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P. Bak

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  • PS06 - Digital Health Engagement Through Benefits and Data (ID 45)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Panel Session
    • Track: Executive
    • Presentations: 1
    • PS06.03 - Command Centres: Shining the Light Between the Seams (ID 60)

      P. Bak, Humber River Hospital; Toronto/CA

      • Abstract

      Purpose/Objectives: NASA, municipalities, airports and the military all operate “command centres,” in which people, analytics and actionable insight come together in one physical space with the goal to routinize very high levels of performance. Large scale command centres are now emerging in healthcare at a time when the system is precariously congested and resource-constrained. These centres of gravity play mission critical roles in the orchestration of patient care activities by shining a light into the “dark corners” of operations to de-risk, prioritize and synchronize patient care delivery.

      Methodology/Approach: The panelists will describe the healthcare command centre journeys they have been on, including the problems they are tackling, their implementation approach, results achieved and lessons learned. One panelist will describe how a hospital turned vision into reality when it leveraged its vast digital infrastructure and opened Canada’s first hospital-wide command centre in 2017 as part of its quest to become a high reliability organization. Today, the command centre is ingesting data elements in real-time from multiple source systems across the hospital to trigger actions in the moment that reduce length of stay, mitigate delays in care and expedite patient flow. Another panelist will discuss its organization’s goals and approach for implementing a regional command centre that optimizes how capacity is utilized across multiple locations in its network. A third panelist, that is partnering with hospitals and health systems around the world to design, build and activate healthcare command centres with deep capability, will provide a compelling look at the scalability of command centres across different problem spaces from patient flow, length of stay and access to quality, safety and patient experience.

      Finding/Results: The vast amount of data that is being generated at every turn in a healthcare organization is overwhelming for most caregivers. Command centres are demonstrating this data can be put to good use and results in significant benefit when it is carefully mixed, filtered, processed and presented to the end user. That benefit comes in the form of reducing patient waits, de-stressing caregivers on the front lines and optimizing the use of limited resources such as staff, beds, equipment, etc. The panelists will share numerous real-world instances of applying real-time and predictive analytics strategically to solve specific challenges and drive outcomes that were otherwise not attainable.

      Conclusion/Implications/Recommendations: Hospital and health system command centres are challenging the status quo such that functions across the enterprise no longer need to work in silos, decision-makers no longer need to act without good information and caregivers can spend more time delivering care instead of coordinating care. All of this translates into better health service delivery and better quality of care which all patients deserve.

      140 Character Summary: Like NASA mission control, large-scale hospital command centres enable real time situational awareness and prompt action in the moment for direct patient benefit.

  • RF04 - New Ideas for Clinical Worker Transformation (ID 20)

    • Event: e-Health 2018 Virtual Meeting
    • Type: Rapid Fire Session
    • Track: Clinical Delivery
    • Presentations: 1
    • RF04.05 - Transitions in Care: iPlan (ID 339)

      P. Bak, Humber River Hospital; Toronto/CA

      • Abstract
      • Slides

      Purpose/Objectives: Humber River Hospital, in collaboration with Central LHIN Hospitals, Central Home and Community Care and Central LHIN, worked together on identifying gaps in processes related to ALC management/avoidance, and prioritized areas for improvement resulting in the development of the Discharge Planning Pathway and Discharge Planning Application iPlan.

      Methodology/Approach: Our innovate approach to discharge planning combines standardized clinical workflows with a newly developed application, implemented across the Central LHIN. The Discharge Planning Pathway allows for the early identification, engagement and management of patients that require discharge planning interventions, and is supported by literature and leading practices. iPlan is a new technology that integrates with hospital electronic medical records, and brings together information from Central LHIN Hospitals, Central Home and Community Care and Resource Matching and Referral (RM&R). This application captures the flow of patients through the hospital from admission to discharge, provides real-time situational awareness, improved communication between patients/families, hospital and home and community care teams with shared accountabilities to better manage patient transitions, a platform for future community engagement, and system level data to inform decision making and future planning. figure 1.png

      Finding/Results: Humber River Hospital implemented the pathway and observed an initial decrease in ALC numbers, and prevented some avoidable ALC’s to Long-Term Care. Two months post implementation, our number of ALC cases have decreased by greater than 20%. figure 2.png

      Conclusion/Implications/Recommendations: The discharge planning pathway and iPlan are dynamic and can be implemented at any hospital. iPlan understands where patients are in the discharge planning pathway from data received from the hospitals EMR and staff interactions with the application, and generates notifications for standardized interventions enabling consistency in practice and promoting a high reliability culture. Central LHIN Hospitals are currently implementing this solution in a phased approach.

      140 Character Summary: iPlan is a “smart” application that understands where patients are in their hospital journey, and pushes notifications for standardized clinical interventions.

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