Smart Tech to Smart Care: Impacting Satisfaction and Communication while Improving Outcomes

Session # 137, Wednesday, August 11th

Fahad Bin Dayel, RN

DISCLAIMER: The views and opinions expressed in this presentation are solely those of the author/presenter and do not necessarily represent any policy or position of HIMSS. 1 SMART TECHNOLOGY TO SMART CARE HIMSS 2021 Fahad Bin Dayel, RN

Salam Everyone, I am King Faisal Specialist Hospital & Research Center

Bachelor of Science in Nursing Master in Health Information System Management George Mason University King Faisal Specialist Hospital & Research Center 2018 – Present Director Application & Health Informatics 2008 – 2018 Head of Health Informatics Conflict of Interest

Fahad Bin Dayel, RN

Has no real or apparent conflicts of interest to report.

#HIMSS21 4 Learning Objectives

• Describe how to positively impact outcomes and satisfaction through the integrated deployment of smart room technologies • Identify how KFSH&RC drove the IHI’s Quadruple Aim of improving the patient and care giver experience • Discuss the importance of brick and mortar design when building a new facility to support integrated technologies

#HIMSS21 5

ABOUT

Population 29.897 Million

Literacy 81%

Language Ara bic

King Salman bin Abdulaziz Al Saud MADINAH RIYADH CAP ITAL DID YOU KNOW - Saudi Arabia is the 13th largest country in the MAKKAH world - Saudi Arabia is the largest country in the world without a river - Riyadh’s camel market is one of the largest in the world and sells about 100 camels per day

- Jeddah is a 3000+ year old city and houses the Hawa), the mother of َﺣـواء :tomb of (Arabic ki d ABOUT KF S H&R C

Newspaper: Al Riyadh Date: 10 November 1970 KFSH&RC FACTS & FIGURES

MIS S ION Provide the highest level of specialized healthcare in an integrated educational and research setting VIS ION To be a world-leading institution of excellence and innovation in healthcare

Est 1975 Kingdom of Saudi Arabia 9.4M Population Served

Riyadh, Jeddah & 31 Smart Centers Madinah CY2020

1,846 Beds 31,741 Admissions 1,297,497 OP Visits

13,687 Employees 1,472 Transplants 56,932 OR Hours 68 Na tiona litie s

95,382 ER Visits KFSH&RC RANKINGS

#1 Out of 141 centers in the UK & USA in the volume of Pediatric living donor liver th transplants 56 Out of 71 centers in the USA in the volume of lung #1 transplants Out of 257 centers in the UK & USA in the volume of TOP Pediatric living kidney transplants 10% Of heart transplants worldwide TOP 4% RESEARCH Out of 272 centers in the USA 17 Citation Average reporting to Center of International Blood & EDUCATION Marrow Transplant Research Graduate 1 out of 5 Consultants in the Region KFSH&RCACHIEVEMENTS

HIMSS EMRAM 7 HIMSS EMRAM 6 Ambulatory Inpatient Riyadh & Jeddah Riyadh & Jeddah

HIMSS AMAM 6 HIMSS Davies Riyadh & Jeddah Healthcare Service Excellence Award Riyadh & Jeddah JCIA MAGNET Joint Commission American Nurses International Accreditation Credentialing Center

CAP QIYAS Laboratory Accreditation #1 Saudi Healthcare College of American Organization Pathologists

2020 KFSH&RC EMR JOURNEY

CY2018 = New Module Implementation Enterprise Business Process Management Phase 4 Zero Harm CY2017 Critical Care Phase 3 Anesthesia CY2013 Staff Scheduling Smart Rooms Infection Control . Infota inme nt Document Imaging . Dashboard Mobile Solution Phase 2 . Patient Room Link Outreach . RTLS CY2010 Web Connect . IP Telephony OR Surgical Synoptic Reporting . Pharmacy Nurse Call . Hand Hygiene Phase 1 Medical Records . Emergency ID Access . CY2002 Physician BMDI . Laboratory Documentation Capacity Radiology Clinical Pathways Management Registration Scheduling Nursing Documentation KFSH&RC EMR JOURNEY

= New Module Implementation

Phase 5 CY2021 Oncology Organ Transplant Women’s Health VNA Imaging CY2020 Revenue Cycle HW Upgrade Management SW Upgrade KLAS EMR SATISFACTION

King Faisal Specialist Hospital CY2020

CY2018 Case Presentation

Smart Technology to Smart Care LOCAL PROBLEM

ISSUE

Transform the lingering delivery of care issues that existed prior to opening of King Abdullah Center of Oncology & Liver Disease (KACOLD): communication, person centric experience & education GOALS

Improve overall healthcare experience and outcomes through: — Timely patient care — Care team communication and responsiveness to patient needs — Clinical decision support — Interoperability — Safety — Continuum of Care — Digital Transformation in Healthcare IMPLEMENTATION METHODOLOGY

Formation of multidisciplinary team: Physicians & Nurses, Health Informatics, Information Technology, Application Development, Integration & External Partners/Vendors

