take me 30-60 minutes now takes less than 5. This, in turn, frees up time for me to dedicate to other pertinent job duties, which helps me to be much more effective in my role. Thank you! ~Tammy
  • 22. PVH Emergency Department • Everbridge is used almost daily • All Charge RN’s are trained and have access to their g department groups for messages • Saves time calling so more time can be spent on patient care • Same 30-60 minute process to cover a shift as with the MCR Staffing Office
  • 23. Added Physicians to the API in 2011 • 965 Physicians • All loaded into one Group • Created the ability to Filter by Specialty and Credentialed Location • 67 S Specialties and S Secondary S Specialties • 7 Locations • Example-Call all Trauma Surgeons Credentialed at PVH
  • 24. Why are Filters and Attributes Helpful? • Can call out by Specialty and Location • Can be more specific in the request • The API feeds from Cactus which is the Medical Staff Credentialing software g • I don’t have to worry about updating the data
  • 25. Future ideas • Pull position and department information across in the API for all employees • Pull location information across in the API • Possibly tie into Kronos (scheduling software) so calls are made to off shift personnel only • Members are called on and off shift – (Only negative feedback so far)
  • 26. Everbridge Aware Mass Notification System It is important for you to know how PVHS will communicate with you at the y Communication is always an issue during a disaster. To beginning of a disaster situation and improve in this area, PVHS Emergency Preparedness possibly during one. Please make sure that your personal contact information has started utilizing a mass notification system called is up to date in your department and Everbridge Aware. Everbridge Aware enables one with HR. Routine testing will start HR person to initiate a call down of key staff members that taking place among select PVHS staff are needed in an emergency. By utilizing this system, we members. It is important for you to are able to communicate in less time to a greater amount respond to the real and test messages of people using fewer resources. An example of a so we know that we can reach you. message you might hear is to the lower right. “This is an important message from Poudre Valley Health System Please listen to the message in its How Everbridge entirety, please do not hang up. This Works message is a test of the PVHS emergency notification system. If this would have been a real emergency, you would have been given further instructions or information. Thank you for your participation”.
  • 27. Closing • Everbridge works very well for us the way we have it set up, especially with the API • I would recommend an API f the larger organizations ld d for th l i ti • Check your processes for how contact info is updated for y your entire organization g – Department data and HR level data can differ • The more you use Everbridge, the better you get at sending messages and the better they are received
  • 28. Keith Tyndall K ith T d ll Product Marketing, Everbridge
  • 29. Trusted by Healthcare Organizations Employee Protection & Life Safety Community Health Support • Safety Alerts • Community Information Line • Public Health emergencies • Community Health Education • Facilities Evacuations • Public Health Alerts • Shift Filling/Cancelations • Vaccination Coordination Incident Response & Management • Code Alerts • STEMI Alerts • Response T R Team A ti ti Activation • Regional Collaboration Compliance • Drills and Mock Surveys • Regulatory Agency Visits • Message Confirmations & Interactive Surveys • Reporting and Analytics 29
  • 30. Improve Staff Productivity by 50% During Incidents g “ We’re prepared for patient surges and wildfires, but we hadn’t planned on a localized incident like a highway blockage that would Incident • A solution that didn’t require significant hospital IT and staff time to implement • Interested in flexible solution for both emergency prevent 40% of our staff from and non-emergency use g y reporting to work in non- Solution emergency circumstances. Using • Exceptional ease-of-use for non-technical staff Everbridge Aware, I contacted • Rolled out first-time use of notifications to hundreds of patient care regulatory compliance office to improve response employees in the time it used to take to make one call and fully “ “ rate to CMS and Joint Commission surveys staffed the shift within the hour. hour The Everbridge Advantage Steve Storbakken • One 20 minute session fully trained hospital Director of Safety, Providence response team San Fernando Valley • New use for nurse staffing increased productivity by 50% from filling shift gaps to core tasks 30
  • 31. Advanced Connectivity for a Mobile World • Communicate from anywhere, under any circumstances or conditions • Low-bandwidth optimized to ensure reliability in adverse conditions • Native application designed for specific mobile platforms
  • 32. Note: Q&A Presentation slides are available on our Slideshare account at: http://www.slideshare.net/everbridge Use the Q&A function to submit your b it questions. 32
  • 33. Everbridge Resources On-Demand Webinars: Contact Information www.everbridge.com/webinars White papers, case studies and more www.everbridge.com/resources Follow us: Tim Klippert www.everbridge.com/blog @everbridge tbk@pvhs.org facebook.com/everbridgeinc Keith Tyndall Keith.tyndall@everbridge.com Reminder Everbridge Insights webinars qualify for Continuing Education Activity Points (CEAPs) for DRII certifications. Visit www.drii.org to register your credit. Thank you for joining us today! Item Number (Schedule II): 26.3 Activity Group: A 1 Point for each webinar