smart/intelligent hospitals concepts & evaluation smart/intelligent hospitals: concepts &...
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DECEMBER 29, 2015 1
SMART/INTELLIGENT HOSPITALS:
CONCEPTS & EVALUATION
THOMAS T.H. WAN, PH.D., MHS
PROFESSOR OF PUBLIC AFFAIRS, HEALTH MANAGEMENT & INFORMATICS, AND MEDICINE
COLLEGE OF HEALTH AND PUBLIC AFFAIRS
UNIVERSITY OF CENTRAL FLORIDA
DECEMBER 2015 2
Topics
1. Concepts of Smart/Intelligent Hospitals2. Trends and Patterns of Smart/Intelligent Hospitals in the
United States3. Drivers for the Care Innovation and Care Management
Approach to Healthcare4. Evidence-Based Design of Smart/Intelligent Hospitals5. Prospects of Future Development and Design6. Concluding Remarks
DECEMBER 2015 3
1. Concepts
PAHO: Green Hospital USA: Intelligent Hospital or Knowledge-based operations coupled with a modern infrastructure for enhancing the healing environment; digitized health; value-based healthcare Asia: Smart Hospital; O2O service network
DECEMBER 2015 4
2. Trends and Patterns of Smart/Intelligent Hospitals in the United States(http://www.healthcaredesignmagazine.com/article/how-design-smart-hospital) Health Information Technology USE (Meaningful USE)
Integration Network Platform to Optimize Informatics Integration
Clinical Integration System For Patient Care Management, Outcomes Improvement, Cost Reduction and Productivity
DECEMBER 2015 5
Fisher-Titus Current Position IT Roadmap
◦ Partnership with Cerner will position you well to benefit from the Medicare/Medicaid incentive payments◦ Fisher-Titus is currently at HIMSS Level 1 - 2
→ FTMC & MH Current State
FTMC & MH Future State
→
DECEMBER 2015 7
Smart Room Cerner’s Smart Room: Integrating Technology at the bedside
to empower patients and clinicians.
myStation: Patient Education and Entertainment myHospital, myOpinion, myHealth, mySchedule, myEducation, myCareTeam, myMenu, myMovies, myTV, myGaming, myInternet, myMusic
CareAware MDBus: Connecting medical device data to the Electronic Medical Record
iAware: Customized Clinical Dashboards Aggregates medical device data AND IT systems data and displays in an intuitive configurable dashboard
Room Wizard: Electronic Message BoardOutside patient room to alert clinicians and patient family/visitors of key information
DECEMBER 2015 8
CareAware MDBus CareAware MDBus™ (Medical Device Bus)
◦ Cerner’s USB for healthcare ◦ Enables seamless connection of medical device data
to the Electronic Health Record (EHR)◦ Continuous availability architecture
CareAware Services and Support ◦ Patient-to-device association◦ Location services ◦ Wave form aggregation/full disclosure◦ Event stream processing ◦ Event management
Device Lifecycle◦ Detects device “heartbeat”◦ Ensures device status is always known
HCIT
DECEMBER 2015 9
PATIENT EDUCATION MODULE
DECEMBER 2015 10JAVA based “widgets”Device Data, from multiple devices, available at user’s fingertips and upon entering room (ie. via RFID) User configurable
DECEMBER 2015 11
Room Wizard: Electronic Message Board
Improves communication with clinicians, family members & hospital staff
Patient Safety: •Displays Room #•Displays Room/Patient Information in real time. Ex. NPO, Latex Allergy, Isolation, etc. •Integration with Nurse Call system
Room Availability: •Red & green lights to show room Status•Display caregiver currently in the room name and role.
Visitor Information: • Integration with CIPS to display messages to visitors Ex. Do not Disturb.
DECEMBER 2015 12
3. Drivers for the Care Innovation and Care Management Approach to Healthcare
COST
ACCESS QUALITY IT SOLUTIONS
DECEMBER 2015 13
HIMSS: Bed Control, Transport Control and Admit Control: http://intelligenthospital.tv/#IHP
BedWatch® is a suite of state-of-the-art, cloud-based patient throughput management solutions designed to provide hospitals with the tools necessary to improve operational efficiency, streamline inter-departmental communication, reduce patient wait times, & maximize resources.
