Patient Flow Beyond the Care Center

Enam Haque

Agenda• Intro• Patient flow of the past• Market dynamics• How the future may look like• What can we do to get there• Q&A

Patient Flow Is Often Described Like This

Measure Performance Using the Following KPIs• Bed request to bed assignment• Bed assignment to patient in bed• Percentage of discharges before

11:00 am• Transport response time• EVS response time• EVS cleaning time• Bed turn over time• "Cold Bed" time• Discharge order written until

patient leaves• Inpatient length of stay• ED length of stay - admitted

patients• ED length of stay - discharged

patients• ED left without being seen • Admit holds• Readmission rate• Direct admit denials

How Patient Flow Has Been Optimized• Software• Consulting engagement• Process improvement• Lean Six Sigma

Is Patient Flow Limited to the Four Walls?• What happens before the admission?• Why the patients choose your facility instead of your

competitors?• How did they came to your facility?• Where do they go for the post discharge/follow up care?• Do you have any influence over the outcome once discharged?• What happens outside the four walls of the hospitals, does it

impact your bottom-line?

What’s Driving the Change?• Consumer expectations• Access to information• Mobile technology• Cost conscious consumer• Affordable Care Act• Payment reform• Value based reimbursement• Bundle payment• Penalty

Better Care. Smarter Spending. Healthier People.

Source: Accenture Patient Engagement Digital Self-Scheduling Set Explode Healthcare Over Next Five Years

Appointment Self-Scheduling Market View

Patient Flow of the Past• Referrals are driven by physicians• Focus on efficiency during the care setting• Encounter-centric view• Little or no knowledge of the patient • Limited engagement with the patient outside care setting• Little or no visibility into post-discharge care• Limited influence over outcome of care, once discharged

Patient Flow of the Future• Influenced by social network• Informed patient• Decisions made based on cost, quality, convenience• Patient-centeric view• Analytics - predictive and precise• Team-based care – care coordination• Quality and efficiency• Engagement with the patient throughout the continuum of care

Consumer Engagement is Essential• Analytics• Consumer Relations Management• Clinical Integrated Network/Team-based Care• Community caregiver connectivity

• Mobile apps• Connectivity with patient• eVisit

• Integrate patient generated data into clinical decision support• Customize care plan (personalized medicine)

Change is Inevitable – Are We Ready?• Vision• Strategic planning and intervention• Analytics• CRM• Enabling technologies• Team based care• Patient-clinician interaction• Health Apps - promote self management of chronic disease

Questions?

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