Alcidion Group Limited · ASX:ALC
Alcidion — Miya Patient Flow Webinar (December 2014)
32 slides from Alcidion's conference presentation, December 2014
Slide 1: Streamlining Patient Flow
STREAMLINING PATIENT FLOW VANESSA RAINES DIRECTOR OF OPERATIONAL SUPPORT WESTERN HEALTH
Slide 2: Your Host
Your Host Nathan Buzza Executive Director Alcidion Corporation
Slide 3: Presenter & Panellists
Presenter & Panellists Vanessa Raines Dr. Malcolm Pradhan Leanne Dillon Director of Operational Support CMO VP Patient Flow MBA, BHSc (Nursing), Grad Cert MBBS, PhD, FACHI BHSc (Nursing), LLB Health Systems Management Malcolm is the company’s Leanne holds qualifications in Vanessa Raines is the Chie
Slide 4: Overview Western Health
Overview Western Health September 2014
Slide 5: Our Experience in Patient Flow
Our Experience in Patient Flow ● Internal communication: – Many phone calls, paper notes. – Interruptions to patient care. – Allied health staff had to find nurses to tell them when they had seen patients. – ED demand not visible to ward staff. ● Inability to obtain real time clinical information at
Slide 6: Solving Patient Flow
Solving Patient Flow Enabling clinical team to improve patient flow: ● Logistical Support. ● Provision clinical intelligence at the point of care. Evidence: ● Establish a realistic estimated date of discharge “An Evidence- (EDD) for each patient. Based Review ● Make sure that the EDD is updated prog
Slide 7: Development of Miya Patient Flow and Miya Access
Development of Miya Patient Flow and Miya Access Collaborative partnership between funded by Department of State Development, Business and Innovation 7
Slide 8: Miya Patient Flow Overview
Miya Patient Flow Overview ● Consolidation of clinical information systems on to mobile devices & desktop, including: – Length of stay, location, EDD. – Pathology results. – Radiology reports & images. – ED demand. – Cardiovascular results. ● Fast access: – Journey boards. – iPads at the point of ca
Slide 9: Nurse Unit Manager testimonial
“The systems assists in safe and effective patient care by identifying patients who are at risk” Marcus Storey Nurse Unit Manager
Slide 10: Alcidion's Miya platform
Alcidion’s Miya platform PAS HL7 Admit, Discharge, Transfer Administrative Journey Board PAS HL7 Patient Demographics Dat a Int egrat ion, Analysis, e-Guidance PAS Export Elective Admissions Miya Plat form Emergency IS Patients, Admit Requests PC/ Infotainment Laborat ory Results Clinical RIS Orders
Slide 11: Patient Rows
Patient Rows updated when patients are admitted, transferred or discharged Rows are configurable if required Summary metrics: patients waiting in ED, boarders, outliers
Slide 12: E-health guidance system quote
“Rather than creating an electronic version of the existing patient journey boards, we have created an e-health guidance system.” 12
Slide 13: Clinical Portal (Dashboard Overview)
Clinical Portal (Dashboard Overview)
Slide 14: Clinical Portal
4 Western Health Clinical Portal Ongoing M URN314011 190 Mt Ready, Othe Irwin, Althea ' DIC equip URN 314012 ’ FUNC Mckay, Jesse CONS URN 314001 Imaging Discipline Referral Status Contact 12 Days agement (Pain) Completed 789 Benjamin, URN 314002 ysiotherapy (PT Referred 12 Days Sutton, Es! Pathology
Slide 15: Clinical Portal
4 Western Health Clinical Portal Nunez, Jefferson URN 314011 19yo M Spe Accom 20 Days Irwin, Althea URN 314012 19yo F Mckay, Jesse URN 314001 35yo M Date Benjamin, Manuela URN314002 —-34yo F 23 / 04 / 2014 Sutton, Esther Discharge confirmed ? URN 314003 34yO F Attala Stephens, Leland ORTHO URN 31400
Slide 16: Clinical Portal
Clinical Portal 0 Western Health F 14 West Nunez, Jefferson URN 314011 19yo M Irwin, Althea URN 314012 19yo F i | Waiting For What Mckay, Jesse ~ URN 314001 35yo M ickay, Jesse 12301 Medically unwell / ongoing medical management (Ongoing Med Mx) Medical Ready, other reason waiting (Ready, Other) Ben
Slide 17: Miya Patient Record
Miya Patient Record Chapman, Margarito URN5792001 35yo Male graphic: Referral DOB 03-Apr-1979 24665799 8785757 Presenting Problem abdo pain Results since admission on 27-Mar-2014 Hb, K Hb 23 hours Current Episode Summary Date Unit 27-Mar-2014 Cardiology Past Admissions (Last 6 Months) Date Admitting
Slide 18: Miya Results Viewing
