Why We Do What We Do10/14/2019
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Working at Prominence, we pride ourselves on helping hospitals get the most out of their data to become data-driven organizations. And while we are passionate about data and analytics, that alone is not why we do this work.

We do this work because of the impact better data has on real people and patients.

We do this work because better data helps hospitals deliver better care to their patients.

We do this work because better data helps incredible doctors like Dr. Barbara-Jo Achuff at Texas Children’s Hospital deliver better care to her most vulnerable pediatric patients in the Cardiac Intensive Care Unit.

 

The Project

Each year, Texas Children’s Hospital admits approximately 800 children with heart disease, the majority of whom have undergone, or will have to undergo heart surgery. Surgeries vary from the more routine to the most complex, like that for Hypoplastic Left Heart Syndrome (HLHS), where a baby is born with half of a working heart. HLHS requires a surgery at 1-2 weeks old called the Norwood Procedure, which is the first in a series of 3 surgeries. Dr. Barbara-Jo Achuff is leading research on HLHS and other critically ill patients and managing their pain post-surgery in the Cardiac Intensive Care Unit (CICU). Most patients follow a typical “pathway” for medication post procedure, but there is a small percentage of patients who become difficult to sedate. To help manage her patients’ pain and outcomes, Dr. Achuff, wanted to answer the questions:

Do More with Data

Partnering with TCH, Prominence developed a Tableau application that brought together data to better identify the patients who are approaching the “difficult to sedate” marker, meaning they are at a high risk and need special monitoring. The app provides a visual cue for these patients as well, creating a color-coded view of the floor to indicate which patients are at the highest risk.

Data that was previously only available through anecdotes is now being used by the hospital’s sedation workgroup, where clinical teams are able to use data to understand patient reactions to medication and timing of rescue doses, which is a sedation medication given in an urgent, unplanned situation. This allows them to adjust dosing of continuous medications and ultimately wean the patients off of medications faster, resulting in better care and decreased complications from drug dependency and withdrawal.

The application facilitates sedation rounds on the unit, assists with identification of patients who are nearing difficult to sedate, and allows for increased attention and monitoring on these acutely ill patients.

Knowing that better data can help improve the care for these pediatric patients is the best reason to do what we do at Prominence.

TC19

Learn more about Prominence and our work with Texas Children’s Hospital at this year’s Tableau Conference! Dr. Achuff and her team will be presenting on how the Tableau application is helping them care for Hypoplastic Left Heart Syndrome patients. Find more about this year’s Tableau Conference here.

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