DECEMBER 29, 2015 1

SMART/INTELLIGENT HOSPITALS:

CONCEPTS & EVALUATION

THOMAS T.H. WAN, PH.D., MHS

PROFESSOR OF PUBLIC AFFAIRS, HEALTH MANAGEMENT & INFORMATICS, AND MEDICINE

COLLEGE OF HEALTH AND PUBLIC AFFAIRS

UNIVERSITY OF CENTRAL FLORIDA

DECEMBER 2015 2

Topics

1. Concepts of Smart/Intelligent Hospitals2. Trends and Patterns of Smart/Intelligent Hospitals in the

United States3. Drivers for the Care Innovation and Care Management

Approach to Healthcare4. Evidence-Based Design of Smart/Intelligent Hospitals5. Prospects of Future Development and Design6. Concluding Remarks

DECEMBER 2015 3

1. Concepts

PAHO: Green Hospital USA: Intelligent Hospital or Knowledge-based operations coupled with a modern infrastructure for enhancing the healing environment; digitized health; value-based healthcare Asia: Smart Hospital; O2O service network

DECEMBER 2015 4

2. Trends and Patterns of Smart/Intelligent Hospitals in the United States(http://www.healthcaredesignmagazine.com/article/how-design-smart-hospital) Health Information Technology USE (Meaningful USE)

Integration Network Platform to Optimize Informatics Integration

Clinical Integration System For Patient Care Management, Outcomes Improvement, Cost Reduction and Productivity

DECEMBER 2015 5

Fisher-Titus Current Position IT Roadmap

◦ Partnership with Cerner will position you well to benefit from the Medicare/Medicaid incentive payments◦ Fisher-Titus is currently at HIMSS Level 1 - 2

→ FTMC & MH Current State

FTMC & MH Future State

→

DECEMBER 2015 6

Device Fragmentation CareAware

DECEMBER 2015 7

Smart Room Cerner’s Smart Room: Integrating Technology at the bedside

to empower patients and clinicians.

myStation: Patient Education and Entertainment myHospital, myOpinion, myHealth, mySchedule, myEducation, myCareTeam, myMenu, myMovies, myTV, myGaming, myInternet, myMusic

CareAware MDBus: Connecting medical device data to the Electronic Medical Record

iAware: Customized Clinical Dashboards Aggregates medical device data AND IT systems data and displays in an intuitive configurable dashboard

Room Wizard: Electronic Message BoardOutside patient room to alert clinicians and patient family/visitors of key information

DECEMBER 2015 8

CareAware MDBus CareAware MDBus™ (Medical Device Bus)

◦ Cerner’s USB for healthcare ◦ Enables seamless connection of medical device data

to the Electronic Health Record (EHR)◦ Continuous availability architecture

CareAware Services and Support ◦ Patient-to-device association◦ Location services ◦ Wave form aggregation/full disclosure◦ Event stream processing ◦ Event management

Device Lifecycle◦ Detects device “heartbeat”◦ Ensures device status is always known

HCIT

DECEMBER 2015 9

PATIENT EDUCATION MODULE

DECEMBER 2015 10JAVA based “widgets”Device Data, from multiple devices, available at user’s fingertips and upon entering room (ie. via RFID) User configurable

DECEMBER 2015 11

Room Wizard: Electronic Message Board

Improves communication with clinicians, family members & hospital staff

Patient Safety: •Displays Room #•Displays Room/Patient Information in real time. Ex. NPO, Latex Allergy, Isolation, etc. •Integration with Nurse Call system

Room Availability: •Red & green lights to show room Status•Display caregiver currently in the room name and role.

Visitor Information: • Integration with CIPS to display messages to visitors Ex. Do not Disturb.

DECEMBER 2015 12

3. Drivers for the Care Innovation and Care Management Approach to Healthcare

COST

ACCESS QUALITY IT SOLUTIONS

DECEMBER 2015 13

HIMSS: Bed Control, Transport Control and Admit Control: http://intelligenthospital.tv/#IHP

BedWatch® is a suite of state-of-the-art, cloud-based patient throughput management solutions designed to provide hospitals with the tools necessary to improve operational efficiency, streamline inter-departmental communication, reduce patient wait times, & maximize resources.

