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.

 

01 Dec

Perinatal Leadership Forum Recap

PeriGen was incredibly honored to take part in this year’s Synova Perinatal Leadership Forum.  The four day event took place in San Antonio and  attracted 124 L&D leaders from across the US and Canada.  A total of 63 hospitals were represented, most of them Baby Friendly or On The Journey and many magnet facilities.

PeriGen’s Allan Kyburz and Darcy Dinneny spent their time attending sessions, meeting nurse leaders, and demonstrating PeriCALM obstetric analytics software. Their main focus was the new Export feature added this year to PeriCALM Patterns and PeriCALM CheckList.  This tools allows bedside labor nurses to automatically flow EFM data into annotations and the EHR without the need for time-consuming manual entry.

Allan demonstrates the PeriCALM Patterns Export feature

Allan Kyburz and Darcy Dinneny of PeriGen demonstrating the new PeriCALM Patterns Export feature

To highlight the feature, PeriGen sponsored a timed contest that awarded a Pebble Smart Watch to the attendee who could review and export data the fastest.  The Pebble Smart Watch, like PeriCALM, integrates with a variety of devices.

The winner was Kristin Salyards of Gibson Area Hospital & Health Services (Gibson City, IL).

Kristin Salyards won PeriGen's Export Contest at the Perinatal Leadership Forum

Kristin Salyards of Gibson Area Hospital in Gibson City, IL was the happy winner of PeriGen’s Export Contest. She won a Pebble Time Round Smart Watch.

 

 

14 Nov

Pratt Regional adds PeriCALM for Patient Safety

PeriCALM Goes Live at Pratt Regional

The PeriCALM launch team for Pratt Regional Medical Center includes Joanne Fullerton, Trent Green and Lisa Steele of PeriGen, as well as Stephanie Simmons and Amanda Vandervoort of Pratt Regional

Pratt Regional Medical Center, serving Pratt, KS, went live this week on PeriCALM.  They’ve added the Patterns patient safety tool, as well as the PeriCALM fetal surveillance tool.  The installation includes an ADT interface and Coldfeed.

Pratt Regional Medical Center is a progressive provider serving south central Kansas and the pan-handle of Oklahoma.

11 Nov

PeriGen rolls out SSO with Epic across Legacy

Legacy Good Samaritan Medical Center in Portland, OR

Legacy Health adds PeriCALM Single Sign On with Epic to help its Labor & Delivery Teams

Good news!  PeriGen is making life a bit easier for the labor & delivery teams of Legacy Health locations with single sign-on.  All five of Legacy’s locations rolled out PeriCALM’s single sign-on with Epic this week.

Legacy Health is a leading non-profit health system serving Oregon.  Headquartered in Portland, the Legacy Health system includes seven hospitals and more than 50 clinic locations, plus research, hospice and lab services.

Legacy Health uses all components of the PeriCALM system as part of their fetal surveillance and patient safety toolkit.

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

09 Nov

How L&D Teams Use Protocols

What do you think? Is that a late?It’s hard to believe it’s been nine years, almost ten, since Steven Clark et al published “Implementation of a conservative checklist-based protocol for oxytocin administration: maternal and newborn outcomes.” Their study found that the use of a checklist-based protocol for oxytocin administration could reduce maximum infusion rates without lengthening labor or increasing operative intervention. In fact, cesareans decreased as a result of the use of the protocol.

To understand how protocols are handled today, PeriGen has launched an ongoing research survey. So far, 129 clinicians have participated. Here is a summary of results so far:

  • 96.7% of respondents use protocols to improve patient safety
  • The top three most commonly used protocols are for obstetric hemorrhage (8.2%), induction/oxytocin (7.6%) and pre-eclampsia (6.8%).
  • Most protocols (56.06%) are managed via a combination of EHR forms, paper forms and separate electronic forms. Few (6.1%) are actually integrated with the EFM.
  • Despite published research indicating induction protocol compliance was 40%, the mean estimate for protocol compliance among respondents is 90%.
  • Most respondents (53.85%) indicate that their teams spend about 1-3 hours a month on training, including initial training, for the protocols they use.
  • Respondents (47.7%) also say they meet as needed to analyze and generate ideas about increasing the effectiveness of the protocols they use, although 21.5% schedule monthly meetings.

