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Optique in Patient Safety The project has been defined as a strategic innovation project. Optique Summit IV, Sept. 15th 2016,@ University of Oxford South-Eastern Norway Regional Health Authority (HSØ) Health regions are 100% state owned trusts with full legal and financial responsibilities, their own board and their own CEO/management 10 hospital trusts Akershus University Hospital Trust, Ahus Oslo University Hospital Trust Innlandet Hospital Trust Sunnaas Hospital Trust Sørlandet Hospital Trust Ahus Telemark Hospital Trust Vestfold Hospital Trust Vestre Viken Hospital Trust Østfold Hospital Trust HSØ-area • 2.9 mill inhabitants • Budget: 79 billion NOK/ 8,5 billion € for hospital health care pr year Norway (totaly): • 78 000 employees in business • 5.2 mill inhabitants 2 Source: McKinsey analysis Akershus University Hospital (Ahus) Ahus is a Complete urban hospital – large share of immigrant population - A full service hospital – emergency, planned assistance – Serving all inhabitants of the catchment area - from newly born to geriatrics Ahus is Norway’s largest and most modern emergency assistance provider Ahus is a university hospital with fruitful research and development activities Ahus Area • 520,000 Inhabitants • 62,700 Inpatient stays, • 27,500 Day patient care • Budget: 7.5 billion NOK/ 0,95 billion € for hospital health care pr year • 9,250 employees in business Human touch and empathy – with professional skill UiO HSØ Optique in Healthcare is growing Health South-East has awarded strategic innovation funds to Akershus University Hospital (Ahus), by the Division Director Ivar Thor Jonsson for the project “Development of a semantic IT solution and ontology for clinical use in health care”. The project has been awarded 2MNOK and is defined as a strategic innovation project. In collaboration with the company DNV GL and the University of Oslo a pilot study in the surgical division, tied back to the EU funded research project Optique, was performed last winter. This pilot study focused on gathering information to “operational messages” at the Day-surgery Center and was, according to Jonsson, very successful. Human touch and empathy – with professional skill UiO HSØ Surgery on Modern Hospitals is organized like a complicated Process Industry, where each Patient Care is Unique Surgeries Human touch and empathy – with professional skill UiO HSØ Staff and most important software in a surgical department Human touch and empathy – with professional skill UiO HSØ Brief History • Aug.13th 2015, Very first presentation of Optique-consept at Ahus • Sep.25th 2015, HSØ examine whether Optique can be used in healthcare • Nov. 1st 2015, Start-up a pilot study on Ahus on operational notification form. • Feb.19th 2016, Presented the results of the pilot study for stakeholder at Ahus • Mar.18th 2016, Presented the pilot study for HSØ / DIPS (EPR-supplier) with discussion around to start developing Semantic IT Solution • May 20th 2016, Presented the pilot study on Health InSight at the University of Oslo. • • June 27th 2016, Deciding HSØ to fund “Optique Sprint 1” • Aug. 24th 2016, Kick off with HSØ on the “Development of a Semantic IT solution and Ontology for Clinical Use in Health Care» Human touch and empathy – with professional skill UiO HSØ Pilot study shows examples How we can: 1: Do advanced search queries across of different data sources. 2: Help to fill surgery message form. 3: Quality check of self- certification 4: Help to search the documents. Reduce document amount. 5: Doing Synonym search text (advanced text-mining). Very successful look http://optique-project.eu/optique-in-heathcare-is-growing/ Human touch and empathy – with professional skill UiO HSØ Quality check of self- certification Example from pilot study Check if "allergies" is mentioned in existing documentation Check if «smoking» is mentioned in existing documentation Human touch and empathy – with professional skill UiO HSØ Surgery Message Form is an information carrier for all hospital staff who plan and execute surgeries Crew during Surgery Patient's health status Medication before Surgery such as anticoagulation Current Medication Selected Type of Surgery Information to Surgeryteam and Patient Conditions determines suitable Equipment during Surgery Patient informations Selected type of Anesthesia Spesific information Planning of time of operation Human