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BPM Systems Ray Hess V. P. , Information Management The Chester County Hospital West BPM Systems Ray Hess V. P. , Information Management The Chester County Hospital West Chester, PA 1

What is BPM n n n Business Process Management: A methodology that seeks to What is BPM n n n Business Process Management: A methodology that seeks to define, optimize, automate and monitor key business processes within an organization Used extensively in other industries Has had limited penetration into healthcare 2

Workflow or Process Engine n n n A system that manages processes for an Workflow or Process Engine n n n A system that manages processes for an organization Links disparate systems and data Components: n n Definition tool Run time processor Business Activity Monitoring Acts as a central nervous system, guiding and directing activities 3

Process Engine Tools n Linkage Object n n n Database, Java, Web Services, other Process Engine Tools n Linkage Object n n n Database, Java, Web Services, other programs Timers Routers Event triggers Logic objects UI objects n E-mail, beeper, telephone, printer, web 4

CCH Example: Bed Cleaning Requirements n n n Optimize Bed Cleaning operation Tie to CCH Example: Bed Cleaning Requirements n n n Optimize Bed Cleaning operation Tie to clinical needs Have automated bed cleaning function n n Housekeeping alerting Nursing alerting and priority setting Up to the minute status monitor Automatic escalation 5

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Elements n n n Beep housekeeping via text pagers Call nursing triage nurse via Elements n n n Beep housekeeping via text pagers Call nursing triage nurse via IP phone Receive status updates from housekeeping via telephone Web UI for viewing and management E-mail of errors to my team Printed reports generated every day 7

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Main Process: Kicked off by an HL 7 Transfer or Discharge 10 Main Process: Kicked off by an HL 7 Transfer or Discharge 10

Code Example 11 Code Example 11

Main Process: Kicked off by an HL 7 Transfer or Discharge 12 Main Process: Kicked off by an HL 7 Transfer or Discharge 12

Bed Cleaning Status Website 13 Bed Cleaning Status Website 13

Bed Board Website 14 Bed Board Website 14

Bed Cleaning Outcome n n n Daily activity reports Decreased 50% of manual steps Bed Cleaning Outcome n n n Daily activity reports Decreased 50% of manual steps in the original (non-automated) process Up for over two years; full house 24/7 for 1&1/2 years Cleaned over 32, 500 beds with the process What about metrics? Next Step: Using caller ID to note patient departure prior to discharge being placed 15

Other Automations n n n n n Assessments Departmental Alerting Smoking Cessation Infection Control Other Automations n n n n n Assessments Departmental Alerting Smoking Cessation Infection Control (MRSA and VRE) Diabetes CHF Microbiology 23 Hours Observation And others 16

Questions 17 Questions 17