Argos Project in eHealth 2010

© Copyright ICS 2010Centre de Competència Funcional © Copyright IICS 2008Centre de Competència Funcional

16th march 2010, Barcelona

ARGOS ProjectA case of Innovation?

Lluís de Haro MartínDirector del Centre de Competència Funcional - ICS

© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 20102

Index

Project Results

ARGOS Project

IntroductionICS Common modelSystem OverviewImplementation method

Institut Català de la Salut (ICS)

© Copyright ICS 2010Centro de Competencia Funcional


3

Primary careMore than 450 productive units:

274 primary care teams40 centers of extra-hospital specialties.32 emergency centers8 laboratories32 image diagnosis services15 rehabilitation services8 mental health centers, …

It manages 80% of the whole primary care teams in the region46 millions of outpatient visits a year

Acute Care8 Hospitals:

More than 4.000 inpatient bedsMore than 130 Surgery theatersMore than 7000 outpatient rooms

Constitutes the 32% of the public hospitals inpatient beds and the 50% of the high-technology beds in Catalonia.2008: 215.262 Inpatient visits

122.454 Surgeries703.424 Urgencies

2.661.390 Outpatient visits412 Transplants

Constitutes the 40% of the scientific production in Catalonia.

Research

EducationAnnual training of more than 1.500masters.More than 4.300 pre-grade students(medicine and nursery).Training of 56% of General Practitionerand 66% of the specialists of Catalonia

Budget 2010: 3.000 M€42.000 Professionals

ICS AT A GLANCE


Index

ARGOS Project


Project Results



¿What is ARGOS? Objectives

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HEALTHCARE SECTOR

MANAGEMENT

THE CLINIC

PATIENT

HealthcareSector

• Modernization Public Sector• Leading position in Healthcare

IT Systems

Management• Business monitoring system• Decision making tools

Clinic

• Tools for all the professionals• Standardization of the clinical

practice

Patient

• Patient centric Healthcare• Integrated patient records

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HEALTH SYSTEM SUSTAINIBILITY:

Greater efficiency, cost reduction, realignment of resources, shared

services, central procurement.

HEALTHCARE QUALITY:

Advanced technologic

equipments, health coordination,

Electronic clinical records.

HEALTH SYSTEM

ACCESIBILITY: For the citizen to receive the best

healthcare.

¿What is ARGOS? Project Principles


Project to transform the Back-Office functions

Project to transform Healthcare processes on the Hospitals area (HIS)

Project to redefine the HR function

Unique and integrated technology – SAP (Change Driver)

New Common Process Model

New ICSA new corporate culture

Model of Strategic Partnership

¿What is ARGOS? Method

© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competencia Funcional © Copyright ICS 2010

02/07 02/0802/0606/06

09/06

Common Business Model

Advance Prototype

10/08 03/09 11/09 03/10

Updated Planning March 2010:

7 from 8 hospitals implemented

06/09

2007 2008 2009 2010200606/10

11/08

GermansTrias i Pujol

Verge de la Cinta Joan XXIII

Viladecans

Doctor Josep Trueta

Solution Development

Vall d’Hebrón

Bellvitge

Arnau de Vilanova

Project Plan


Index

ARGOS Project


Project Achievements



Common definition for all acute care processes

Catalogs

Process re-engineering

Shared Services

Units

TECHNOLOGY

Principles of the new model


• More than 180 ICS professionals defined the common model

• More than 10.000 hours invested in the definition

• More than 180 meetings between june’06 and february’07

Process Reengineering to achieve the ICS Common Model

• The ICS system has been designed by their own professionals, thinking in all the hospitals and focusing in standardizing the processes.

• The architecture is built with a territorial conception (multi-instance and multi-hospital), with capacity to incorporate other hospitals or primary centers within the same territory

Mètode per el disseny del model comú

Directors de projecte

Coordinadors de procés

Responsable Funcional del Projecte

Portaveu per

procés

Reunions de Treball amb equip IBM

Reunions de Treball amb cuore

per procés

Líder de procés

Reunió Cuore per procés (multi-centre amb l’equip IBM)

Grup de coordicaciófuncional

20 BBP-sPublicats el 09-02


Index

ARGOS Project


Project Achievements



Nursery

Hospital reports

Clinical reports

Clinical History

Medication

Primary Treatment

Laboratories

Image Diagnosis

Clinical Workstation – patient centric

Patient centric clinical workstation


Index

ARGOS Project


Project Results



Rollout plan standardization

Rollout model defined and improved with the ARGOS project experience:- Skilled and experienced team.

- Check list: clear and defined tasks to carry on from day zero

- Best practice models for training, cutover and hypercare

- Model of rollout plan:


Rollout plan - web portal and training strategy

Hospital Nº Usuaris Inscrits

Formació on‐line

Nº Usuaris quehan fet formacióon‐line

Formació a l’arrencada

GT 2.275 565 25%VC 906 761 84%JX 1.325 880 66%HVi 812 640 79%DT 2.309 1.513 66%VH 6.283 5.169 82%Bell 4.834 3.885 80%ICO‐DR 675 582 86%AV 71 37 52%

19.490 14.032 72%

WEB portal for project news

Training strategy:

• Online learning tool with lessons for all profiles

• “Train the trainers” approach


Index

ARGOS Project


Project Results



Project results

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Sust

aina

bilit

y

• Elimination of redundancies

• Management Tools

• Economies of scale in IT expense

• Digital records: paper and plates

Acc

esib

ility

• Unified demand managemnt• Territorial approach• Productivity

enhancement

• Acute and Primary Care Integration• Shared agendas• Paperless

• Health records accessible across the whole Catalan Health System

• Telemedicine and Home hospitalization Q

ualit

y

• Increased Patient Security• Integrated Patient

electronic Records• E-pharmacy• Digital imaging

• Better informed Patients• SMS appointment• Self-admission

/information devices

• Standarization of nursery plans

• Reduction of movements to the hospital


Sistem availability and usage

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HOSPITALITZACIÓ

HOSPITAL DE DIAHOSPITAL DE DIA

URGÈNCIES

ACCESSIBILITAT

QUIRÒFANS

CONSULTA EXTERNA

ESTRUCTURA

CO

MPLEX

ITAT

FUN

CIO

NA

MIEN

T

AC

TIVITAT

Results for managers and acute care professionals

© Copyright ICS 2010Centro de Competencia FuncionalCentre de Competència Funcional © Copyright ICS 2009

Case Review

Characteristics

Capabilities

Definition: New ideas that

add value

Styles

Organisation Characteristics:• Develop an active flow of ideas.• Involve a wide cross-section of people.• Let people free to take responsibilityfor implementing their own ideas.

Capabilities: • Ideas management.• Collaboration in turning ideas into action.• Climate to foster and environment in which innovation thrives.

Styles:• Innovation as part of business planning.• Make innovation part of the culture.

An Innovative Organization ?

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Argos Project in eHealth 2010

Documents

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