Meet ‘Moxi’ – ChristianaCare Presents Innovation

NEWARK, Delaware, May 24, 2022 (GLOBE NEWSWIRE) — ChristianaCare is the first healthcare system in the Philadelphia area to pilot an innovative tool called Moxi, a collaborative robot – or “cobot” – that can help the hospital by making deliveries and performing other non-clinical tasks so that nurses and other clinical staff can spend more time doing what they do best: caring for patients.

With a historic $1.5 million grant from the American Nurses Foundation, ChristianaCare will deploy a total of five Moxi cobots at Christiana Hospital. This is the largest single grant in nursing history to ChristianaCare.

Research published in the Journal of Nursing Management shows that nurses spend a significant amount of time – up to 33% of their shifts – on time-consuming but simple tasks such as dropping off lab samples, collecting supplies or picking up medicine from the pharmacy. By supporting these time-consuming yet simple tasks, Moxi allows nurses to focus on patient care where their skills are needed most.

“Nurses need the time and space to provide care and educate patients at the peak of their license,” said Ric Cuming, Ed.D., MSN, RN, NEA-BC, FAAN, chief nursing officer and President, ChristianaCare HomeHealth. “Moxi will do those hunting and gathering tasks such as getting equipment and supplies, which nurses do today but don’t need to do.”

Cobots are designed to share the workspace and interact directly with people. In ChristianaCare’s initiative, Moxi cobots will be integrated with Cerner Corporation’s electronic health record (EHR) platform and use artificial intelligence to proactively identify when nurses need equipment, supplies , drugs and laboratory tests.

The Moxi cobots will be deployed in 11 inpatient units, in partnership with more than 400 nurses. The American Nurses Foundation grant will allow ChristianaCare to evaluate the impact of cobots on nursing practice with the goal of scaling the technology if successful.

“Moxi does not replace a nurse or a nursing position – or any position,” Cuming said. “It’s an additional resource for nurses and their teams.

“With robotic technology, we are using resources wisely and efficiently, creating more efficient workflows, reducing repetitive tasks, and freeing up nurses’ time for the complex clinical work they excel at.”

Reinventing Nursing

ChristianaCare is one of 10 grant recipients from the American Nurses Foundation’s Reimagining Nursing (RN) initiative.

“We are proud that the American Nurses Foundation has confidence in bold nurse-led ideas that will lead to large-scale, replicable change,” said Katherine Collard, MS, RN-BC, chief nursing informatics officer at ChristianaCare. .

“This grant will help ChristianaCare nurses and our nursing colleagues across the country reach their full potential, giving them the tools, resources and power to improve health care now and in the future.

With the grant from the American Nurses Foundation, ChristianaCare will conduct research on improving nursing outcomes through robotics.

“We have a transformative opportunity to generate new knowledge and advance science around robotics in nursing and healthcare,” said Susan Birkhoff, Ph.D., RN, nurse scientist at ChristianaCare.

“Through research, we will investigate the impact of Moxi on caregivers, which will have broad implications for nursing practice, workforce and education,” she said.

ChristianaCare began exploring the potential of robotics to support nursing care with two Moxi cobots acquired in February, funded through the generosity of donors including Good Samaritan, Inc. and EJ “Woody” Rice.

With the grant, Birkhoff said, ChristianaCare will take Moxi to the next “bold frontier,” adding three more cobots with the goal of automating and optimizing nurses’ workflow without interrupting care. With five cobots in total, ChristianaCare will house the largest number of Moxi robots in healthcare.

The little robot that can

Before Moxi can become a full part of the care team, he must learn how to navigate the hospital and respond to the needs of nurses. Using artificial intelligence, Moxi maps Christiana Hospital using sensors and other machine learning technologies so cobots can ultimately navigate and work autonomously.

“When the Moxi cobots are fully integrated, we expect them to perform up to 200 delivery tasks per day,” Collard said. “By making point-to-point deliveries, Moxi can save nurses time and thousands of steps.”

