Helle Markmann's presentation from the Healthcare DENMARK Ambassador Summit

www.regionmidtjylland.dk

Helle Markmann, MSc Computer Science

Manager, Product Management Department of Clinical Software Products

Hospital Logistics 2 ▪ www.regionmidtjylland.dk

3 ▪ www.regionmidtjylland.dk

Denmark and its regions

Region of Southern Denmark

Capital Region of Denmark

Region Sjælland

North Denmark Region

Central Denmark Region

0,6 m

1,3 m

1,2 m

1,6 m

0,8 m

120 km

170 km

5 Hospitals with units on 14 locations


The numbers


2013

Outpatient visits 1.570.000

Emergency visits 202.000

Not-emergency visits 69.000

Provide transparent patient flows and work flows across the hospital and support communication and coordination of the logistics of these flows


Communication

Coordination

Overview

What is Clinical Logistics

Cetrea Clinical Logistics

▪  The Cetrea Clinical Logistics (CL) was developed in 2003-2006 as an innovation project with a minor hospital in Horsens in the south of our region ▪  CL is now widely used in operation rooms in

hospitals all over Denmark ▪  In 2012 CL won the tender for clinical logistics in



Cetrea CL as enterprice

▪  Solution is hosted by the Regions central IT department ▪  Configuration is done centrally by the region (no

vendors) ▪  Configuration of the screens is standardized across

hospitals ▪  Patient flows across hospitals and hospital centers

(e.g. apoplexia) ▪  Integrations to other enterprise systems ▪  Across somatic and psychiatric hospitals


Integration – supporting the patient flow


appointments

Journal data -  scores -  coercion -  death

Vitale parameters Time of arrival

Status

Jump between systems remaining patient context

All integrations meet international standard HL7

Implementation status


Now Expected end of 2015

AnyWhere (web client)

12.000 users 20-25.000 users

Task stations (touch screens)

570 screens 1.000-1.500 screens

Study 1: “Health Technology Assessment” (HTA) study CETREA Surgical was evaluated in the period from January 2009 to December 2010, i.e. 22 months Macro-level Results • 7% overall increase in production (DRG values) during the period of the study. • 6% increased utilization of ORs (from 82% to 88%) • 66% reduction in no. canceled operations

Return on Investment • cost ~ 350.000 euro • savings ~200.000 euro • ROI in 1-2 year

Studies based on Cetrea Surgical

Study 2: Qualitative Results from the OR staff questionnaire • 70% of staff thinks information is easier available • 76% thinks the technology provides a better overview • 68% thinks the system makes it easier to coordinate work • 67% thinks the technology saves some steps • 65% experience fewer interruptions Study 3: Data analysis of phone and step usage • Phone calls was reduced by 39% • Number of steps was reduced by 31%

Study based on Cetrea Surgical

Operation flow

Cetrea Clinical Logistics values

▪  Operating room – Less stress and fewer interruptions ▪  Coordinating Central – Better overview, easier communication

and planning ▪  Recovery department – Better information to relatives, better

planning ▪  Patient wards – Better information to the patients, better

communication with the OR and acute surgery ▪  Sterile department – Better optimization of the cleaning

machines, being a more integrated part of the hospital ▪  Morning meetings – Better overview and planning of the

doctors resources ▪  …


Measured improvements so far

▪  Morning mettings ▪  Changing between watches ▪  Efficient use of beds ▪  Bed days ▪  Easier communication ▪  More efficient use of rooms (status visible for

everybody) ▪  Tracking personnel - time and walking distance


Future

▪  CL used for 'days work' in all clinical work flows; surgical, outpatient, acute and ward ▪  Queue and call boards (patient oriented) ▪  Video streaming ▪  Cooperation with other sectors - municipals

responsibility for home nursing and rehabilitation ▪  Business intelligence - dashboard ▪  Logistics (e.g. automatic texting cleaning)


Thank you for listening
