Business Process Re-Engineering and Improved Healthcare Outcomes

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Presentation at 08OCT10 Executive Insights DC: How Three Organizations Achieved Work Management Success McLean, VA organized by Innovative-e.

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Business Process Re-Engineering and Improved Healthcare Outcomes

  1. 1. HOW Three DC Organizations Achieved Work Management Success<br />
  2. 2. Marie-Michelle Strah, PhD<br />Business Process Re-Engineering <br />And Improved Healthcare Outcomes<br />
  3. 3. Introduction<br />Overview<br /><ul><li>Introduction
  4. 4. Marie-Michelle Strah, PhD
  5. 5. Aquilent, Inc. Lead Business Consultant
  6. 6. Email: michelle DOT strah AT aquilent DOT com
  7. 7. Twitter: @cyberslate
  8. 8. Objectives
  9. 9. Best practices for SharePoint deployment in military healthcare settings
  10. 10. How to leverage SharePoint as an enterprise solution in highly regulated settings (DoD/VA)
  11. 11. How to effectively manage expectations and leverage existing knowledge management initiatives in DoD/VA for successful SharePoint implementations</li></ul>Case Study Format – Longitudinal Perspective<br />
  12. 12. ERMC<br />Army in Europe Transformation 2004-2008<br /><ul><li>Pain Points
  13. 13. Challenges to military healthcare OIF/OEF
  14. 14. Very few automated processes for healthcare administration
  15. 15. Integrating private sector best practices, accreditation and managed care (TRICARE)
  16. 16. SharePoint 2003 infrastructure but no champion
  17. 17. Process
  18. 18. Hey, we’ve got a great idea!
  19. 19. Command adoption (HMEDDAC)
  20. 20. Command adoption (ERMC)
  21. 21. Goals: compliance and transformation</li></li></ul><li>ERMC<br />Solutions for Transformation<br /><ul><li>Healthcare Administration
  22. 22. Standardization and automation of existing processes
  23. 23. Quality measures (data, data, data)
  24. 24. Continuous process improvement
  25. 25. Transformation
  26. 26. Consolidation and realignment – creation of new processes
  27. 27. Integration of G-3 and G-6 processes
  28. 28. Rapid deployment
  29. 29. Provide structure, decision-making and executive dashboarding</li></li></ul><li>ERMC<br />Solutions for Transformation<br /><ul><li>Enterprise Portal - HMEDDAC
  30. 30. Phase I – 3 months – planning and buy-in
  31. 31. Phase II – 12 months – implementation and training across subordinate commands (7) and headquarters
  32. 32. Phase III – 12 months – implementation and training across clinical divisions, records management, quality and risk management, patient safety, patient satisfaction, hospitality
  33. 33. Enterprise Solutions - ERMC
  34. 34. Phase I – 3 months - Transformation Portal and capital equipment and supply chain management
  35. 35. Phase II – 12 months - Host Nation Initiatives
  36. 36. Host Nation Patient Liaison Program
  37. 37. ERMC Medical Library and Knowledge Portal
  38. 38. Wounded Warrior Care</li></li></ul><li>ERMC<br />Results<br />Virtualization of 100% of business processes across 8 geographically dispersed hospital and ambulatory care clinics<br /><ul><li>Joint Commission Accreditation – Hospital (2008)
  39. 39. Joint Commission Accreditation – Ambulatory (2008)
  40. 40. DoD/MEDCOM Inspection (2008)
  41. 41. Congressional Inspection (2008)
  42. 42. 100% accountability of 2500 staff and $150 million of durable equipment
  43. 43. 15% increase in patient satisfaction rates</li></li></ul><li>DCoE<br />Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury 2009-2010<br /><ul><li>Pain Points
  44. 44. New organization with little to no established processes (management)
  45. 45. Clinical research
  46. 46. Joint services
  47. 47. Integration with existing civilian agencies (including VA/NIH)
  48. 48. Processes
  49. 49. Command adoption (DCoE)
  50. 50. Robust knowledge management initative:
  51. 51. TMA (Tricare Management Activity) records management
  52. 52. Subject matter expertise
  53. 53. Champion: Chief of Staff</li></li></ul><li>DCoE<br />Solutions for Collaboration<br /><ul><li>Solution:
  54. 54. Phase I – continuous - Branding – SharePoint 2007 portal
  55. 55. Phase II – 3 months - Identification of KM team and strategic planning
  56. 56. Phase III – 3 months - Identification of Power Users and training
  57. 57. Phase IV – 3 months and ongoing – Content Migration and Integration with civilian agencies (SharePoint 2003 and 2007)
  58. 58. Results:
  59. 59. 100% adoption within 3 months
  60. 60. Integration of 8 directorates and 6 component centers as a unified command within 6 months
  61. 61. Groundbreaking at NICoE (National Intrepid Center of Excellence) 24JUN10</li></li></ul><li>JTF-CAPMED<br />Joint Task Force – National Capital Region (JTF-CAPMED) 2010-present<br /><ul><li>Pain Points
  62. 62. What supply chain?
  63. 63. Joint services
  64. 64. Data integrity and accuracy
  65. 65. Legacy systems
  66. 66. Process
  67. 67. Phase I – 1 month – BPA: Assessment and Evaluation
  68. 68. Phase II – 3 months
  69. 69. Data and systems architecture and design
  70. 70. Program Management Information System (PMIS)
  71. 71. Phase III – 3 months
  72. 72. Systems Integration (COTS)
  73. 73. Custom Development (SharePoint)
  74. 74. Data Quality</li></li></ul><li>JTF-CAPMED<br />World-Class Solutions<br /><ul><li>Solution
  75. 75. Project Management Information System (PMIS)
  76. 76. Executive Dashboard and BI (JTF-CAPMED SharePoint Portal)
  77. 77. SaaS integration and interface SQL/.NET (API) (Attainia and Accendo)
  78. 78. Data visualization and interface (MS Silverlight)
  79. 79. Integrated Master Schedule (MS Project – MS Project Server)
  80. 80. Automated data transfer (JMLFDC – DMLSS)
  81. 81. Tracking Tool (SharePoint 2007)
  82. 82. Results
  83. 83. Unique health services supply chain solution
  84. 84. Integration of 100% construction, financial, contractual, capital equipment, procurement, warehouse, and tracking data (RFID/barcode)
  85. 85. 100% accountability of $322 million of equipment w/in 6 months</li></ul> SharePoint SOA: Creation of prototype DMLSS interface and cradle-to-grave accountability<br />
  86. 86. Lessons Learned<br />After Action Report<br />Challenges:<br /><ul><li>Staffing
  87. 87. IPT (Integrated Product Team)
  88. 88. Infrastructure and server farm implementation
  89. 89. Data architecture
  90. 90. Authentication
  91. 91. Project Planning: Make or Buy and Business Case Analysis</li></ul>Enablers:<br /><ul><li>Staffing
  92. 92. Agile/Scrum Methodologies
  93. 93. SharePoint SDLC
  94. 94. Executive Support
  95. 95. Phased/Iterative Deployments
  96. 96. Flexibility/Adaptability</li></li></ul><li>Questions?<br />Questions?<br />Thank you for your time!<br />Marie-Michelle Strah, PhD<br />Aquilent, Inc. Lead Business Consultant<br />Email: michelle DOT strah AT aquilent DOT com<br />Twitter: @cyberslate<br />

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