www.regionmidtjylland.dk
Helle Markmann, MSc Computer Science
Manager, Product Management Department of Clinical Software Products
Hospital Logistics 2 ▪ www.regionmidtjylland.dk
3 ▪ www.regionmidtjylland.dk
Denmark and its regions
Region of Southern Denmark
Capital Region of Denmark
Region Sjælland
North Denmark Region
Central Denmark Region
0,6 m
1,3 m
1,2 m
1,6 m
0,8 m
120 km
170 km
5 Hospitals with units on 14 locations
Central Denmark Region
The numbers
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2013
Outpatient visits 1.570.000
Emergency visits 202.000
Not-emergency visits 69.000
Provide transparent patient flows and work flows across the hospital and support communication and coordination of the logistics of these flows
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Communication
Coordination
Overview
What is Clinical Logistics
Cetrea Clinical Logistics
▪ The Cetrea Clinical Logistics (CL) was developed in 2003-2006 as an innovation project with a minor hospital in Horsens in the south of our region ▪ CL is now widely used in operation rooms in
hospitals all over Denmark ▪ In 2012 CL won the tender for clinical logistics in
Central Denmark Region
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Cetrea CL as enterprice
▪ Solution is hosted by the Regions central IT department ▪ Configuration is done centrally by the region (no
vendors) ▪ Configuration of the screens is standardized across
hospitals ▪ Patient flows across hospitals and hospital centers
(e.g. apoplexia) ▪ Integrations to other enterprise systems ▪ Across somatic and psychiatric hospitals
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Integration – supporting the patient flow
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appointments
Journal data - scores - coercion - death
Vitale parameters Time of arrival
Status
Jump between systems remaining patient context
All integrations meet international standard HL7
Implementation status
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Now Expected end of 2015
AnyWhere (web client)
12.000 users 20-25.000 users
Task stations (touch screens)
570 screens 1.000-1.500 screens
Study 1: “Health Technology Assessment” (HTA) study CETREA Surgical was evaluated in the period from January 2009 to December 2010, i.e. 22 months Macro-level Results • 7% overall increase in production (DRG values) during the period of the study. • 6% increased utilization of ORs (from 82% to 88%) • 66% reduction in no. canceled operations
Return on Investment • cost ~ 350.000 euro • savings ~200.000 euro • ROI in 1-2 year
Studies based on Cetrea Surgical
Study 2: Qualitative Results from the OR staff questionnaire • 70% of staff thinks information is easier available • 76% thinks the technology provides a better overview • 68% thinks the system makes it easier to coordinate work • 67% thinks the technology saves some steps • 65% experience fewer interruptions Study 3: Data analysis of phone and step usage • Phone calls was reduced by 39% • Number of steps was reduced by 31%
Study based on Cetrea Surgical
Operation flow
Cetrea Clinical Logistics values
▪ Operating room – Less stress and fewer interruptions ▪ Coordinating Central – Better overview, easier communication
and planning ▪ Recovery department – Better information to relatives, better
planning ▪ Patient wards – Better information to the patients, better
communication with the OR and acute surgery ▪ Sterile department – Better optimization of the cleaning
machines, being a more integrated part of the hospital ▪ Morning meetings – Better overview and planning of the
doctors resources ▪ …
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Measured improvements so far
▪ Morning mettings ▪ Changing between watches ▪ Efficient use of beds ▪ Bed days ▪ Easier communication ▪ More efficient use of rooms (status visible for
everybody) ▪ Tracking personnel - time and walking distance
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Future
▪ CL used for 'days work' in all clinical work flows; surgical, outpatient, acute and ward ▪ Queue and call boards (patient oriented) ▪ Video streaming ▪ Cooperation with other sectors - municipals
responsibility for home nursing and rehabilitation ▪ Business intelligence - dashboard ▪ Logistics (e.g. automatic texting cleaning)
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Thank you for listening
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