Role of Innovation at Sharp

Transcription

1 Role of Innovation at Sharp August 15, 2011 Bill Spooner Senior Vice President and CIO

2 REFLECTION "Some men see things as they are and say Why?. I dream things that never were and say Why not.? " - Robert Kennedy

3 Agenda Sharp Background Perspective on Innovation Examples of IT role in Innovations Other Areas we are Exploring Conclusions

4 Sharp HealthCare Largest health care system in San Diego 7 hospitals, beds 4 Acute Care and 3 Specialty 2 Affiliated Medical Groups Health Plan 5 Urgent Care Centers 2 Skilled Nursing Facilities Home Health and Hospice Largest private employer in San Diego 15,000 Employees 2,600 Affiliated Physicians 2,000 Volunteers $2+ Billion Operating revenue

5 Brief Organization History Early 1950 s: Key hospitals opened Mid-1980 s: Mergers forming Integrated Network 1980 s: Embraced managed care model : Tight reimbursement Mid-1990 s: Financial distress : Columbia/HCA option explored 1997: Emerged independent and stronger : Just say No campaign : Sharp Experience 2007: Baldrige Award

6 John Glaser on Innovation Practical innovation the kind of innovation that genuinely improves patient care or workflow and can be implemented by an organization today is based on four cornerstones: The Right Culture Organizational fabric, directed at business or clinical value The Right Questions Vision, strategy, process, technology The Right Processes Portfolio, idea input, evaluation, pilots, impact assessment The Right Tools in support of innovation Technology has no inherent ability to cause innovation. Its innovation value is determined by the context of its potential use. HHN Feb. 2008

7 The Right Culture Sharp Translation Creativity encouraged Healthy risk appetite, tolerance for failure Strongly motivated leaders, seldom fail The Right Questions Strategy alignment? Business or clinical value? Quality, Service, Finance Replicable across organization? The Right Processes Open door policy Lean Sigma Strategic Planning Committee, IT Executive Committee The Right Tools Early adopter / creative adapter of commercial products

8 History of Innovations

9 History of IT Innovations 1970s - Lab system Clinical documentation alpha site (Clinicomp) Hospital Patient Accounting alpha site (IDX) EDI enrollment, claims and encounters Sharp.com Internet baby" First of eleven Most Wired awards Hospital EMR and PACS (Fuji) begins OnBase live with managed care claims Medical Group EMR begins (Allscripts) New Hospital EMR strategy (Cerner) EMR for Sharp s IPA begins (Allscripts) mysharp patient portal HIE for Sharp providers (dbmotion)

10 Innovation Example Collaborative Care Evolution

11 Collaborative Care Evolution 1980: Pacificare partnership 1985: Delivery Network integration Late 1980 s: Capitation, Contract management 1991: Master Patient Index Mid-1990 s: Data warehouse analytics Mid-1990 s: EDI CFO: We have to have an EMR! : Clinical analytics, preventive health 2003: Claims scanning 2004: Town Hall with David Brailer, MD : Online alerts eg Diabetes 2011: Pioneer ACO application

12 October 2004 San Diego Town Hall

13 Value Proposition Steady market share gains Profit improvement Pay-for-performance dollars High quality and patient satisfaction scores Press Gainey Pacific Business Group Malcolm Baldrige National Quality Award Strong employee satisfaction scores Low turnover San Diego leader on the Web IT recognized in Baldrige Award

14 Health Reform: Full Continuum of Care IT Strategy Identify, develop, and implement IT solutions to support effective care management from both an operational and patient-care focus. Wellness Illness Prevention and Wellness Disease Management Outpatient Acute Post Acute Home Care Hospice/ Palliative Care Evidence-Based Care Operational Excellence Master Patient Index (MPI) Financial & Practice Mgt Sharp s Information Technology Hospital EMR Medical Group EHR Data Warehouse MEDai Health Information Exchange mysharp External Care Coordination Providers Patients Quality Reporting Government Quality Programs Pay for Performance Meaningful Use

15 mysharp Portal CCHIT Certification Underway xxxxxxxxxxxxxxxxxxxxxx xxxxxxxxxxxx xxxxxxxxxxxx

