ucsf health system ctg – aug 07, 2014 ucsf health system project: emerge pilot– reducing the 7...
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UCSF Health SystemCTG – Aug 07, 2014
UCSF Health System
Project: Emerge Pilot– Reducing the 7 preventable ICU Harms
Department: 9-ICU, 13-ICU
Project Sponsor: Dr. Michael Gropper, Acting Chair of Anesthesia
Project Champions: Dr. Raman Khanna, Dr. Priyanka Agarwal, Min Zhu
BCD Facilitator: Todd Elkin
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The ask:
Scope: Emerge Pilot Integration (all one way outbound): ADT & ADT Coded, Orders/Results (Lab, Path),
Results (Rad, Card), Doc Flowsheets, Pharm orders, Problems, Notes Standing up 2 Virtual Machine Servers and associated connectivity No request for data manipulation, device integration (both addressed by Emerge)
Size (IT/CS): Large; 2,551 Hours IT/CS Total Cost (Vendor, Labor, …,): $354,825
IT Systems Engineering labor: 200 hours / $24,000 Hardware/software: Direct bill to project
IT Interfaces labor: 1,635 hours / $220,725 Epic (License fees and Implementation): $30,000
IT QA Team labor: 160 hours / $20,000 CS Reporting labor: 40 hours / $5,000 CS SMEs: Clin Doc, Orders, Pharmacy: 100 hours / $13,500 CDHI PM: 20%, 416 hours / $41,600 Maintenance: $3,500 (annual Epic vendor fees for net new interfaces)
$TBD (add’l IT interface support will require CTG approval, post pilot) Funding: Implementation is 100% Funded by the Gordon & Betty Moore Foundation
Maintenance is TBD, post pilot. Client & IT/CS negotiated timeline: Aug 2014 – Sep 2015
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Overview: Project Goals
Project span 9 & 13 ICU – 32 beds
• Eliminate Preventable Harms• CLABSI• Delirium• Ventilator–Associated Harms• ICU Acquired Physical Impairment • DVT / PE • Loss of Respect & Dignity• Misaligned goals of care
• Optimize Patient Outcomes and Experiences• Reduce Healthcare Costs
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Overview: Project Components
CultureComprehensive Unit-based
Safety Program (CUSP)
Patient Family Advisory Council (PFAC)
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Key Outcomes
• Disparate data integrated in a single visual metaphor
• Provider, Patient, & Family Satisfaction
• Patient Quality Outcomes
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The ask:
Scope: Emerge Pilot Integration (all one way outbound): ADT & ADT Coded, Orders/Results (Lab, Path),
Results (Rad, Card), Doc Flowsheets, Pharm orders, Problems, Notes Standing up 2 Virtual Machine Servers and associated connectivity No request for data manipulation, device integration (both addressed by Emerge)
Size (IT/CS): Large; 2,551 Hours IT/CS Total Cost (Vendor, Labor, …,): $354,825
IT Systems Engineering labor: 200 hours / $24,000 Hardware/software: Direct bill to project
IT Interfaces labor: 1,635 hours / $220,725 Epic (License fees and Implementation): $30,000
IT QA Team labor: 160 hours / $20,000 CS Reporting labor: 40 hours / $5,000 CS SMEs: Clin Doc, Orders, Pharmacy: 100 hours / $13,500 CDHI PM: 20%, 416 hours / $41,600 Maintenance: $3,500 (annual Epic vendor fees for net new interfaces)
$TBD (add’l IT interface support will require CTG approval, post pilot) Funding: Implementation is 100% Funded by the Gordon & Betty Moore Foundation
Maintenance is TBD, post pilot. Client & IT/CS negotiated timeline: Aug 2014 – Sep 2015
Platform
APIs
Apps
EndUsers
Clinicians, Hospital Leadership, Staff, Patients and Families
App Developers,Content Creators
App 1
Platform
App 2 App 3 App 4 App 5
EHR SystemsDevices
& Sensors
Hospital Data
UI Device
s
DataSources
Open Source Platform
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Context and Background
Preventable harms in health care are the 3rd leading cause of death in U.S.
1/5 ICU patients will endure a preventable harm Patient / Family burden Societal burden Health care cost burden
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