28 Feb

Recently Published

PeriNews, PeriGen's take on what matters in obstetricsPeriGen assists Medstar in improving key labor & delivery outcome indicators

Becker’s Hospital Review, a health system management publication, recently published the results of a study done by Sam Smith, MD and Lynette Philips RN of Medstar as well as a team of PeriGen clinical researchers that highlights the impact of process improvement on obstetric outcomes.

The study examined ten years of data on 78,459 births at Medstar, a health system serving Maryland. Data on cesarean rates, NICU transfers, and the use of fetal resuscitation was examined before and after the introduction of a large-scale process improvement program that included the introduction of PeriGen’s decision support software tools.

Medstar results show decline in NICU transfers, fetal resuscitationKey results included:

  • A 54% reduction in the use of cardiopulmonary resuscitation, assisted ventilation, or intubation.
  • NICU transfers which had risen steadily prior to the program declined by 52%.
  • Cesarean rates stabilized after the introduction of the software despite continuously rising rates of obesity, diabetes and hypertension.

Read more

Reference:

Samuel Smith MD, Lynette Philip RN, Adi Zmiri MD, Emily Hamilton MD, Thomas Garite MD. HIT and clinical synergy: A decade of decreasing NICU admissions & stabilizing cesarean rates, Becker’s Hospital Review, 2016 Dec 20.

20 Dec

How one health system used HIT to control rate of Cesareans


Cesareans stabilized, NICU admissions and resuscitation decline after implementation of PeriCALM® Patterns™

Becker’s Hospital Review just released the results of 10-year study on the impact of process improvement and the use of PeriCALM on the rate of cesareans, NICU admissions and CPR/ventillation/intubation.

The study, authored by Sam Smith MD and Lynette Philip RN of MedStar and Adi Zmiri MD, Emily Hamilton MD CM, and Thomas Garite MD of PeriGen, looked at data for 78,459 births for Cesarean rates, NICU admissions, and the use of extraordinary fetal resuscitation procedures before and after the introduction of a management focus on care processes and staff training combined with the use of PeriCALM Patterns.

Following is a summary of the results published by Becker’s:

  • Despite an increase in factors associated with rates of cesarean sections, the rate of cesareans remained stable after the introduction of PeriCALM and advanced management strategies.
  • NICU admissions declined by more than half after PeriCALM and the process improvement steps were introduced.
  • The number of babies requiring unusual resuscitation measures in the delivery room decreased from 5.2% to 2.4%.

Click to access the Becker’s article providing full results and details

06 Dec

PeriCALM CheckList nominated for Edison Award

CheckList nominated for 2017 Edison Award for innovation

Protocol Management Tool again

recognized for innovation,

nominated for Edison Award

PeriGen announced today that their protocol management tool, PeriCALM CheckList, has been nominated for a 2017 Edison Award.  The Edison Awards recognize and honor innovation and innovators who make a positive impact in the world.

CheckList also received a Fierce Health Innovation Award earlier this year.

The Edison Awards are named after Thomas Alva Edison (1847-1931) who developed 1,093 patented new products, including the incandescent electric light and the system we still use today to generate electrical power.  His other products include the telephone transmitter, the phonograph, the first storage battery, and a motion-picture camera.

Edison Awards nominees are evaluated not only on their impact, but also the method of conceptualization, product value (advantages and differentiation), and marketing delivery.

PeriCALM CheckList, a module of the PeriCALM electronic fetal monitoring and analytics software solution, is designed to help bedside perinatal clinicians identify when patient EFM metrics match specific protocol parameters.  Although it is highly customizable, it is most often used by hospital clients to monitor oxytocin protocols.  The automation of protocol management that CheckList offers aims to save labor & delivery providers time by eliminating manual calculations and improve data accuracy.  Published research on obstetric protocols, in addition, have been shown to improve outcomes and lower cesarean section rates.

The module also includes a unique export feature, saving additional time by sending EFM data to the EHR and to annotations after review.

