APPROPRIATE PATIENT CARE IN A TIMELY MANNER www.patienteer.co - - PowerPoint PPT Presentation
APPROPRIATE PATIENT CARE IN A TIMELY MANNER www.patienteer.co PROCESS CRAIG BURKE FORMER NURSE Subjective Decision Making PA ML AI PREDICTIVE ANALYTICS ARTIFICIAL INTELLIGENCE MACHINE LEARNING AI ARTIFICIAL INTELLIGENCE
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APPROPRIATE PATIENT CARE IN A TIMELY MANNER
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CRAIG BURKE
FORMER NURSE
Subjective Decision Making PA
PREDICTIVE ANALYTICS
ML
MACHINE LEARNING
AI
ARTIFICIAL INTELLIGENCE
AI
ARTIFICIAL INTELLIGENCE
www.patienteer.co
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PAMLAI IS ‘PROBLEM SOLVING’ PREDOMINANTLY DONE BY ‘MACHINES’
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RESEARCHERS ARE USING DEEP LEARNING TO RECOGNISE CANCEROUS TISSUE AT A LEVEL COMPARABLE TO TRAINED PHYSICIANS IDENTIFY STROKE ON A NON-CONTRAST CT SCAN.
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( and won the $1m prize )
* the AI supercomputer
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‘MR’ WATSON
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RUBBISH DATA IN, RUBBISH DATA
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It is widely recognised that we don’t use our electronic medical records the way they were envisaged to be used.
RUBBISH DATA IN, RUBBISH DATA
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eMR
Internet Speed
Training PCs
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GOLD IN OUR CURRENT ELECTRONIC SYSTEMS DATA THAT’S MORE IMPORTANT THAN AI DIAGNOSING STROKES
AI IS NOT GOING TO IMPROVE THE PATIENTS HEALTH IF YOU CAN’T FACILITATE THE CT TO BE DONE WITHIN 45 MINS
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SO LET’S START WITH: WHAT WE CAN DO WITH THE AVAILABLE DATA WE HAVE RIGHT NOW?
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Registration Triage Nurse Initiated Treatment Pathology Imaging Doctor Assessment Doctor Initiated Treatment Discharge
WE MAP THE WORKFLOWS
We align the application to your existing clinical systems and workflows to be able to track the patient journey
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Registration Triage Nurse Initiated Treatment Pathology Imaging Doctor Assessment Doctor Initiated Treatment Discharge
WE RUN THE DATA
This process finds where the common pathway has the biggest delays
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ADDING A BIT OF SUBJECTIVENESS TO OBJECTIVE DATA CAN MAKE IT A LITTLE MORE INTERESTING…
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IF YOU’RE A MEDICAL INPATIENT AND MISSED BEING DISCHARGED ON FRIDAY, DON’T WORRY YOU’RE UNLIKELY TO BE BOTHERED BY A DOCTOR TILL MONDAY…
FRIDAY SAT FRIDAY SUN SAT MON SUN
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DOCTORS ON SHIFT, ORDERS MADE
159 172 170 167 165 157 180 1706 1740 1692 1703 2020 1068 1038 500 1000 1500 2000 2500 Mon Tues Wed Thur Fri Sat sun
Avg Staff count Avg in Orders Avg Inpatient Encounters
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…AND IF YOU’RE FEELING LIKE YOU COULD HAVE BEEN AT HOME ON THE WEEKEND
…POTENTIALLY YOU COULD BE RIGHT!
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WEEKEND OPPORTUNITY
OF ALL MEDICAL INPATIENTS WERE DISCHARGED ON MONDAY; NONE HAD A DOCTOR ASSESSMENT OVER THE WEEKEND, OF WHICH 1/3 HAD NO FURTHER ORDERS SINCE FRIDAY 1/2 HAD ORDERS CREATED & COMPLETED ON MONDAY
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PRESENTING TO ED FOR DIARRHOEA & VOMITING
SATURDAY
Likely discharged
couple of hours
SUNDAY
90% likely to be staying overnight
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5 mins 30 mins 2 hrs 16 hrs
MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY
C-DIF TOXIN TESTING TURNAROUND TIMES
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WARD
hours CHEST X-RAY
(TIME OF REQUEST TO IMAGE)
A&E
mins
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IF YOU’VE HAVING A STROKE AND NEED A CT URGENTLY?
TRY TO COME TO A&E AROUND 4PM THURSDAY
30 MINS
AVOID 10AM TUESDAY
120 MINS
IF YOU NEED AN ULTRASOUND AFTER 8PM…
…BEST TO WAIT AT HOME TILL THE ONLY 2 PEOPLE ABLE TO DO THEM STARTS WORK IN THE MORNING..
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TIME OF THE DAY IMAGING TURNAROUND TIMES
Emergency: Imaging durations from ‘Exam Ordered’ to ‘Exam Completed’ by hour of the day Ultrasound image CT image X-Ray image
8am 4pm
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IF YOU WANT YOUR DOCTOR TO REVIEW THE MOST RECENT BLOOD RESULTS OF HOW YOU FARED OVER NIGHT… BE THE FIRST TO HAVE BLOOD TAKEN … AND BE THE LAST TO BE REVIEWED ON THE WARD ROUND
AND FINALLY…
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WARD ROUNDS & RESULTS
Ordered Collected Results WARD ROUND
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IF THIS DATA WAS AVAILABLE TO ME WHEN I WAS NURSING I MAY EVEN BE STILL NURSING TODAY
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BY PROVIDING GREAT DATA CREATES BETTER USE OF EMRS
After 6 years, rrecently only gone live with Electronic Triage Specialist Doctor consult orders are being used now 100% Doctors thoroughly completing the discharge documentation and diagnosis
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PAMLAI HAS A TIME AND PLACE IN THE FUTURE, BUT SIMPLE DATA ANALYTICS IS AN OPPORTUNITY RIGHT NOW
THE BETTER THE ADOPTION, THE BETTER THE DATA, THE BETTER THE DATA THE MORE LIKELY WE CAN GIVE AI A PROPER CHANCE THE BETTER THE ANALYTICS THE BETTER THE ADOPTION
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FEEL FREE TO CONTACT ME WITH ANY QUESTIONS THAT YOU MAY HAVE AT: CRAIG@PATIENTEER.CO
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