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 .