DECEMBER 2015 14

4. Evidence-Based Design of Smart/Intelligent Hospitals

A. Does the solution work? B. How can hospital improve the bottom line? C. Do patients like the improved communication

system? D. Does informatics integration facilitate self-care management of chronic conditions?

DECEMBER 2015 15

Four Traits in Building A Smart Hospital

1. Safe and secure hospital design2. Sustainable hospital design3. Navigable hospital design4. Calming hospital design

DECEMBER 2015 16

IMPROVE

CUSPComprehensive Unit-based Safety

Program

1. Educate staff on science of safety2. Identify defects3. Assign executive to adopt unit4. Learn from one defect per quarter5. Implement teamwork tools

(TRiP) Translating Evidence Into Practice

1. Summarize the evidence in a checklist2. Identify local barriers to implementation3. Measure performance4. Ensure all patients get the evidence

How Often Do we Harm?Are Patient Outcomes

Improving?

Patient Safety Measure

www.safercare.net

Have We Created a Safe Culture?How Do We know We Learn

from Mistakes?

DECEMBER 2015 17Pronovost BMJ 2008

DECEMBER 2015 18

5. Prospects of Future Development & Design

REDESIGN OF CARE MANAGEMENT

TOOLS

REDUCTION OF COSTS ANDIMPROVEMENT OF BETTER

OUTCOMES AT PATIENT AND POPULATION LEVELS

Patient Centric Care Concepts

DECEMBER 2015 19

Integrated Vision and Mission of the Collaboration

FLHOSP as a Healing Environment UCF as a Partnership University

CREATION Health Research Center

COHPA-UCF: Strengthening Communities & Changing Lives Through Research

KNOWLEDGE GENERATION TO IMRPOVE HEALTH PRACTICE &

POPULATION HEALTH

DECEMBER 2015 20

Three Phases of Research Action Plan

1. Systematic Review and Meta Analysis of Selected High-Cost and High-Risk Medical Conditions

2. Comparative Cost-Effectiveness and Efficiency Analysis of Hospital Care

3. Implementation and Evaluation of Innovative Practice Change and Holistic Patient Centric Care

DECEMBER 2015 21

Systematic Review and Meta Analysis for Preparing White Papers

Training and Organizational Learning ActivitiesFormulation of Review Guidelines for Selected Research

Publications◦ Scope of the Study Variables◦ Criteria of the Review and Scoring Procedures◦ Format of the Summary Tables

Meta Analysis to Estimate Effect Size & Intervention effectPreparation of Whit Papers or Position Papers

DECEMBER 2015 22

Comparative Cost-Effectiveness and Efficiency Analysis of Hospital Care

Identification of Cost and Production Functions of the Delivery System

Development of Benchmarks and Areas of Improvement for Quality and Efficiency Improvement

Formulation of Feasible and Innovative ExperimentsSimulation and Optimization by Using Big Data: B2K Approach

DECEMBER 2015 23

6. Concluding Remarks: Digitizing Healthcare

A. Remote control link to maintain connectivity with providers.B. Interface with multiple data systems for care management.C. Incorporate the ability to use smart phone/tablet with a

camera controlled mouse interface.D. Develop customized communication system with providers.E. Ensure privacy and confidentiality.

DECEMBER 2015 24

7. Prospects for Preventive Strategies and Interventions: Value-based Healthcare

Revolution using HIT

1. Targeting High-Risk Patients2. Employing KMAP-O modality with HIT applications3. Using a web-based artistic guide to reduce caregiver’s

stress and burden and to prevent depression and related chronic conditions: Keywords: creativecaregiving creative aging arts toolkit or www.ncaa.org (to view the artistic tool guide for dementia caregivers)

DECEMBER 2015 25

Q & A

DECEMBER 2015 26

Thank You

thomas.wan@ucf.edu