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Kickoff Meeting Presentation - Palmetto Health

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Kickoff Meeting Presentation - Palmetto Health

  1. 1. Creating Learning Systems with Mobile Technology to Improve Coordination in Perioperative Services (Periop MLS) Investigative Team: Dr. Kevin Taaffe Dr. Lawrence Fredendall Dr. Joel Greenstein Dr. Nathan Huynh Dr. Jose Vidal 1
  2. 2. Creating Learning Systems with Mobile Technology to Improve Coordination in Perioperative Services (Periop MLS) Participating Healthcare Organizations: 2
  3. 3. Overarching Goal 3  Create new tools for healthcare providers to achieve improved coordination among Perioperative Services (Periop) departments by  Improving individual workflows  Resolving systemic issues  Changing staff behavior
  4. 4. Research Objectives 4 1. 2. 3. Enhance communication and coordination among Periop staff and quality of care by gathering important workflow milestones and introducing artificial intelligence techniques through the use of a smart-app. Analyze workflow data (gathered with smartapps) using data analytics to provide intuitive displays of real-time information for frontline staff and a daily performance dashboard for managers. Induce behavioral and cultural change in healthcare systems through training and
  5. 5. Objective 1 Tasks 5 1. 2. 3. 4. Gather Periop process workflow information at each participating facility. Create a smart-app that runs on a tablet that can receive spoken information. Incorporate artificial intelligence capabilities into the smart-app. Conduct Phase 1 pilot studies using the developed smart-app.
  6. 6. Objective 2 Tasks 6 1. 2. 3. 4. Analyze data and generate performance dashboards for managers. Provide status displays for staff. Conduct Phase 2 pilot studies with Periop managers and staff. Conduct surveys of frontline staff and Periop managers.
  7. 7. Objective 3 Tasks 7 1. 2. 3. 4. Introduce staff to process interventions via simulation experiments of Periop. Create a simulation model with a virtual Periop environment and agents. Conduct training sessions using the developed agent-based model. Provide a workshop of activities at state-level healthcare organizations.
  8. 8. Project Schedule 8 Task Task Description 1.1 Gather Periop workflow data 1.2 Create smart-app 1.3 Incorporate artificial intelligence 1.4 Phase 1 pilot studies 2.1 Create dashboard/metric options 2.2 Provide status displays 2.3 Phase 2 pilot studies 2.4 Follow-up staff surveys 3.1 3.2 Process improvement experiments Create agent-based simulation 3.3 Conduct training sessions 3.4 Provide workshop(s) Year 1 Year 2 Year 3 Year 4
  9. 9. Team Roles 9     Drs. Taaffe and Huynh will act as the principal investigators at their respective institutions Drs. Huynh and Vidal will lead the smart-app development efforts (Objective 1) Drs. Fredendall and Greenstein will lead the effort on lean operations, continuous improvement, and human-computer interaction (Objective 2) Drs. Taaffe, Huynh, and Vidal will lead the effort on simulation and training (Objective 3)
  10. 10. 10  Expected Benefits: Participating Healthcare Partners Enhance the ability to provide patient-centered care by:    Enhance frontline staff’s situational awareness by:    Presenting context-sensitive information on the devices Using data analytics and artificial intelligence to provide feedback/instructions Improve operational performance by:   Recording milestone tasks using handheld devices or tablets Using voice-activated data entry while obtaining required data Providing managers with process improvement suggestions Show how decisions affect patient care metrics via an offline “day of surgery” simulation model to provide:   Visual training to surgeons, managers, and frontline staff Increased acceptance of changes by healthcare staff
  11. 11. Additional Benefits 11  Useful insights Why tasks are delayed or interrupted  “Workarounds” being done by staff   Patient safety and quality of care Reduce the need for patient flow “workarounds”  Data visualization techniques identify most effective use of improvement efforts for staff and managers   Hospital recognized as leader in process improvement Using mobile technology for system improvement  Publishing with research faculty about healthcare 
  12. 12. 12  Facility/Staff Resources Needed Staff cooperation to ensure mobile app compatibility for day of surgery workflow Selected staff to be interviewed in depth  Selected staff to allow “shadowing” of their workflow   Staff comments during technology development Additional input via surveys  Pilot testing    Staff participation in simulation training IRB application in progress for initial interviews  IRB amendments to be filed for specific time studies, patient interaction, or unique surveys to administer
  13. 13. Objective 1 Near-Term Plan 13 Action Where When Collect voice of customer PH 5/15/13 – 8/15/13 Identify high-level workflow and milestones PH 5/15/13 – 8/15/13 Create detailed workflow maps via observations / shadowing PH 8/15/13 – 12/15/13 Initial user trials (students) Clemson, USC 4/15/13 – 6/15/13 Staff user trials GHS, PH, MUSC …
  14. 14. 14 Status of Smart-App Development   Platform: Android, Jelly Bean 4.2 Test Devices: Nexus 4, 7, and 10   A simple speech-to-text app has been developed. Research team is evaluating a proposed algorithm for classifying text.
  15. 15. 15 Simulation Experiment (GHS, 2011)

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