Post on 03-Jul-2015
description
© Copyright ICS 2010Centre de Competència Funcional © Copyright IICS 2008Centre de Competència Funcional
16th march 2010, Barcelona
ARGOS ProjectA case of Innovation?
Lluís de Haro MartínDirector del Centre de Competència Funcional - ICS
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 20102
Index
Project Results
ARGOS Project
IntroductionICS Common modelSystem OverviewImplementation method
Institut Català de la Salut (ICS)
© Copyright ICS 2010Centro de Competencia Funcional
Institut Català de la Salut (ICS)
3
Primary careMore than 450 productive units:
274 primary care teams40 centers of extra-hospital specialties.32 emergency centers8 laboratories32 image diagnosis services15 rehabilitation services8 mental health centers, …
It manages 80% of the whole primary care teams in the region46 millions of outpatient visits a year
Acute Care8 Hospitals:
More than 4.000 inpatient bedsMore than 130 Surgery theatersMore than 7000 outpatient rooms
Constitutes the 32% of the public hospitals inpatient beds and the 50% of the high-technology beds in Catalonia.2008: 215.262 Inpatient visits
122.454 Surgeries703.424 Urgencies
2.661.390 Outpatient visits412 Transplants
Constitutes the 40% of the scientific production in Catalonia.
Research
EducationAnnual training of more than 1.500masters.More than 4.300 pre-grade students(medicine and nursery).Training of 56% of General Practitionerand 66% of the specialists of Catalonia
Budget 2010: 3.000 M€42.000 Professionals
ICS AT A GLANCE
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 20104
Index
ARGOS Project
Institut Català de la Salut (ICS)
Project Results
IntroductionICS Common modelSystem OverviewImplementation method
© Copyright ICS 2010Centro de Competencia Funcional
¿What is ARGOS? Objectives
5
HEALTHCARE SECTOR
MANAGEMENT
THE CLINIC
PATIENT
HealthcareSector
• Modernization Public Sector• Leading position in Healthcare
IT Systems
Management• Business monitoring system• Decision making tools
Clinic
• Tools for all the professionals• Standardization of the clinical
practice
Patient
• Patient centric Healthcare• Integrated patient records
© Copyright ICS 2010Centro de Competencia Funcional6
HEALTH SYSTEM SUSTAINIBILITY:
Greater efficiency, cost reduction, realignment of resources, shared
services, central procurement.
HEALTHCARE QUALITY:
Advanced technologic
equipments, health coordination,
Electronic clinical records.
HEALTH SYSTEM
ACCESIBILITY: For the citizen to receive the best
healthcare.
¿What is ARGOS? Project Principles
© Copyright ICS 2010Centro de Competencia Funcional7
Project to transform the Back-Office functions
Project to transform Healthcare processes on the Hospitals area (HIS)
Project to redefine the HR function
Unique and integrated technology – SAP (Change Driver)
New Common Process Model
New ICSA new corporate culture
Model of Strategic Partnership
¿What is ARGOS? Method
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competencia Funcional © Copyright ICS 2010
02/07 02/0802/0606/06
09/06
Common Business Model
Advance Prototype
10/08 03/09 11/09 03/10
Updated Planning March 2010:
7 from 8 hospitals implemented
06/09
2007 2008 2009 2010200606/10
11/08
GermansTrias i Pujol
Verge de la Cinta Joan XXIII
Viladecans
Doctor Josep Trueta
Solution Development
Vall d’Hebrón
Bellvitge
Arnau de Vilanova
Project Plan
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 20109
Index
ARGOS Project
Institut Català de la Salut (ICS)
Project Achievements
IntroductionICS Common modelSystem OverviewImplementation method
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competencia Funcional © Copyright ICS 2010
Common definition for all acute care processes
Catalogs
Process re-engineering
Shared Services
Units
TECHNOLOGY
Principles of the new model
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 201011
• More than 180 ICS professionals defined the common model
• More than 10.000 hours invested in the definition
• More than 180 meetings between june’06 and february’07
Process Reengineering to achieve the ICS Common Model
• The ICS system has been designed by their own professionals, thinking in all the hospitals and focusing in standardizing the processes.
