A Major Dilemma Facing Operating Rooms is that historically, no one was measuring time. Documentation takes up a huge part of a clinician’s day. And when it comes to the or, that documentation also is cumbersome. Inaccurate reporting can lead to delayed surgeries: in fact, more than 70% of surgeries don’t start on time, According to a duke university study,
The challenge
Or efficiency is essential to maximize the available surgery time for surgeons and patients. Like Most Hospitals, House Methodist often relieted on Estimation-Human-Entred Data to the Ehr or Charge Nurse Knowledge-For Decisions that Affected Effect Effective In the Operating In the Operating in the Terror Planning and Scheduling, but also through the day as things change.
This meant that operating rooms veered towed either underrutiilization, meaning too few patients was being seen, or overuelization, meaning cases were running beyond the schedule and stafe was working overtime.
“We also Struggled With Coordination, Meaning Information Flowed slowly Further Delays, “Said Roberta Schwartz, Chief Innovation Officer at Houston Methodist Hospital. “And we rarely knew what to prioritize for improvement and how to do so so do so, Given Everyone Alredy Was Working Their Hardest, but with to Little Timely Information.
“A challenge in the or is quality, reliable operational data,” She Continued. “Historically, we counted on the ehr for all of our data. Time in and out of the or Can be extracted from the ehr, documentation of timing is impacted by simultaneously occurring patient care events that results in documentation delays, also knows as latency. “
The data related on a nurse documenting each data point by hand, which is not meant to be his core job. In addition, data was kept on large tasks Extubation. Similarly, if staff ever made a change, they had little insight into with impacted outstcomes (Eather improved or Worsned).
And, Generally, Periooperative Teams Face Challenges Related to Capacity, Utilization, CORDINATION and WORTER BURNUT, which have led to Reduced Case Productivity and Higher Costs.
Proposal
With the complex nature of the surgical suite, Perioporative Teams often Have Limited Insight Into What Just Happened, What’s Happy and What’s Going to Happene. Advancements in Surgery are only as good as the whole team’s ability to keep the operating room running as smoothly as possible: on time, efficient and agile.
“Real-time insights fed by ai computer vision and live visuals from cameras on the ceiling had the principal to help surgeons prepare and keep their casuals on TRACK,” Schwartz exlated. “AI can Forecast Scheduling Changes through and Look for Opportunities to Improve Resource Production and Team Coordination to Significly Increase Case Volmes Volmes without Care of Care of Care And decreasing the burden on perioperative staff. “
HUTON METHODIST WANTED TECHNOLOGY LIKE A to Help Surgical Teams Stay More In Control, Spend Less Less Dealing with Logistics and, Ultimately, Ultimate All while giving high-quality care.
Meeting the challenge
Houston Methodist Adopted apella, which uses ambient sensor technology and ai to provide a 360-degree view of the operating rooms. The vendor’s computer vision and Deep Learning Create a Real-Time Data Feed From Secure and Compliant or Video That Surgical Teams Use to Drive Efficiency Throughout The Day, Improving Scheduling, Planning, Coordination, Utilization and Patient Outcomes, Schwartz Said.
“This technology seamlessly Integrated with the existing ehr To provide precise data to staff about things like wheels-in and wheels-out time Day, “She Continued.
“In collaboration with this technology vendor, our or events data has been much more accurate and timely,” She noted. “That meant we had the confidence to use this data to inform our schedules and make updates in real time as new information surfaceed.”
Staff Generate Texts to Leet the Team Know What’s Happy and to Manage Schedules so they are not running into rushes or tags, meaning or utilization goes up, Along with Patient Throughput.
“We also found that, with this technology, house method Never Been Captured Before, “She explained.
“For example, the data recorded the additional events draped between the existing events Anesthesia Ready and Case Start,” She Continued. “Where Anesthesia Ready and Case Start Had Historically Been Paired, Which Prevented Easy Comparison Accross Unlike Surgeries, The New Pact Draped Event Split that Split thats of events in events of the Process. “
As a result of having more and better data that transfers of all perioporative steps, the team used these insights to segment surgeries into shorts, more definative pahases that made benchmarking and impermetry Much More Straightforward.
Results
HUTON MEHDIST WORKED With This Technology vendor to Deploy Cameras in the Hospital’s Walter Tower Tower’s Ors, Paired with Computer Vision Software To automatically capture, classify and compare everyday in the video feeds.
While Hospital Staff are typical skeptical of ehr data, bot the surgeons and perioporative teams was able to see how Apella’s Ai Passively and Objectively Recorded Events as the aS the aS on their Reliable.
“The Initial or Pilot Launch at Houston Methodist Hospital Coinched with a 10% Increase in Monthly Case Volume Site-Wide, Equating to an additional 33 cases per month,” Schwartz recalled. “This Data Helped Solidify Rollout Plans System-WIDE ACROOSS HUTON METHODIST’s 14 Surgical Facilites Around the Hoston Metropolitan Area.
“To date, our ambient intelligence project in our operating Rooms has seen a 15% increase in or capacity with adding addition to adding addition to adding addition Or Rooms, “She Added. “This increase capacity allows more or time to better care for our patients, and we have seen significant Quality Quality Improvements in the Cardiovascular Ors in the Cardiovascular Ors in Particular.”
Advice for other
The biggest challenge is change management, Schwartz Advised.
“It’s Never Easy to Get SURGESS, Nurses, Directors and others to Agree on and Embrace a New Technology, Especially when it Comes to Comes to Ai and Sensors, Particularly Thought Thought Thought Thought CaMaras,” Said. “As new technologies, especially there Focused on Operations and ProductivityAre introduced into care settings, it’s essential to provide education that identifies value to drive buy-in and enables the desired impact and utcomies.
“In our Experience, Demonstruating Results – As We did with our initial or pilot – is the best way to Gain and Reinforce Adoption,” She Continued. “Our Teams Saw How much better, more accurate and credible the data has been with the technology compared to the ehr alone.”
And it means Concluded.
Follow Bill’s Hit Coverage on LinkedIn: Bill Siwicki
Email him: bsiwicki@himss.org
Healthcare it news is a Himss Media Publication
Watch Now: Chief AI Officers Require a Deep Understanding of the Technologies and Clinical Ops