Miya Results Viewing Western Health Mckay, Jesse seeeTee 2 Sora steet Caramba 26-Mar-2014 URN314001 35yo Male DOB 02-Apr-1979 8785757 Waterville SA 5567 Orthopaedics Results Critical Abnormal Normal Unrated Radiology Received: 02-Apr-2014 18:18 : 1007-test-735842 Status: Final 22 hours 02-Apr-2014 1
Slide 19: Miya Mobile
Miya Mobile Western Health 2 PM 100% ma F2 East y AllUnits y Assign Team Patient Name 8 Out URN 777077 S8yo [I] Mclaug... me in 16 Oct, 12:00 11 Pickett, Raymundo ONcO a 1 Day 3 4 URN 1126007 G4yo [%} —-Molaug... 16 Cot, 12:00 Bee se gi Gee) NS a Be Nupee enn Paar URN 297098 78yo [i] Mclaug... 19 Oc
Slide 20: Miya Mobile
Miya Mobile Western Health Carri F2 East All Units Assign Patient Name | Univox Diet Code | Los EDD ONCO Moon, Clinton Today URN 1407615 69 yo Mclaug.. 150ct,1200 S 4 4 Robertson, Reggie GAST |. a gy E th URN 022838 63 yo Franks 17 Oct, 12:00 05 Golden, Elsa GAST iy oe 4 Days URN 1397507 63 yo Britt
Slide 21: Miya Mobile
Miya Mobile \9 Western Health ae oe “Cancel Discharge Destination (Save Blackburn, Major URN 1022135 None Set jon on e Spe Accom Resi Care - New rission on Drug Health Drug Health Serv SNAP - ong SN : joing -
Slide 22: Miya Mobile
Miya Mobile oe 1 Day 16 Oct, 12:00 1 Day ¥ 16 Oct, 12:00 Cancel Expected Discharge Date Save Mccullough, Nicholas URN 1394698 Thursday, 16 October 2014 Yes A 2 Days me 17 Oct, 12:00 \9 Western Health SS
Slide 23: Miya Mobile
Miya Mobile Western Health — —_—_—“—"““~, ED Bed Request Pationt Namo Issue ‘Bod Request Timo Waiting Time, Barbara Pili] Martinez-0, Jessica IRN 98298 CHEST PAIN 12-Mar-2013 00-11 2.47 bes Parrish-1, Selena CHEST PAIN 12-Mar-2013 08:32 13.82 hrs Fieeisem Mercer-2, Jonathan URN 98298 83 13.42 hrs PA
Slide 24: Consulting Neurologist testimonial
“This has skyrocketed the efficiency in patient care as well as the safety” Professor Tissa Wijerante Consulting Neurologist Director of the Stroke & Neuroscience Unit
Slide 25: The bed management challenge
The bed management challenge ● No real time view of hospital capacity. ● No transparency around ward bed status. ● Current process were: – Manual. – Paper based. – Phone calls. – No visibility of actual bed state (hidden beds). ● Systems don’t talk so staff have to access multiple IT systems and the
Slide 26: Miya Access (Bed Management)
Miya Access (Bed Management)
Slide 27: Miya Access (Ward View)
Miya Access (Ward View) Western Health — “~ Carrier > 3:40 PM 100% = F 2 West < Dashboard Peri Operative & Critical Care Services wa) ome | opm mea | om mit Daamt E Wryin wtirin | ConfOC | PotDC | GonfG | PotOC wr out “H ti ou fal roe Open Ose vacant sed DAME, Dacmt | EstNO rin HTirin COMBC FetBC Ce
Slide 28: Miya Access (Allocation)
Miya Access (Allocation) NS Western Health — ee Carrier > 3:41PM 100% F 2 West < Dashboard Perl Operative &Giticl; Done Allocation Avail. Brders ‘Open Occ Vacant Closed ED Admit DAdmit Elective Tir Out H Tfr Out sat ot 2 0 27 28 A 2 0 0 3 Patient Detail 1 2 Family Name Given Name Ward Patient List C
Slide 29: Executive Director of ICT testimonial
“You’ll see nearly all of the clinical, executive and divisional directors walking around with the bed management views on their iPads, and the same with the bed management staff, the quality managers, the NUMs and any staff that help move the patients around.” Jason Whakaari Executive Director of I
Slide 30: Miya Flow & Miya Access - Benefits
Miya Flow & Miya Access - Benefits ● Improved time to access information, such as lab results. ● Communication of clinical risks to the care team. ● Transparency around: – Incoming patients at ward level. – Access. ● Improved use of Estimated Discharge Date. ● Length of Stay. ● Visibility of OPD app
Slide 31: Summary
Summary ● Miya – A complete e-health guidance system. ● Increased transparency about patient flow, bed capacity and demand. ● Provides clinical & management with real time data: – Process of discharge planning. – Why discharge is delayed. ● Reduces the ‘noise’ associated with bed management. ● Point
Slide 32: Questions & Answers
Questions & Answers Vanessa Raines Dr. Malcolm Pradhan Leanne Dillon Nathan Buzza Director of Operations CMO VP Patient Flow Director Panellist Email Vanessa Raines vanessa.raines@wh.org.au Malcolm Pradhan malcolm.pradhan@alcidion.com Leanne Dillon leanne.dillon@alcidion.com Nathan Buzza nathan.buzz
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