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MoM2010: E-Hospitals
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MoM2010: E-Hospitals

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MoM2010: E-Hospitals MoM2010: E-Hospitals Presentation Transcript

  • Striving for Excellence e- Hospital
    • EMR Challenges:
    • Double entry of data
    • Confusing array of computer systems and applications
    • Data fragmentation across systems
    • HIM Challenges:
    • Secure communication between all health professionals (and potentially patients)
    • Information sharing by integrating applications
    • Appropriate uses of the Internet for health information
    • Reliability of hardware and software
    • Adaptation of emerging technologies for health care, management, and science
    • Digital Hospital Challenges:
    • Data Acquisition
    • Data Integration
    • Mobile Communication
    • Optimal Patient transport
    • Hardware availability
  • Capturing Future Value from Emerging IT Innovations Maximizing Hospital Efficiency Hard networking High-Quality Care
    • Automated Indirect Care
      • Automated Chart Retrieval
    • Expedited Patient Throughput
      • Fast-Track Admission Forms
    Synchronized Clinical Workflow Intelligent Communication Device Optimized Physician Portals Intelligent Data Displays Hardwired Clinical Evidence Diagnosis Decision Support Guided Ordering Accelerated Emergency Care Wireless ECG Transmission Real-Time Risk Surveillance Continuous Infection Monitoring Safeguarded Medication Administration Automated Dosing Adjustment
  • Expecting Values with IT
    • Approx 120 people in picture
    • $63,589 bill
    • 64 year old male
    Life Magazine
  • CPOE Smart Pumps Handheld MCA PACS Clinical Pathway Clinical Decision Support Single Sign-On Digital Hospitals Electronic Medication Record Remote Monitoring Pharmacy Automation Home Health Care RFID Speech Recognition Infection Monitoring Smart communication devices Clinical Documentation Wireless Network Infrastructure
  • EMR
    • From a cost center…
    … to a profitable unit Medical Record FTEs Eliminated = 12.75
  • CPOE
    • Automated dose highlighted;
    • physician has option to see the data used for calculation
    Patient-Specific Factors ✓ Lab Results ✓ Age ✓ Gender ✓ Height ✓ Weight
  • CPOE Implementation
  • Source: Chaudhry B et al, “Systematic Review: Impact of Health Information Technology on Quality, Effi ciency, and Costs of Medical Care,” Annals of Internal Medicine, May 16, 2006, Volume 144, Number 10. Relative Decrease after CPOE Implementation
  • Clinical Pathway- Intelligently Interpreting Patient Data Patient data interpreted and summarized Orders recommended Physician documentation screen Relevant patient information displayed
  • Clinical pathway implementation impact
  • Decision Support Systems Specify age, group, gender, status, region and specialty or subspecialty Click for list of likely diagnoses for the features entered Enter clinical features in free text form
  • Source: Clinical Advisory Board interviews and analysis. Generating a List of Likely Suspects Provides diagnoses related by clinical characteristics ‘ Relevance bar’ provides degree of match between query and Isabel database Provides drugs that could cause clinical features as entered Clicking on diagnosis reveals matched sub-diagnoses
  • Mobile Computing and RFID Implementation Patient record loads automatically when RFID bracelet detected System connects tablet PC to EMR Caregiver Verification Individual RFID tags difficult to duplicate, ensuring secure automatic clinician login Medication Verification Medication doses matched with physician order using less expensive bar coding technology Patient Verification RFID wristbands scanned, speeding process and reducing chances of wrong patient, wrong drug RFID does not require line of sight, obviating need to disturb patient
    • Adverse Drug Effects (ADE): Est’d 100,000 deaths due to ADE costing between $17 - $29 billion per year. Experiments using RFID wristband for patients show a 86.6 % reduction in medication errors
    • Asset Management - Hospital assets management through RFID and mobile devices allows control of asset and costs limitation
    • Ubiquitous Health Records – any time, anywhere, always current
    Mobile Computing & RFID Implementation
  • RFID Implementation Impact
  • Smart Communication Devices
    • Improve Patient Safety and treatment
    • Improve patient care, comfort and overall satisfaction
    • Reduce medical error
    • Increase productivity for doctors and nurses
    • Increase operational efficiency
    • Enhance asset management
  • Saving clinical Time Source: Clinical Advisory Board interviews and analysis . Number of Day Shift Pages Communication Time, Minutes ▼ 83% ▼ 82% ▼ 84% ▼ 93%
  • Continuous Infection Monitoring – Real Time
  • Continuous Infection Monitoring – Real Time
  • If Pizza can be home delivered. Why not health care
  • Home Health Care
    • Clinicians assess patient case
    • Clinicians determine eligibility for home care
    • Physician declares patient eligible for discharge
    • Nurse provides patient
    • Patient use home health care devices
    • Patient send data electronically
    • Clinician monitor patient data
  • Patient Hospitality Assessment Transport Home Care Discharge
    • Patient presents to ED with CHF, other eligible illness
    • Clinicians determine eligibility for home care
    • Patient transported home
    • Accompanied by nurse or physician and meds, equipment
    • Nurse stays with patient for first 8 to 24 hours, returns daily
    • Physician visits daily, available on call
    • Physician declares patient eligible for discharge
    • Nurse provides
    • patient education
    Home Health Care
  • Home Health Care Results Average Cost per Admission Average Length of Stay
  • Home health Care - Enhancing Disease Management Diabetes Patient Hospitalization Rates n=782 23% reduction in hospitalization rates
  • وصلى الله وسلم على نبينا محمد وعلى اله وصحبه أجمعين