Lillebaelt Hospital. conhit Berlin April Transparency creates efficiency an experience report. Kim Risgaard Kristensen

Transcription

1 Lillebaelt Hospital conhit Berlin April 2013 Transparency creates efficiency an experience report Kim Risgaard Kristensen

2 Some facts about Lillebaelt Hospital Turnover: DKK 3.5 billion 700 beds hospitalized patients Length of stay: 3.7 days 4,500 full time positions 625 doctors, 275 of which are chiefs of medical services 15 professors 18 clinical departments 10 clinical services departments 1 laboratory center with 6 specialties Vejle-Give: 2,100 employees Fredericia-Kolding: 2,100 employees Middelfart: 300 employees 2

3 More facts about Lillebaelt Hospital Kolding Hospital the patients emergency hospital (after the expansion) Vejle Hospital the patients cancer and specialty hospital 3

4 Particulars concerning Lillebaelt Hospital Technologically in the front end electronic medical records, speech recognition, medical engineering, etc Top results in many areas: Denmark s best hospital for 6 years 12 departments in top 5 High patient satisfaction High productivity High employee satisfaction Star system (4 stars) 4

5 Management philosophy Department management, based on medical specialties with close relations to staff, specialties, and issues are the organization s corner stones! Financial latitude is obtained by high productivity. It must be fun to be a department manager, and this is only fun with financial latitude. Therefore, own budget and extra revenue options. It is the results that counts! This goes for quality, research, education, and activities each with its own value and legitimacy, each measured by its own method. Real time data concerning activity, spending, and quality is an important management tool. 5

6 Management at hospital level we believe in that! It is possible to work with management locally. We wish to retain our position as Denmark s best hospital. The road to success goes through our staff, who are proud of their business and the results it creates. We must create clear cut incentives. We must provide our professionals with the opportunity to be competent (equipment and research). 6

7 The use of IT IT has played an important role in our endeavors to develop our hospital and secure high clinical quality, efficient production set up, and high productive hospital in Denmark. We have been working systematically with IT for many years. IT has to be a natural part of our daily life and we need to incorporate IT support into our working processes. 7

8 We are fact based! We do not make decisions based on assumptions we need facts! We make decisions based on real time data. We load data directly from the operational systems (e.g., electronic medical records) and use them as a basis for future decisions. We are moving away from random samples and are now working with 100% data. 8

9 Knowledge to be able to act Facts create an overview of things that work and things that do not work. If a function does not work, it is important to locate it. IT ensures a flow 9 It is all about creating a flow the art of finding ways to avoid bottlenecks all over the hospital. It is always better and less expensive to have one porter too many than one too few, because this creates bottlenecks.

10 Improved working procedures in the clinic Information & Communication Technology is used in the clinical departments in order to optimize working procedures and capacity. Being the first in Denmark, all our doctors use speech recognition for medical records documentation. Previously, the clinical departments carried out random samples four times annually of 1% of the medical records. Now we use software to solve this task, but for 100% of the medical records. 10

11 Information flow Being the first in Denmark we use Cetrea in the OR, ER and in every ward This IT based clinical logistic system allows clinicians to manage patients, ressources (equiptment, staff, locations etc) Symbiosis between wards, OR and ER minimizes clinicians time wastet, informations lost and increases Patient safety 11

12 Screenshot - bed display 12

13 Patient component 13

14 Partnerships Lillebaelt Hospital believes in long term collaboration with suppliers. Partnerships are characterized by mutual trust and understanding of each other s business. Partnerships ensure that suppliers provide Lillebaelt Hospital with new knowledge and inspiration for future projects. It can be done in the development phase. Afterwards we have to make a tender 14

15 New ways of thinking IT improvements do not come by themselves. They demand: Support from top management Fiery souls have and develop good ideas and are given opportunity to be able to think creatively Financial funds to be able to develop new features A symbiosis between the clinic and IT Development that creates an attractive place to work Information & Communication Technology s development requires the support of management and this is the case at Lillebaelt Hospital. 15

16 Kim Risgaard Kristensen Clinical Projekt Manager IKT Department Sygehus Lillebælt / Lillebaelt Hospital 16 Mail: Kim.Kristensen@rsyd.dk Telefon:

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