 

10 Nov

Impact of the laborist model on obstetric care

Research Summary:
Evaluating the impact of the laborist model of obstetric care on maternal and neonatal outcomes*

Inventor of PeriGen advanced fetal monitoringBy Emily Hamilton, MD CM, Senior Vice President of Clinical Research

This study, published in the August 13th issue of the American Journal of Obstetrics & Gynecology, examines outcomes before and after the introduction of a laborist model of care. Surprisingly, very few differences were noted when comparing changes over time in the hospitals with laborists to changes over the same period of time in the matched hospitals without laborists. This paper describes an interesting methodology to try and tease apart the effect of various factors on obstetrical outcomes. This is relevant because most quality improvement initiatives are studied in a before-and-after fashion and not in a prospective randomized trial.

The study is discharge summary data to NPIC between 1998 and 2011. Results from three hospitals where laborists were introduced were compared to six control hospitals matched for delivery volume, geographical area, teaching hospital status and level of neonatal nursery.

Once adjustment was made for several patient-related factors, no differences were observed in the odds ratio (OR) for any of the neonatal outcomes or for cesarean rates. The OR was reduced only for induction of labor (0.85 95%CI 0.71-0.99) and for Preterm Birth (0.83 95%CI 0.72-0.96). Although the OR for Preterm Birth was reduced this was not accompanied by a change in the OR for the birth of babies weighing

In short, the introduction of laborists was associated with a change in medical behavior (Induction of labor) and some change in actual outcome (preterm births), but not in low-birth-weight babies. A question that springs to mind immediately is the role of unmeasured factors such as policies to curtail elective induction of labor prior to 39 weeks that became common during this timeframe and were not adopted by all hospitals at the same time. Evidently the desire to improve is alive and well in many hospitals and there is no single solution for all.

Reference:
*Srinivas SK, Small DS, Macheras M, Hsu JY, Caldwell D, Lorch S. Evaluating the impact of the laborist model of obstetric care on maternal and neonatal outcomes. Am J Obstet Gynecol. 2016 Aug 13. https://www.ncbi.nlm.nih.gov/pubmed/27530491

27 Sep

PeriGen & WatchChild Combine Forces

Shaping the Future of Perinatal Care Together

A New Era in Obstetrics Begins

PeriGen’s acquisition of the WatchChild Fetal Monitoring System will result in access to the most comprehensive perinatal safety platform available.

Current users of both PeriGen’s PeriCALM and WatchChild system will continue to be fully supported and can, in the future, expect access to additional clinical, analytic, and expanded enterprise software management tools.

Steven Clark, M.D., professor of maternal fetal medicine at Baylor College commented on the new partnership: “I’ve had the pleasure of working independently on research projects with the PeriGen team and seeing how well their technology can augment nursing for the benefit of patients, clinicians, and research teams. As a current WatchChild customer, I am excited about this combination.”

The combined entity will be led by PeriGen chief executive officer Matthew Sappern. The management team will include senior executives from both companies, including the appointment of Brian Bishop, currently the general manager of WatchChild, as chief product officer.

For more information, please call 877.700.4755, email info@perigen.com or click here

14 Dec

CheckList wins Fierce Innovation Award

PeriCALM CheckList wins Fierce Innovation AwardWe just received word that PeriCALM CheckList has won this year’s Fierce Innovation Award in the Clinical Information Management category.

CheckList was selected by a distinguished panel of CIOs from leading US hospitals and healthcare systems, including Allina Health, Rush University Medical Center, and JFK Health System.  Finalists were evaluated based on care efficiency, competitive advantage, financial impact/value, market need, patient experience, quality of care, and patient outcomes.  The annual award competition is sponsored by the publisher of FierceHealthcare and FierceHealthIT.

Introduced earlier this year, PeriCALM CheckList was created to help hospitals improve compliance with protocols that depend on electronic fetal monitoring. PeriCALM CheckList continuously analyzes fetal heart rate and contractions to identify concerning trends, even those occurring faintly and over a long expanse of time. This level of vigilance and standardization is especially effective when administering oxytocin (a commonly used drug that stimulates contractions).

