transformation case study: chester county hospital

1 May 22-24, 2007

Washington Dulles HiltonThe Business Transformation Conference

Ray HessVice President, Information ManagementThe Chester County Hospital

SessionTitle:Transformation Case Study: Chester County Hospital

WelcomeWelcome

to Transformation and Innovation 2007 The Business Transformation Conference

2 May 22-24, 2007


The Challenges of BPM in an Acute Healthcare Environment

Complexity of processesInteractivity of processesVariability of processesDefinitional context of resultsLarge pool of very mobile usersInteroperability issues with legacy systemsNeeded in Healthcare more than anywhere

else

3 May 22-24, 2007


4 May 22-24, 2007


Types of Processes in Healthcare

Pure Business Processes Business Processes that Support Clinical Care

Bed Turnover Dietary Tray Management Supply Management Transportation

Clinical Processes Disease Specific Procedure or Treatment Based

Goal: Patient Centered Process Management

5 May 22-24, 2007


PatientIsolation

CHF

Diabetes

AMI

Sepsis

Community A

cquire

d Pneumonia

Bed Management

Dietary

Transportation

Med Rec

Stroke

Surgic

al

Proce

dure

s

Patient Centered Workflow Management ProcessTest Prep

6 May 22-24, 2007


CCH Workflow Slide 1 of 4

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8 May 22-24, 2007



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10 May 22-24, 2007


Two Issues Facing Hospitals

1: Patient ThroughputEfficient and effective movement of patients

from intake to dischargeBusiness process issue:

Quick and consistent clinically-driven bed cleaning process

Reduces waits and delaysAllows patients to be placed rapidly into the

proper setting optimizing care delivery

11 May 22-24, 2007


Pre-BPM Process

12 May 22-24, 2007


Bed Cleaning Issues

Manual process with multiple pathwaysNot clinically managedLarge variability in outcomeLarge number of errorsPoor management oversight abilitySignificant clinical care and patient

throughput impact

13 May 22-24, 2007


BPM Bed Cleaning Process

14 May 22-24, 2007


Bed Cleaning Sub-Process Top levelSlide 1 of 2

15 May 22-24, 2007


Bed Cleaning Sub-Process Top levelSlide 2 of 2

16 May 22-24, 2007


BPM Process Steps Listen for patient transfers/discharges Alert housekeeping based on day, shift, and floor via

text beeper Alert nursing for prioritization via phone Re-alert housekeeping as needed Escalate as needed Housekeeping updates system for start/completion

via telephone keypad Nursing alerted when room is ready BPM controlled electronic and interactive bed board

17 May 22-24, 2007


Two Issues Facing Hospitals

2. Infectious Disease Recognition and Isolation Management Major Focus in U.S. and world wide MRSA: Methicillin Resistant

Staphylococcus Aureus For CCH: 4% of adult admissions

8% of adult days Need to identify, alert, and manage

18 May 22-24, 2007


19 May 22-24, 2007


Isolation Management Issues

Identification of infectious patients Proper alerting and isolation

determination Proper testing for active disease Alert for removal if negative test results Supply management

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21 May 22-24, 2007


MRSA Sub at time of Submission

22 May 22-24, 2007


BPM Steps for Infection Control

Monitor all admissions for MRSA history Alert nursing and infection control Monitor all new lab values for MRSA Update tables based on new information Alert various individuals/departments

concerning tasks that need completed

23 May 22-24, 2007


Where Isolation Management is GoingSlide 1 of 3

24 May 22-24, 2007



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26 May 22-24, 2007


Summary

BPM is being used successfully in an acute healthcare setting

1200 – 1500 active patient cased are running at any given time

One master flow with many sub processes

Additional sub-processes are being added on a regular basis

27 May 22-24, 2007


Thank YouThank YRay HessVice President, Information ManagementThe Chester County Hospital

Contact Information:[email protected]

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