1430 Panel Discussion - Day 2

441 views
316 views

Published on

National Hospital Procurement Conference 2014

The 2014 National Hospital Procurement Conference explored a number of cost-saving measures in the hospital procurement ecosystem. Highlights included sessions on improving efficiency, savings and patient safety within Australian Hospitals.

For more information about the event, please visit: http://bit.ly/hosprocurement14

Published in: Leadership & Management
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
441
On SlideShare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
15
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

1430 Panel Discussion - Day 2

  1. 1. National E-Health Transition Authority www.nehta.gov.au 0 Examining the Outcomes of Differing Operational Efficiency Options – Panel 4th National Hospital Procurement Conference Sydney, 25th July 2014 Mary Thompson, GS1 Senior Advisor – Healthcare, GS1 Australia Anne Petterd, Partner, Baker & McKenzie Val Usatoff, Deputy Medical Director, Cabrini Health
  2. 2. 1 National E-Health Transition Authority www.nehta.gov.au Examining the Outcomes of Differing Operational Efficiency Options 1. Panelists State Their Case 2. Questions – Open Forum 3. Panelists Summary Statement Agenda
  3. 3. 2 National E-Health Transition Authority www.nehta.gov.au • Mary Thompson, GS1 Senior Advisor – Healthcare, GS1 Australia • Anne Petterd, Partner, Baker & McKenzie • Val Usatoff, Deputy Medical Director, Cabrini Health Your Panelists
  4. 4. 3 National E-Health Transition Authority www.nehta.gov.au The Discussion The relative benefits of: • Medical coding and billing • Bring Your Own Device (BYOD) • Document scanning and data warehousing • Electronic medical records • Enterprise scheduling • Inventory management 1. What is feasible? 2. What are the ROI’s? 3. Examples of real-life implementations
  5. 5. Australia Operational efficiencies driven by standards Mary Thompson Senior Advisor – Healthcare, GS1 Australia mary.thompson@gs1au.org 2014 National Hospital Procurement Conference
  6. 6. © GS1 Australia 2014 5 Electronic Medical Records & Inventory management benefits Considerations • global standards complement internal identification systems • appropriate technology is sourced to support data identification / capture • Hospital Information Systems (HIS) and Enterprise Resource Planning (ERP) systems ability to hold identification keys & related data • develop clinical and technology strategies in tandem • trading partners collaborate & share data • change management underpins implementation
  7. 7. © GS1 Australia 2014 6 Benefits to be realised… Electronic Medical Record (EMR) • organisation of information • patient safety: identification / infections • cost based tracking • AEs &recalls • continuity of patient care Inventory Control • process & data quality • logistic partnerships • efficiencies: procurement / stock levels / time / asset tracking / resource allocation • visibility
  8. 8. Baker & McKenzie, an Australian Partnership, is a member firm of Baker & McKenzie International, a Swiss Verein with member law firms around the world. In accordance with the common terminology used in professional service organisations, reference to a "partner" means a person who is a partner, or equivalent, in such a law firm. Similarly, reference to an "office" means an office of any such law firm. © 2014 Baker & McKenzie Operational efficiency options - legal considerations Anne Petterd, Partner Baker & McKenzie, Sydney anne.petterd@bakermckenzie.com 2014 National Hospital Procurement Conference
  9. 9. © 2014 Baker & McKenzie 8 Contract to realise benefits + address risks  Conduct planning and risk assessment to work out viable options and what to address  Choose wisely to realise efficiency  Examples  BYOD – support and compatibility commitments  E-records – regulatory compliance  Data warehousing – control and access terms  Enterprise scheduling – who needs to participate?  Inventory management – web of reliance
  10. 10. © 2014 Baker & McKenzie 9 Contract / commercial issues  Committed purchases vs options  Bespoke vs off-the-shelf  Outsourcing vs ability to self-help  1 throat to choke vs vendor choice  Ensuring information management / accessibility  Regulatory responsibility  Transition-in issues  Mandatory vs optional business take-up
  11. 11. Panel Discussion. A clinical perspective. • A/Prof Val Usatoff • Working Surgeon • Private and Public Sector • Head of UGI/HPB surgery • Masters HSM • Deputy Medical Director • Cabrini Health • 2 campuses • 500 and 100 beds • 20 op theatres • 2 Rehab sites • Pall. care and Aged care • Emergency Dept • HITH • Linen and Technology
  12. 12. Doctors and e-Medical Records
  13. 13. Engaging Doctors in the Health Care Revolution • Doctors are deeply anxious and angry about transformation, fearing loss of autonomy, respect, and income. • Any strategy that they do not embrace is doomed. • Stages of grief; from denial to anger • Suggest focusing on what can be gained, positives. Lee T, Cosgrove T. Harvard Business Review. Engaging Doctors in the Health Care Revolution. June 2014
  14. 14. ….products that are functionally decades behind those they use in their “civilian” life. (NEJM 2012) Is it the Doctor’s fault?
  15. 15. Clinical Viewer
  16. 16. Clinical Viewer
  17. 17. Clinical Viewer
  18. 18. BYOD - iPads • Cost of device and service pushed to clinicians • Capacity costs • Bandwidth overloading • Slow down of other services • Controlling number of devices • No ability to control version updates • Android vs Mac • Extra cost to support all platforms or limit to one • ROI • Increased engagement • Efficient ordering of path requests • Early notification of results and early intervention • Less phone calls to pathology
  19. 19. Incentives – do they work? • Yes! • What’s in it for me? • Tickets, dinners, trips – short term, trivial • Sustained improvements to productivity – meaningful, win-win • Increased theatre efficiency improvement • Unit/division secretarial support • Data manager, IT support • New equipment • Healthcare Financial Management Association • physicians more interested in efficiency gains than direct rewards https://www.ecri.org/Documents/MDPT/Implant%20roundtable.pdf
  20. 20. Medical coding and billing • Fully automated (and accurate) billing directly from e-MR is a long way away • Current low tech solution • Medical staff manually auditing select records • Excellent ROI but not comprehensive • Future • Electronic discharge summary WITH diagnosis specific prompts • Gallstones - ?gram negative sepsis • Prolonged ileus - ?TPN, ?Hypokalaemia, ?malnutrition • Major surgery - ?acute renal impairment
  21. 21. Enterprise Scheduling - example • Oncology day ward scheduling system • Coordinating patient arrival and CTx preparation • Reduced wait for CTx and reduced stay in day ward • More patients treated • Patients requiring O/N stay having CTx in day ward • Admitted later in day • Reduced burden on ward staff • Reduced need for inpatient beds • Excellent ROI
  22. 22. 22 National E-Health Transition Authority www.nehta.gov.au Summary The relative benefits of: • Medical coding and billing • Bring Your Own Device (BYOD) • Document scanning and data warehousing • Electronic medical records • Enterprise scheduling • Inventory management 1. What is feasible? 2. What are the ROI’s? 3. Examples of real-life implementations
  23. 23. 23 National E-Health Transition Authority www.nehta.gov.au • Mary Thompson, GS1 Senior Advisor – Healthcare, GS1 Australia: mary.thompson@gs1au.org • Anne Petterd, Partner, Baker & McKenzie: anne.petterd@bakermckenzie.com • Val Usatoff, Deputy Medical Director, Cabrini Health: usatoff@bigpond.net.au Contacts

×