The Health Care Systems Resource The Health Care Systems Resource Center:Center:

Potential ContributionsPotential Contributions

David Ben-Arieh Ph.DDavid Ben-Arieh Ph.DJohn Wu, Ph.DJohn Wu, Ph.D

State Network Council Meeting State Network Council Meeting July 29, July 29,

Hilton Wichita AirportHilton Wichita Airport

AgendaAgenda Critical Access Hospitals: our viewCritical Access Hospitals: our view Who we areWho we are Clinical Medical recordsClinical Medical records Facilities ManagementFacilities Management Operations ImprovementsOperations Improvements SummarySummary

Critical Access HospitalsCritical Access Hospitals Limited capacity and CMS stipulationsLimited capacity and CMS stipulations Shortage of medical staffShortage of medical staff Special reimbursement arrangementsSpecial reimbursement arrangements Limited IT infrastructure and supportLimited IT infrastructure and support Cooperating with a supporting hospitalCooperating with a supporting hospital 83 in Kansas participating in 21 rural 83 in Kansas participating in 21 rural

health networkshealth networks

Who We AreWho We Are Department of Industrial and Department of Industrial and

Manufacturing Systems Engineering at Manufacturing Systems Engineering at Kansas State UniversityKansas State University

Systems Engineering expertiseSystems Engineering expertise Eleven full time facultyEleven full time faculty Fifty graduate and 150 undergraduate Fifty graduate and 150 undergraduate

students students Cooperation with all related Cooperation with all related

departments at KSUdepartments at KSU

Capabilities/Areas of ExpertiseCapabilities/Areas of Expertise Computer simulationComputer simulation Benchmarking, MetricsBenchmarking, Metrics Safety, Risk Assessment/ManagementSafety, Risk Assessment/Management Reliability, Quality ControlReliability, Quality Control Information TechnologyInformation Technology Project ManagementProject Management Resource ManagementResource Management Ergonomics, Human FactorsErgonomics, Human Factors Logistics - Logistics - Inventory management, procurement Inventory management, procurement

Process and Operations OptimizationProcess and Operations Optimization

How can we help?How can we help?

• Clinical Medical Records

• Facility management

• Process Improvement

• Additional opportunities…

Clinical Medical Record Clinical Medical Record No need for IT infrastructureNo need for IT infrastructure Very little overheadVery little overhead Very (very) inexpensiveVery (very) inexpensive Improves communicationsImproves communications Improved efficiencyImproved efficiency Reduces errors, increased patient safetyReduces errors, increased patient safety Reduces reporting effortReduces reporting effort Access to standardized reportsAccess to standardized reports Customized internal auditing capabilityCustomized internal auditing capability Can be integrated with your existing EMRCan be integrated with your existing EMR

ExamplesExamples Connecting an Emergency Department Connecting an Emergency Department

to existing information system.to existing information system. Developing a “light” EMRDeveloping a “light” EMR

Web Based EMRWeb Based EMR 1Web Based EMRWeb Based EMR 1

Web Based EMRWeb Based EMR 2Web Based EMRWeb Based EMR 2

Web Based EMRWeb Based EMR 3

Instance Report

Risk Assessment (A-K)

Web Based EMRWeb Based EMR 3

Instance Report

Risk Assessment (A-K)

Facility ManagementFacility Management Improves operations Improves operations Reduce traffic Reduce traffic Improves patient flowImproves patient flow Better space utilizationBetter space utilization Reduces costsReduces costs Energy savingEnergy saving

ExamplesExamples Development and analysis of a new Development and analysis of a new

layout at a Critical Access Hospital layout at a Critical Access Hospital (Ellsworth County Medical Center)(Ellsworth County Medical Center)

Improved design of a large scale Improved design of a large scale pharmacy (Irwin military hospital).pharmacy (Irwin military hospital).

Improved facility design Improved facility design (Mercy Regional (Mercy Regional Medical Center – Manhattan)Medical Center – Manhattan)

