BPM 2012 Workshops 1st Int. Workshop on Adaptive Case Management and other non-workflow approaches to BPM ( ACM 2012 ) 03/09/2012 Rüdiger Pryss Mobile Task Management for Medical Ward Rounds – Institute of Databases and Information Systems Ulm University The MEDo Approach ruediger.pryss@uni-ulm.de (Rüdiger Pryss, David Langer, Manfred Reichert, and Alena Hallerbach) BPM 2012 Workshops Tallinn
v 1.0 Page 2 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Agenda • Motivation • The MEDo Approach • MEDo in Practice • Further Steps • MEDo Video
v 1.0 Page 3 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Motivation
v 1.0 Page 4 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop The Challenge Inadequate IT-Support during Clinical Ward Rounds
v 1.0 Page 5 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Hospital Experience Internal Medicine Emergency Ward Orthopaedics Ward Trauma Surgery Ward Ward (Paraplegic Patients) (Chief Physician) Hospital University Hospital Ulm University Hospital Ulm University & Rehabilitation University Hospital Ulm Hospital Ulm (RKU) Number of Beds 25 12 35 >100 Days, Weeks Hours Weeks, Months A couple of days up to one Average Period of month Hospitalization Frequency of Ward Round Twice a day Three times a day Once a day Once a week Daily overview Information-sharing for the team Daily overview Overview for chief physician of Aim of Ward Round of the next shift all wards Involved Parties Two ward physicians, 6-8 ward physicians, 3 Ward physicians, Chief physician, Two nurses One senior physician 1-3 nurses Proxy of chief physician, Potentially further experts Multiple therapists Respective ward physicians Treatment Time per Patient 7 + 3.5 Minutes 4 Minutes 4 Minutes 3 Minutes (Preparation + Treatment) SAP, ERP Software SAP, ERP Software MCC, Meierhofer AG SAP, ERP Software Clinical Information System
v 1.0 Page 6 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Initial Approach Rehabilitation Hospital Ulm (RKU) Ease Management of Clinical Ward Rounds by Applying Cutting-Edge Workflow Technology
v 1.0 Page 7 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop The MEDo Approach
v 1.0 Page 8 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Fundamental Idea behind MEDo Identification of patient information which shall be integrated into MEDo Pen-and-Paper based To-Do Worksheet Wednesday Schedule 1. Mrs.Richards X-ray request arranged, monitor status Find instrument to and check images today support clinicians 2. ….. during ward rounds adequately
v 1.0 Page 9 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Stages of the MEDo Project Usage of MEDo Integrate patient Integrate new comparable to that information into requirements after of pen-and-paper MEDo first evaluation worksheet phase Implementation issues Implementation issues Implementation issues 1. Which platform 1. Adapt screen design 1. Increase input speed (e.g., for easy context 2. Initial screen switches) 2. Integrate status and design interruption concept 2. Emerging issues and (i.e., integrate demands related to workflows -> adapt patient information screen design) (e.g., collaboration)
v 1.0 Page 10 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop MEDo in Practice
v 1.0 Page 11 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Hospital Experience using MEDo Question Results Traditional Task definition 2.22 Ward Round Management 2.50 Task definition 1.90 Using MEDo Ward Round Management 1.80 Patient Communication 3.67 Results from using MEDo in all | Scale from 1 (best) to 6 (worst) | Ward Rounds of Slide 5
v 1.0 Page 12 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop MEDo in the Rehabilitation Hospital Ulm (RKU) 45 40 40 35 Duration in min 30 Physician works 25 without using 20 MEDo 20 15 Nurse 15 works 10 without 29 Patients Physician 10 using works MEDo Nurse 2x 1-bed room using works 5 MEDo using 6x 2-bed rooms MEDo 0 4x 4-bed rooms
v 1.0 Page 13 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Further Steps
v 1.0 Page 14 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Further Steps • Integration of a „real“ workflow engine • Integrate MEDo with existing hospital information systems • Further improvement of screen design • Add more features to tasks (e.g., sorting them to their importance) • Addressing of patient communication issues
v 1.0 Page 15 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop MEDo Video
v 1.0 Page 16 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Thanks for Your Attention!
v 1.0 Page 17 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop Addendum: MEDo Workflow in Progress
v 1.0 Page 18 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop
v 1.0 Page 19 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop
v 1.0 Page 20 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop
v 1.0 Page 21 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop
v 1.0 Page 22 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop
v 1.0 Page 23 Mobile Task Management for Medical Ward Rounds – The MEDo Approach | Ruediger Pryss | 03/09/2012 Tallinn ACM Workshop
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