1. The Health Care Systems Resource Center: Potential Contributions David Ben-Arieh Ph.D John Wu, Ph.D State Network Council Meeting July 29, Hilton Wichita Airport

2. Agenda Critical Access Hospitals: our view Critical Access Hospitals: our view Who we are Who we are Clinical Medical records Clinical Medical records Facilities Management Facilities Management Operations Improvements Operations Improvements Summary Summary

3. Critical Access Hospitals Limited capacity and CMS stipulations Limited capacity and CMS stipulations Shortage of medical staff Shortage of medical staff Special reimbursement arrangements Special reimbursement arrangements Limited IT infrastructure and support Limited IT infrastructure and support Cooperating with a supporting hospital Cooperating with a supporting hospital 83 in Kansas participating in 21 rural health networks 83 in Kansas participating in 21 rural health networks

4. Who We Are Department of Industrial and Manufacturing Systems Engineering at Kansas State University Department of Industrial and Manufacturing Systems Engineering at Kansas State University Systems Engineering expertise Systems Engineering expertise Eleven full time faculty Eleven full time faculty Fifty graduate and 150 undergraduate students Fifty graduate and 150 undergraduate students Cooperation with all related departments at KSU Cooperation with all related departments at KSU

5. Capabilities/Areas of Expertise Computer simulation Computer simulation Benchmarking, Metrics Benchmarking, Metrics Safety, Risk Assessment/Management Safety, Risk Assessment/Management Reliability, Quality Control Reliability, Quality Control Information Technology Information Technology Project Management Project Management Resource Management Resource Management Ergonomics, Human Factors Ergonomics, Human Factors Logistics - Inventory management, procurement Logistics - Inventory management, procurement Process and Operations Optimization Process and Operations Optimization

6. How can we help? Clinical Medical Records Facility management Process Improvement Additional opportunities…

7. Clinical Medical Record No need for IT infrastructure No need for IT infrastructure Very little overhead Very little overhead Very (very) inexpensive Very (very) inexpensive Improves communications Improves communications Improved efficiency Improved efficiency Reduces errors, increased patient safety Reduces errors, increased patient safety Reduces reporting effort Reduces reporting effort Access to standardized reports Access to standardized reports Customized internal auditing capability Customized internal auditing capability Can be integrated with your existing EMR Can be integrated with your existing EMR

8. Examples Connecting an Emergency Department to existing information system. Connecting an Emergency Department to existing information system. Developing a “light” EMR Developing a “light” EMR

9. Web Based EMR Web Based EMR 1

10. Web Based EMR Web Based EMR 2

11. Web Based EMR Web Based EMR 3 Instance Report Risk Assessment (A-K) Web Based EMR Web Based EMR 3 Instance Report Risk Assessment (A-K)

12. Facility Management Improves operations Improves operations Reduce traffic Reduce traffic Improves patient flow Improves patient flow Better space utilization Better space utilization Reduces costs Reduces costs Energy saving Energy saving

13. Examples Development and analysis of a new layout at a Critical Access Hospital (Ellsworth County Medical Center) Development and analysis of a new layout at a Critical Access Hospital (Ellsworth County Medical Center) Improved design of a large scale pharmacy (Irwin military hospital). Improved design of a large scale pharmacy (Irwin military hospital). Improved facility design (Mercy Regional Medical Center – Manhattan) Improved facility design (Mercy Regional Medical Center – Manhattan)

14. Optimal Layout

16. Space Analysis: Room Specifications LengthWidth Sq. Ft Classroom #1 1637588 Classroom #2 1637588 Classroom #3 37321188 Training Room 1515225 Computer Room 3129902 Teacher's Space 2029580 Food Court Area 33341133 AV Supply Room 12780 Warming Kitchen 1514210 Hallways856512

17. Furniture by Room

18. Cost Analysis The energy costs are calculated only for the new sections and they are based on sq. ft. Sq. Ft was estimated by a Kansas State University Construction Science Student and manager of the residential construction Company, Seiler Construction Inc, Wichita Ks

19. Operations Improvement Improves quality and patient safety Improves quality and patient safety Reduces cost Reduces cost Improves patient satisfaction Improves patient satisfaction Improves cooperation with supporting hospital Improves cooperation with supporting hospital Better risk management Better risk management What-if analysis What-if analysis Many more benefits Many more benefits

20. Examples Improving the operation of a Surgery and Diagnostics/testing center (Hays) Improving the operation of a Surgery and Diagnostics/testing center (Hays) Reducing patient waiting time in a for- profit ambulatory surgical center (Manhattan Surgical Center) Reducing patient waiting time in a for- profit ambulatory surgical center (Manhattan Surgical Center)

21. List of Scheduled Ambulatory Surgeries

22. Update Surgery Detail

23. Full Form View Update Surgery Detail Full Form View

24. Remote Rapid Response Teams - RRRT Supplement local clinical talent Supplement local clinical talent Identify problems very early on Identify problems very early on Make better patient transfer decisions: Make better patient transfer decisions: Avoid unnecessary transferAvoid unnecessary transfer Transfer patients before it is too lateTransfer patients before it is too late Establish disaster preparedness Establish disaster preparedness Provide better risk management Provide better risk management (KUMed Dr. Simpson, Mr. Peterson)

25. Special Thanks to … The Pratt team The Pratt team Susan PageSusan Page Sherry BesserSherry Besser Julie DearingerJulie Dearinger Luke KumbergLuke Kumberg Hays Medical Center Hays Medical Center Dr. Bob CoxDr. Bob Cox Terry SiekTerry Siek Bill NorrisBill Norris Ellsworth Ellsworth Roger PearsonRoger Pearson Beth VallierBeth Vallier Manhattan Surgical Center Manhattan Surgical Center Scott Chapman Irwin Military Hospital Richard Hoyt KU Medical Center Dr. Simpson Doug Peterson Carol Cleek And many involved staff members!

26. Contact Information Dr. David Ben-Arieh Dr. David Ben-Arieh email: davidbe@ksu.edu davidbe@ksu.edu phone: (785) 532-3724 Dr. John Wu Dr. John Wu email: chw@ksu.edu chw@ksu.edu phone: (785) 532-3734 Fax: (785) 532-3738 Address: 216 Durland Hall, Kansas State University Manhattan, KS, 66506