#HASummit14 Session #9: Texas Children’s Hospital: Applying a Three- Systems Approach to Improving...
-
Upload
christiana-curtis -
Category
Documents
-
view
212 -
download
0
Transcript of #HASummit14 Session #9: Texas Children’s Hospital: Applying a Three- Systems Approach to Improving...
#HASummit14
Session #9:Texas Children’s Hospital: Applying a Three-
Systems Approach to Improving Surgical Outcomes
Kathy Carberry, RN
Pre-Session Poll Question
How long does it take to do an appendectomy (the operation itself) at your organization? a) 1 to 2 hours b) 2 to 3 hoursc) 4 to 5 hours d) Unsure or not applicable
#HASummit14
Poll Question #2
2
How long does it take for a patient who arrives in the emergency center with appendicitis to get to the OR in your organization?
a) 2 to 4 hours
b) 4 to 6 hours
c) 6 to 8 hours
d) 8 to 10 hours
e) Unsure or not applicable
#HASummit14
About the organization
3
Using technology to provide higher quality, lower cost care
Non-for-profit children’s healthcare
Improve and streamline appendectomy care
#HASummit14 4
Industry Background
Research has shown that the mean length of stay (LOS) for appendectomy procedures can vary significantly based on a number of factors, including severity of appendicitis, operating room availability, surgeon preferences, nursing policies, and hospital systems.
#HASummit14
Pain Points
5
Lack of data and lack of a prospective system for
measurement
Lack of teamwork and consistency in
treatment of appendectomy
cases
Current methods
involve after the fact data collection in
postoperative cases
No specific guidelines to apply to each
appendectomy case
#HASummit14
Our Approach and Results
6
#HASummit14 7
Goals
• Improve quality of care while reducing costs
• Create a streamlined approach to each specific appendectomy case to ensure continuity of care
• Demonstrate how order sets and variation can change culture
#HASummit14 8
The Tools
EDW
A late-binding data warehouse
platform
Population Analytics Advanced
Application – Appendectomy
Module
Permanent, integrated workgroup
teams
Evidence-based best practices
#HASummit14 9
Applying a Three Systems Approach…
Improves measurement and analytics (an analytics system)
Creates permanent cross-functional workgroup teams focused on identifying, deploying, and monitoring the effectiveness of quality improvements (a deployment system)
Deploys a data-driven approach to implementing evidence-based best practices (a content system)
#HASummit14 10
Monitoring Appendectomy
#HASummit14 11
Wound Classification
#HASummit14 12
Appendectomy Dashboard
#HASummit14 13
Results
• Developed appendectomy population health analytics platform
• Improved patient outcomes and reduced costs through cultural transformation
• End-to-end workflow optimization
#HASummit14 14
Measureable Results
36%Reduced postoperative length of stay
19% 36%
53% 19%
Reduced average variable direct costs
Increased order set adoption rates
Increased the percentage of patients receiving recommended antibiotic as first antibiotic
Decreased the time from diagnosis to surgery
Increased the accuracy of surgical wound classifications
30%
#HASummit14
Future Plans
Surgical hospitalist pilot in EC
EC triage protocol based on PAS
Same-day discharge from PACU
Shared savings program pilot
15
© Used with permission. Texas Children’s Hospital.
#HASummit14
Lessons Learned
16
• Cultural transformation takes time • It is critically important to build relationships • Multidisciplinary teams are critical to success • A physician champion is essential • Data is essential to know the truth
#HASummit14
Analytic Insights
AQuestions &
Answers
17
#HASummit14
Choose one thing…
18
Write down one thing will you do differently after hearing this presentation
#HASummit14
Thank You
19
#HASummit1420
Session Feedback Survey
1. On a scale of 1-5, how satisfied were you overall with this session?
1) Not at all satisfied
2) Somewhat satisfied
3) Moderately satisfied
4) Very satisfied
5) Extremely satisfied
2. What feedback or suggestions do you have?
#HASummit14 21
Upcoming SessionsBreakout Sessions – Wave 2 (2:30 PM – 3:15 PM)
10) Is Big Data a Big Deal…or Not?Dale Sanders, Senior Vice President, Health CatalystRichard Proctor, General Manager, Global Healthcare & Life Sciences, Hortonworks
11) Partners Healthcare Analytic Strategy for bundled Payments and Risk ManagementSreekanth Chaguturu, MD, Vice President for Population Health Management, Partners HealthCareHelen Chan, Senior Manager, Business Planning, Partners HealthCare
12) Sneak Peek: Improving Patient Engagement and Outcomes with Predictive AnalyticsGregory A. Spencer, MD, CMO & CMIO, Crystal Run HealthcareLouis G. Cervone, Jr., Director of Business Intelligence, Crystal Run Healthcare
13) How a Pioneer ACO is Using Analytics to Change Heart FailureSpencer H. Kubo, MD, CMO of BioControl Medical, United Heart &Vascular Clinic, Allina Integrated Medical Network
14) Entering Shared Risk for Community Hospitals Through Physician EngagementGreg Stock, CEO, Thibodaux Regional Medical CenterMark F. Hebert, MD, FACS, Surgical Specialist, Thibodaux Regional Medical Center
15) Panel – Children’s Hospitals: “Tike-mares”…Are the Monsters Under the Bed For Real?
Location
Grand Salon
Grand Ballroom A
Grand Ballroom D
Savoy
Murano
Venezia