healthcare professionals Dr Rob Pearlman rob@medapps.com.au What - - PowerPoint PPT Presentation

Technology solutions for healthcare professionals Dr Rob Pearlman rob@medapps.com.au

Productivity solutions that solve the low hanging fruit of hospital inefficiencies

What MedApps does

Mission

Help every health professional feel capable, confident and efficient in their work.

How

• Junior Doctors are secretaries
• Job complicated by constant movement (5x year)
• Different policies, procedures and protocols for each site
• How to order tests
• Who to call
• Where to go
• Staff Orientation often poorly done
• Costs 7000*5*1400 = $49,000,000 per year

My Problem

• Social
• 1 in 4 Doctors have considered suicide
• 1 in 10 in the last 12 months
• Doctors under 30 are 12x more likely to be experiencing severe psychological stress
• Healthcare spending now at 10% GDP in Australia
• Productivity growth in Healthcare = 0% from 2000 – 2018
• Health is only sector of economy not to experience productivity increases from IT!
• Ageing population = we must become more efficient

Broader problem

• Progress, not perfect!
• Perfect is the enemy of good!
• Pareto Principle: 80:20
• Supports continuous delivery
• Implementations (1 month from go to woah)
• Design
• Development

Guiding Principles!

• Modern Hospital Handbook
• Each minute in Resident Guide saves 5 minutes
• f clinician’s time
• Went live in Jan 2015
• $4m in efficiencies delivered 2015-2017

Solution – Resident Guide

• Progress, not perfect!
• Perfect is the enemy of good!
• Pareto Principle: 80:20
• Supports continuous delivery
• Implementations (1 month from go to woah)
• Design
• Development

Guiding Principles!

• Orientation guides
• ROVER and Rotation Information
• Hospital-specific policies and procedures
• Imaging & consult guidelines
• Rostering information
• Phone directory

The first 2 years

• Important Problems aren’t always sexy
• Small shifts in behaviour can have big effects
• ‘After moving to Melbourne to start my new position I realised how lucky I was on the

Central Coast. I had no easy-access information for my role and the 120 page unit handbook stayed in PDF buried in my inbox. It took me 3 months to learn the ropes of the place’

• Trauma Registrar at a Tertiary Hospital in Melbourne
• If you solve a problem well enough, you can convince services to pay for it

Lessons

• Stronger governance at implementation
• Enhancements
• Notifications
• Better metrics
• Stronger security model

2017 – Team formation

• Building a team is difficult!
• Being sustainable is also difficult
• Enterprise pricing requires an enterprise product
• Our users are our biggest advocates
• Reinforces the necessity of closely coupling design, development, feedback
• Design Thinking
• An excellent method for maintaining the coupling between users, utility, design,

development

Lessons

Refreshed Platform - today

Improving the working lives of clinicians: 3 pillars

Orientation and Onboarding

Rapid and personalized onboarding and delivery of resources to training and locum staff before they arrive. Helping clinicians be job ready on day one.

Engagement and Change Management

Direct access, two-way communication and wiki-like functions make engaging with clinicians smoother than ever.

Wellbeing

Who is caring for our carers? Resident Guide provides access to information resources and services that support our doctors when times are tough personally or professionally.

4 - 6 sites

JAN 1 – DEC 31 2016

592 Registered Users 37,118 Screen Views 6,669 Sessions 362 Hours in-app

15 sites

JAN 1 – DEC 31 2017

2,500 Registered Users 162,145 Screen Views 28,253 Sessions 1,600 Hours in-app

Progress: 2016 - 2018 16-21+ sites

JAN 1 – JULY 31 2018

1,298 Registered Users 138,502 Screen Views 22,464 Sessions 1,360 Hours in-app

Strong engagement throughout training cohorts

Engagement from sites

Sites

• No. Interns

Registered Users Adoption Central Coast LHD 2 65 280 430% St George Network 2 77 410 532% Wagga & Orange 2 20 103 515% Hunter New England LHD 8 125 548 434% Toowoomba 1 39 126 323% Northern NSW LHD 1 14 76 542%

Takeaway thoughts

• The growing tech health ecosystem is a virtuous cycle
• CancerAid, MedTasker, Lysn, Perx
• There are untold problems in healthcare waiting for the right solution!
• Clinicians must be part of these solutions
• It’s a really exciting time to be part of the ecosystem!