respiratory therapy department data considerations

Respiratory Therapy DepartmentData Considerations

October 21, 2009

Best Ever HospitalBest City, IL

MMI – 405: HIT Integration, Interoperability, and StandardsSuzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson


Agenda

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• Background• Business Case• Stakeholders• Workflow• Next Steps


Background

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Best Ever Hospital

• MissionTo meet the healthcare needs of our community by providing all

services in a cost-effective and competent manner with compassion, integrity and efficiency while preserving dignity, enhancing quality, and being very mindful of patient satisfaction throughout the continuum of care.

• VisionBest Ever Hospital will strive to be a leading acute care center

providing cost-effective, patient-focused, quality healthcare utilizing new services and technology.

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Respiratory Care Services

The mission of Respiratory Care Services is: • to provide the highest quality respiratory patient care in a timely, effective,

safe and efficient manner; • to promote internally and with other areas of responsibility continuous

quality improvement activities to improve the performance of the Respiratory Care Service as well as the overall performance of the organization;

• and to provide support for clinical research activities.

This requires that Respiratory Care Services assess needs, formulate action plans, instruct/inform as required, implement plans, evaluate actions taken for effectiveness and revise the action plan as needed

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Business Case

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Business Issue• Respiratory Care Services

implemented a Respiratory Care Management Information System

• Best Ever Hospital has deployed an integrated electronic medical record that does not have a Respiratory Care module

• Modules for other ancillary services have been deployed including pharmacy, laboratory, and imaging.

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Current State – Future StateDisconnected RT Department• Duplication of Documentation• Documentation Silos• Fragmented Medical Record• Lost Charges• Manual transmission of new orders• Difficult to manage resources• Delays in starting new services

Integrated RT Department• Online, Accessible Documentation• Available to all providers• Integrated Medical Record• Automatic Charge Capture• Automatic transmission of new

orders• Improved resource management• Fewer delays in starting new services• Improved patient care• Improved employee satisfaction

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Goals and Objectives

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Costs

Reduction in labor costs tangible

Reduction in cost of goods tangible

Increased net revenue tangible

Improved cash flow through reduction in accounts receivable tangible

ARRA and reimbursement tangibleQuality

Improved outcomes tangible

Improved provider-patient relationships intangible

Improved patient satisfaction intangible

Improved recruitment and retention intangible


Justification

• Financial$ Cost reduction$ Revenue increase

• Regulatory ARRA TJC

• Organizational StrategyStakeholder satisfactionAchieve mission and vision

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Stakeholders

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Key Stakeholders

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Keep Satisfied Manage Closely Director, Revenue Cycle Management Chief Information Officer Chief Nursing Officer

Director, Respiratory Care Services Directors, Intensive Care Services Chief, Pulmonary Medicine Chief, Emergency Medicine Director, Health Information Management Chief Compliance Officer Director, Pharmacy

Monitor Keep Informed RCMIS Vendor Representative IT Project Management Office

Director, Admissions Services Respiratory Therapy Patients Staff

INTEREST

POWER


Stakeholder Roles

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STAKEHOLDER Champ Customer Partner Data System

RCS Director, Respiratory Care Services

ICU Directors, Intensive Care Services

ER Director, Emergency Department Chief, Emergency Medicine

PM Chief, Pulmonary Medicine

CNO Chief Nursing Officer

CIO Chief Information Officer

RCM Director, Revenue Cycle Management

ADT Director, Admission Services

HIM Director, Health Information Management

CCO Chief Compliance Officer

RX Director, Pharmacy

PTS Respiratory Therapy Patients

VEN RCMIS Vendor Representative

PMO IT Project Management Office


Direct and Indirect Impacts

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RCS ICU ER PM CNO CIO RCM ADT HIM CCO RX PTS

Admissions d d D d D i D D i d d D

Orders D D D D D i D i i D D D

RT Demand D d d D I I I I i d I d

Assignments D d d D D i i i i d d d

Work Status D d d D D I D i i D D D

PT Routing d D D d D I i D i I d D

Charting D D D D D i d d D D D I

Results D D D D D i d d D I D D

Billing d d d d i I D D I i D D

Productivity D d d D D I D i D i D i

D = direct, high impact I = indirect, high impact

d = direct, low impact i = indirect, low impact


Workflows

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Order Respiratory Care Services

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Document Service and Charge

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Next Steps

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Define the Information Architecture

• Examine and document the standards• Determine and document the information

system requirements• Bring the findings back to this group on

November 4, 2009

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References1. University of Connecticut Health Center. Respiratory Therapy Department. Retrieved October, 2009, from

http://nursing.uchc.edu/unit_manuals/respiratory/index.html.2. Johns Hopkins Medicine. Respiratory Care Services at Johns Hopkins. Retrieved October, 2009, from http://www.hopkinsmedicine.org/respcare. 3. Medical College of Georgia. Respiratory Therapy. Retrieved October, 2009 from http://www.mcg.edu/sah/respther/index.html. 4. Quality Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy of

Sciences; 2001:39-40,100.5. Aspden P, Wolcott JA, Bootman JL et al., eds. Preventing medication errors. Washington,DC: National Academies Press; 2007:4.6. Safe practices for better healthcare: a consensus report. Washington, DC: National Quality Forum; 2003.7. Joint Commission on the Accreditation of Healthcare Organizations. Proposed revisions to Standards MM.4.10 and MM.8.10. Retrieved October,

2009, from www.jointcommission.org.8. Williams, B. 1990. How to do an ROI (return on investment). Healthc Inform 7(2):30-2.9. Ford, Richard M. Respiratory Care Management Information Systems. RESPIRATORY CARE. (2004); 49(4): 367-377.10. Pullen, EE. Computers help provide better care. RESPIRATORY THERAPY. (1980); 10(4): 25-27.11. Nelson, Steven B. Conference Summary: Computers in Respiratory Care. RESPIRATORY CARE. (2004) 49(5): 531-536.12. Mussa, CC. Respiratory care informatics and the practice of respiratory care. RESPIRATORY CARE. (2008); 53(4): 488-499.

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respiratory therapy department data considerations

Documents

respiratory care modulemodules

continuum of care

intensive care serviceschief

ancillary services

leading acute care center

quality healthcare

healthcare needs

action plans