new functionality of sap patient management 4.63 katharina drouin mysap healthcare

New Functionality of SAP Patient

Management 4.63

Katharina DrouinmySAP Healthcare

SAP AG 2002, Public Services Sales & Partner Summitb6_drouin 2

Focus of SAP Patient Management 4.63

Enhanced Planning and Scheduling Inpatient Admissions Outpatient Appointments

Integration of Medical with Administrative Data and Functions Work Station Coding Director Work Station Outpatient Clinic Work Station Service Facility


Focus of SAP Patient Management 4.63

DRG Support mySAP Enterprise Portal for Coding Directors Worklists and improved DRG-related processes Support of “best-of-breed” groupers Case-related DRG data processing Clinical Work Station for Coding Directors

Empowerment for Occasional Users Simplified user interface, e.g. service forms mySAP Enterprise Portals for hospital-specific roles Easy-to use devices, e.g handhelds


Topics

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Preregistrations

Work Station for Outpatient Clinics and Service Facilities

Service Entry using Service Forms

DRG

Communication

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Appointment Scheduling in Outpatient Clinics

Release Strategy and Outlook7777


Nurse Anne Assesses Her Work Station

The Outpatient Clinic Work Station lets me perform my tasks in record time and with

greater efficiency - it also makes work more fun.

Gone is the tedious switching from function to function. In the Outpatient Clinic Work Station I see all the data at a

glance and can access the functions I need at the click of a button.

The complete work station is custom tailored to my tasks.


Example of Use in Classic Outpatient Clinic

Custom Work Stations for Outpatient Clinics ...


Example of Use in Service Facility

... and Service Facilities

The work station shown requires IS-H*MED


Selection Criteria

You decide which data you want to see in your worklists

Attending Physicians Treatment Rooms Patients / Cases Organizational Units Visits / Appointments Services


Flexible Layout

You decide how this data is to be displayed and with which additional information ...

Medical Data(incl. data from IS-H*MED)

Administrative Data


Function Variant

... and establish which processing functions are available to you in a worklist

Medical Functions (incl. IS-H*MED)

Administrative Functions


Topics

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Preregistrations



DRG

Communication

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Benefits of Visit Scheduling

The number of outpatient visits is increasing steadily in our hospital. This places even greater emphasis on the efficient planning of available resources.

Benefits Improves Service Reduced Waiting Times Greater Patient Satisfaction More Efficient Work Improved Utilization of Expensive Devices

Alone for the orthopedics department at the Asklepios Klinik Parsewalk, the waiting time for knee and hip

operations is several months.Klinik Management Aktuell 08/2000

Actual Example:


Improved Visit Scheduling

Visit Scheduling as a planning instrument in the outpatient clinic now caters for

Group Appointments Multiappointments Complex Treatment Units

supported by a “one-click” search


Open Time Slot Search for Group Therapy

Group Appointment = Appointment for a particular treatment which can involve several persons

Examples:

Physiotherapy

Psychotherapy

Ergotherapy

Kinetotherapy

Relaxation therapy


Open Time Slot Search for Treatment Units

Treatment Unit = Single appointments that occur in a particular sequence as part of a treatment

1. Pre-operative examination and clarification

Open time slot search for ...

2. Operation 2 days after pre-operative clarification

3. Discharge examination 4-6 hours after operation

4. Discussion of operation results at the earliest 3 days after operation and at the latest 6 days after operation


Open Time Slot Search for Multiappointments

Multiappointment = Appointments or treatment units that are repeated at regular intervals

Week 1 Week 2 Week 3 Week 4

Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr

Week 10

Tu We Th Fr

...

30 MIN Massage

Mo

10 Massage Sessions; 1 Session per Week


“One-Click” Search

Search Variant = Combination of search criteria you use for the open time slot search.

Even searching for time slots to accommodate complex treatment units is possible at the click of a button.

If I want to use a particular combination of search criteria again, I simply have to save the specifications on the initial screen of visit scheduling - and a new search variant is created.


Demonstration

See how my Outpatient Clinic Work Station gives me an overview of the scheduled

outpatient treatments and enables me to assign and book new appointments

quickly and efficiently.


Visit Overview in Outpatient Clinic Work Station

The visit overview shows me today’s outpatient visits in my Outpatient Clinic. Tom Abraham needs a follow-up appointment in 2 weeks.

The visit overview shows me today’s outpatient visits in my Outpatient Clinic. Tom Abraham needs a follow-up appointment in 2 weeks.


Booking Follow-Up Appointments

To find an open time slot for this patient, I select the patient in the Visit Overview, and then choose Find Open Time Slot.

To find an open time slot for this patient, I select the patient in the Visit Overview, and then choose Find Open Time Slot.


Booking Follow-Up Appointments

I select a search variant, and add extra restrictions relating to the patient’s appointment to the search criteria. There’s no quicker way.

I select a search variant, and add extra restrictions relating to the patient’s appointment to the search criteria. There’s no quicker way.


Selecting Open Time Slots

I am shown a list of available time slots. It is even possible to tell that the patient has another appointment on the day in question in our hospital.

To book the required appointment, first click on it, and then save the appointments. Done!

I am shown a list of available time slots. It is even possible to tell that the patient has another appointment on the day in question in our hospital.

To book the required appointment, first click on it, and then save the appointments. Done!


Topics

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Preregistrations



DRG

Communication

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3333

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Examples of Use of Inpatient Preregistrations

You wish to preregister patients for inpatient admission without creatinga patient master record or a case

You wish to plan inpatient admissionsand the associated treatment* in an integrated way

You wish to plan inpatient admissionsto the day

You know your admission quotas and wish to control the number of admissions per day

You use waiting lists for specific treatments

* To plan surgeries/treatments you require IS-H*MED


Creating Preregistrations


Preregistration Data

Finding available admission capacities


Admitting Patients with Reference to Preregistrations

Admit patient by double-clicking the preregistration – the preregistration data is

copied into the admission data


Topics

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Preregistrations



DRG

Communication

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What Our Customers Think About Service Forms

It’s of greatest benefit to occasional users to be able to enter services simply via a mouse-click. Being able to make subsequent changes via the form is also very important.

