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

2 What is BPM 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

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

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

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

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7 Elements 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 of errors to my team Printed reports generated every day

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10 Main Process: Kicked off by an HL7 Transfer or Discharge

11 Code Example

12 Main Process: Kicked off by an HL7 Transfer or Discharge

13 Bed Cleaning Status Website

14 Bed Board Website

15 Bed Cleaning Outcome 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

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

17 Questions