Creating Learning Systems with Mobile Technology to Improve Coordination in Perioperative Services (Periop MLS) Investigative Team: Dr. Kevin Taaffe Dr. Lawrence Fredendall Dr. Joel Greenstein Dr. Nathan Huynh Dr. Jose Vidal 1
Jun 01, 2015
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Creating Learning Systems with Mobile Technology to Improve Coordination in
Perioperative Services(Periop MLS)
Investigative Team:
Dr. Kevin Taaffe Dr. Lawrence Fredendall
Dr. Joel GreensteinDr. Nathan Huynh
Dr. Jose Vidal
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Creating Learning Systems with Mobile Technology to Improve Coordination in
Perioperative Services(Periop MLS)
Participating Healthcare Organizations:
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Overarching Goal
Create new tools for healthcare providers to achieve improved coordination among Perioperative Services (Periop) departments by Improving individual workflows Resolving systemic issues Changing staff behavior
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Research Objectives
1. Enhance communication and coordination among Periop staff and quality of care by gathering important workflow milestones and introducing artificial intelligence techniques through the use of a smart-app.
2. Analyze workflow data (gathered with smart-apps) using data analytics to provide intuitive displays of real-time information for frontline staff and a daily performance dashboard for managers.
3. Induce behavioral and cultural change in healthcare systems through training and education.
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Objective 1 Tasks
1. Gather Periop process workflow information at each participating facility.
2. Create a smart-app that runs on a tablet that can receive spoken information.
3. Incorporate artificial intelligence capabilities into the smart-app.
4. Conduct Phase 1 pilot studies using the developed smart-app.
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Objective 2 Tasks
1. Analyze data and generate performance dashboards for managers.
2. Provide status displays for staff.3. Conduct Phase 2 pilot studies with
Periop managers and staff.4. Conduct surveys of frontline staff and
Periop managers.
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Objective 3 Tasks
1. Introduce staff to process interventions via simulation experiments of Periop.
2. Create a simulation model with a virtual Periop environment and agents.
3. Conduct training sessions using the developed agent-based model.
4. Provide a workshop of activities at state-level healthcare organizations.
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Project Schedule
Task Task Description Year 1 Year 2 Year 3 Year 4
1.1Gather Periop workflow data
1.2 Create smart-app
1.3Incorporate artificial intelligence
1.4 Phase 1 pilot studies
2.1Create dashboard/metric options
2.2 Provide status displays
2.3 Phase 2 pilot studies
2.4 Follow-up staff surveys
3.1Process improvement experiments
3.2Create agent-based simulation
3.3 Conduct training sessions
3.4 Provide workshop(s)
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Team Roles
Drs. Taaffe and Huynh will act as the principal investigators at their respective institutions
Drs. Huynh and Vidal will lead the smart-app development efforts (Objective 1)
Drs. Fredendall and Greenstein will lead the effort on lean operations, continuous improvement, and human-computer interaction (Objective 2)
Drs. Taaffe, Huynh, and Vidal will lead the effort on simulation and training (Objective 3)
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Expected Benefits:Participating Healthcare Partners
Enhance the ability to provide patient-centered care by: Recording milestone tasks using handheld devices or tablets Using voice-activated data entry while obtaining required data
Enhance frontline staff’s situational awareness by: Presenting context-sensitive information on the devices Using data analytics and artificial intelligence to provide
feedback/instructions Improve operational performance by:
Providing managers with process improvement suggestions Show how decisions affect patient care metrics via an
offline “day of surgery” simulation model to provide: Visual training to surgeons, managers, and frontline staff Increased acceptance of changes by healthcare staff
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Additional Benefits
Useful insights Why tasks are delayed or interrupted “Workarounds” being done by staff
Patient safety and quality of care Reduce the need for patient flow “workarounds” Data visualization techniques identify most effective
use of improvement efforts for staff and managers Hospital recognized as leader in process
improvement Using mobile technology for system improvement Publishing with research faculty about healthcare
innovations
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Facility/Staff Resources Needed
Staff cooperation to ensure mobile app compatibility for day of surgery workflow Selected staff to be interviewed in depth Selected staff to allow “shadowing” of their
workflow Staff comments during technology development
Additional input via surveys Pilot testing
Staff participation in simulation training IRB application in progress for initial interviews
IRB amendments to be filed for specific time studies, patient interaction, or unique surveys to administer
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Objective 1 Near-Term Plan
Action Where When
Collect voice of customer PH 5/15/13 – 8/15/13
Identify high-level workflow and milestones
PH 5/15/13 – 8/15/13
Create detailed workflow maps via observations / shadowing
PH 8/15/13 – 12/15/13
Initial user trials (students)
Clemson, USC 4/15/13 – 6/15/13
Staff user trials GHS, PH, MUSC …
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Status of Smart-App Development Platform: Android, Jelly Bean 4.2 Test Devices: Nexus 4, 7, and 10
A simple speech-to-text app has been developed.
Research team is evaluating a proposed algorithm for classifying text.
Simulation Experiment (GHS, 2011)15