D’HEALTHCAREINNOVATIONS IN HEALTHCARE

BY DIGICORP

Understanding the Key Problems

“My housekeeping staff finds out about discharged patients by checking a handwritten log.”

“My surgeries are being canceled for want of an inpatient bed”

“I sometimes hold my patients in the hospital an extra day—just to save a seat for my next patient.”

“Patients are being sent to other hospitals—we can’t find room”

Assignment and Transfer Delays

Limited Capacity Intelligence

Unmonitored bed turnaroundDelayed Visibility of Empty BedsUnseen Capacity

Delayed DischargeTransport DelaysEquipment/Pharmacy Req. Test Results

Key Problems for a Hospital COO

How do hospitals manage their beds today?

The current options are all inadequate

• Manual option– Time consuming- slow relay of information leaves beds open or un-cleaned while

patients pile up in the ED or admitting– Nurses do not actively seek to fill beds

• Visual system– Maintenance issues– Limited to one area– Does not contact anyone directly

• Telephone Tracking System– Low compliance due to complexity of system– The fact that it is being considered is an indication of the great need for a solution

in this area.

How D’HealthCare can help?“Lower Cost of Care”Reduce Costs per Revenue

“Better Patient Billing”Revenue Recovery

“Lower Cost of Operation”Reduced Variable Costs

“Better Physician/Patients”Improved Revenue Portfolio

“Great Patient Experience”Quality and Safety

• Reduced denials and re-bills• Maximize reimbursements• Improve financial counseling• Improved employee performance

management

• Attract more paying patients• Attract more top physicians• Negotiate more favorable contracts• Launch new services more quickly

• Reduce repeated orders• Eliminate wasted effort• Improve assignment of indirect

costs for better profit mgmt• Improved usage of GPO contracts

• Allow real-time intervention during the episode-of-care

• Improve the time nurses spend with patients

• Reduce occurrence of “never events” and errors

• Improved CMS and P4P reporting and proactive management

• Improved forecasts• Reduce shrinkage on high-value,

highly-portable items• Improved availability of rentals’;

lower inventories• Reduce excess on-hand inventory• Improved assignment and

balancing of staff

Benefits of D’HealthCare Technology

• Unique Framework for Enterprise Performance Management• ‘Systems Thinking’ concepts applied on enterprise for holistic performance improvement• Performance Semantics captured simplistically in D'HealthCare Semantic Network• D'HealthCare platform auto-generates 70% of code i.e. Shorter development cycle and rapid implementation

Integrating Information Across Silos in Real time

Predictive Early WarningDrill Down VisibilityRoot Cause Analysis

Clinical &Quality

Operational& Financial

IT & Security

Health Metrics

PAT ADT Radiology (PACS)

Order Entry

Bed Management

Pharmacy

What makes D’HealthCare special

• Significantly reduces the complexity of modeling enterprise behavior

• Use a small set of Semantic Types

• Model very rich associative relationships

• Completely model the real world dynamism

• Events of the enterprise and their impact

• Powerful statistical models

• Powerful integration model to integrate with almost any source

• Leverage existing monitoring investments

• Integrate with other reporting and analytic solutions

Reduce Effort

Value to Service Provider Organizations

Reduce Cost

Superior Technology

Single Foundation

Improved Margin

Value Added Services

How D’HealthCare makes an impact

Aggregating Bed Knowledge

Integrating Occupancy Intelligence

ImprovingDx Infrastructure Elevating ED Performance Leveraging

OR Capacity

Achieving Bed Transparency Eliminating Discharge Variability Enhancing Admissions Capabilities

Prioritized LOS Management

Automated Ancillary Prioritization

Discharge process monitoringDischarge Contingency

DisplayDischarge automation and

tracking

Discharge Performance

Inp

ut

Pro

cess

Ou

tpu

t

At-a-Glance Clinical DataStreamlined ED admissions

Ambulatory trackingDischarge Contingency

DisplayDischarge automation and

tracking

Clinical quality performance indicators

Census PredictionsElectronic Nurse Reports

Unscheduled Surgery Analysis

Automatic rescheduling suggestions

Schedule conflicts due to delays

On-Time Start TrackingData-Driven Block

Scheduling

Throughput & yield analysis

Prioritized LOS Management

Automated Ancillary Prioritization

Complete process trackingReal time status of beds

Census PredictionsTurnaround alertsOccupancy AlertsImproved usage of

transactional systems

Total ED AdmissionsNumber of Admissions/

dayNumber of scheduled

surgeries/day

Managing Bed Demand across service lines

Pre-Admissions Tracking and alerts

Patient Diversions AlertsBed Turnaround Reports

Empty Bed Trigger

D’Healthcare Solutions – Positioning

Eclipsys

D’HealthCare

Crystal Reports

Cognos

Valu

e* o

f the

Sol

utio

n

Need for the Solution

Business Objects

Microsoft Amalga

HIS ToolsReporting Tools BI Tools

* Value of the solution as a function of Low Total Cost of Ownership, Quick ROI & Benefits

