Data You Can Learn From

An EMR is a necessary, although not always popular, tool that helps caregivers take better care of their patients. While all EMRs store data, not all of them do so in a way that makes the data easy to access and enhances a physician’s ability to make better decisions. This is where PediNotes stands out - we designed it from a clinician’s perspective with a focus on helping neonatologists learn from what they do.  

“I think the most important thing we all need to know when taking care of our patients is why we do the things that we do and what are the outcomes,” says Dr. Steve Spedale. In PediNotes, everything is tied to a diagnosis, whether that’s ordering a lab, radiology test, etc. This helps you and your team understand the reasons behind your actions so you can learn from and improve your decision making going forward.

Sharing Data, Saving Time

One of PediNotes’ most critical features, besides improving your efficiency during each day, is the data collection. PediNotes makes it really easy through in-program data analytics for you to get the information you need to understand patient treatment. You don’t have to contact information systems to write reports; you do it yourself when you’re ready. This is just one of the many ways in which PediNotes is designed to save time and simplify processes, giving caregivers greater satisfaction as they carry out their work.

Ready to Join the PediNotes Family?

When you’re ready to take greater control of your data and time in your NICU, you can sign up for a free, interactive demo with PediNotes by visiting

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Using PediNotes for Clinical Improvement in the NICU

With PediNotes, caregivers can collect and manage patient data more efficiently, reducing stress on the NICU team and elevating the standard of care for young lives. In today’s video blog we explore the specialized data features that will make your workflow as a physician easier and more natural, while you free up your time for other tasks that matter. 

What’s the Cube?  

One of the ways PediNotes drives clinical improvement is powerful in-program analytics, which we refer to as the data cube or data warehouse. The cube allows you to create data dashboards that track data in real time. “Among my favorite dashboards are the real-time shots of all the nurseries and all the different patients that we have, type of ventilators in use, etc.,” says Dr. Steve Spedale. 

How Does Real-Time Data Impact the NICU?

Real-time data feeds, like clinical indicators and laboratory values, are critical because they let you know what’s going on in the NICU at all times. Not only will the NICU team know, but you can also use the dashboards to share important information with parents, other clinicians, and administrators. The data cube makes information available to everyone who is involved with and concerned about the patient’s welfare.

In addition, tracking data in real time gives you access to useful information, even before patients get discharged. “If you’re tracking pneumothoraces, and you know that each year you have 4%, then what you really want to know is, based on improvements you’re making, how is that number changing? With real-time data, you can compare how your NICU is performing for your patients today vs. how it was performing last year, to see if it’s worse or better,” says Dr. Steve Spedale.  

Easily Access Time-Saving Information   

PediNotes helps us track babies in our nursery on cue-based feeds along with the different parameters involved. By tracking this information electronically, we’re able to create dashboards with more specific data like length of stay and discharge weight. 

PediNotes also helps transport centers. By creating a dashboard for transport information, it saves time and makes it easy to distribute transport data to administrators. It also eliminates the need for doing additional reports. This is one of many time-saving functionalities that PediNotes offers to improve workflow. We designed PediNotes so that all the information you need to take care of your patient is easier to find, in less time, and in fewer clicks.

Summing It All Up

Since PediNotes was designed by neonatologists, it uniquely targets and resolves inefficiencies that NICU caregivers face. A neonatal EMR should be centered around data that’s rich, relevant, and easy to access. That’s what our software delivers, and we strive to improve it based on the feedback from our users. 

At PediNotes, we like to say an institution, specifically a NICU, can only be as great as the technology that its caregivers are empowered with. When a hospital brings PediNotes on board, it takes an innovative step in the right direction for the patients and doctors of today and tomorrow.

My team and I invite you to subscribe to our newsletter to stay up to date with future blog posts and updates regarding PediNotes.

When an EMR Stops Becoming Just a Tool

As physicians we know that the care we give our patients can be limited by the tools and healthcare software at our disposal. With PediNotes, I’ve strived to foster better communication among my staff and actively implement ways to improve my practice. I believe a hospital’s path to its greatest efficiency, and consequently, its highest level of patient care, is aided by its electronic medical records (EMR) system. That being said, not all EMRs are created equally. 

