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 SAUDI ARABIA
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 JEDDAH 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 Eve (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