New Functionality of SAP Patient Management 4.63

1. New Functionality of SAP Patient Management 4.63 Katharina DrouinmySAP Healthcare

2. Focus of SAP Patient Management 4.63 • Enhanced Planning and Scheduling • Inpatient Admissions • Outpatient Appointments • