eHospital's Journey from Concept to Emerging Enterprise-wide Luminary


Innovation has long been one of the hallmarks of Cleveland Clinic. The innovations and medical “firsts” frequently attributed to Cleveland Clinic include surgical firsts, such as the world’s first coronary angiography, the first minimally invasive aortic heart valve surgery, and the first kidney surgery performed through a patient’s
navel. But Cleveland Clinic’s expertise and innovations stretch far beyond the surgery suite.

eHospital is a leading example of Cleveland Clinic’s leadership in Health IT
and is a comprehensive solution for inpatient monitoring. The multidisciplinary
team responsible for creating it developed a game changing clinical playbook, clinical
decision support, software platform, and command center that monitors patients
enterprise-wide and prioritizes those patients needing attention.

“There’s just too much information for one caregiver or even a single machine to take
in when taking care of a population of patients,” says Marc Petre, PhD, Executive
Director of Clinical Engineering.

The eHospital program’s primary purpose is to get the right information real-time to the right people to make great decisions resulting in optimal patient outcomes and reduced staff burnout. At the core of the program is the operations center that is staffed around the clock for telemetry and 12 hours daily for ICU. From this operations center, teams remotely monitor patients within the enterprise. eHospital clinicians intervene in critical situations, and they also provide support for routine activities. Even though it’s a process driven, technology-driven program, eHospital also contributes to delivering relationship-based care within the workflow.

The buzz about eHospital wasn’t created overnight. Rather it was a multi-year innovation journey that began in 2009 with a proposal to implement remote ICU monitoring using a commercial platform. During the search for existing platforms,
the multidisciplinary team encountered challenges, such as high product cost and limited integration with EMR. The team, which included physicians, nurses, clinical engineering, software developers, and others, redoubled its efforts, again proposing ICU monitoring in 2011. Unable to find an existing product that met Cleveland Clinic’s requirements, the team moved forward with inhouse designs in 2012.

With prototypes and early validation in hand, the eHospital team began working with Innovations to advance and commercialize the project. By early 2014, the first ICU Pilot was ready for go - live. By 2015, the team added the eCMU telemetry concept to
the emerging platform. The eHospital platform has evolved and now enables enterprise-wide critical, constant, and remote patient monitoring for Cleveland Clinic. 

Through the eHospital initiative, providers are able to scale limited clinical staff to meet the maximum number of beds with comprehensive, proactive, and on-demand care.

The Road Ahead
Remote care in hospitals is leading to new ways of thinking and supporting clinicians complex decision making with a constant flow of actionable information. So far, the impact on both patient care and staffing has been extensive. Next up for eHospital: clinical consults, additional coverage areas, and expanded use of analytics.

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