CEO – Mega Project Director A&HI – Smart Room Project CIO – Low Current Rooms

Simulation to capture both clinical and patient experience

Validation testing to ensure interoperability

Divide roll-out into phases

Command Center

Inauguration INTENDED OUTCOMES

Improve Patient & Staff Safety as well as Experience

Improve Patient/Staff Communication

Interoperability of clinical devices toward accuracy & efficiency

Reduce Length of Stay (LOS)

Digital Transformation in Healthcare

Improve Pain Management Scores King Abdullah Center of Oncology & Liver Disease Opening: June 2017 Inpatient: 210 Beds ICU: 65 Beds Infusion Bays: 96 Operating Rooms: 13 Outpa tie nt Clinics : 30+ DSU: 28 PATIENT ROOM SIGNAGE

—Imme dia te ly highlights if a pa tie nt is : o Nil per mouth o Fa lls ris k o Isolation o Risk of a pressure injury, etc. —Reflected immediately on patient door versus up to 2 hours previously

BEFORE AFTER NURSING UNIT DASHBORD

Manual Unit Whiteboard Unit Digital Dashboard STAFF ASSIGNMENT WORKFLOW

Interactive Patient Request to Care Assigned Staff

Charge Nurse Assignment Nurse Call Received Call Mobile Assign Staff Reflects System Assigned Patients

Nurse Station View Assignment Dashboard Per Room

RTLS COMMUNICATION

Patient to Staff —Improved Communication —Patient Focused Delivery Console —Saving Time Staff to Staff —Cross Departmental Communication —Analytics Mobile Pillow Speaker

Staff Terminal Hos pita l S ta ff Patient Station

Corridor Light

Nurse Station INTERACTIVE PATIENT CARE

Educate patient on standard safety precautions DEFINED PATHWAYS - Food Provide patient personalized education materials - Education - Fall Risk - Medication Provide another venue for patient to - Pain - Discharge communicate with staff PATIENT EDUCATION PATHWAY

Inpatient

Interactive Patient Care TV

Patient Education Careset Education Order Patient Order X Diagnosis Ordered Related to Diagnosis Watch Material Complete

SEHATY Outpatient

Discharged Patient PAIN PATHWAY

Interactive Patient Care TV Notifica tion

Patient Nurse 30 or 60min Patient Score Stored C/O P a in Adminis te r Rx Reminder Set Reassess Pain In EMR

Mobile Notifica tion FALL RISK PATHWAY

Interactive Patient Patient Order Care TVEducation Watch Material Complete

H/M

Fa ll Ris k S hift EMR Auto Corridor Light Fa ll Ris k Patient Back Assessment Ale rts Reassessment to Low Risk

Patient Status Dis pla y Ale rt

EMR Auto Cancel Ris k Fa ll FOOD REQUEST PATHWAY

Diet Order / Food Allergy Interactive Patient Food Services Food Delivery Patient Rates Placed EMR Care TV Notifie d Food Food Menu

Food Services Notifie d IPC ENTERTAINMENT FEATURES

Watch Play Check Browse Movie Games Email Internet

Patient Bill Patient Food Order Visiting Hours of Rights Responsibiliti es

My Care My Schedule Team HAND HYGIENE

Staff Hand Wash Dispenser Triggers Exit Hand Staff Compliance Enter Patient Event Event Wash Event Exit Patient Reports Room Room

Staff Awareness Campaigns

Staff Award Program RTLS IMPACTING PATIENT OUTCOMES PATIENT SATISFACTION:PAIN MANAGEMENT

100

95

90 89 87 86 85 83

80

75 72 70 US AVG 70 67 67 % Satisfaction 65

60

55

50 Q1 2018 Q2 2018 Q3 2018 Q4 2018 Main Hospital KACOLD PATIENT SATISFACTION:ENVIRONMENTAL CLEANLINESS 100 97 95 95 94 90 90

85

80 76 75 75 73 US AVG

70 69 % Satisfaction 65

60

55

50 Q1 2018 Q2 2018 Q3 2018 Q4 2018 Main Hospital KACOLD PATIENT EXPERIENCE PERCEPTION – NURSE COMMUNICATION 100

95

90 89 86 85 85 83

80 US AVG 77 76 76 76 75

70 % Satisfaction 65

60

55

50 Q1 2018 Q2 2018 Q3 2018 Q4 2018 Main Hospital KACOLD PATIENT EXPERIENCE PERCEPTION – PHYSICIAN COMMUNICATION 100 98 96 95 93 93

90

84 85 83 83 82

80 US AVG

75

70 % Satisfaction 65

60

55

50 Q1 2018 Q2 2018 Q3 2018 Q4 2018 Main Hospital KACOLD PATIENT EXPERIENCE PERCEPTION – STAFF RESPONSIVENESS 100 98 97 97

95 94

90

85

80

75 70 69 70 68 67

% Satisfaction US AVG 65

60

55

50 Q1 2018 Q2 2018 Q3 2018 Q4 2018 Main Hospital KACOLD LENGTH OF STAY REDUCTION

34

33 33

32 31.5

31

Days 30 30 29.5

29 9% DECREASE 28

KACOLD SHIFT 27 CY2016 JFMAM JJASOND CY2018 2017 2017

Thank you