Argos Project in eHealth 2010
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ARGOS procet in eHealth 2010 Barcelone

ARGOS procet in eHealth 2010 Barcelone

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Argos Project in eHealth 2010 Presentation Transcript

  • 1. ARGOS Project A case of Innovation? 16th march 2010, Barcelona Lluís de Haro Martín Director del Centre de Competència Funcional - ICS Centre de Competència Funcional © Copyright IICS 2008 © Copyright ICS 2010
  • 2. Index Institut Català de la Salut (ICS) ARGOS Project Introduction ICS Common model System Overview Implementation method Project Results 2 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 3. Institut Català de la Salut (ICS) ICS AT A GLANCE Primary care More than 450 productive units: Budget 2010: 3.000 M€ 274 primary care teams 40 centers of extra-hospital specialties. 32 emergency centers 42.000 Professionals 8 laboratories Acute Care 32 image diagnosis services 15 rehabilitation services 8 Hospitals: 8 mental health centers, … More than 4.000 inpatient beds It manages 80% of the whole primary More than 130 Surgery theaters care teams in the region More than 7000 outpatient rooms 46 millions of outpatient visits a year Constitutes the 32% of the public hospitals inpatient beds and the 50% of the high-technology beds in Education Catalonia. Annual training of more than 1.500 2008: 215.262 Inpatient visits masters. 122.454 Surgeries More than 4.300 pre-grade students 703.424 Urgencies 2.661.390 Outpatient visits (medicine and nursery). 412 Transplants Training of 56% of General Practitioner and 66% of the specialists of Catalonia Research Constitutes the 40% of the scientific production in Catalonia. 3 Centro de Competencia Funcional © Copyright ICS 2010
  • 4. Index Institut Català de la Salut (ICS) ARGOS Project Introduction ICS Common model System Overview Implementation method Project Results 4 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 5. ¿What is ARGOS? Objectives • Modernization Public Sector HEALTHCARE • Leading position in Healthcare SECTOR Healthcare IT Systems Sector MANAGEMENT • Business monitoring system Management • Decision making tools THE CLINIC • Tools for all the professionals • Standardization of the clinical Clinic practice • Patient centric Healthcare PATIENT • Integrated patient records Patient 5 © Copyright ICS 2010 Centro de Competencia Funcional
  • 6. ¿What is ARGOS? Project Principles HEALTH SYSTEM ACCESIBILITY: For the citizen to receive the best healthcare. HEALTHCARE QUALITY: Advanced technologic equipments, health coordination, Electronic clinical records. HEALTH SYSTEM SUSTAINIBILITY: Greater efficiency, cost reduction, realignment of resources, shared services, central procurement. 6 © Copyright ICS 2010 Centro de Competencia Funcional
  • 7. ¿What is ARGOS? Method New ICS A new corporate culture Project to Project to transform Project to redefine transform the Healthcare processes on the HR function Back-Office the Hospitals area (HIS) functions New Common Process Model Unique and integrated technology – SAP (Change Driver) Model of Strategic Partnership 7 © Copyright ICS 2010 Centro de Competencia Funcional
  • 8. Project Plan Updated Planning March 2010: Arnau de Vilanova 7 from 8 hospitals implemented Vall d’Hebrón Viladecans Bellvitge Doctor Josep Trueta Verge de la Cinta Joan XXIII Germans Trias i Pujol 2006 2007 2008 2009 2010 06/0 09/06 02/06 02/07 02/08 10/08 03/09 06/09 11/09 03/10 06/10 6 11/08 Advance Prototype Common Business Solution Development Model Centro de Competencia Funcional © Copyright ICS 2010
  • 9. Index Institut Català de la Salut (ICS) ARGOS Project Introduction ICS Common model System Overview Implementation method Project Achievements 9 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 10. Principles of the new model Common definition for all acute care processes Shared Process re- Services engineering Units Catalogs TECHNOLOGY Centro de Competencia Funcional © Copyright ICS 2010