• The architecture is built with a territorial conception (multi-instance and multi-hospital), with capacity to incorporate other hospitals or primary centers within the same territory
Mètode per el disseny del model comú
Directors de projecte
Coordinadors de procés
Responsable Funcional del Projecte
Portaveu per
procés
Reunions de Treball amb equip IBM
Reunions de Treball amb cuore
per procés
Líder de procés
Reunió Cuore per procés (multi-centre amb l’equip IBM)
Grup de coordicaciófuncional
20 BBP-sPublicats el 09-02
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 201012
Index
ARGOS Project
Institut Català de la Salut (ICS)
Project Achievements
IntroductionICS Common modelSystem OverviewImplementation method
© Copyright ICS 2010Centro de Competencia Funcional13
Nursery
Hospital reports
Clinical reports
Clinical History
Medication
Primary Treatment
Laboratories
Image Diagnosis
Clinical Workstation – patient centric
Patient centric clinical workstation
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 201014
Index
ARGOS Project
Institut Català de la Salut (ICS)
Project Results
IntroductionICS Common modelSystem OverviewImplementation method
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 201015
Rollout plan standardization
Rollout model defined and improved with the ARGOS project experience:- Skilled and experienced team.
- Check list: clear and defined tasks to carry on from day zero
- Best practice models for training, cutover and hypercare
- Model of rollout plan:
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competencia Funcional © Copyright ICS 201016
Rollout plan - web portal and training strategy
Hospital Nº Usuaris Inscrits
Formació on‐line
Nº Usuaris quehan fet formacióon‐line
Formació a l’arrencada
GT 2.275 565 25%VC 906 761 84%JX 1.325 880 66%HVi 812 640 79%DT 2.309 1.513 66%VH 6.283 5.169 82%Bell 4.834 3.885 80%ICO‐DR 675 582 86%AV 71 37 52%
19.490 14.032 72%
WEB portal for project news
Training strategy:
• Online learning tool with lessons for all profiles
• “Train the trainers” approach
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 201017
Index
ARGOS Project
Institut Català de la Salut (ICS)
Project Results
IntroductionICS Common modelSystem OverviewImplementation method
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competecia Funcional © Copyright ICS 2010
Project results
18
Sust
aina
bilit
y
• Elimination of redundancies
• Management Tools
• Economies of scale in IT expense
• Digital records: paper and plates
Acc
esib
ility
• Unified demand managemnt• Territorial approach• Productivity
enhancement
• Acute and Primary Care Integration• Shared agendas• Paperless
• Health records accessible across the whole Catalan Health System
• Telemedicine and Home hospitalization Q
ualit
y
• Increased Patient Security• Integrated Patient
electronic Records• E-pharmacy• Digital imaging
• Better informed Patients• SMS appointment• Self-admission
/information devices
• Standarization of nursery plans
• Reduction of movements to the hospital
© Copyright ICS 2010Centro de Competencia Funcional
Sistem availability and usage
19
© Copyright ICS 2010Centro de Competencia FuncionalCentro de Competencia Funcional © Copyright ICS 201020
HOSPITALITZACIÓ
HOSPITAL DE DIAHOSPITAL DE DIA
URGÈNCIES
ACCESSIBILITAT
QUIRÒFANS
CONSULTA EXTERNA
ESTRUCTURA
CO
MPLEX
ITAT
FUN
CIO
NA
MIEN
T
AC
TIVITAT
Results for managers and acute care professionals
© Copyright ICS 2010Centro de Competencia FuncionalCentre de Competència Funcional © Copyright ICS 2009
Case Review
Characteristics
Capabilities
Definition: New ideas that
add value
Styles
Organisation Characteristics:• Develop an active flow of ideas.• Involve a wide cross-section of people.• Let people free to take responsibilityfor implementing their own ideas.
Capabilities: • Ideas management.• Collaboration in turning ideas into action.• Climate to foster and environment in which innovation thrives.
Styles:• Innovation as part of business planning.• Make innovation part of the culture.
An Innovative Organization ?
21
© Copyright ICS 2010Centre de Competència Funcional22
Thanks!