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 www.patienteer.co
PA PAMLAI ML AI www.patienteer.co
PROCESS PAMLAI IS ‘PROBLEM SOLVING’ PREDOMINANTLY DONE BY ‘MACHINES’ www.patienteer.co
PROCESS RESEARCHERS ARE IDENTIFY STROKE ON A USING DEEP LEARNING NON-CONTRAST CT SCAN. TO RECOGNISE CANCEROUS TISSUE AT A LEVEL COMPARABLE TO TRAINED PHYSICIANS www.patienteer.co
PROCESS IN 2011 IBM WATSON* BEAT KEN JENNINGS AT JEOPARDY.. ( and won the $1m prize ) * the AI supercomputer www.patienteer.co
PROCESS IBM WATSON WAS SET A BIG CHALLENGE: HEALTH www.patienteer.co
PROCESS ‘MR’ WATSON WHY? LOST IN ROUND 1 www.patienteer.co
PROCESS WE EFFECTIVELY TRICKED IT WITH VERY CONFUSING DATA www.patienteer.co
PROCESS RUBBISH RUBBISH DATA IN, DATA www.patienteer.co
PROCESS RUBBISH RUBBISH DATA IN, It is widely recognised that we DATA don’t use our electronic medical records the way they were envisaged to be used. www.patienteer.co
PROCESS PCs eMR Training Internet Speed www.patienteer.co
PROCESS DATA THAT’S GOLD IN MORE IMPORTANT OUR CURRENT THAN AI ELECTRONIC DIAGNOSING SYSTEMS AI IS NOT GOING TO IMPROVE THE PATIENTS STROKES HEALTH IF YOU CAN’T FACILITATE THE CT TO BE DONE WITHIN 45 MINS www.patienteer.co
PROCESS SO LET’S START WITH: WHAT WE CAN DO WITH THE AVAILABLE DATA WE HAVE RIGHT NOW? www.patienteer.co
PROCESS www.patienteer.co
PROCESS www.patienteer.co
PROCESS WE MAP THE WORKFLOWS We align the application to your existing clinical systems and workflows to be able to track the patient journey Registration Triage Nurse Initiated Treatment Imaging Doctor Assessment Doctor Initiated Treatment Discharge Pathology www.patienteer.co
PROCESS WE RUN THE DATA This process finds where the common pathway has the biggest delays Pathology Registration Triage Nurse Initiated Treatment Imaging Doctor Assessment Doctor Initiated Treatment Discharge www.patienteer.co
PROCESS ADDING A BIT OF SUBJECTIVENESS TO OBJECTIVE DATA CAN MAKE IT A LITTLE MORE INTERESTING… www.patienteer.co
PROCESS 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 FRIDAY SAT SAT SUN SUN MON www.patienteer.co
PROCESS Avg Staff count Avg in Orders Avg Inpatient Encounters DOCTORS ON 2500 SHIFT, ORDERS 2000 MADE 1500 2020 1740 1703 1706 1692 1000 1038 1068 500 180 172 170 167 159 165 157 0 www.patienteer.co Mon Tues Wed Thur Fri Sat sun
PROCESS …AND IF YOU’RE FEELING LIKE YOU COULD HAVE BEEN AT HOME ON THE WEEKEND …POTENTIALLY YOU COULD BE RIGHT! www.patienteer.co
PROCESS WEEKEND OPPORTUNITY NONE HAD A DOCTOR 16% ASSESSMENT OVER THE WEEKEND, OF WHICH OF ALL MEDICAL 1/3 HAD NO FURTHER ORDERS INPATIENTS WERE SINCE FRIDAY DISCHARGED 1/2 HAD ORDERS CREATED & ON MONDAY; COMPLETED ON MONDAY www.patienteer.co
PROCESS PRESENTING TO ED FOR DIARRHOEA & VOMITING SATURDAY SUNDAY Likely discharged 90% likely to be or admitted within a staying overnight couple of hours www.patienteer.co
PROCESS C-DIF TOXIN TESTING TURNAROUND TIMES 5 mins 30 mins 2 hrs 16 hrs MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY SUNDAY www.patienteer.co
PROCESS CHEST X-RAY (TIME OF REQUEST TO IMAGE) WARD A&E 30 8 hours mins www.patienteer.co
PROCESS TRY TO COME AVOID …BEST TO WAIT AT HOME TO A&E AROUND IF YOU’VE HAVING A IF YOU NEED AN 10AM TUESDAY 4PM THURSDAY TILL THE ONLY 2 PEOPLE STROKE AND NEED A ULTRASOUND ABLE TO DO THEM STARTS AFTER 8PM… CT URGENTLY? WORK IN THE MORNING .. 120 MINS 30 MINS www.patienteer.co
PROCESS TIME OF THE 4pm 8am 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 www.patienteer.co
PROCESS AND FINALLY… 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 www.patienteer.co
PROCESS WARD ROUNDS & RESULTS Ordered Collected Results WARD ROUND www.patienteer.co
PROCESS IF THIS DATA WAS AVAILABLE TO ME WHEN I WAS NURSING I MAY EVEN BE STILL NURSING TODAY www.patienteer.co
PROCESS BY PROVIDING GREAT DATA CREATES BETTER USE OF EMRS After 6 years, Specialist Doctor Doctors thoroughly rrecently only gone consult orders are completing the live with Electronic being used now discharge Triage 100% documentation and diagnosis www.patienteer.co
PROCESS PAMLAI HAS A TIME AND PLACE IN THE FUTURE, BUT SIMPLE DATA ANALYTICS IS AN OPPORTUNITY RIGHT NOW THE BETTER THE ANALYTICS THE BETTER THE ADOPTION THE BETTER THE ADOPTION, THE BETTER THE DATA, THE BETTER THE DATA THE MORE LIKELY WE CAN GIVE AI A PROPER CHANCE www.patienteer.co
www.patienteer.co FEEL FREE TO CONTACT ME WITH ANY QUESTIONS THAT YOU MAY HAVE AT: CRAIG@PATIENTEER.CO www.patienteer.co
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