To view an infographic of the survey results, please click here. To participate, click here.

08 Nov

Recommended Reading: A Profile of Friedman

Recommended Reading A Profile of Emanuel A. Friedman*

Dr. Emanuel A. Friedman, father of the labor curveEvery practitioner and student of obstetrics owes much to the landmark works of Emmanuel A Friedman. Recently, Dr. Romero, Editor in Chief of the American Journal of Obstetrics and Gynecology, interviewed Dr. Friedman and has chronicled his remarkable story for us. As with many discoveries or inventions, Dr. Friedman’s creative journey was triggered by happenstance and adversity.

While we may debate the merits and shortcomings of the mathematical techniques available in that era, especially when compared with the mathematical methods available today, no one can question how Dr. Friedman raised the level of thinking about labor by a quantum leap. I treasure an autographed copy of his 1955 publication entitled Primigravid Labor; a graphicostatistical analysis.

I highly recommend Dr. Romero’s essay on one of our great obstetrical thinkers.

Reference:
*Romero R. A profile of Emanuel A. Friedman, MD, DMedSci. Am J Obstet Gynecol. 2016 Oct;215(4):413-4. doi: 10.1016/j.ajog.2016.07.034. Epub 2016 Aug 3.
http://www.ajog.org/article/S0002-9378(16)30469-0/abstract?cc=y=

07 Nov

Welcome to PeriGen

 

Hollywood Presbyterian chooses PeriCALM for labor & deliveryThe following hospitals have recently joined the PeriCALM family:

  • Pratt Regional Medical Center (Pratt, KS)
  • Clay County Medical Center (Clay Center, KS)
  • Hollywood Presbyterian Medical Center (Los Angeles, CA)
  • Bothwell Regional Health Center (Sedalia, MO)
  • Mercy Hospital & Trauma Center (Janesville, WI)
  • Twin Lakes Regional Medical Center (Leitchfield, KY)
07 Nov

Back from the honeymoon

Shaping the Future of Perinatal CareBy Matthew Sappern, CEO

Well, it’s been five weeks since we announced the combination of PeriGen and WatchChild and by any and all accounts…so far so good! Of course, most honeymoons are great. Now we start the hard work; the work to continue delighting our customers.

If you have had the opportunity to interact with the WatchChild or PeriGen teams in the last four weeks, you’ve probably noticed – no difference! The personnel you turned to for support, training, implementation services and account management are all the same. The development team remains the same as well and is continuing to enhance the  platform. In fact, we are all focused on the next WatchChild release, which we anticipate making generally available in the January timeframe. But we did not bring these two companies together to maintain the status quo. On the contrary, we are looking to accelerate innovation and in early 2017 bring to all of you more tools designed to benefit both clinicians and the IT teams that support them.

In the last few weeks, I have had the pleasure of meeting with both WatchChild and PeriCALM customers to hear firsthand about the customer experience and I look forward to meeting many more over the coming months. In the last few weeks, I have also spent quite a bit of time with the entire WatchChild and PeriGen team. I am very impressed. I have reinforced their existing commitment to customer service and made it clear that customer satisfaction is a critical goal company-wide and one for which everyone is empowered and everyone plays a part. I am confident that in the coming months you will find that the commitment to your satisfaction continues unwavering.

Matthew Sappern is PeriGen's Chief Executive OfficerThough it will take a bit of time, I look forward to meeting you. In the meantime, please feel free to reach out to me and, of course, the familiar WatchChild and PeriGen faces if there is anything that we can do for you. I hope that you are excited by the merger of these two great companies and knowing that you now have more people and resources focused on maternal and fetal safety and on developing innovative solutions for you.

03 Nov

How much time on charting

How much time could you save on charting if EFM data automatically went into an annotation and your EHR? How does it compare to how much time you could save if you could access your email, apps, and make calls from your watch.

Find out at the Synova Perinatal Leadership Forum, Booth 13 and, while you’re testing the new PeriCALM export feature, be sure to enter to win a free, modern, elegant Pebble Time Round  smart watch. It talks to your phone just like PeriCALM talks to your EHR.