PeriCALM CheckList simplifies the checklist process by accurately and automatically counting and summarizing specific fetal heart rate and contraction patterns. The color coded displays of PeriCALM CheckList provide quick visual cues when specific criteria have been exceeded. PeriCALM CheckList criteria can be customized by each hospital or health system according to their protocols that govern clinical care.

“Adverse outcomes during childbirth … can bring severe financial consequences when care does not follow widely accepted practices,” says Matthew Sappern, PeriGen Chief Executive Officer. “PeriCALM CheckList is a powerful tool for helping clinicians meet expected standards of care.  We’re proud that its potential to drive better outcomes has been recognized.”

Click to see the official news release “PeriCALM CheckList wins Fierce Innovation Award”

08 Dec

Emily Weighs in on Healthcare Automation Article

Screen Shot 2015-12-09 at 3.52.52 PMEmily Hamilton, PeriGen’s SVP of Clinical Research, found it impossible not to weigh in on a recent discussion in the New York Times about the use of algorithms and automation in healthcare.

“There will always be a need to superimpose clinical judgment because no model or algorithm will account for all the factors influencing labor in every patient…”

Her observation about the importance of standardization in obstetrical care is drawing comment from both clinicians and patients from around the country.

Take a look and let us know what you think

23 Nov

Interoperability: The baby and the bathwater

Interoperability: How to keep the baby and the bathwaterDuring a recent interview with Health IT Interoperability, Bruno Bendavid, PeriGen’s Senior Vice President of Product Management was adamant about not allowing the rush to achieve interoperability between healthcare systems erode the need for clinical system workflows that make sense.

“In today’s environment, rigid approaches do not necessarily help create effective, safe, and productive workflows for clinicians.”

In addition to weighing in on the side of uncompromised clinical quality, Bruno speaks to the growing importance of mobile-enabled solutions with easy-to-use interfaces.  “The movement to cloud-based technologies is growing and will be a ‘must-have’ for healthcare platforms,” states Bruno.

The interview, conducted by Frank Irving, outlines the current state of interoperability and important considerations for the road ahead.  In addition to Bruno’s perspective on integrating specialty systems such as those used by labor & delivery, the article includes sound bites by Nancy Ham of Medicity, Matthew Hawkins of Sunquest Information Systems, and Tom Lee of SA Ignite.

Continue…

Click here to hear more about Bruno’s advice for balancing clinical quality with enterprise interoperability

07 Oct

The PeriGen Journey

PeriGen featured in One Million by One Million Blog

The PeriGen Journey

During last week’s interview with Sramana Mitra,  the founder of One Million by One Million, Emily Hamilton outlined the long, often winding journey taken from her seed research into labor progress at McGill University to the forming of PeriGen to today’s fast growth as more and more hospitals realize the patient safety benefits of applying advanced technology to labor & delivery patient care.

She detailed how McGill’s mission of enabling world-class expertise and her love of “tinkering” led to government funding for the collaboration of a group of mathematicians, engineers, and clinicians that developed a totally new method — a mathematical model — for measuring labor progress, one designed to assess whether progress is normal or significantly abnormal to require intervention.

Emily describes how the new product was tested in her own backyard in Canada where almost all Montreal hospitals tested and then rolled out the prototype.  The hard part came with the attempt to extend reach into the Unites States.

“It certainly was harder when I stepped outside of my backyard.  With novel ideas, there’s a fair bit of skepticism as well.  Obstetrics has a lot of medico-legal pressures so there’s a lot of fear of doing anything that’s new,” explains Emily.

Enter PeriGen

Joining Emily Hamilton during the One Million by One Million interview, Matthew Sappern (PeriGen’s CEO) explained the next leg of the journey.

“PeriGen is actually the combination of a company called E&C Medical, originally based in Tel Aviv, and LMS, Emily’s company in Canada.  E&C was trying to do pretty much what Emily’s team was rolling out.    The companies were brought together under the name PeriGen to offer their compelling technologies within the US market,” says Matthew.

The combination has proved to be a powerful one.  Under Matt’s leadership, PeriGen has gained avid evangelists for their technology among the obstetric and investing communities.  The result has been significant growth and a remarkable level of traction, especially in the last 18 months.

Click to read the entire interview on One Million by One Million