IHE Standards: Integrating Surgery and Anesthesia to the Enterprise

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1 IHE Standards: Integrating Surgery and Anesthesia to the Enterprise Presented by Anupriyo Chakravarti DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.

2 Conflict of Interest Disclosure Anupriyo Chakravarti Salary: Surgical Information Systems

3 Learning Objectives The power of surgical and anesthesia information can have the greatest impact on your organization. Explain how using IHE standards to integrate this system to the enterprise enables organizations to improve performance in this complex environment. Discuss the importance and value of integrating a surgery and anesthesia information system to the enterprise

4 Learning Objectives Explain how to integrate a surgery and anesthesia information system using IHE standards Construct goals for performance improvement in the OR and a strategy for achieving these goals through IT and interoperability

5 Learning Objectives Explain how achievement of goals in the OR can have a significant positive impact on overall hospital care quality improvement and financial management initiatives Follow the next steps towards executing an effective interoperability plan between the enterprise system and the OR, in order to drive the most value from a surgery and anesthesia information system

6 Surgery is the economic engine of most hospitals 50% of medical errors occur in the OR The most severe medical errors occur in the OR Clinical Primary source of admissions Contributes 60% of a hospital s revenue Contributes 35%- 40% of the hospital s expense Operational About 15 ARRA Stage I MU criteria applies to the OR Contributes 9% of data points for calculating ARRA Stage 1 CQM Financial

7 Interoperability in Surgery is a Critical Success Factor Reduces errors, increasin g patient safety and improving patient health through the Surgical process Clinical Reduces workload and improves efficiency through reduced documentation, cancelled cases and room turnaround time Operational Improves charge capture & billing, reducing costs through optimized workflows and technology Financial

8 What is Interoperability? Interface Equipment or programs designed to communicate information from one system of computing devices or programs to another Interoperability The ability of two or more systems or components to exchange information and to use the information that has been exchanged

9 Base Standards IETF What is IHE? Profile Development ehealth Projects IHTSDO

10 Surgery Interoperability Touch Points IHE Laboratory Information Systems Enterprise Scheduling SCH LAB ADT IHE Patient Registration Patient Care Devices IHE PCD Surgery CHG Charges & Billing Enterprise Systems IHE EHR MAT Material Management, Supply Chain

11 Patient in Surgery Scheduling, Preparation & Preoperative Day before Surgery Day of Surgery Sched Sched PreOp IntraOp PostOp PACU ADT Admission, Discharge, & Transfer IHE SCH Scheduling / Pick Sheet SUM Clinical Health Info LAB IHE IHE MAT Item Master

12 Patient in Surgery Intraoperative Day before Surgery Day of Surgery Sched Sched PreOp IntraOp PostOp PACU POS Point of Supply LAB IHE PCD IHE Patient Care Devices

13 Patient in Surgery Postoperative Day before Surgery Day of Surgery Sched Sched PreOp IntraOp PostOp PACU PCD IHE Patient Care Devices SUM IHE Clinical Health Info CHG Charges, Billing MAT Material Usage

14 How Interoperability is Improving Surgery Improve usability to increase care team satisfaction Reduce manual entry to make the care team more efficient Improve communication to ensure patient safety Unified desktop experience Single username and password, single sign-on, single patient select ADT information Transferred over electronically for the scheduler Discrete data Vitals, allergies, medications and problem list are already available for preop nurse Radiology and laboratory information Access any time within the surgery system Patient care device information Automatically captured instead of the clinician manually writing down this information every five minutes. For the clinical user

15 How Interoperability is Improving Surgery Improve charging and reimbursement Participate in benchmarking Demonstrate meaningful use to qualify for ARRA funding Supply & medication cabinet information Automatically recorded to better capture costs Materials Material use is sent to the inventory control system to reduce days of supplies on hand Charges Automatically sent to billing to shorten billing cycle Reporting Standardized information allows for easier cost analysis, benchmarking and proving meaningful use and qualify for funding through ARRA. For the hospital administration

16 How Interoperability is Improving Surgery Reduce the cost of interfaces Eliminate the need for expensive, hard to maintain architecture Standardized information transfer With standardized structures and vocabularies, interfaces are easier and faster to set up and easier to maintain Allow departments to select the best, most functional systems For the IT department

17 How Interoperability is Improving Surgery Provide a complete electronic record to the patient Transfer the care record to another provider Increase patient satisfaction Case summary information Automatically sent to the medical records system so information is available to the patient electronically Requirement of Stage 1 Meaningful Use Patient identity information Care record can be follow the patient and be securely transferred from system to system For the IT department

18 Discussion How can interoperability improve your workflow?

19 Discussion What clinical information should your surgical information system receive and send to your enterprise system?

20 Discussion How is integration requirements and workflow different for inpatient versus outpatient surgeries?

21 Discussion Who owns allergies?

22 Discussion Which anesthesia medications should be part of the Medication Administration Record?

23 Discussion How can your supply chain be optimized by integrating your surgery materials and your material management system?

24 Discussion What charges can be captured automatically to increase revenue?

25 Discussion How is meaningful use affecting your integration efforts?

26 Operational Efficiency Leads to Success Interfacing to Interoperability Interoperability is a Product Feature Independent Verification Minimize Variability

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