This document summarizes a presentation about using health informatics to improve patient flow. It discusses how inefficient patient flow can lead to delays, longer lengths of stay, and poorer patient care and experience. The presentation describes how seamless patient flow between primary care, acute care, community care, and social care requires tightly integrated care models with shared tools, communication, and monitoring across settings. Case studies are presented of two UK hospitals that implemented Hospedia's ExtraMed patient flow solution and achieved benefits like reduced emergency department wait times, fewer delayed discharges, and improved compliance with targets.

1. Commercial in Confidence – All Rights Reserved – Hospedia Ltd – E&OE
Presenter by Gary Davies
Sales Director
Hospedia Ltd
October 2016
SEAMLESS PATIENT FLOW USING
HEALTH INFORMATICS TO DRIVE
FASTER, SAFER PATIENT JOURNEYS

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ExtraMed from Hospedia is the Market
Leading Patient Flow Solution used in the NHS
• Some real-world examples of
redesigned healthcare systems that
are delivering effective patient flow
and improve patient care
• The tangible benefits being
delivered by improving patient flow.
• Why inefficient patient flow results
in poor financial performance, poor
patient care and poor patient
experience
• Why seamless, efficient patient
flow between primary, acute,
community and social care requires
tightly integrated care models.
Today’s Presentation Topics Today’s Presentation Topics
Text
We are working with numerous NHS partners helping them deliver faster
and safer patient journeys throughout the health and care community

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Patients routinely waiting over 4 hours in ED for a suitable
bed to become available
Patients not being discharged because something
that should and could have happened hasn’t
Medically fit patients who aren’t discharge because
a suitable destination isn’t ready
Patients regularly being treated in an incorrect ward
setting
Patient conditions getting worse unnecessarily so they
have to stay longer
Inefficient Patient Flow Creates Delays

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Delays Reduce Personal and Organisational
Performance
Average
length of
stay is
longer than
necessary
Money is spent
unnecessarily
Patient care and
experience is sub
optimal
These problems are solved when patient flow is improved

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Seamless Patient Flow between Primary,
Acute, Community and Social Care requires
Tightly Integrated Care Models
•there is agreement about how care
There is agreement about the care transitions
processes and responsibilities
A ‘common language’ is used to manage care
transitions
Shared ‘tools’ are used by dispersed teams
and across boundaries
Visualisation, prompts and alerts are used to
highlight and stop delays
Paper and phone calls are replaced by shared
electronic communications
Patient condition is regularly monitored and
escalations directed to clinicians
Patient flow
improves when

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Acute Care
 Visibility of patient
plan, actions, location
and condition
 Prompts and alerts
 Team views and
handovers
 Discharge planning
Community and
Social Care
 Shared care plans
 Shared discharge plans
 Multi-disciplinary team
views
 Virtual wards support
hospital at home
Primary Care
 Visibility of patient,
plan, status and
location
 Messaging and updates
between primary and
acute staff
Primary Care
Acute
ExtraMed Supports the Whole Patient
Journey in Real-time and New Models of Care
Integrated
Pathways
Emergency Care
 Visibility of bed status
and availability across
the hospital
 Bed requesting and
transfers

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Real-world Examples of Redesigned
Patient Flow Improving Patient Care and
Performance

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Derby Teaching Hospitals NHSFT
 1200 beds, multi-site
 Hospedia customer since October 2013
 Benefits:
 4 hour ED targets consistently met
 Delayed discharges reduced
 LOS reduced from March 13 (6.6 days) March
14 (5.9 days)
 No winter wards opened since deployment
 Compliance levels high
 ExtraMed Patient Flow procured to address:
 4 hour waits in Emergency Department
 Delayed discharges
 Reduce bed occupancy
 Prevent opening winter wards
 Improve patient safety
 Improve compliance
 Programme:
 Phase 1 – All medical wards live in 12 weeks from
project start
 600 active clinical users in first 4 weeks
 Now over 4000 active users
 ExtraMed is used across all wards via
eWhiteboards
 Virtual wards created for community and social
care discharges
 Ready to go initiative - discharge before 12 noon
 Extended to 57 GP Practices October 2016
 Integrations:
 Bi-directional integration with CSC Lorenzo
 Interfaced with Patientrack for NEWS scores on
eWhiteboard
 WinDip for document management

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Luton and Dunstable Hospital NHST
 708 beds, single site
 Hospedia Customer since 2009
 Benefits:
 ED 4 hour wait times reduced currently
operating 98.3%
 Delayed transfers of care reduced to 1.2%
 Average bed occupancy reduced currently
operating at 87.5%
 ExtraMed Patient Flow procured to address:
 Improve patient flow from ED into the hospital
 Improved visibility of bed state and occupancy
across the hospital
 Reduce average length of stay
 Improve safety & timeliness of discharge processes
 Improve compliance
 Programme:
 ExtraMed ward views created for use in ED with bed
requesting and transfers
 Multiple streams created to flow patients into more
specialised areas
 ExtraMed used across all wards via eWhiteboards to
provide real-time bed state and minimise treatment
delays
 All wards use ExtraMed to support referrals and
handovers
 Clinical co-ordination centre established using
selected ExtraMed screens. This is now the
operational command facility for the whole
organisation
 Integrations:
 ExtraMed integrated CSC Patient
Administration iPM

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Tangible Benefits Delivered by Improved
Patient Flow

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Summary: Seamless Patient Flow
Solution Characteristics

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Summary: Seamless Patient Flow
Solution Characteristics
03/04/1957 645-765-9876
REAL - TIME ACCURATE RELEVANT

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Summary: Seamless Patient Flow
Solution Characteristics
COMMUNITY-WIDE
TRANSPARENCY

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Health & Care
Economy
Healthcare
Organisation
Wards & Teams
Point of Care
•GP Access & Alerts
•Mental Health Access & Referrals
•Social Care Access & Referrals
•Performance Dashboards
•Clinical Coordination Centre
•Real Time Bed State
•Interactive Ward Whiteboards
•Shared Patient Plans
•Team Views and Referrals
•Nursing Assessments
•Observations Capture
•Alerts and Escalations
Summary: Seamless Patient Flow
Solution Scope

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Thank You