BPM 2012 Workshops 1st Int. Workshop on Adaptive Case Management - - PowerPoint PPT Presentation

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BPM 2012 Workshops 1st Int. Workshop on Adaptive Case Management - - PowerPoint PPT Presentation

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BPM 2012 Workshops 1st Int. Workshop on Adaptive Case Management and other non-workflow approaches to BPM ( ACM 2012 ) 03/09/2012 Rdiger Pryss Mobile Task Management for Medical Ward Rounds Institute of Databases and Information Systems

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Mobile Task Management for Medical Ward Rounds – The MEDo Approach

(Rüdiger Pryss, David Langer, Manfred Reichert, and Alena Hallerbach)

Rüdiger Pryss Institute of Databases and Information Systems Ulm University ruediger.pryss@uni-ulm.de BPM 2012 Workshops Tallinn

BPM 2012 Workshops 1st Int. Workshop on Adaptive Case Management and other non-workflow approaches to BPM (ACM 2012) 03/09/2012

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 2

Agenda

  • Motivation
  • The MEDo Approach
  • MEDo in Practice
  • Further Steps
  • MEDo Video
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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 3

Motivation

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 4

The Challenge

Inadequate IT-Support during Clinical Ward Rounds

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 5

Hospital Experience

Internal Medicine Ward Emergency Ward Orthopaedics Ward (Paraplegic Patients) Trauma Surgery Ward (Chief Physician) Hospital

University Hospital Ulm University Hospital Ulm University & Rehabilitation Hospital Ulm (RKU) University Hospital Ulm

Number of Beds

25 12 35 >100

Average Period of Hospitalization

Days, Weeks Hours Weeks, Months A couple of days up to one month

Frequency of Ward Round

Twice a day Three times a day Once a day Once a week

Aim of Ward Round

Daily overview Information-sharing for the team

  • f the next shift

Daily overview Overview for chief physician of all wards

Involved Parties

Two ward physicians, Two nurses 6-8 ward physicians, One senior physician Potentially further experts 3 Ward physicians, 1-3 nurses Multiple therapists Chief physician, Proxy of chief physician, Respective ward physicians

Treatment Time per Patient

7 + 3.5 Minutes (Preparation + Treatment) 4 Minutes 4 Minutes 3 Minutes

Clinical Information System

SAP, ERP Software SAP, ERP Software MCC, Meierhofer AG SAP, ERP Software

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 6

Initial Approach

Ease Management of Clinical Ward Rounds by Applying Cutting-Edge Workflow Technology Rehabilitation Hospital Ulm (RKU)

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 7

The MEDo Approach

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 8

Identification of patient information which shall be integrated into MEDo

Pen-and-Paper based To-Do Worksheet

Fundamental Idea behind MEDo

Find instrument to support clinicians during ward rounds adequately

Wednesday Schedule

  • 1. Mrs.Richards

X-ray request arranged, monitor status and check images today

  • 2. …..
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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 9

Stages of the MEDo Project Usage of MEDo comparable to that

  • f pen-and-paper

worksheet

Implementation issues

  • 1. Which platform
  • 2. Initial screen

design

Integrate patient information into MEDo

Implementation issues

  • 1. Adapt screen design

(e.g., for easy context switches)

  • 2. Emerging issues and

demands related to patient information (e.g., collaboration)

Integrate new requirements after first evaluation phase

Implementation issues

  • 1. Increase input speed
  • 2. Integrate status and

interruption concept (i.e., integrate workflows -> adapt screen design)

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 10

MEDo in Practice

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 11

Hospital Experience using MEDo

Question Results

Task definition 2.22 Ward Round Management 2.50 Task definition 1.90 Ward Round Management 1.80 Patient Communication 3.67 | Scale from 1 (best) to 6 (worst) |

Traditional Using MEDo

Results from using MEDo in all Ward Rounds of Slide 5

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 12

MEDo in the Rehabilitation Hospital Ulm (RKU)

20 10 40 15 5 10 15 20 25 30 35 40 45 Duration in min

29 Patients 2x 1-bed room 6x 2-bed rooms 4x 4-bed rooms

Nurse works without using MEDo

Nurse works using MEDo

Physician works without using MEDo Physician works using MEDo

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 13

Further Steps

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 14

Further Steps

  • Integration of a „real“ workflow engine
  • Integrate MEDo with existing hospital information systems
  • Further improvement of screen design
  • Add more features to tasks (e.g., sorting them to their importance)
  • Addressing of patient communication issues
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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 15

MEDo Video

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 16

Thanks for Your Attention!

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 17

Addendum: MEDo Workflow in Progress

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 18

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 19

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 20

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 21

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 22

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v 1.0 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Page 23