touch and empathy – with professional skill UiO HSØ More then 9000 surgeries at Day Surgery at Ahus every year Human touch and empathy – with professional skill UiO HSØ Objectives in Sprint 1 Demonstrate how, by applying semantic technology, the time to collect and integrate information from the Surgery Message Form can be reduced. Focus: The Anesthesia and Gastro-surgery units at Ahus. Basis: The existing Surgery Message Form and data available in Electronic Patient Record (DIPS) and Intensive Care Software (Metavision). Time: 8 weeks Risk management Sponsors - HSØ - SP - DIPS Team - Ahus - UiO - DnVGL This project requires clarification of roles, role responsibilities, and that we dare to think new thoughts and ideas. Human touch and empathy – with professional skill UiO HSØ Steering Group in Ahus-project Mariann Aaland, Ahus Day Surgery Department lead Knud Mohn – Ahus-project Project manager Tore Hartvigsen, DNV GL Ivar Thor Jonsson Director Surgery Division Arnt Ole Ree – HSØ Goal: Create collaboration and flow of the team Today's project is an eight-week sprint This sprint is in other words the first step towards a future-oriented solution Every financing of next Sprint is dependent upon successful delivery of ongoing Sprint before initiating a new one. Human touch and empathy – with professional skill UiO HSØ The Stakeholders (kick off - august 24th) Back row from left: Arnt Ole Ree (HSØ), Bjørn Næss (DIPS), Tomas Nordheim Alme (DIPS), Geir Bøhler (HSØ), Oddgeir Hvidsten (Sykehuspartner), Knud Mohn (Ahus-project), Atle Stein Kvalheim (DnVGL), Tore Hartvigsen (lead development team, DnVGL), Per Meinich (HSØ), Roar Jakobsen (Sykehuspartner), Asbjørn Finstad (Sykehuspartner), Stephen McAdam (DnVGL) Front row from left: Vegard Dahl (Ahus), Meetali Kakad (HSØ), Kjetil Storvik (HSØ), Guillermo Vega Gorgojo (UiO), Geir Arne Larsen (Ahus), Mariann Aaland (Ahus), Frode Harald Eidset (Ahus), Robert Nystuen (HSØ) og Nis Johannsen (HSØ) Human touch and empathy – with professional skill UiO HSØ Heading The development team (in progress) Tore Hartvigsen – DNV GL – Sprint Master, Mapping, Ontology, Administration Haldor Husby – Ahus – Test database setup, reuse of ontology and tools in Ahus Guillermo Vega Gorgojo – UiO – Focus on GUI and the demonstrator Laura Slaughter – UiO – Focus on Ontology and cooperation, (national/international) Bjørn Næss – DIPS – Use of-, data-extract from-, and development in DIPS Tor-Kristian Jenssen – PubGene – text mining Dag Are Hov – PubGene – text mining Johan Klüwer – DNV GL – Ontology building, technology Atle Kvalheim – DNV GL – Mapping Jean-Raphaël Vieille – DNV GL – Technology set-up (ad hoc assistance) Erling Håland – DNV GL – Mapping and Ontology (trainee) Observers (Regular): Knud Mohn – Ahus-project – Process coordinator Arnt Ole Ree - HSØ Human touch and empathy – with professional skill UiO HSØ Agile Implementation Process («SCRUM for Grown Ups») Sprint planning meeting: Sprint review meeting: Agree deliverables, functionality and Review and approve risk mitigations for this sprint (Stakeholder Group) results (Stakeholder Group). Weekly Sprint meetings Duration Thursdays 9-11 at DNV GL Høvik (8 weeks) Fixed agenda: - Achieved last week? - To be achieved the coming week? - Challenges/ obstacles ahead? (Sprint Team) Management reporting (Steering Group) 16 Human touch and empathy – with professional skill UiO HSØ Suggested Architechture Expert user «Ordinary» user Visual Query “Text mining” Text- Ahus GUI System Files Text Text- Ontologi Query Index Files Rewriting Mapping Triple Data retrieval store Text- DIPS Metavision Files Electronic Intensive Patient Record Care Software OPTIQUE component and Ahus spesific 17 Human touch and empathy – with professional skill UiO HSØ Planned activities Sprint 1 1. Access to Metavision and DIPS test data 2. Establish development-/ test environment at Ahus 3. Install and qualify technology 4. Security system (access control and logging) 5. Procedures for data governance 6. Develop Ontology 7. Map data from Metavision and DIPS 8. Text-search. Indexes. Develop GUI 9. Test the solution 10.Presentations/ Evaluation 18 And suggest activities for Sprint 2….. Human touch and empathy – with professional skill 18 UiO HSØ Thank you for your attention Questions? http:// optique-project.eu/ Optique Summit IV, Sept. 15th 2016,@ University of Oxford UiO HSØ.
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