#08 - Infectious Disease Tile

Andy: Hello and welcome. This is Andy with the Command Center team, and today I’m here to talk to you about the Infectious Disease Tile.

This Tile allows for visualization of patient load and critical bed capacity associated with caring for Covid-19 patients. The Infectious Disease Tile was stood up in order to help with the Covid-19 crisis in very rapid time frame and is used at over 100 hospitals today. We’re on Tile Viewer right now which is our landing page. Whenever you log into our system you land here and there’s a variety of different Tiles you can pick from depending on your installation. Today we’re going to look at the Infectious Disease Tile so I’ll click there. So before I dive into the 4 quadrants of the Tile, let me just orient you to how the Tile works. In the top left, you see the name of the Tile and the viewer on which is the facility view for Hospital 1.

As you move over to the top right, you’ll see the QuickNav button, that’s where you can change facilities you’re looking at. Next to that is the ‘i’ or info button which is where the Legend lives. You can always see the definition of any icons or symbols on the Tile in that space. And then to the right of that is the little gear or settings button, and this is where you can change what appears on the Tile to suit the individual user and their preferences. And then they can save that by hitting ‘save settings’ and it’ll be that way when they come back next.

We’ll look at that a little bit more later. And then in the bottom left corner of the Tile, you see the little flickering dashes there. That’s the freshness indicator indicating to us that we’ve gotten data very recently for the Tile. Updates every 30 seconds. So we know we have the latest and greatest and the Tile is refreshed. So now let’s dive into the quadrants and look at what’s actually on the Tile.

In the top left quadrant, this is the patient load. So you can see the load of Covid on the hospital. And so you see that there are 11 patients in test. There’s 124 with a negative result and there are 6 with a Covid-19 positive result. Below that, you see the details by unit and level of care and you can see how it breaks out. And, of course, you can click on some of those numbers to see details about what’s inside, where those actual patients are, and how long ago the test was, et cetera. So the top right quadrant is the status of the critical resources needed to address Covid. Either critical care or Covid-targeted units where the patient are cohorted for that. So that’s what the parentheses means, it’s a Covid appropriate unit.

So you can see there on 5A for example, there are 3 beds in use and 3 Covid beds that are capable in use. All 3 are that. And then to the right of that, you see ‘available’. There is 1 bed available and it is a negative pressure bed which is also Covid-capable. And then all the way over to the right you see the 4 blocked. Above that you see the little 3 on Criteria Not Met for 3 South.

What that shows is there are patients - all 3 patients have a discharge order. So that means they no longer meet criteria, they’re ready to go. And so if those beds become precious, we can look to accelerate their departure. To be clear, hospital infectious disease specialists as well as leadership determine which beds are targeted and appropriate for Covid, and use a configurator to set that up in our system. So it’s all determined by the hospital. In the lower left quadrant, you see a run chart of new test results. Either tests in process or new tests resulted by day.

So you can see the load as the days go on across time. And then to the right of that, for the critical resources that are shown in the upper right quadrant, we see any beds that are either critical care or Covid-capable that are in process with EVS. Either they’ve been assigned or they’re being cleaned or they’re dirty waiting to be assigned. And so that way we can make sure we turn those beds quickly when needed. So let’s go up to the QuickNav button and take a peak at another hospital, Hospital 2.

We can switch from one to the other really easily by just clicking there. And in Hospital 2, what we’ll see is that again, in the upper left quadrant, multiple pages. Let click to page number 2 and we’ll see that there are - there’s a red bed there, let’s click on that.

That’s a patient with Covid positive results that’s in a location that’s not appropriate for Covid. So they are in an Exam room in the ED, a general exam room, not an isolation room. And their test result has come back positive.

And so that’s an alert that there’s a situation there which is a sub-optimal patient placement according to how the hospital has decided to allocate which beds are appropriate and not. So we’re alerting that that is not to protocol. In additional to that, let’s go up to the gear button and let’s take a look at sorting and filtering. So you have the ability to change the way that occurs, and the ability to turn on and off sections of the Tiles.

So let’s for example, say that we wanted to turn off the lower left and the lower right quadrants so we could really get a zoomed-in view of patients without having all the scrolling.

So you’ll see it automatically unpack. And so many folks will have the Tile up in their Command Center, or up on their computer screen with different views selected like this so that you don’t have to watch the scrolling. It’ll show all the units if more fit on a single screen. And then lastly, if we go up to that gear button again and change to the System View, we can see across all the hospitals in the System View what the counts are for how many patients are in test, negative and positive, as well as the resources in use. So you can see we have 19 positive across the system right now. And you can see for critical care, we have 26 of 41.

And below that is the combined run chart of those daily new results and new tests. So that’s the Covid-19 Infectious Disease Tile, in use at close to 200 hospitals and really helping folks to manage their Covid load across the system.

Thank you for your time.