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Creating the SMART Hospital of the Future with Innovation Partnerships
March 1, 2016 Altaf Stationwala, CEO Mackenzie Health Richard Tam, EVP and Chief Administrative Officer, Mackenzie Health Moderator: Brent Shafer, CEO Philips North America
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• Opened in 1963, Mackenzie Health serves over a million people in Southwest York Region
• Vital Statistics (April 2015) – 518 Beds (168 Long-Term Care)
– 92,993 Emergency Visits
– 2,429 Births
– 139,666 Outpatient Visits
• Second largest employer in Southwest York Region – 2,502 Staff
– 450 Physicians
– 1000 Volunteers Donating 97,000 hours
• Operating budget: $299 million
Quick Facts (Fiscal Year 2014/2015)
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One main hospital site plus satellites
Mackenzie Richmond Hill Hospital
l
Richmond Hill
Vaughan Vaughan Richmond Hill
Barrie
TODAY
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Two-Hospital Service Delivery Model
Mackenzie Richmond Hill Hospital
l
The Future Mackenzie Vaughan
Hospital
TOMORROW
Richmond Hill
Vaughan Vaughan Richmond Hill
Barrie
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Mackenzie Health Opportunities
Mackenzie Vaughan Hospital
A different service delivery within new
hospital and across the two sites leveraging
innovation at Mackenzie Richmond Hill Hospital
Substantive ICAT investment
Opportunity Leverage project with need to test service delivery model and ICAT
strategy before Mackenzie Vaughan Hospital completion in
2019/20
Applied Innovation
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Goal
Goal
Innovation: Goals & Vision
• Create an exceptional patient experience
• To build a high performing organization
• To become a leader in applied health innovation
Applied Innovation Goals
Applied Innovation Vision
Develop robust, sustainable infrastructure to facilitate testing, evaluation, application, and diffusion of innovations.
Contribute to evidence-based healthcare system design
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Areas of Focus
Evidence-based
Practices
Health Service Delivery Model
Technology
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Mackenzie Health
Industry Partners
Academia
Innovation in
Practice Innovation in
Patient Safety
Innovation in
Evaluation
Partnership model
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• Clinical expertise in patient care
• Patient Care Redesign
• Ambient intelligence
• System integration
• End-user devices
• Secure mobile device management
• Network infrastructure
• Secure unified communications
• Evidence-based design, implementation, evaluation, & diffusion
Ontario-grown integrated smart clinical messaging and alerting
solution
Industry-Healthcare Alignment Ontario-grown integrated smart clinical messaging & alerting solution
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Mackenzie Health Output Specifications Lessons
learned from Lean
Expert & Community Engagement
Vision, Strategic
Plan, Smart Hospital
Stage 1 and Stage 2 Plans Mockups, 2P
& Other User Groups
Planning Principles
Learnings from Site Visits &
Conferences
Creating the Specifications
Hospital construction proponent
Managed Equipment Service provider ICAT provider
Ecosystem of Innovation Partners
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Shared accountability model
Joint commitment to quality, efficiency, and cost metrics = NEW value for provider and patients
Mackenzie Health
Solution Partner
Common Goals Predictability Shared risk
Continuous improvement Reduced operating expense
Innovation
The changing health care environment requires new business models & partnership strategies
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Innovation in
Practice Innovation in
Patient Safety
Innovation in
Evaluation
Formative Project: Smart Patient Rooms
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Real Time Location System (RTLS)
Hand hygiene monitoring
Bed exit alarm
Nurse Call System &
Nurse Follow Communication
consoles
Smart Client & reporting dashboards
Automated personalized HH
performance emails
ThoughtWire Integration
Call bell & staff assist notification on mobile
device Nurse Nurse
Inter-staff Messaging
Nurse Physician
Patient to Nurse
voice call Nurse Patient
Innovation Unit: Current Functionality
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ONE digital action (the drug order) triggers intelligent workflow automation that automates ALL of the tasks that follow
• SAFER for patients • LESS WORK for clinicians • MORE EFFICIENT for hospital
processes
A Smart Hospital utilizes digital health moments
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Telemetry-initiated Code
Blue
Notify closest team members
Return bed to CPR position
HOLD narcotic infusions
Bring elevator to team’s location
Turn off room alarms when team arrives
Display patient EMR summary
on room display
e.g. A digital health moment during cardiac arrest
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e.g. private, secure, and safe medical device moments
Medical Device Agent
Clinician is scheduled to work today
Clinician is trained on
device
eRegistry established relationship
Clinician and patient are in same room
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Ambient Intelligence
New and legacy devices and systems can be wrapped with layers of connectivity, security, and ambient intelligence to create building blocks for smart healthcare processes
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The Internet of Healthcare Things
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In summary…
www.mi2health.com
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Questions