Health IT Summit Beverly Hills 2014 – Case Study “Agile Partnerships to Achieve Common Goals in...
-
Upload
health-it-conference-iht2 -
Category
Education
-
view
442 -
download
0
Transcript of Health IT Summit Beverly Hills 2014 – Case Study “Agile Partnerships to Achieve Common Goals in...
PAT COOKE CELLNETIX CIO JOHN COLE SUNQUEST REGIONAL VP OF SALES11/04/2014
AGILE PARTNERSHIPS TO ACHIEVE COMMON GOALS IN
LAB INFORMATION SYSTEMS
1
A STRONGER SYSTEM
2
A STRONGER SYSTEM
3
A STRONGER SYSTEM
4
HEALTHCAREIS ANECOSYSTEM
5
CELLNETIX.COM
THE ECOSYSTEM IS CHANGING
Dramatic shifts in delivery models
Huge increase in healthcare lives
Profound downward pressure on reimbursement
Consolidation at every level
6
2007: CELLNETIX FORMATION
7
CELLNETIX.COM
PATHOLOGY IN 2007
70% of pathology groups are 7 Pathologists or less
Little inter-group competition (but growing competition from national labs)
Lack of subspecialization. Outdated IT tools
Size and economies of scale required to:
• Improve quality
• Reduce costs
• Subspecialize
• Expand testing technologies and IT
• Compete
8
CELLNETIX.COM
WHAT WE WERE6
SMALL GROUPS
4 LABS
6I.T. SYSTEMS
9
CELLNETIX.COM
WHAT WE HAVE BECOME
1LARGE GROUP
1I.T. SYSTEM
1CENTRAL LAB
10
CELLNETIX.COM
STRONGER TOGETHER
53 pathologists
300 total employees
Serving 15 hospital systems
Extensive molecular program including NGS
11
CELLNETIX.COM
“CellNetix is an IT company that
happens to be in the lab
business…”
Dr. Don Howard - CellNetix CEO & Chairman of the Board
12
CELLNETIX.COM
PATHOLOGY LAB INFORMATION SYSTEMS IN 2007
Historically designed around dictation/transcription workflow
Often based on Microsoft Word with SQL server
Weak or non-existent specimen tracking capabilities
Workflows often involved paper, hand-writing or preprinted labels
13
CELLNETIX.COM
NEW PATHOLOGY IT REQUIREMENTS
Barcoding to prevent specimen loss & patient misidentification
Paperless workflow
Workflows to support subspecialty case assignment
Rules engine to manage multi-client/multi-casetype complexity
Telepathology for virtual expertise pools
Integrated QA
Structured data entry and reporting
14
CELLNETIX.COM
Preference would have been to buy
Software vendors were starting to respond to new needs (slowly…)
We needed these tools “yesterday”…
We had no choice but to build
15
Buy
Build
CELLNETIX.COM
PROJECT: PAPERLESS WORKFLOW
16
Scanned
Documents visible
at appropriate
stages
Scanned
Documents visible
at appropriate
stages
• All documents batch-scanned
on receipt
• Barcoded labels attached to
each document &
automatically pulled into case
Touchscreen with
“Quick Buttons”
Touchscreen with
“Quick Buttons”
CELLNETIX.COM
PROJECT: SPECIMEN TRACKING
17
From Pickup In Lab: at 10+ points
Stage Specific
Touchscreen apps
throughout lab
Stage Specific
Touchscreen apps
throughout lab
Android courier app
with bar-code
reader
Android courier app
with bar-code
reader Unique bar-codes
on all specimens,
blocks and slides
Unique bar-codes
on all specimens,
blocks and slides
CELLNETIX.COM
RESULTS: ELIMINATED SPECIMEN LOSS
18
0
Lost or missing
specimens
CELLNETIX.COM
PROJECT: SUBSPECIALTY ALLOCATION
19
• Automates subspecialty case
assignment
• Rules based
• Balances workload per site and between
sites
• Allows for:
• Case mix
• Thresholds
• Conference coverage
• Pre-vacation workload…
CELLNETIX.COM
RESULTS: INCREASED SUBSPECIALIZATION
20
CELLNETIX.COM
PROJECT: INTEGRATED LAB QA
21
Default errors for
each stage in the
process
Default errors for
each stage in the
process
CELLNETIX.COM
RESULTS: REDUCED ERRORS
22
CELLNETIX.COM
PROJECT: WEB PORTAL
23
Contact
Diagnostician
Contact
Diagnostician
View
associated
images
View
associated
images
PDF ReportsPDF Reports
CELLNETIX.COM
PROJECT: DIGITAL PATHOLOGY
Telepathology
24
• Virtual expertise pools
• Subspecialized pathology
regardless of location
Whole Slide Imaging
• Same Day IHC for remote
pathologists
• Her2 & KI67 image analysis
• Conferences
7 YEARS LATER
25
CELLNETIX.COM
WHERE WERE WE NOW?
