Workflow Intelligence: The Importance of Orchestrating the Workflow

Dr. Evan Kaminer, M.D.

CEO, Hudson Valley

Radiology Associates

Workflow Intelligence:The importance of orchestrating the workflow

4/26/2016 Click to edit footer2

5%Of patients experience

Diagnostic Error

6%-17%

Of Adverse events are caused by Diagnostic

Errors

Of patient deaths are rooted in Diagnostic Error

10%

Cost of Diagnostic Errors

#1 Paid medical malpractice claim

Source: http://www.nap.edu/read/21794/chapter/2

http://www.nap.edu/read/21794/chapter/2

Use Case


375-bed community

hospital in NE United

States

Performing more than

50,000 ER cases per

yearDr. Evan Kaminer,

M.D.

CEO, Hudson Valley

Radiological

Associates

Challenge:


“Our greatest challenge was flagging

the emergent and urgent cases. Like

many hospitals, we are flooded with

Cases marked STAT. For example,

every study done in the

emergency room is marked STAT

-Dr. Evan Kaminer

-reprinted from Imaging Technology News | itnonline.com | November/December 2015


“Advanced imaging may

increase the amount of time that

a patient spends in the ED”

“However, advanced

imaging may help a

physician to rule out

conditions, thereby

avoiding further unnecessary or

risky diagnosis and therapy.”

Source: NCHS (CDC) Data Brief No. 43, September 2010

ER shows increased reliance on imaging

Source: NCHS (CDC) Data Brief No. 43, September 2010

367 %

increase in ER use of CT/MRI between 1999-2008

Radiology’s evolving role

4/26/2016 www.conserus.com66

How do we increase efficiency?

More studies are ordered

throughout the hospital.

Radiology isn’t just the

department in the basement

anymore.

Imaging is integrated into more

disease conditions.


How can we leverage the scale of the entire enterprise?

How can Conserus Workflow Intelligence™ help?


Flexible Rules-Based Workflow Orchestration

Intelligent Task Assignment and Prioritization

Unified Enterprise Worklist

Quality Workflows

Communication Tools

Analytics


What does workflow orchestration mean?

ApplyIntelligence:Configure the system with our own rules

Proactive Management:Change the rules if and when we need to

Leverage Scale: Send studies to the most qualified radiologists in our organization


Site-specific rules govern types of notifications

– Pop-up

– SMS text message

– E-mail

Ensures that high priority cases read first

More people get notified as benchmark approaches

Define your priorities:

– Type of study

– Patient location

– Time since exam

We used our own rules to put the intelligence in our workflow

What are our challenges?

Do we have Service Level Agreements to meet?

Who should read this type of study?

New Workflow Model


Chief Tech

File RoomTechs

Radiologist

User Interface Emphasizes priority


Unique site-specific rules were used to assign and prioritize

Assignment & color coded prioritization

based on customizable rules

Source from one or more distributed clinical

systems

All tasks in a single workspace


After

Administrators configured the system according to hospital policies

Measurable results

Before

Individualized worklists

Manual process to prioritize cases

Not all important cases read in timely manner

Conserus Workflow Intelligence™

Moving to an intelligent workflow


-50%

52:37

-35% -26%

23:39

What were the results?

*Average turnaround times were evaluated based on data collected by the customer at the Conserus Workflow Intelligence™ beta site during the periods of Sept. – Dec. 2014 and Sept. – Dec 2015. The time stamps used as parameters were time of tech completion to preliminary/final read.

ERLabor and Delivery ICU

20:13

13:03 17:33

Drop in average report turnaround times :

26:08

This is our story. What’s yours?


Find out more about

Conserus Workflow

Intelligence™ at

www.conserus.com

http://www.conserus.com/

Workflow Intelligence: The Importance of Orchestrating the Workflow

Healthcare

Transcript of Workflow Intelligence: The Importance of Orchestrating the Workflow