Meditech

Cerner Bed Management

Convergence CT

dbMotion

Aggregation Tools

“Must have” for operational automation

“Emerging Need” For informationAggregation, decision support

Key to Reduce Cost,Improve Performance, Quality & Compliance

D’HealthCare Features & Functionality• Rich Enterprise Models & Topologies

• Dependency driven models, to accurately capture behavioral relationships

• Accurately model incidents, events & impact in real time

• Real time Monitoring

• Open connectivity into disparate applications and infrastructure devices

• Extensible adaptor architecture, allowing connectivity to almost all types of systems

• Real time Measurements

• Measuring of defined metrics continuously with achievement targets

• Continuous statistical analysis, forecasts & predictions

• Real time Management

• Predictive proactive actions – act before it is too late

• Automatic corrective actions of any nature (not just notifications)

• Real time Web Based Dashboards

• Role based interface for external and internal SLAs, KPIs, Dashboards

• Single portal for reporting, drilldown and event tracking

• Multiple view query and analysis for graphical presentation & export

Proactive Discharge Management

• Sample Metrics (presented using appropriate graphical views)

– Upcoming Discharges in next 24 hrs, next 48 hrs, next 72 hrs

– Forecast of discharges over next 30 days (projected from current census & statistical forecasts)

– No of patients waiting for transport, and other bookings

• Proactive Notifications View

– Management agent to issue notifications via email/pager directly

– Dashboard view for real time notifications issued by the system

• Patient

• Expected Discharge Time

• Specific Notifications

– Analysis of notifications issued in last 72 hours

• Patient Discharge Checklist

– Checklist view of patients with upcoming discharge

– Progress indicators of notifications

– Specific notifications checklist (with appropriate indicators for notifications, actions taken etc)

Sample Discharge Process Summary (Real time)

Real time Bed Visibility at Admissions

Achieving Bed TransparencyLacking Transparency, Losing Admissions

• 97% occupancy

• Patients boarding in the ED

• No knowledge of scheduled discharges

A Full House A Decision to Divert

A Decision to Divert

• Direct admissions denied

• Surgeries cancelled

• Hidden beds

• Unforeseen discharges

• Beds held unnecessarily

• Lack of bed transparency leads to “Unplanned Capacity”

• 15 lost admissions daily

UnanticipatedEmpty Beds

• Hidden Beds: Patients left several hours earlier; empty beds not reported

• Unforeseen Discharges: Beds with pending and scheduled discharges are not reported to Bed Control

• Unnecessary Holds: Surgery cancellations not communicated to Bed Control; inpatient beds held unnecessarily

• Excess Idle Time: Direct admission delayed; bed held waiting for patient to arrive

Operational VisibilityDirty In Progress Clean

Notification of empty Bed Triggers automatic page to

Housekeeping

Housekeeper keys in start of cleaning

Housekeeper enters clean bed status

1 2 3

Name Response (minutes)

Bed Turns/ shift

Vinson 14 7.1

John 18 8.3

Romer 13 8.8

Reports measure performance by individual housekeeperHospital set target

response time at 15 minutes

Events & Notifications

Patient Pathway Analysis• Pathway Compliance

– Patient movement along predetermined pathways

– Top level measurements at a the “Semantic Level” pathway

– Allow users to look at highest level of pathway compliance across all patients

– Drill down from top level to various specialties (specific pathways)

– Further drill-down into individual patient pathways

• Compliance Violation

– Because of delays in activity

– Because of latency (wait time) & scheduling issues

– Because of failure/complications

– Because of repeat procedures or abnormal pathways etc

• Highlight Various KPIs and Measures

– Compliance violation due to delays, scheduling issues etc

– Pathways ahead of time (better than expected)

– Current status, trends this week, this month and over a period of time

Sample Pathway Compliance Dashboard

Few Quantitative BenefitsACTUAL PERFORMANCE25% Improvement in Bed

Requested vs. Bed Assigned

ACTUAL PERFORMANCE10% Improvement in Inpatient

Conversions

Bed Turnaround Time

20% reduction in Bed Assignment Time (request to assignment)

15-30% reduction in Bed Occupancy Time (request to occupied)

30-40% reduction in Bed Occupancy Time for evening and night

Bed Occupancy & Capacity Improvement

8-10% improvement in bed occupancy (inpatient conversions)

10-13% improvement in ED Admissions (improved bed utilization)

8-10% improvement in ED utilization (better resource management)

Nursing & Clinical

25-40% reduction in outpatient conversions

30% reduction in outpatient conversions for interventional radiology

20% reduction in overall outpatient conversions

3% improvement in early discharges (before 2:00 PM as) % of total

CONTACT

AbhishekDigicorp House, Ambawadi,Ahmedabad 380015India+91 98790 33534

abhishek.desai@digi-corp.com

Sanket1411 Zinnia Rd, Missouri City Texas 77489USA+1 (832) 947-3143

sanket.patel@digi-corp.com

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www.digi-corp.com