16 Health Information Exchange

17 Innovation Example Clinical Analytics

18 Sharp Data Warehouse Supports Real-time P4P Performance Management

19 P4P Reports

20 Compliance Non-Compliance

21 Drill Down Report on Non-Compliance

22 Diabetes Action Sheet

23 Percent of Patients HbA1c Greater than 9 Sharp Rees-Stealy 12% 10% 8% Start DM-9 6% 20% Improvement 4% 2% 0% Sep- 06 Oct- 06 Nov- 06 Dec- 06 Jan- 07 Feb- 07 Mar- 07 Apr- 07 May- 07 Jun- 07 Jul- 07 Aug- 07 Sep- 07 Oct- 07 Nov- 07 Dec- 07 Jan- 08

24 HCC/Quality Button Touchworks

25 Innovation Example Admitting Workflow

26 Paperless Admitting

27 Palm Vein Scanning Improving Patient Identification at Registration Hospitals and SRS medical group Reduces unintentional duplicates and overlaps Protects patients from medical fraud and identity theft Non-intrusive and highly accurate Currently 40,000+ patients are enrolled Implemented 2010

28 Innovation Example Out of Network Repatriation

29 Out of Network Repatriation Bringing Sharp patients into Sharp hospitals Coordinating quality care Decreasing OON hospital expenses Saved about $8 million in 2010 Workflow automation Notification of OON patients, logging, tracking Bed availability Physicians and case managers Patient transfer

30 OONWA (Out of Network Web Application) Integrated IT Toolset Web Application 2 way paging Reporting

31 Innovation Example Clinician Convenience Patient Safety

32 Way2Care Allows users to login/logout quickly with their employee badge. Complements single sign-on, context management Positive user response. Implemented 2010

33 Virtual Integration

34 Innovation Example On Watch Real Time Event Trigger

35 Event Triggers Specific events that prompt investigation Reversal agents Critical lab values Sequential events/ trends Linked events such as meds and lab values Derived from research literature, clinical expertise Designed to identify events where harm has the potential to occur

36 House-Wide View

37 Unit Level Dashboard

38 Patient Detail View

39 Online Patient Chart

40 Areas we are exploring

41 Patient-centered Workflow Information and resources located at local level EMR, Device, Environmental, Communication, etc Cerner & non-cerner systems Various Forms and Formats Early Stages Elements to support a contextually aware experience EMR Medical Devices Medical ImagingConsumer Devices Communications Entertainment Environment Internet Maternity Surgery Fetal Monitor Physician Office IV Pump iaware Patient Perspectives Gadget Library Facility Perspectives Photo Rx Station Auto Chem Hemodynamic Ultrasound Activity Pathology DigitalSensors PACs Camera Bed Heart Rate C-PACs ECG Healthe Scale BP Glucometer Messaging Discovere Vocera Cell Phone RFID Proximity MyStation Gaming Sat Radio Movies Security Monitoring Video Conf Plumbing Lighting IQHEALTH Thermostat Education Research Reference EMR Medical Devices Medical Imaging Consumer Devices Communications Entertainment Environment Internet Maternity Surgery Physician Office Bed Fetal Monitor Rx Station IV Pump Auto Chem Hemodynamic Ultrasound Photo PACs C-PACs ECG Pathology Digital Camera Scale BP Glucometer Heart Rate Activity Sensors Vocera Unified Messaging Cell Phone RFID Presence \ Location MyStation Movies Gaming Sat Radio Video Conf Security Monitoring Lighting Thermostat Plumbing Proximity Education Research Reference

42 Early Stages Unified Communications Apps and Communications Merge on Wireless Devices Cellular WiFi Tablet WiFi Mobile Station To Deliver Schedule & Patient Info Clinical Results Approvals & Orders Portals & Dashboards

43 Enterprise Logistics via Positioning Technology Patients =ƒ(patient Progression, Fixed Assets) Product Evaluation EPS Visibility Capacity Management Patient Acuity Care Level Index Staff Assignment Case Management 3D Queuing: Predict and Position Staff & Mobile Assets =ƒ(patients, Fixed Assets) Staff Scheduling Labor Analytics Asset & Materials Management ibus Fixed Assets

44 Conclusions Practical Innovation is key to our success It must have a purpose! Clinical and/or business drivers Six Pillars at Sharp Anyone can be the innovator (There are no bad ideas!) We need it more than ever!

45 Thank you! Questions?