Specimen tracking
Paperless workflow
Automated subspecialty case assignment
Telepathology and Whole Slide Imaging
Speech recognition
System wide rules engine
Structured data entry and reporting
26
CELLNETIX.COM
PATHOLOGY IN PERSONALIZED MEDICINE
27
Prevention Therapy Management
Risk MarkersPrognostic and
Therapeutic Tests
Response
Measurement
Family History and
Cancer Genetics
•Genetic (germline)
testing (traditional,
array, and NGS)
•Some tissue testing
Major technologies
•Morphology
•Flow Cytometry
•IHC
•Cytogenetics
•FISH
•PCR
•CGH arrays
•NGS
Diagnosis
Diagnostic
Tests
Integration of Data
and Communication
with Clinical Team
CELLNETIX.COM
WHY DISCRETE DATA?
28
Discrete
Pathology
Data
Cancer
Registries
Healthcare
Data
Warehouses
Translational
Research
Systems
ACO
Population
management
Standards & efficiencies =
better product at lower cost
Clients
Pathology Group
CELLNETIX.COM29
Buy
Build
A
CB
OR
PARTNER
CELLNETIX.COM
DUE DILIGENCE
Issued RFP in 2013
Reviewed 10 LIS Providers in detail
Found no solution that could replace current technology entirely
Cost of change was significant
Risk of change in 24x7x365 operation was even more significant
30
31© 2014 Sunquest Information Systems, Inc. | Confidential and Proprietary
SUNQUEST AT A GLANCE
• Founded in 1979
• 30+ years experience focused on
AP and CP market
• 1,700 hospitals
• 4,000 physician offices
• 300,000+ users
• Headquartered in Tucson, AZ
• Development Centers in the
U.S., India, and the U.K.
Number ONE Provider for:
• 400+ bed hospitals
- 30% AP LIS share
- 32% CP LIS
• UK NHS Trust hospitals
- 65% share
• Acquired PowerPath in 2011
• Over 700 employees
worldwide
• Average employee tenure
is 7 years
• 8% of employees with
Sunquest for 20+ years
Experience Growth
DedicationGlobal
32© 2014 Sunquest Information Systems, Inc. | Confidential and Proprietary
CELLNETIX STRATEGIC COLLABORATION
One of the leading, most innovative collaborations in anatomic pathology
CELLNETIX.COM
STRATEGIC COLLABORATION
Win-Win
• Shared Risks
• CellNetix, giving up development capabilities
• Sunquest, ROI based on commercializing quickly
• Shared Rewards
• Sunquest, better product = increased sales & market share
• CellNetix, better product = efficiencies & improved quality
QUALITY
33
CELLNETIX.COM
SUNQUEST COMMITMENT
Purchase CellNetix IP & commercialize products
Significantly enhance discrete data capabilities
Integrate molecular pathology solution that supports NGS
Integrate rules engine
Improved reporting
Hire our dev team and build development center at our lab
Move towards more agile development methodology
34
CELLNETIX.COM
CELLNETIX COMMITMENT
Sell IP to Sunquest & focus on partnership rather than development
Provide space for development center at core lab
Allow open access to pathologists and lab staff
Take on beta software on accelerated schedule
Contribute ideas and innovation
Support Sunquest marketing initiatives
35
CELLNETIX.COM
SHARED PRODUCT VISION
36
Discrete
Reporting
For
Consistency
& Mineability
End-to-end
Specimen
Tracking
& Paperless
Workflow
Voice
Recognition
&
Touchscreen
Enabled
Integrated
“Stage
Specific” QA
Rules Engine
&
Configurable
workflows
LEAN efficiencies reducing costsImproved patient
outcomes & safety
CELLNETIX.COM
BROADER RELEVANCE
Healthcare providers and software vendors need to partner
Great software can’t be built in a vacuum
Agile development is key in a fast market
Partnerships are built on trust and shared risks/rewards
Both sides need to think creatively and be prepared to go out on a limb…
37
QUESTIONS?
38