leveraging logistics and technology for better care and...
TRANSCRIPT
Leveraging Logistics and Technology for Better Care and Better Value
Erie St. Clair CCAC and Home Care Intelligence, Inc.
Barb Frayne, Director, Professional Practice, Education, & ProcessesEric Odom, President and CEO, Homecare Intelligence, Inc.
Deborah Emerson, President and CEO, Homecare Intelligence Canada, Inc.Caen Suni, Sr. Director, Strategy and Performance Management
Agenda
• Why? What problem are we trying to solve?
• In Context: HCI, solutions and the Health System
• What? Health Care Innovation
• How? Implementation in Erie St. Clair
• Current State and Next Steps
What Problem are we Solving?
Q.) How do we support the development of a different model of care with current tools and techniques?
A.) We can’t. We needed a new solution. Current tools and processes were manual, time consuming and not integrated.
Why? • Ensuring equity for both patients and care providers
including care coordination is another ongoing challenge in the home care sector, as well as the healthcare sector at large
• In the primary care sector, the Price Report1 has proposed to address this issue by creating territories, similar to school districts, where residents would be assigned to a Patient Care Group (PCG).
Price et al. (2015) Patient Care Groups: A new model of population based primary health care for Ontario
Why?
• The Erie St. Clair project took an enhanced data and evidence based approach to territory generation
• This was a calculated leadership decision that ensures equitable access/optimized caseloads for their staff all while working in an environment of fiscal constraint
• Objectives associated to sector strategy, OAGO recommendations• The Erie St. Clair CCAC sought a solution that was cutting edge,
evidenced base and would contribute to performance management.
How did we solve this?
The solution:
• A solution providing flexible creation and modification of Care Coordinator Geographic Areas.
• A Logistics solution
• A Business Intelligence solution to support decision making, performance management and productivity.
Context: HCI Canada and Health Care in Ontario
• HCI Canada is a privately held corporation who’s leadership holds deep domain expertise in delivering high tech solutions in the home health space. The founder of HCI Canada also Co-Founded Sensory Technologies Inc. which provides the “e-shift” solution here in Ontario and abroad
• HCI US is a separately held entity based out of Austin Texas who works ostensibly through HCI Canada to deliver a “best in class” logistics solution. HCI’s leadership has decades of experience in the health care logistics space. Notable clients include McKesson, Honeywell, and Kinser
Context: HCI Canada and Health Care in Ontario• Provision of home care can be viewed as a ‘logistics challenge’ to
provide the right care, at the right time, in the right place by the right provider with the right resource with the right skills– the current solutions employed can be improved.
• Home care service delivery is among the most complex of the transportation class of problems, being:– Multi-depot (care providers typically start work from their homes)– Capacitated (care providers have limited availability)– Time window constraints (visits can have specific service times and
unique requirements such as language, cultural etc.)
Context: HCI Canada and Health Care in Ontario
• Therefore, we use a heuristics-based approach to obtain a high-quality solution in minutes – not weeks
• This solution is designed to run tens of thousands of iterations for thousands of clinicians to find the most optimal clustered routes for any type of care provider in seconds all while providing extensive BI tools to support it’s use in a targeted “cost neutral” manner
• We’re proud to be here to demonstrate the power of this broad solution that has many “tools” in the “toolbox” that enable various stakeholders including Service Provider Organizations / CCAC’s and LHIN’s to operate with vastly greater efficiency
The solution:
Technical Demo
Implementation
in Erie St. Clair
Beginning the Change
• Staffing model day
• Working group
• Collective agreement
• Opportunity knocked
Refreshed Patient Care Model
• Caseload Redesign• Hospital Role• Intake Role• New Tools Geographic Area Generation for Caseload Territories Intake Logistics
Geographic area generation for Caseloads
• Caseload Reviews
• Splitting downtown areas
• Based on population and caseload size
• Retirements homes
• Primary Care
Geographic Area Generation of Caseloads
Intake Tool
• Transitioned over 7200 files during launch• New admissions and other transitions points• Community Caseloads and Short Stay (near
future)• Street level mapping• Desktop icon• Password protected
Logistics Tool• Small pilot- Beginning in the Sarnia site
• Project team-working closely with staff
• Patient Service Assistant driven
• Expectations for visits per week
• Face to Face, Initial RAIs, Reassessments
• Start can be from any location
Education
• Educators provided information sessions
• Multiple short sessions (30-60 mins)
• Validation through mismatch reports
• Development of job aids
Reports
• Data Alerts
• Mismatch list
• Caseload Summaries
Caseload Summaries
Current State and Next Steps
• Expected Outcomes Improve continuity of care coordination; Optimize caseloads and allow CC’s to easily be tied to Primary Care; Reduce mileage expenses by 25%; Ensure timely assessments; Reduce scheduling resources by up to 50% (both for CCAC and SPO);
and Most significantly, expand system capacity so we can better serve the
growing demand for homecare services within this environment of fiscal constraint.
Current State and Next Steps
• Academic Partnership: University of Windsor, sector partners
• Support Primary Care Integration
• Tools are dynamic based on strategy / needs
Contact Information• Barb Frayne, Director, Professional Practice, Education, & Processes, Erie
St. Clair CCAC [email protected]
• Eric Odom, President and CEO, Homecare Intelligence, Inc. [email protected]
• Deborah Emerson, President and CEO, Homecare Intelligence Canada, Inc. [email protected]
• Caen Suni, Sr. Director, Strategy and Performance Management, Erie St. Clair CCAC [email protected]