Today we’ll take a closer look at PediNotes, its benefits for caregivers, and what inspired my team and I to take an innovative approach to neonatal technology.  

What is an EMR/EHR supposed to do for you?

At its core, an EMR/EHR is just a tool. But for us, PediNotes is more than that, because it reflects the specific workflow of neonatal caregivers and organizes data in ways that other EMRs don’t. PediNotes brings everything about the child and the mother in one place with user-friendly design. 

When physicians use PediNotes they benefit from a program that’s NICU-focused; it has the functions they are familiar with, like continuous feeds and changing ventilator settings. 

Why make a neonatal-focused EMR?

Simply put, I was not satisfied with the EMR functionality that my institution was using. There wasn’t anything available to my team that delivered all the things we needed. 

All of us who take care of babies or children know that pediatrics is the last to see improvements in the realm of technology. The big push by the government for improved EMRs was for adults and pediatrics was left out. We got tired of waiting for someone to address what was important to neonatologists, so we did it ourselves.

How does PediNotes benefit the end user in ways that other EMRs don’t?

We designed PediNotes with time-saving functionalities that matter to teams caring for infants. For example, you won’t have to go hunting for data. Features like interoperability, computerized physician order entry, and real-time information access give way to better workflow, so you can invest time into other tasks that matter. 

In addition, we make your time better spent and increase efficiencies by putting lab work, radiology, and mother’s information at your fingertips. All the information you need to take care of your patient is easier to find with PediNotes. 

Summing it all up

By now I hope you have a better understanding of what makes PediNotes unique. What’s interesting to me is that although we live in an age where technology is helping adults live longer lives, the branch of medicine that matters to the lives that are just beginning isn’t always given the same focus. 

Having an EMR that is neonatal-specific means better care for future generations. All lives, both young and old, are worth saving. This is part of what inspired me to create PediNotes, which I’m proud to say has elevated the standards for patient care in my NICU.  

My team and I invite you to subscribe to our newsletter, so you don’t miss future blog posts and updates regarding PediNotes.

The Top 10 Things I’ve Learned Over My Years To Provide Better Care

The Top 10 Things I’ve Learned Over My Years To Provide Better Care

Today I’m going to share 10 personal reflections and lessons that help me treat patients with the care they deserve. 

At some point you might have heard the old adage, “You can’t fill a cup that’s already brimming over.” Throughout my years as a physician I’ve reminded myself to never bring a “full cup” attitude into my NICU. In other words, I am quick to remember that learning is a daily part of a caregiver’s job. If you really want to excel, you’ve got to hold out that cup of knowledge and consistently look for opportunities to fill it. 

Why PediNotes?


When I decided to take PediNotes to market, some asked why would I want to enter such an arena. The philosophy after all almost dictated that hospitals use just a single software platform and the market was already dominated by large software corporations. For me, the answer was easy: Existing software products did not offer features that focused specifically on neonates and older infants. My patients were definitely not a priority for major hospital EMRs. 

I get it. Our patients make up a smaller portion of the health care visits and dollars, and except for children’s hospital, adults have always been the focus of most institutions. It wasn’t until the 21st Century Cures Act was signed into law in December 2016 that the federal government recognized the unique IT needs of children.

PediNotes was designed by a neonatologist (me) along with an accomplished group of software developers.  We started by writing add on programs to improve existing neonatal software.  When that was no longer enough, we decided to create PediNotes with the two “must have” caveats - interoperability and data analytics - before we would make it public.   

Our interoperability approach allows us to take information from multiple sources and present it in a way that is intuitive and useful to clinicians.  More importantly, we can work within existing hospital EMRs and our users’ work in an environment to create a workflow that’s conducive to better care.  For physicians like me that work in different hospitals with different EMRs, being able to work in PediNotes in each of those hospitals makes life easier.  

We have always viewed PediNotes as a tool for improving our clinical care.  One of our standby sayings is “good software is software that doesn’t make you change the way you practice medicine.”  

