REMEDI

Regenstrief National Center for Medical Device Informatics

Realizing that alarm safety was an emerging concern among hospital administrators and national regulatory organizations, RCHE focused attention on this escalating patient safety challenge in 2010 before it reached the level of high national awareness. Using Purdue HUBzero® technology (developed through a $38M investment from the National Science Foundation that has been leveraged to create more than 40 HUBs that support a wide spectrum of scientific communities), RCHE established a HIPAA-aligned HUB (www.CatalyzeCare.org) as a portal to support an internet accessible, national “Drug Limit Alert” database.  Initially called Infusion Pump Informatics (IPI), this system is now named the Regenstrief National Center for Medical Device Informatics (REMEDI) Central.  Hospital users submit the following types of infusion pump data to REMEDI Central: 1) alert data generated when the clinician programs the pump outside the limits of the Dose Error Reduction Software (DERS); 2) the compliance data indicating how often clinicians use the smart pump features and 3) their hospitals’ drug limit libraries.

As of April 2016, 149 hospitals across the nation deposit data from smart pumps delivering IV drugs to patients into the REMEDI Central functionality of CatalyzeCare and generate comparative reports summarizing their hospital’s data relative to other hospitals in the database. Most importantly, the reports are used in real time to identify candidate drugs for in-house changes to the “drug limit libraries” that hospital pharmacists generate to program smart pumps delivering drugs. This resource has grown dramatically since its inception and during the last four months alone growth has averaged one new hospital per week. RCHE sponsors three national conferences a year, one in-person and two “virtual,” for this “Community of Practice”. The in-person conference is attended by pharmacists, nurses, patient and medication safety officers, and representatives of various national organizations who have an interest in infusion pump safety. Given the Joint Commission’s edict on alarm management, it is not surprising that the Association for the Advancement of Medical Instrumentation (AAMI), the American Society of Health-System Pharmacists (ASHP), and the Institute for Safe Medication Practices (ISMP) all have contacted RCHE to explore: 1) significantly expanding REMEDI Central’s capabilities, and 2) leading the effort to establish a national standard for infusion medication limits.

RCHE is exponentially expanding CatalyzeCare.org to enable an even greater impact on the safety and quality of healthcare delivery nation-wide. We are actively working on projects to: 1) significantly increase the capacity of the current system to allow more users and improved performance; 2) capture all infusion pump alarms, not just those generated against the drug limit libraries; 3) dramatically increase the capabilities to include physiological sensing monitor data; and most important 4) linking smart pump and physiological sensing monitor data to patient data to better measure impact. Forming new communities around these additional medical devices will provide fertile ground for Purdue researchers and our partners to examine not only the use of these devices, but how these communities advance patient safety and quality.

Publications

REMEDI Infographic

REMEDI Central Brochure

Steering Committee

Andy Aldred

Andy Aldred

Director of Pharmacy and Materials Management
Cameron Memorial Community Hospital

Scott Chiarkowski

Scott Ciarkowski

Medication Safety Officer
University of Michigan Health System

Melanie Cline

Melanie Cline

Senior Advisor - Process Improvement
Purdue Healthcare Advisors

Dan Degnan

Dan Degnan

Senior Project Manager, Center for Medication Safety Advancement
Purdue College of Pharmacy

Kristy Fitzgerald

Kristy Fitzgerald

Residency Program Director
Adventist Health

Karen Giuliano

Karen Giuliano

Associate Professor of Nursing
Northeastern University

Nurse Scientist
Hallmark Health

Scott Hirschy

Scott Hirschy

Director of Information Technology and Project Management
Cameron Memorial Community Hospital

Julie Kindsfater

Julie Kindsfater

Medication Safety Program Manager
Aurora Health Care

Margaret Schmidt

Margaret Schmidt

Pharmacy Coordinator
Allina Health

Alana Washington

Alana Washington

Director of Pharmacy Services
St. Vincent

Members

Provider State
Abington Jefferson Health PA
Adventist Health Central Valley CA
Agnesian HealthCare WI
Allina Health MN, WI
Aurora Hospitals and Medical Centers WI
Boulder Community Health CO
Bristol Hospital CT
Cameron Memorial Community Hospital IN
Community Health Network IN
Community Hospital NE
Community Hospital of the Monterey Peninsula CA
Community United Methodist Hospital KY
Cook Children's TX
Deaconess Health System IN
Einstein Medical Center Montgomery PA
Eskenazi Hospital IN
Franciscan Alliance IN, IL
Froedtert WI
Good Samaritan Hospital Vincennes IN
Gundersen Health System WI
Hallmark Health MA
Hancock Regional Hospital IN
Health Quest NY
Holland Hospital MI
IASIS Healthcare AZ, AR, CO, LA, TX, UT
Indiana University Health IN
Indianapolis VAMC IN
Intermountain Healthcare ID, UT
Kaiser - SCAL CA
Kaweah Delta CA
Madison VA WI
Memorial Medical Center IL
Mercy - Cedar Rapids IA
Metro Health Hospital - Wyoming, MI MI
Montefiore Medical Center NY
Nebraska Medicine NE
OakBend Medical Center TX
Parkview Health System IN
Peninsula Regional Medical Center MD
Providence Alaska Medical Center AK
Rush University Medical Center IL
Saint Vincent Hospital MA
St. Vincent Health IN
UC Davis Medical Center CA
United Health Services NY
UnityPoint Health - St. Luke's Hospital IA
University of Iowa Hospitals and Clinics IA
University of Michigan Health System MI
University of Wisconsin Hospital WI
Virginia Mason Medical Center WA
Witham Hospital IN

Purdue University, 610 Purdue Mall, West Lafayette, IN 47907, (765) 494-4600

© 2015 Purdue University | An equal access/equal opportunity university | Copyright Complaints | Maintained by Regenstrief Center for Healthcare Engineering

Trouble with this page? Disability-related accessibility issue? Please contact Regenstrief Center for Healthcare Engineering at dpweb@purdue.edu.