1. The Digital Era Hospital
K. Deligiannis
GM, GE Healthcare SEE
May 2017
GE Healthcare
Confidential.Notto be copied, distributed,or reproducedwithout priorapproval.
2. Over 90% of NHS Acute hospitals in England
operate routinely at >90% occupancy.
“It’s Winter all year round nowadays !”
Physical capacity, staffing, support services and
even opening times are planned using averages.
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Traditional planning tends to use averages
Hospitals Don’t SeeAverages ! Patients feel the Variation !
There must be a better way…
3. Interdependency, variability and dynamism in the system makes true capacity management extremely complex
Variability
Interdependency &Complexity
Dynamism
System is Constantly Changing:
Hour of Day Holidays/Winter
Day of Week Staff Availability
Week of Month Surges &Spikes
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Why is patient flow &capacity management so difficult ?
A Complex, Interdependent System Which is Constantly Changing
4. The World is Changing VeryFast
We have more data, information, computing power and connectivity at our fingertips than ever before
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5. There May Be Trouble, Ahead….
Predictive Analytics – usinginformation to guide decisions
Healthcare is behind in big data analytics due to complexity, local variation and rational
conservatism.
Big data analytics have massive potential to help with our 21st century challenges:longitudinal
integration, outcomes, waiting, costs, readmissions, system design, patient experience…
Using data models, simulation & predictive algorithms can enable action to be taken to avoid problems ahead
Confidential. Not to be copied,distributed, or reproduced without prior approvalHBI Conference, London April2017 4
6. Creating a “Digital Twin” – simulating healthcare systems
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7. It Always Starts with Discovery
Problem Statements
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“Problem-Back” DesignThinking
8. Command Centers and Wall ofAnalyticsTM
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9. Confidential. Not to be copied,distributed, or reproduced without prior approval 6
10. Command Centers and Wall ofAnalyticsTM
Future Hospitals2017 - Helsinki
Co-locating cross-functional decision makers, empowered by the ACS and equipped with real-time analytics, will
achieve & sustain a step-change improvement in system/enterprise performance
“CommandCenter” WallofAnalytics™
• Real time data & situational awareness
• Predictive algorithms, live forecasting
• Proactive responses & behaviours
• Custom designed analytics
• Centre of gravity for hospital operations
• Enables complex decision-making in real time
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11. Command Centers
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Manage real
time
operations
Look ahead
24 – 72 hours
Plan Staff
Schedules
Coordinate
Patient Flow
Maximize
utilization
Pointed
clinical
interventions
Network and connect with the NHS system
12. HBI Conference, London Confidential. Not to be copied,distributed, or reproduced without prior approval April 2017 9
Humber River Hospital is a bighospital…
• Brand new facility opened in October2015
• “North America’s First Fully DigitalHospital”
• 1.8 Million square feet
• 656 InpatientBeds
• Acute Care Facility
13. Hospital of the Future
(2009)
Command Centre Preparation
(2016)
Command Centre
Implementation (2017)
Humber’s Transformational Partnership with GE
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7 years of partnership, many more to come
14. Command Centre Design
Collaborative Design Sessions - Giving Voice to the Ideas of Frontline Staff
Confidential. Not to be copied,distributed, or reproduced without prior approvalHBI Conference, London April2017 12
15. Command Centers and Wall ofAnalyticsTM
Confidential. Not to be copied,distributed, or reproduced without prior approval 7