1430 panel discussion - day 2
DESCRIPTION
National Hospital Procurement Conference 2014 The 2014 National Hospital Procurement Conference explored a number of cost-saving measures in the hospital procurement ecosystem. Highlights included sessions on improving efficiency, savings and patient safety within Australian Hospitals. For more information about the event, please visit: http://bit.ly/hosprocurement14TRANSCRIPT
National E-Health Transition Authority
www.nehta.gov.au
0
Examining the
Outcomes of Differing
Operational Efficiency
Options – Panel
4th National Hospital Procurement Conference
Sydney, 25th July 2014
Mary Thompson, GS1 Senior Advisor – Healthcare, GS1 Australia
Anne Petterd, Partner, Baker & McKenzie
Val Usatoff, Deputy Medical Director, Cabrini Health
1 National E-Health Transition Authority
www.nehta.gov.au
Examining the Outcomes of Differing
Operational Efficiency Options
1. Panelists State Their Case
2. Questions – Open Forum
3. Panelists Summary Statement
Agenda
2 National E-Health Transition Authority
www.nehta.gov.au
• Mary Thompson, GS1 Senior Advisor –
Healthcare, GS1 Australia
• Anne Petterd, Partner, Baker & McKenzie
• Val Usatoff, Deputy Medical Director,
Cabrini Health
Your Panelists
3 National E-Health Transition Authority
www.nehta.gov.au
The Discussion
The relative benefits of:
• Medical coding and billing
• Bring Your Own Device (BYOD)
• Document scanning and data warehousing
• Electronic medical records
• Enterprise scheduling
• Inventory management
1. What is feasible?
2. What are the ROI’s?
3. Examples of real-life implementations
Australia Operational efficiencies
driven by standards
Mary Thompson
Senior Advisor – Healthcare, GS1 Australia
2014 National Hospital Procurement Conference
© GS1 Australia 2014 5
Electronic Medical Records &
Inventory management benefits
Considerations
• global standards complement internal identification
systems
• appropriate technology is sourced to support data
identification / capture
• Hospital Information Systems (HIS) and Enterprise
Resource Planning (ERP) systems ability to hold
identification keys & related data
• develop clinical and technology strategies in tandem
• trading partners collaborate & share data
• change management underpins implementation
© GS1 Australia 2014 6
Benefits to be realised…
Electronic Medical Record (EMR)
• organisation of information
• patient safety: identification / infections
• cost based tracking
• AEs &recalls
• continuity of patient care
Inventory Control • process & data quality
• logistic partnerships
• efficiencies: procurement / stock levels / time / asset tracking /
resource allocation
• visibility
Baker & McKenzie, an Australian Partnership, is a member firm of Baker & McKenzie International, a Swiss Verein with member law firms around the world. In accordance
with the common terminology used in professional service organisations, reference to a "partner" means a person who is a partner, or equivalent, in such a law firm. Similarly,
reference to an "office" means an office of any such law firm.
© 2014 Baker & McKenzie
Operational efficiency options - legal
considerations
Anne Petterd, Partner
Baker & McKenzie, Sydney
2014 National Hospital Procurement Conference
© 2014 Baker & McKenzie 8
Contract to realise benefits + address risks
Conduct planning and risk assessment to work out
viable options and what to address
Choose wisely to realise efficiency
Examples
BYOD – support and compatibility commitments
E-records – regulatory compliance
Data warehousing – control and access terms
Enterprise scheduling – who needs to participate?
Inventory management – web of reliance
© 2014 Baker & McKenzie 9
Contract / commercial issues
Committed purchases vs options
Bespoke vs off-the-shelf
Outsourcing vs ability to self-help
1 throat to choke vs vendor choice
Ensuring information management / accessibility
Regulatory responsibility
Transition-in issues
Mandatory vs optional business take-up
Panel Discussion. A clinical perspective.
• A/Prof Val Usatoff
• Working Surgeon • Private and Public Sector
• Head of UGI/HPB surgery
• Masters HSM
• Deputy Medical Director
• Cabrini Health
• 2 campuses
• 500 and 100 beds
• 20 op theatres
• 2 Rehab sites
• Pall. care and Aged care
• Emergency Dept
• HITH
• Linen and Technology
Doctors and e-Medical Records
Engaging Doctors in the Health Care Revolution
• Doctors are deeply anxious and angry about transformation, fearing loss of autonomy, respect, and income.
• Any strategy that they do not embrace is doomed.
• Stages of grief; from denial to anger
• Suggest focusing on what can be gained, positives.
Lee T, Cosgrove T. Harvard Business Review. Engaging Doctors in the Health Care Revolution. June 2014
….products that are functionally decades behind those they use in their “civilian” life. (NEJM 2012)
Is it the Doctor’s fault?
Clinical Viewer
Clinical Viewer
Clinical Viewer
BYOD - iPads
• Cost of device and service pushed to clinicians • Capacity costs
• Bandwidth overloading • Slow down of other services • Controlling number of devices
• No ability to control version updates • Android vs Mac
• Extra cost to support all platforms or limit to one
• ROI • Increased engagement • Efficient ordering of path requests • Early notification of results and early intervention • Less phone calls to pathology
Incentives – do they work?
• Yes!
• What’s in it for me? • Tickets, dinners, trips – short term, trivial
• Sustained improvements to productivity – meaningful, win-win • Increased theatre efficiency improvement
• Unit/division secretarial support
• Data manager, IT support
• New equipment
• Healthcare Financial Management Association • physicians more interested in efficiency gains than direct rewards
https://www.ecri.org/Documents/MDPT/Implant%20roundtable.pdf
Medical coding and billing
• Fully automated (and accurate) billing directly from e-MR is a long way away
• Current low tech solution • Medical staff manually auditing select records
• Excellent ROI but not comprehensive
• Future • Electronic discharge summary WITH diagnosis specific prompts
• Gallstones - ?gram negative sepsis
• Prolonged ileus - ?TPN, ?Hypokalaemia, ?malnutrition
• Major surgery - ?acute renal impairment
Enterprise Scheduling - example
• Oncology day ward scheduling system
• Coordinating patient arrival and CTx preparation
• Reduced wait for CTx and reduced stay in day ward • More patients treated
• Patients requiring O/N stay having CTx in day ward
• Admitted later in day
• Reduced burden on ward staff
• Reduced need for inpatient beds
• Excellent ROI
22 National E-Health Transition Authority
www.nehta.gov.au
Summary
The relative benefits of:
• Medical coding and billing
• Bring Your Own Device (BYOD)
• Document scanning and data warehousing
• Electronic medical records
• Enterprise scheduling
• Inventory management
1. What is feasible?
2. What are the ROI’s?
3. Examples of real-life implementations
23 National E-Health Transition Authority
www.nehta.gov.au
• Mary Thompson, GS1 Senior Advisor –
Healthcare, GS1 Australia:
• Anne Petterd, Partner, Baker & McKenzie:
• Val Usatoff, Deputy Medical Director,
Cabrini Health: [email protected]
Contacts