edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations....

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01 Edge Health Using R and Shiny to improve hospital operations

Transcript of edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations....

Page 1: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

01Edge Health Using R and Shiny to

improve hospital operations

Page 2: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals
Page 3: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

Edge Health: What we do

Use data science to support operational improvement of hospitals

Page 4: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

• Background on NHS’s challenges for analytics

• Why R and Shiny are great to tackle these

• Case studies

• Take-aways

Agenda

Page 5: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

Divergence in resource between Medical and non-medical IT…

Operational support limited vs.Clinical machinery top notch

Page 6: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

• Many IT systems • Poor data/ data entry• Busy staff/ firefighting• Continuous reporting

… Leads to key challenges

Page 7: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

Case for R• Can easily integrate with many systems• Can easily build dashboards combining data• Sophisticated analysis with various packages

can lead to good results• Mark down and similar can lead to continuous

reporting

Case for R to address them

→ Will highlight how these play out in practice in the case study

Page 8: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

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Case study 2: Operations

Blocks of free time across 30theatres in 2017 in sample hospital

Page 9: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

Multiple IT systems

Consultant Preference

Constant interruptions

HolidayPaper

records

Case study 2: How does an operation get booked?

ff

Hard problem to solve!

Page 10: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

• Get data from multiple IT systems

• Predict how long operations take and where there is free space using R

• Disseminate daily reports via markdown + email (from R)

Case study 2: What can we do?

Where’s the space?

Who could fit in?

Page 11: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

Data

Surgeons on-board

Empowered managers

Space Finder Daily

meetings at “the wall”

Implementation hurdles!

Blue Tack

Page 12: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

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Apr May Jun Jul Aug Sep Oct Nov Dec# o

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ases

Co

mp

lete

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Cases within hoursCases out of hoursAvg. before and afterAvg. before and after

Results

Elective cases completed in and out of hours

at ST NHS FT 2017 (weekly)

Page 13: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

Take-aways

• Don’t be discouraged by IT and data limitations

• Now is the time for novel methods to drive change

• Explore creative reporting options

• And…

Page 14: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

Take-aways

Page 15: edge health group - NHS-R Community...Edge Health Using R and Shiny to improve hospital operations. Edge Health: What we do Use data science to support operational improvement of hospitals

Christian [email protected]

Thank you!

Amina HassanalyImplementation [email protected]