DECEMBER 2015 14
4. Evidence-Based Design of Smart/Intelligent Hospitals
A. Does the solution work? B. How can hospital improve the bottom line? C. Do patients like the improved communication
system? D. Does informatics integration facilitate self-care management of chronic conditions?
DECEMBER 2015 15
Four Traits in Building A Smart Hospital
1. Safe and secure hospital design2. Sustainable hospital design3. Navigable hospital design4. Calming hospital design
DECEMBER 2015 16
IMPROVE
CUSPComprehensive Unit-based Safety
Program
1. Educate staff on science of safety2. Identify defects3. Assign executive to adopt unit4. Learn from one defect per quarter5. Implement teamwork tools
(TRiP) Translating Evidence Into Practice
1. Summarize the evidence in a checklist2. Identify local barriers to implementation3. Measure performance4. Ensure all patients get the evidence
How Often Do we Harm?Are Patient Outcomes
Improving?
Patient Safety Measure
www.safercare.net
Have We Created a Safe Culture?How Do We know We Learn
from Mistakes?
DECEMBER 2015 17Pronovost BMJ 2008
DECEMBER 2015 18
5. Prospects of Future Development & Design
REDESIGN OF CARE MANAGEMENT
TOOLS
REDUCTION OF COSTS ANDIMPROVEMENT OF BETTER
OUTCOMES AT PATIENT AND POPULATION LEVELS
Patient Centric Care Concepts
DECEMBER 2015 19
Integrated Vision and Mission of the Collaboration
FLHOSP as a Healing Environment UCF as a Partnership University
CREATION Health Research Center
COHPA-UCF: Strengthening Communities & Changing Lives Through Research
KNOWLEDGE GENERATION TO IMRPOVE HEALTH PRACTICE &
POPULATION HEALTH
DECEMBER 2015 20
Three Phases of Research Action Plan
1. Systematic Review and Meta Analysis of Selected High-Cost and High-Risk Medical Conditions
2. Comparative Cost-Effectiveness and Efficiency Analysis of Hospital Care
3. Implementation and Evaluation of Innovative Practice Change and Holistic Patient Centric Care
DECEMBER 2015 21
Systematic Review and Meta Analysis for Preparing White Papers
Training and Organizational Learning ActivitiesFormulation of Review Guidelines for Selected Research
Publications◦ Scope of the Study Variables◦ Criteria of the Review and Scoring Procedures◦ Format of the Summary Tables
Meta Analysis to Estimate Effect Size & Intervention effectPreparation of Whit Papers or Position Papers
DECEMBER 2015 22
Comparative Cost-Effectiveness and Efficiency Analysis of Hospital Care
Identification of Cost and Production Functions of the Delivery System
Development of Benchmarks and Areas of Improvement for Quality and Efficiency Improvement
Formulation of Feasible and Innovative ExperimentsSimulation and Optimization by Using Big Data: B2K Approach
DECEMBER 2015 23
6. Concluding Remarks: Digitizing Healthcare
A. Remote control link to maintain connectivity with providers.B. Interface with multiple data systems for care management.C. Incorporate the ability to use smart phone/tablet with a
camera controlled mouse interface.D. Develop customized communication system with providers.E. Ensure privacy and confidentiality.
DECEMBER 2015 24
7. Prospects for Preventive Strategies and Interventions: Value-based Healthcare
Revolution using HIT
1. Targeting High-Risk Patients2. Employing KMAP-O modality with HIT applications3. Using a web-based artistic guide to reduce caregiver’s
stress and burden and to prevent depression and related chronic conditions: Keywords: creativecaregiving creative aging arts toolkit or www.ncaa.org (to view the artistic tool guide for dementia caregivers)
DECEMBER 2015 25
Q & A
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