I would also like to enter the multiplication factor and the quantity per service via the form.

You must be able to tell which services were entered using which form.


Electronic Forms Replace Paper Forms

My work environment contains form folders. Each folder contains a fixed set of forms.

I can add new, empty forms to the folders, for example, if allforms in the folder have alreadybeen used.

I used to tear up and throw away forms that were incorrectly filled out. Now I cancel the form, and this cancels the relevant services as well.

I can change forms that have already been filled out.

If I still need a hardcopy of a form, I simply print the service form. It contains all of the necessary patient data.


Standard and Customer Forms and Folders

Standard Form Folders

Admission Form folder

All Forms folder contains all of the forms created for the case

Customer Forms and Folders

Customer-defined form folders for new service forms (type NHTM)

Fixed set of available forms per form folder

Automatically created forms Limited changes to form folder

settings via Properties function


Topics

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Preregistrations



DRG

Communication

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Supports timely and integral coding Worklists for incomplete coding Worklists for coding containing errors Information relating to non-specific coding Workflow support

Custom tailored DRG work stations

Integration of DRGs in Billing and Financial Accounting

Access to up-to-the-minute costs and revenues via integrationwith CO

Flexible DRG analyses in SAP BW

DRG in mySAP Healthcare – Benefits

Grouper Connection

ClinicalWork Station

Workplaces

BW

CO Integration DRGWork Station

WorkflowBilling Support


mySAP Enterprise Portal for the Coding Director


Clinical Work Station for the Coding Director

To-do list of patients to be checked with

information on missing coding direct access to DRG data, diagnoses and procedures


Case-Related DRG Data

All important information at a glance All necessary functions at the click of a button


Topics

1111

Preregistrations



DRG

Communication

2222

3333

4444

5555

6666




Why BAPIs?

Greatest possible automation and electronic support of customer-specific in-house processes and direct integration of all persons involved (collaboration):

Optimal processing of operations in all areas

More efficient use of all resources

Cost saving


Putting BAPI Features to Use

Standardized, widely distributed interface

Open interface (COM/DCOM, CORBA, JAVA, etc.)

Publicly documented interface(http://ifr.sap.com)

Long-term, strategic communication basis(e.g. XML enabled)

Low error-proneness

Flexible


New BAPIs in SAP Patient Management

Completion of existing scenarios Change absence

BAPI_PATCASE_CHANGEABSENCE

Cancel absence BAPI_PATCASE_CANCELABSENCE

Outlook Design and implementation of new scenarios

Master data maintenance, e.g. business partner Transaction data, e.g. procedure entry


Topics

1111

Preregistrations



DRG

Communication

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3333

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Release Strategy

SAP Patient Management Release

SAP Platform

Available as of

Legal change end Maintenance end

4.03 4.0B July 1999 June 2001 August 2003

4.62 4.6C October 2000 December 2002 December 2002

4.63

4.63A 4.6C October 2001 March 2003 March 2003

4.63B 4.6C August 2002 *) July 2004 *) March 2005

4.71 4.7 March 2003

*) applies to latest maintenance level 4.63*


Solution: SAP Patient Management (4.63B)

Solution Positioning For several countries the new release will be positioned mainly as legal change release Canada localization: The prio 1 localization functionality will be included Extended waiting list and pre-registration capabilities (focus: Spain)

Underlying Technology R/3 Core 4.6C / SAP BW 3.0B

Critical Dependencies / Risk Factors Application perspective

Buying decision more and more based on strength in clinical applications, business applications are seen as low priority for overall IT strategy

Technical perspective Partner solutions integrated via desktop integration (e.g. OLE) not supported by SAPGUI for HTML

(e.g. external diagnosis coding tools)

Ramp-Up Customers Planned number of ramp-up customers: 3 with new Canadian country version, 2 with new

waiting list functionality in Spain

Additional Remarks Shipment of 4.63B is planned for August 2002 R/3 4.7 is planned to be supported in 1st quarter 2003 by SAP Patient Management 4.71


Outlook to mySAP Healthcare

SAP Patient Management 4.63B Waiting list based on preregistrations

Waiting list view in clinical work station Planning including pre-operative and post-operative appointments/treatment

Admission Admission cancellation Case type change

New BAPI Create, change, cancel procedures

Business Intelligence Extended BW content (diagnoses, procedures)

mySAP CRM for Healthcare

mySAP SCM for Healthcare

Collaboration via SAP Enterprise Portals


1 Minute Elevator Pitch

<Elevator Opens, CEO enters, sees your badge>

CEO: “How can SAP help me in my hospital?”

YOU: “In many ways. What is your biggest problem?”

CEO: “Well, compared to other hospitals we seem to be keeping the patients longer for the same treatment." YOU: “Maybe your patients need more time to recover from surgery?"CEO: “I am not sure. I have the feeling that we waste time prior to the operation."

YOU: “SAP Patient Management provides you with sophisticated scheduling capabilities allowing you to easily find and book all the necessary pre-surgical examinations.CEO: “So, what does that give me?”

<Elevator Door Opens, CEO hands over biz. card>

YOU: “Patients are satisfied with the reduced length of stay. You save a lot of money as you treat more patients in the same time."


Questions?

new functionality of sap patient management 4.63 katharina drouin mysap healthcare

Documents

sap ag

preregistrations work

complete work station

med slide

med administrative data

medical data

processing functions

worklist medical functions