Designed to be compatible with busy hospital environments, Moxi features include:

  • Social Intelligence: Moxi won’t bump into people or objects in the hallways, won’t wave when he sees someone new, and will happily pose for selfies.
  • Mobile Manipulation: Moxi can learn to use her robotic arm to operate existing automatic doors and elevator panels.
  • Human-Guided Learning: The more Moxi is used, the more Moxi learns and adapts to the environment and specific ways of doing things.
  • User-Friendly and Safe Design: With heart-shaped eyes and a user-friendly appearance, Moxi is designed to navigate safely and get the job done so nurses can focus on patient care.

“What Moxi is doing in healthcare systems like ChristianaCare is really transforming the way we think about healthcare and allowing staff to focus on the people in the hospital rather than the tasks,” said Dr Andrea Thomaz, CEO and co-founder of Diligent Robotics, which created Moxi.

“Robots are not something of the future. Our robots work side-by-side with humans to ease the stress and workload of one of society’s most demanding jobs, nursing. The partnership between Diligent and ChristianaCare shows that the future is now.

Help in the hospital

Directly from the Cerner EHR, Moxi will be able to anticipate clinician and patient needs and perform tasks without human intervention. Examples could include:

  • Deliver items to patients based on order requests from nurses.
  • Make rounds to units to deliver lab specimens on completed collections to the electronic health record.
  • Make just-in-time deliveries of pharmaceuticals not stored on the floor.
  • Prioritize tasks based on the nursing workload on a unit, so that the busiest nurses get help first.

“Moxi’s connection to existing technology that clinicians use daily is key to making it easier to anticipate needs so clinicians can spend more time caring for patients,” says Eva Karp, DHA, MBA, RN-BC, Senior Vice President, Head of Clinical and Patient Safety, Cerner.

“Moxi could make a real difference to a nurse’s day – by alleviating burnout and staff shortages, which have become particularly prevalent since the pandemic.”

The integration of the electronic health record into Moxi is part of the study funded by the American Nurses Foundation.

“It is absolutely in the best interests of our patients that Moxi can work alongside nurses so that we can spend more time working directly with our patients doing what we do best,” said Pam Owen, MSN, RN-BC, nurse manager on 7E, one of the pilot units. “And Moxi brings a smile to people’s faces.”

Quick facts about Moxi

  • Work 22 hour shifts.
  • Only requires two hours of charging time.
  • Weighs around 300 lbs.
  • Can support a total weight of 70 lbs.
  • gender neutral. The pronouns are “that” for a single Moxi cobot and “they” for more than one.
  • Named one of America’s Greatest Disruptors of 2021 by Newsweek and one of Time Magazine’s Top Inventions of 2019.

About ChristianaCare

Based in Wilmington, Delaware, ChristianaCare is one of the nation’s fastest growing health care organizations, focused on improving health outcomes, making high-quality care more accessible and lowering the costs of Health care. ChristianaCare includes an extensive network of primary care and outpatient services, home health care, urgent care centers, three hospitals (1,299 beds), a stand-alone emergency department, a level I trauma center and a Level III neonatal intensive care unit, comprehensive stroke center, and regional centers of excellence in cardiac and vascular care, cancer, and women’s health. It also includes the pioneering Gene Editing Institute.

ChristianaCare is nationally recognized as a great place to work, ranked by Forbes as the 2nd best healthcare system for diversity and inclusion, and the 29th best healthcare system to work for in the United States, and by IDG Computerworld as one of the best places in the country. work in IT. ChristianaCare is ranked by Healthgrades as one of America’s Top 50 Hospitals and continuously ranked among the nation’s best by US News & World Report, Newsweek, and other national quality rankings. ChristianaCare is a nonprofit teaching health system with more than 260 residents and fellows. With its groundbreaking Center for Virtual Health and focus on population health and value-based care, ChristianaCare is shaping the future of healthcare.

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Norma A. Roth