Applying Innovative Technology in OR: Real-time …...Page 5 Tagnos confidential RTLS solutions •...
Transcript of Applying Innovative Technology in OR: Real-time …...Page 5 Tagnos confidential RTLS solutions •...
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Applying Innovative Technology in OR: Real-time Location
Solution(RTLS)
Neeraj S. Bhavani, CEO, Tagnos
Randy Saad, Sr. Director, Perioperative Services, White Memorial Medical Center
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The Basics - How RTLS Works
• Patient workflow – Patients are given RFID wrist bands
– Unique tag numbers are assigned to the patient
– Workflow data captured hands free across the patient experience
• Asset Management – Assets are tagged using RFID technology
– Room, bed, or bay level tracking
– Smart connections with patients
• Staff location – RFID staff tags
– Smart connections with patients
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The RTLS Solution
Real-time hands-free tracking and monitoring of patients, staff and assets
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RTLS solutions • RTLS solutions improve efficiency
and patient satisfaction and can be deployed hospital-wide – asset management, bed tracking, etc. or at high visibility, high risk areas such as Surgery (OR), Emergency (ER) and Radiology – Seamless & Accurate data
capture and management reporting
– Alerts for staff to delays and inefficient use of resources
– Monitors the load between target and actual
– How are we doing vs How did we do!
– Instant reporting – Visibility and communication
with physicians regarding the patient
Add Clinical data and Predictive analytics
Add Clinical Logistics for certain departments
Asset Tracking & Patient Flow
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Where RTLS Impacts Care
Patient Experience
(30%)
Efficiency (20%)
Delays in care impact the
patient’s experience. Press Ganey
suggests informing patients of
delays positively impacts HCAHPS
scores.
Delays in care are
considered “waste”
and impact throughput
and efficiency.
*Source: IHI Report
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Internal Challenges
• Optimal Patient Flow is Crucial
Top Root Causes to Poor Patient Flow:
• 61% Communications
• 29% Visibility to Data/ Equipment
• 10% Patient Engagement
Assessment * Treatment * Diagnostics * Diagnosis * Disposition
Source: AHA Solutions, Jan 2012
Understanding the Load is critical
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Proven Success
Radiology Services Central Patient Registration
and OPS / GI Labs
$365K Revenue Increase $498K Expense Reduction
25% reduction in Length-of-Stay,
significant improvement in Patient Satisfaction scores
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Perioperative Services Results
Metrics
Increase on-time starts
Reduce Room Turnover Times
Increase Physician Satisfaction
Reduce Staff Overtime hours
Increase Revenues
Case Volume
Increase Patient Satisfaction
Perioperative Areas
GI lab
PACU
Preop
SDS
OPS
OR
When physical space is limited,
process optimization is real opportunity to sustain growth
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• Engage Clinicians and Set Standards
– Real-time rules and alerts via dashboards, emails, or text messages engage clinicians in the process
– Help to establish de-facto service standards (i.e. no patient will wait longer than 15 minutes for a procedure); OR room turnover 20 minutes.
– Capture RTLS data by pay period on month to compare productive hours, OT, or other standards
Proactive Care Alerts
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Monitoring – OR Example • OR Monitoring
Screen for Hospital Staff – Tracking the patient
through the process
– Ensure standards for patient satisfaction
Patients scheduled for the day (pulled
automatically from the hospital
scheduling system)
Tracking the patients through process to
ensure readiness and address any
bottlenecks through escalation alerts.
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OR Dashboard
• The customizable OR dashboard helps to ensure timely room readiness
• Notifications and alerts can be established to track status set benchmarks.
• Room utilization can be tracked to identify issues during the day.
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Visitor Dashboard
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Effective Room Utilization Right resources at the right time?
Patients have arrived and are
ready for care
Physicians and staff are
available for treatment of
care
All equipment is in the room
and required maintenance is
complete
Temperatures and humidity
are within targeted range
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Reports & Analytics
• Utilization of Procedure Room
• Staffing load based on Patient Volume
• Patient Arrivals and Wait Times
• Physician Performance – OPPE/FPPE
• Length of Stay
• Asset location and utilization
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Why Tagnos is Unique
• Focus on the Patient Experience
• Tracking “hands free” key events in the flow of a patient
• Benchmarking and real-time visibility of patient flow
• Communication to patient/family and clinical staff
• Room, bed, and bay level tracking – Clinical Grade Locating
• Sophisticated analytics and instant reports of the patient flow
• Simple Implementation
• Generates PI opportunities and strong ROI
• Accurate Data
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IN SUMMARY…
VISIBILITY…
HANDS FREE…
REAL-TIME…
VISUAL CUES…
To the process of care through
Data gathering and analyses in
Allowing for SUSTAINABLE CHANGE.
Engaging patients and clinicians with
• Identify Bottlenecks
• Reduce Wait Times
• Communicate Delays
• Leverage Resources
• Impact Bottom Line
• Improve Satisfaction
Provides
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Contact Information
Neeraj S. Bhavani
CEO, Tagnos
(949) 305-0806 Office
(805) 990-3160 Cell
www.tagnos.com
Randy Saad
Sr. Director Perioperative Services, WMMC
323-268-5000 x 1272 Office
(805) 750-6367 Cell