Patient Trajectory Management GEORGINA KENNEDY Australian Institute - PowerPoint PPT Presentation

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 • Patient trajectory models • EHR as language problems 2 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

Automated Patient Trajectory Management 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 3 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

Automated Patient Trajectory Management BACKGROUND - SETTING Handover Outreach roles Watch-list Patient movements and status over 24-hr 4 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES Image source: Vecteezy

Automated Patient Trajectory Management PATIENT TRAJECTORIES Ref: Murray, Scott A., et al. "Illness trajectories and palliative care." BMJ: British Medical Journal 330.7498 (2005): 1007 5 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

Automated Patient Trajectory Management PREDICTION MODELS 6 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES Image source: MDCalc

Automated Patient Trajectory Management PREDICTION MODELS 7 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

Automated Patient Trajectory Management PREDICTION MODELS 8 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES Image source: http://colah.github.io

Automated Patient Trajectory Management PREDICTION MODELS 9 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES

Automated Patient Trajectory Management USE CASES Which of my patients should be discussed in detail at shift handover? How can I identify patients who are at the end of life? Governance • Patient Safety & Governance • Clinical Emergency Response Team I want to know which Palliative Care patients I should see as soon as I arrive for my shift Medical Administration Intensivists 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. 10 AUSTRALIAN INSTITUTE OF HEALTH INNOVATION I FACULTY OF MEDICINE AND HEALTH SCIENCES