Optimizing the Use of

Hospital Resources through

Real-world, Real-time

Information Systems

Prof. Antoine Geissbühler, MD

Geneva University Hospitals

Geneva University Hospitals

• 2'200 beds

• 3 campuses, 30 smaller sites

• Primary, secondary and

tertiary care

• 50'000 admissions/year

• 800'000 outpatient visits/year

• 10'000 collaborators

• 1‘500 physicians

• 3'500 nurses

Meaningful integration in the care

processes

Integrating information

Considering today'sserum creatinine level, I recommend that youadjust the dosage of intravenous gentamicinto 80mg every 24 hours(and check its bloodlevel in three days)

From documentation to coordination

Collaborative care: clinical pathways

Shorter feedback loops

Resources

People

Equipment

Space

Processes

Interventions

Medications

Tests

Care

Results

Costs

LOS

Satisfaction

Outcome

Evaluation, feedback

Shorter feedback loops

Resources

People

Equipment

Space

Processes

Interventions

Medications

Tests

Care

Goals

Results

Costs

LOS

Satisfaction

Outcome

Evaluation, feedback

Variance

% of goals

achieved

Often missed

goals

From orders to workforce adjustment

Order entry

Split orders intoactivities

Schedule activitiesinto acts

Value the workloadfor each act

Match with resourcesfrom HR system

Adjust team workforce if needed

From activity to flow modeling

Connected to the real world of people

and objects

Real-world, real-time information

Challenges:

• Getting the information at its source, once

• Connecting the various information domains

with semantic consistency

• Shorten feedback loops so that the link

between actions and results is more likely

• Errors are photodegradable → transparency