A Live Implementation of Business (Care) Process Management
Technology to Streamline Discharge Readiness Planning
E-Health 2013Cameron KeyesMay 27, 2013
Conflict of Interest and Disclosure
Cameron Keyes, MScHas no real or apparent
conflicts of interest to report
© 2013 HIMSS
Key Take Away Points
Why there is a need for business process management in healthcare
What is TOH’s strategy for implementing “care” process management (CPM)
How we are rolling it out to streamline discharge readiness planning
The Hospital’s Vision – “ To provide each patient
with the world-class care, exceptional
service and compassion that we would want for
our loved ones ”
The Ottawa Hospital
Characteristics of Patient Care Processes today
Lab
Registration/Scheduling Physician
Nursing Unit
OR
Patient
Medical Imaging
OHP
CCACLTCHome
New layer to orchestrate People, Processes, Data and TechnologyNew layer to orchestrate People, Processes, Data and Technology
The Ottawa Hospital Way
BPMCPM
CPM Journey
Launch Adopt Transform
Maturity
Conducting initial
workshops
Quick Win Pilots: Health
Records, Wellness
BPM Office Concurrent projects
Development & ExecutionDRP, VTE,
Wellness (ph 2),Health Records (ph 2)
CPM Transformation Program
Implementation
Aug 2011 Dec 2011
Adapted From: Dyer et al. 2012. Scaling BPM Adoption From Project to Program with IBM Business Process Manager. IBM.
CP
M C
ap
ab
ilit
ies
Jan 2012 - PresentKey component of
transformation strategy
Expanded platform - Rules / Event Engine
Discharge Readiness Planning Process Inpatient Care Team Pain Points
Lack of Clinician Accountability
‘Open Loop’ Communication Processes
Delegated Actions
Inability to keep track of who’s doing what
The Patient Care Team will become visible to everyone
Care providers will have clearly identified tasks that they are accountable to report on
Issues affecting discharge will be flagged at the beginning and the Medically Ready Date of the patient will be tracked and communicated throughout the patient’s stay
The Main Goals of the Pilot
Application Layer
Patient Reg Scheduling OR Mgmt EMR Communications
…
Enterprise Service Bus / Integration Engine
Care Process Management Capabilities
Web / Mobile User Interfaces
HL7 Messaging Database Management RTLS
BPMS Rules/Event Engine BI Tools Collaboration Messaging
PC iPhone iPad Portal
Enterprise Process Architecture and Key Components
RFID
Nurse Physician Health Professionals
Whiteboard
Notifications
Entitlement
Process Driven Design
DRP: Mrs. Alice Blue’s Journey
Notification to in-patient team
Mrs. Blue is admitted to Service Setting Medically
Ready Date Notification to other health professionals
Mrs. Blue is discharged
ED Consult Request
Consult alert acceptance/ delegation
Receiving acceptance
Unstable
Convalescent
48 h
24 h
Electronic Consult Requests
Physician estimates the Medically Ready for Discharge Date and requests Orders for Therapeutic
Services
A simple, easy to use visual interface that identifies the
providers involved in patient’s care
Circle of Care & Patient Roster
Patient Roster listing patient discharge status viewed by
all team members
Key Leanings
Cultural Change
Careful selection of initial projects to demonstrate value and learn
New operating model
Embedding into existing infrastructure
Iterative approach
Measuring success
Thank you!
Cameron KeyesDirector, Healthcare Process TransformationThe Ottawa Hospital(613) 737-8899 x [email protected]