Patient Trajectory Management GEORGINA KENNEDY Australian Institute - - PowerPoint PPT Presentation

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Patient Trajectory Management GEORGINA KENNEDY Australian Institute - - PowerPoint PPT Presentation

Aug 29, 2023 131 likes •240 views

Patient Trajectory Management GEORGINA KENNEDY Australian Institute of Health Innovation, Macquarie University Automated Patient Trajectory Management OUTLINE Background Project setting Motivations Concepts and use-cases

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Patient Trajectory Management

GEORGINA KENNEDY Australian Institute of Health Innovation, Macquarie University

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Automated Patient Trajectory Management

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OUTLINE

  • Background
  • Project setting
  • Motivations
  • Concepts and use-cases
  • Patient trajectory models
  • EHR as language problems

AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

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BACKGROUND - SETTING

  • St Vincent’s Hospital Sydney, Critical Care
  • 285,000 Admissions; 110,000 Patients
  • Admissions
  • Diagnoses
  • Medication administration
  • Pathology
  • Procedures
  • Theatre and ward movements
  • CERS responses
  • Reduce unplanned ICU admissions and emergency response

calls

Automated Patient Trajectory Management

AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

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BACKGROUND - SETTING

Automated Patient Trajectory Management

AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

Watch-list Patient movements and status over 24-hr

Image source: Vecteezy

Handover Outreach roles

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PATIENT TRAJECTORIES

Automated Patient Trajectory Management

AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

Ref: Murray, Scott A., et al. "Illness trajectories and palliative care." BMJ: British Medical Journal 330.7498 (2005): 1007

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6 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

PREDICTION MODELS

Automated Patient Trajectory Management

Image source: MDCalc

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7 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

PREDICTION MODELS

Automated Patient Trajectory Management

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8 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

PREDICTION MODELS

Automated Patient Trajectory Management

Image source: http://colah.github.io

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9 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

PREDICTION MODELS

Automated Patient Trajectory Management

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10 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

Which of my patients should be discussed in detail at shift handover? Can I prioritise my auditing resources such that only deaths that were not expected need to be investigated? Can I group similar deaths to increase the efficiency of my root cause analysis.

Governance

  • Patient Safety &

Governance

  • Clinical Emergency

Response Team Medical Administration

How can I identify patients who are at the end of life?

Palliative Care

I want to know which patients I should see as soon as I arrive for my shift

Intensivists

Automated Patient Trajectory Management

USE CASES