HIMSS 2012 – iMDsoft, Steve Sperrazza, RN

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Dr. Howard Rollins, EHRtv AIMS specialist and medical consultant, interviews Steve Sperrazza, RN, Vice President, Sales of iMDsoft.

Category: HIMSS12, Tradeshows
Date: March 26, 2012
Views:6,334 views

Howard Rollins: This is Dr. Howard Rollins. I am at HIMSS 2012 in Las Vegas and today I will be speaking to Steve Sperrazza who is the Vice President of Sales for North America for iMDsoft. Steve thanks for joining us today.

Steve Sperrazza: You are welcome Dr. Rollins. Glad to meet you.

Howard Rollins: Now please call me Howard.

Steve Sperrazza: Thanks Howard.

Howard Rollins: This is how I see iMDsoft. You are very specialized. You have a specialized software product, a specialized solution and I think that’s what differentiates you from some of the other companies that are more broad-based. Can you speak to that a bit?

Steve Sperrazza: I would be glad to. iMDsoft as you said offers software for specialized, complex intensive care units, adult, neonatal, pediatric as well as perioperative environments. We are uniquely able to adapt to the specific needs of those environments and we offer smart decision support tools that enhance the workflow resulting in very clear, tangible, clinical and financial outcomes. If I could other...

Howard Rollins: Yeah please.

Steve Sperrazza: Other EMR systems are typically more broad-based, they provide horizontal offerings across many different hospital departments. They don’t have the verticals of the granularity to go down into the specific areas and they lack specialization in accommodating these complex, critical care anesthesia settings and as you know, the clinician’s needs.

Howard Rollins: So when you speak about granularity, be a little more specific. What kind of data. As we both know, there is a huge amount of data that is constantly being generated in an operating room and this data is vital for reporting purposes, for patient care, for billing, for just about everything that comes out of the operating room. So what level of granularity can we get down to?

Steve Sperrazza: Sure that’s a great question. iMDsoft and MetaVision is our suite of products. So as we talk about MVOR which is our anesthesia solution, what we do at the very basic level is we collect data. So all of the different devices that are in the operating room, feeding data whether it’s the monitor, the physiological monitor, the infusion pumps, the anesthesia machine, cardiopulmonary bypass, all of those machines as you know are spitting out data just very, very frequently.

Howard Rollins: Right.

Steve Sperrazza: We are collecting that. We collect it, we analyze it, we give it a presentation layer so that you can see it and in addition to that, we run a rules engine so that you could have very specific alerts because as you know it’s a very complex environment. Patient’s condition is changing rapidly and to be able to process that large amount of data is difficult as you are watching the patient.

Howard Rollins: Right.

Steve Sperrazza: So being able to get down to look at their heart rates minute-by-minute, their blood pressure, when a Lab value just came back. So this is the granularity that I am talking about. MetaVision is unique in its architecture in that every data element such as we described comes in is a parameter in our database. So that makes us uniquely able to write these rules against those different data elements that are coming in and be able to provide those alerts.

Howard Rollins: Are you able to analyze this data after it’s captured?

Steve Sperrazza: Absolutely. If you look at other systems, they are always looking at how can we measure our outcomes. We want to be able to do two things. We want to be able to do it prospectively excuse me and retrospectively. So rather than just say while we are able to drive protocol enhancements, we are able to drive this, improve these outcomes, we want to be able to change those outcomes as they are happening. So being able to have an alert that asks you to redose a patient with an antibiotic because it’s been three or four hours and instead of two months later finding out that you missed x amount of antibiotics. I think it is very important both for patient safety as well as the hospital’s QA.

Howard Rollins: I was going to get through outcomes a little later in the interview.

Steve Sperrazza: Sure.

Howard Rollins: But since we are here already, let’s talk about outcomes. Tell me a little about your experiences.

Steve Sperrazza: Some of our customers – many of our customers have published papers so independently using our software but with no support from iMDsoft in terms of the papers themselves. For instance, Lehigh Valley Hospital in Allentown Pennsylvania who has been using our software both in the operating room and the intensive care units, all of their ICUs as well as a tele-intensivists to remote surveillance, they were able to decrease their mortality rate by 30% which as you know is very significant in the intensive care unit.

Howard Rollins: Very significant.

Steve Sperrazza: In addition to that, the operating rooms or the anesthesia we’re able to drive their SCIP protocol compliance from 62% prior to implementing MetaVision all the way to 100%.

Howard Rollins: And that’s because of the reminders and the alerts?

Steve Sperrazza: That’s because of the alerts, absolutely. So those reminders to help the clinician. As you know, it’s a process.

Howard Rollins: Right and one of the things that we anesthesiologists are very concerned about is workflow and I think that’s probably one of the things that has slowed down implementation and adoption of AIIMS in the operating room is our fear that our workflow will change and as you know every minute counts in the operating room.

Steve Sperrazza: Sure.

Howard Rollins: If you delay every case by 5 minutes, you may do 2 or 3 cases less a day.

Steve Sperrazza: Sure.

Howard Rollins: And so let’s talk about workflow a little. Tell me how this will help. How the MVOR product will enhance my workflow?

Steve Sperrazza: Absolutely a couple of things. First off, to comment on what you said, you can’t have a documentation system that takes longer to document a case than the actual case takes. So if you are doing a pediatric case, ears and tubes and those take five minutes, you can’t spend 20 minutes documenting the 20-minute case.

Howard Rollins: Right.

Steve Sperrazza: So you are absolutely right. It has to be as fast or faster than typical pen and paper. We are able to accomplish that by having the ability to have what we call sets, multiple actions by pressing one single button that will document many things. The second thing we are able to do in and I hear this, I have been in this industry for more than 20 years and what I hear is that we don’t want to change our workflow to meet your application and some of the other manufacturers or vendors out there require you to do that. This is their software and applications are rigid, ours is not. It’s very flexible. As a matter of fact, it can be customized specific to your workflow. So specific to the care area that’s being implemented in. MetaVision is a single platform that gets configured specifically for the environment so whether it’s an adult, neonationalize to you or in the anesthesia department in an OR or Pre-Op, it’s that one database with the customization and configuration tool that we give the customer to make it their own workflow.

Howard Rollins: Thank you and today as you know the capture of data is not the only important aspect of it, reporting of data is very important and with the AQ1 and the other reporting agencies, how does your product interface with those reporting agencies?

Steve Sperrazza: First off, the ability to mine data from our system is one of the reasons that we have been selected across many of the academic medical centers globally and certainly in North America to be able to very easily pull those data elements out and provide meaningful reporting.

Howard Rollins: Steve, I’d like to thank you spending the time on your value product.

Steve Sperrazza: It’s my pleasure.

Howard Rollins: Thank you very, very much.

Steve Sperrazza: Thank you very much.

Howard Rollins: Steve Sperrazza with iMDsoft. This has been Howard Rollins with EHRtv. Thank you.

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