It goes without saying that the majority of neonatologists like data, and they want the data quickly (e.g. as soon as the question is asked).  I spent many years asking my software developers to write queries to get the clinical data out for us to use.  With PediAnalytics and data warehousing, those requests are now few and far between. PediAnalytics is a simple tool that returns very complex data.  PediNotes’ data warehousing is even more powerful and coupled with Microsoft’s PowerBI, allows data analysis from multiple data sources such as the hospital EMR and other neonatal software that you might be using.  Data is meant to be shared and PediNotes has the tools to do it.  The one-button data extraction of Vermont Oxford data is a great example.

We are proud of what we are doing at PediNotes and truly believe this tool is improving the care of our patients.  I would be happy to show it to anyone who has an interest in what we are doing.

Thanks for reading.

Steven B. Spedale, MD, FAAP

The Entire Unit at Your Fingertips

Greetings from the PediNotes® team! Through our blog series, we share the many efficiencies PediNotes has created for users and how it has allowed them to work the way a clinician works.

One of most raved-about features in the PediNotes patient list is the availability and functionality of visual keys. These clearly visible icons make actionable patient information easy to locate, saving the user time and increasing workflow efficiency. This feature also alerts users the moment data becomes available. This allows medical professionals to view patient statuses in real-time. 

For example, rather than having to check for new lab results with the laboratory or nurse, a red “L” automatically appears next to the patient’s name to inform the clinician of the results’ availability. When a patient is admitted to the hospital, their name, along with pertinent admit information, is immediately added to the “Pre-Admit” section of PediNotes.


The visual keys also allow users to quickly access basic patient information. Simply hovering over the patient’s name brings up assignment information. This care team information includes the attending, physician, nurse practitioner, resident and nursing/respiratory therapist assignments. The mother’s information is also available through the same hovering functionality.

Finally, the visual keys are critical for communication with the care team. A patient that has been rounded on can be identified quickly with the green check mark icon. This has proven to be particularly useful in large units. Patient checkout/sticky notes are yet another visual key that can be used in care team communication by leaving messages that appear as a notepad adjacent to the patient’s name.


The patient list’s visual keys are just one of the many ways PediNotes was designed to work the way you work. Stay tuned for our next post where we will deep dive into how PediNotes notifies users of data availability in real-time.

The PediNotes Product Team
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Customizing an Environment that Works for YOU

Welcome to the first posting in our new PediNotes® blog series! We’re excited to share the many ways that PediNotes® has made its users more efficient and demonstrate how it works the way a clinician works.

One of the most powerful features of PediNotes® is its ability to create customized screen views based on user preferences. Users can design any screen layout that works for them, allowing them to adapt PediNotes® to work the way they work. 

With the Multi-Screen View function, users can open multiple patient screens and arrange them in any order or size. This function works on multiple standard monitors or a single widescreen monitor.  Selecting a new patient updates the information on all screens, thus eliminating the inefficiency of switching back and forth between views simply to view/update critical patient data.

PediNotes® allows users to arrange windows in a way that is logical to the function they are performing and save the view for future usage. Users can create as many environments as they would like. Here are some examples of saved layouts with patient function tabs utilized that have been popular with our users:

  1. Rounding View

    1. Orders tab – side 1

    2. Vital signs – side 1

    3. Examinations – side 1

    4. Respiratory – side 1

    5. Labs – Most Recent in last 24 hours – side 1

    6. I/O – side 2

    7. Diagnosis/Care Plans – side 2

  2. Billing View

    1. Billing tab

    2. Respiratory

  3. On-Call View

    1. Labs –side 1

    2. Orders – side 1

    3. Respiratory – side 1

    4. Diagnosis/Care Plans – side 2

  4. Vermont Oxford Data Review

    1. Pregnancy History

    2. Diagnosis/Care Plans – Diagnosis filter set to “All”; Procedures set to “All”

The different views allow users to work in an environment that fits the task they are performing. Designing a custom window layout is just one way PediNotes® works the way you work. In our next post, we’ll explain how PediNotes® visual keys allow users to control the entire unit at their fingertips.

The PediNotes Product Team
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