  • 11. Process Reengineering to achieve the ICS Common Model • The ICS system has been designed by their own professionals, thinking in all the hospitals and focusing in standardizing the processes. Mètode per el disseny del model comú Responsable Funcional del Projecte • More than 180 ICS professionals defined the Coordinadors de procés common model Directors de projecte • More than 10.000 hours invested in the Reunions de Treball amb definition equip IBM Grup de Portaveu Líder de coordicació per procés procés funcional • More than 180 meetings between june’06 Reunions de Reunió Cuore per procés (multi- centre amb Treball amb cuore per procés and february’07 l’equip IBM) 20 BBP-s Publicats el 09-02 • The architecture is built with a territorial conception (multi-instance and multi- hospital), with capacity to incorporate other hospitals or primary centers within the same territory 11 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 12. Index Institut Català de la Salut (ICS) ARGOS Project Introduction ICS Common model System Overview Implementation method Project Achievements 12 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 13. Clinical Workstation – patient centric Medication Nursery Image Diagnosis Patient centric clinical workstation Hospital reports Clinical History Primary  Treatment Clinical reports Laboratories 13 Centro de Competencia Funcional © Copyright ICS 2010
  • 14. Index Institut Català de la Salut (ICS) ARGOS Project Introduction ICS Common model System Overview Implementation method Project Results 14 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 15. Rollout plan standardization Rollout model defined and improved with the ARGOS project experience: - Skilled and experienced team. - Check list: clear and defined tasks to carry on from day zero - Best practice models for training, cutover and hypercare - Model of rollout plan: 15 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 16. Rollout plan - web portal and training strategy WEB portal for project news Training strategy: • Online learning tool with lessons for all profiles • “Train the trainers” approach Hospital Nº Usuaris  Nº Usuaris que  Formació a  Inscrits han fet  l’arrencada  Formació on‐ formació line on‐line GT 2.275 565 25% VC 906 761 84% JX 1.325 880 66% HVi 812 640 79% DT 2.309 1.513 66% VH 6.283 5.169 82% Bell 4.834 3.885 80% ICO‐DR 675 582 86% AV 71 37 52% 19.490 14.032 72% 16 Centro de Competencia Funcional © Copyright ICS 2010
  • 17. Index Institut Català de la Salut (ICS) ARGOS Project Introduction ICS Common model System Overview Implementation method Project Results 17 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 18. Project results • Unified demand • Increased Patient managemnt Security • Elimination of • Territorial approach • Integrated Patient redundancies • Productivity electronic Records enhancement • E-pharmacy Sustainability • Digital imaging • Management Tools • Acute and Primary • Economies of scale in Accesibility Care Integration • Shared agendas • Better informed Patients IT expense • Paperless • SMS appointment • Self-admission • Digital records: paper • Health records /information devices Quality and plates accessible across the whole Catalan Health • Standarization of System nursery plans • Telemedicine and • Reduction of Home hospitalization movements to the hospital 18 Centro de Competecia Funcional Competencia Funcional © Copyright ICS 2010 © Copyright ICS 2010
  • 19. Sistem availability and usage 19 Centro de Competencia Funcional © Copyright ICS 2010
  • 20. Results for managers and acute care professionals ACTIVITAT FUNCIONAMIENT COMPLEXITAT HOSPITALITZACIÓ ACCESSIBILITAT HOSPITAL DE DIA CONSULTA EXTERNA URGÈNCIES QUIRÒFANS ESTRUCTURA 20 Centro de Competencia Funcional © Copyright ICS 2010
  • 21. Case Review An Innovative Organization ? Organisation Characteristics: • Develop an active flow of ideas. • Involve a wide cross-section of people. • Let people free to take responsibility for implementing their own ideas. Characteristics Capabilities: • Ideas management. • Collaboration in turning ideas into action. Definition: • Climate to foster and environment in New ideas that add value which innovation thrives. Styles: • Innovation as part of business Capabilities Styles planning. • Make innovation part of the culture. 21 Centre de Competència Funcional Centro Competencia © Copyright ICS 2009 2010
  • 22. Thanks! 22 © Copyright ICS 2010 Centre de Competència Funcional