Optimal LayoutOptimal Layout

Optimal LayoutOptimal Layout

Space Analysis:Space Analysis:Room SpecificationsRoom Specifications

LengthLength WidthWidth Sq. FtSq. Ft

Classroom #1Classroom #1 1616 3737 588588

Classroom #2Classroom #2 1616 3737 588588

Classroom #3Classroom #3 3737 3232 11881188

Training RoomTraining Room 1515 1515 225225

Computer RoomComputer Room 3131 2929 902902

Teacher's SpaceTeacher's Space 2020 2929 580580

Food Court AreaFood Court Area 3333 3434 11331133

AV Supply RoomAV Supply Room 1212 77 8080

Warming KitchenWarming Kitchen 1515 1414 210210

HallwaysHallways 8585 66 512512

Furniture by RoomFurniture by RoomPrice/unit

Number of Units

TotalPrice

ClassroomErgonomic Computer Chair $129.00 100 $12,900.00

Classroom tables 72" $499.90 40 $19,996.00

Total Price/room $32,896.00

Foodcourt/Warming KitchenMulti-Use Plastic Stack Chair $49.00 50 $2,450.00

Multi-Purpose 42" Round Table $219.00 9 $1,971.00

Total Price/room $4,421.00

LibraryTeacher/Computer Cubicle $1,290.00 3 $3,870.00

Multi-Purpose 42" Round Table $219.00 2 $438.00

Multi-Use Plastic Stack Chair $49.00 8 $392.00

Wooden Bookcase $49.98 2 $99.96

Total Price/room $4,799.96

Computer RoomErgonomic Computer Chair $129.00 20 $2,580.00

Computer tables 42" $259.00 20 $5,180.00

Total Price/room $7,760.00

TOTAL $49,876.96

Cost Cost AnalysisAnalysis

Furniture CostClassrooms $32,896.00

Food Court/Kitchen $4,421.00Library $4,799.96

Computer Room $7,760.00

Total $49,876.96

Cost- $130 per sq. ft. Classroom #1 $76,440.00Classroom #2 $76,440.00Classroom #3 $154,456.58Training Room $29,250.00

Computer Room $117,247.00Teacher's Space $75,400.00Food Court Area $147,315.57

AV Supply Room $10,400.52Warming Kitchen $27,300.00

Hallways $66,495.00

Total $780,744.66

Annual Energy Consumption

$6,156.60Total $6,156.60

Total Cost $836,778.22

Total Building Costs

The energy costs are calculated only for the new

sections and they are based on sq. ft.

Sq. Ft was estimated by a Kansas State University

Construction Science Student and manager of the

residential construction Company, Seiler

Construction Inc, Wichita Ks

Operations ImprovementOperations Improvement Improves quality and patient safetyImproves quality and patient safety Reduces costReduces cost Improves patient satisfactionImproves patient satisfaction Improves cooperation with supporting Improves cooperation with supporting

hospitalhospital Better risk management Better risk management What-if analysis What-if analysis Many more benefitsMany more benefits

ExamplesExamples Improving the operation of a Surgery Improving the operation of a Surgery

and Diagnostics/testing center and Diagnostics/testing center (Hays)(Hays) Reducing patient waiting time in a for-Reducing patient waiting time in a for-

profit ambulatory surgical center profit ambulatory surgical center (Manhattan Surgical Center)(Manhattan Surgical Center)

List of Scheduled Ambulatory Surgeries List of Scheduled Ambulatory Surgeries

Update Surgery DetailUpdate Surgery Detail

Update Surgery DetailUpdate Surgery Detail Full Form View

Update Surgery DetailUpdate Surgery Detail Full Form View

Remote Rapid Response TeamsRemote Rapid Response Teams -- RRRTRRRT

Supplement local clinical talent Supplement local clinical talent Identify problems very early onIdentify problems very early on Make better patient transfer decisions:Make better patient transfer decisions:

• Avoid unnecessary transferAvoid unnecessary transfer• Transfer patients before it is too lateTransfer patients before it is too late

Establish disaster preparednessEstablish disaster preparedness Provide better risk management Provide better risk management

(KUMed Dr. Simpson, Mr. Peterson) (KUMed Dr. Simpson, Mr. Peterson)

Special Thanks to …Special Thanks to … The Pratt team The Pratt team

• Susan PageSusan Page• Sherry BesserSherry Besser• Julie Dearinger Julie Dearinger • Luke KumbergLuke Kumberg

Hays Medical CenterHays Medical Center• Dr. Bob CoxDr. Bob Cox• Terry SiekTerry Siek• Bill NorrisBill Norris

EllsworthEllsworth• Roger PearsonRoger Pearson• Beth VallierBeth Vallier

Manhattan Surgical CenterManhattan Surgical Center• Scott Chapman

Irwin Military Hospital• Richard Hoyt

KU Medical Center• Dr. Simpson• Doug Peterson• Carol Cleek

And many involved staff members!

Contact InformationContact Information Dr. David Ben-AriehDr. David Ben-Arieh

email: email: davidbe@ksu.edudavidbe@ksu.eduphone: (785) 532-3724phone: (785) 532-3724

Dr. John WuDr. John Wuemail: email: chw@ksu.educhw@ksu.eduphone: (785) 532-3734phone: (785) 532-3734

Fax: (785) 532-3738Fax: (785) 532-3738

Address: Address: 216 Durland Hall,216 Durland Hall,Kansas State UniversityKansas State UniversityManhattan, KS, 66506Manhattan, KS, 66506