Respiratory Therapy Department Data Considerations Best Ever Hospital

Respiratory Therapy Department Data Considerations Best Ever Hospital Best City, IL October 21, 2009 MMI – 405: HIT Integration, Interoperability, and Standards Suzi Birz, Nicki Cliffer, Lincoln Farnum, Debbie Michaelson

Agenda • • • Background Business Case Stakeholders Workflow Next Steps October 21, 2009 Best Ever Hospital Best City, IL 2

Background Best Ever Hospital Best City, IL October 21, 2009 Best Ever Hospital Best City, IL 3

Best Ever Hospital • Mission To meet the healthcare needs of our community by providing all services in a cost-effective and competent manner with compassion, integrity and efficiency while preserving dignity, enhancing quality, and being very mindful of patient satisfaction throughout the continuum of care. • Vision Best Ever Hospital will strive to be a leading acute care center providing cost-effective, patient-focused, quality healthcare utilizing new services and technology. October 21, 2009 Best Ever Hospital Best City, IL 4

Respiratory Care Services The mission of Respiratory Care Services is: • to provide the highest quality respiratory patient care in a timely, effective, safe and efficient manner; • to promote internally and with other areas of responsibility continuous quality improvement activities to improve the performance of the Respiratory Care Service as well as the overall performance of the organization; • and to provide support for clinical research activities. This requires that Respiratory Care Services assess needs, formulate action plans, instruct/inform as required, implement plans, evaluate actions taken for effectiveness and revise the action plan as needed October 21, 2009 Best Ever Hospital Best City, IL 5

Business Case October 21, 2009 Best Ever Hospital Best City, IL 6

Business Issue • • • Respiratory Care Services implemented a Respiratory Care Management Information System Best Ever Hospital has deployed an integrated electronic medical record that does not have a Respiratory Care module Modules for other ancillary services have been deployed including pharmacy, laboratory, and imaging. October 21, 2009 Best Ever Hospital Best City, IL 7

Current State – Future State Disconnected RT Department • • Duplication of Documentation Silos Fragmented Medical Record Lost Charges Manual transmission of new orders Difficult to manage resources Delays in starting new services October 21, 2009 Integrated RT Department • • • Best Ever Hospital Best City, IL Online, Accessible Documentation Available to all providers Integrated Medical Record Automatic Charge Capture Automatic transmission of new orders Improved resource management Fewer delays in starting new services Improved patient care Improved employee satisfaction 8

Goals and Objectives Costs Reduction in labor costs tangible Reduction in cost of goods tangible Increased net revenue tangible Improved cash flow through reduction in accounts receivable tangible ARRA and reimbursement tangible Quality Improved outcomes tangible Improved provider-patient relationships intangible Improved patient satisfaction intangible Improved recruitment and retention intangible October 21, 2009 Best Ever Hospital Best City, IL 9

Justification • Financial $ Cost reduction $ Revenue increase • Regulatory ü ARRA ü TJC • Organizational Strategy ü Stakeholder satisfaction ü Achieve mission and vision October 21, 2009 Best Ever Hospital Best City, IL 10

Stakeholders October 21, 2009 Best Ever Hospital Best City, IL 11

Key Stakeholders P O W E R Keep Satisfied Director, Revenue Cycle Management Manage Closely Director, Respiratory Care Services Chief Information Officer Directors, Intensive Care Services Chief Nursing Officer Chief, Pulmonary Medicine Chief, Emergency Medicine Director, Health Information Management Chief Compliance Officer Monitor RCMIS Vendor Representative Director, Pharmacy Keep Informed Director, Admissions Services IT Project Management Office Respiratory Therapy Patients Staff INTEREST October 21, 2009 Best Ever Hospital Best City, IL 12

Stakeholder Roles STAKEHOLDER Champ RCS Director, Respiratory Care Services ICU Directors, Intensive Care Services ER Director, Emergency Department Chief, Emergency Medicine PM Chief, Pulmonary Medicine CNO Chief Nursing Officer CIO Chief Information Officer RCM Director, Revenue Cycle Management ADT Director, Admission Services HIM Director, Health Information Management CCO Chief Compliance Officer RX Director, Pharmacy PTS Respiratory Therapy Patients VEN RCMIS Vendor Representative PMO 21, IT 2009 Project October Management Office Best Ever Hospital Best City, IL Customer Partner Data System 13

Direct and Indirect Impacts RCS ICU ER PM CNO CIO RCM ADT HIM CCO RX PTS Admissions d d D i D D i d d D Orders D D D i i D D D RT Demand D d d D I I i d I d Assignments D d d D D i i d d d Work Status D d d D D I D i i D D D PT Routing d D D d D I i D i I d D Charting D D D i d d D D D I Results D D D i d d D I D D Billing d d i I D D I i D D Productivity D d d D D I D i D i October 21, 2009 D = direct, high impact I = indirect, high impact d = direct, low impact i = indirect, low impact Best Ever Hospital Best City, IL 14

Workflows October 21, 2009 Best Ever Hospital Best City, IL 15

Order Respiratory Care Services October 21, 2009 Best Ever Hospital Best City, IL 16

Document Service and Charge October 21, 2009 Best Ever Hospital Best City, IL 17

Next Steps October 21, 2009 Best Ever Hospital Best City, IL 18

Define the Information Architecture • Examine and document the standards • Determine and document the information system requirements • Bring the findings back to this group on November 4, 2009 October 21, 2009 Best Ever Hospital Best City, IL 19

References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. University of Connecticut Health Center. Respiratory Therapy Department. Retrieved October, 2009, from http: //nursing. uchc. edu/unit_manuals/respiratory/index. html. Johns Hopkins Medicine. Respiratory Care Services at Johns Hopkins. Retrieved October, 2009, from http: //www. hopkinsmedicine. org/respcare. Medical College of Georgia. Respiratory Therapy. Retrieved October, 2009 from http: //www. mcg. edu/sah/respther/index. html. Quality Health Care in America. Crossing the quality chasm: a new health system for the 21 st century. Washington, DC: National Academy of Sciences; 2001: 39 -40, 100. Aspden P, Wolcott JA, Bootman JL et al. , eds. Preventing medication errors. Washington, DC: National Academies Press; 2007: 4. Safe practices for better healthcare: a consensus report. Washington, DC: National Quality Forum; 2003. Joint Commission on the Accreditation of Healthcare Organizations. Proposed revisions to Standards MM. 4. 10 and MM. 8. 10. Retrieved October, 2009, from www. jointcommission. org. Williams, B. 1990. How to do an ROI (return on investment). Healthc Inform 7(2): 30 -2. Ford, Richard M. Respiratory Care Management Information Systems. RESPIRATORY CARE. (2004); 49(4): 367 -377. Pullen, EE. Computers help provide better care. RESPIRATORY THERAPY. (1980); 10(4): 25 -27. Nelson, Steven B. Conference Summary: Computers in Respiratory Care. RESPIRATORY CARE. (2004) 49(5): 531 -536. Mussa, CC. Respiratory care informatics and the practice of respiratory care. RESPIRATORY CARE. (2008); 53(4): 488 -499. October 21, 2009 Best Ever Hospital Best City, IL 20