www.regionmidtjylland.dk

Helle Markmann, MSc Computer Science

Manager, Product Management Department of Clinical Software Products

Hospital Logistics 2 ▪ www.regionmidtjylland.dk

3 ▪ www.regionmidtjylland.dk

Denmark and its regions

Region of Southern Denmark

Capital Region of Denmark

Region Sjælland

North Denmark Region

Central Denmark Region

0,6 m

1,3 m

1,2 m

1,6 m

0,8 m

120 km

170 km

5 Hospitals with units on 14 locations

Central Denmark Region

The numbers

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2013

Outpatient visits 1.570.000

Emergency visits 202.000

Not-emergency visits 69.000

Provide transparent patient flows and work flows across the hospital and support communication and coordination of the logistics of these flows

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Communication

Coordination

Overview

What is Clinical Logistics

Cetrea Clinical Logistics

▪  The Cetrea Clinical Logistics (CL) was developed in 2003-2006 as an innovation project with a minor hospital in Horsens in the south of our region ▪  CL is now widely used in operation rooms in

hospitals all over Denmark ▪  In 2012 CL won the tender for clinical logistics in

Central Denmark Region

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Cetrea CL as enterprice

▪  Solution is hosted by the Regions central IT department ▪  Configuration is done centrally by the region (no

vendors) ▪  Configuration of the screens is standardized across

hospitals ▪  Patient flows across hospitals and hospital centers

(e.g. apoplexia) ▪  Integrations to other enterprise systems ▪  Across somatic and psychiatric hospitals

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Integration – supporting the patient flow

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appointments

Journal data -  scores -  coercion -  death

Vitale parameters Time of arrival

Status

Jump between systems remaining patient context

All integrations meet international standard HL7

Implementation status

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Now Expected end of 2015

AnyWhere (web client)

12.000 users 20-25.000 users

Task stations (touch screens)

570 screens 1.000-1.500 screens

Study 1: “Health Technology Assessment” (HTA) study CETREA Surgical was evaluated in the period from January 2009 to December 2010, i.e. 22 months Macro-level Results • 7% overall increase in production (DRG values) during the period of the study. • 6% increased utilization of ORs (from 82% to 88%) • 66% reduction in no. canceled operations

Return on Investment • cost ~ 350.000 euro • savings ~200.000 euro • ROI in 1-2 year

Studies based on Cetrea Surgical

Study 2: Qualitative Results from the OR staff questionnaire • 70% of staff thinks information is easier available • 76% thinks the technology provides a better overview • 68% thinks the system makes it easier to coordinate work • 67% thinks the technology saves some steps • 65% experience fewer interruptions Study 3: Data analysis of phone and step usage • Phone calls was reduced by 39% • Number of steps was reduced by 31%

Study based on Cetrea Surgical

Operation flow

Cetrea Clinical Logistics values

▪  Operating room – Less stress and fewer interruptions ▪  Coordinating Central – Better overview, easier communication

and planning ▪  Recovery department – Better information to relatives, better

planning ▪  Patient wards – Better information to the patients, better

communication with the OR and acute surgery ▪  Sterile department – Better optimization of the cleaning

machines, being a more integrated part of the hospital ▪  Morning meetings – Better overview and planning of the

doctors resources ▪  …

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Measured improvements so far

▪  Morning mettings ▪  Changing between watches ▪  Efficient use of beds ▪  Bed days ▪  Easier communication ▪  More efficient use of rooms (status visible for

everybody) ▪  Tracking personnel - time and walking distance

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Future

▪  CL used for 'days work' in all clinical work flows; surgical, outpatient, acute and ward ▪  Queue and call boards (patient oriented) ▪  Video streaming ▪  Cooperation with other sectors - municipals

responsibility for home nursing and rehabilitation ▪  Business intelligence - dashboard ▪  Logistics (e.g. automatic texting cleaning)

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Thank you for listening

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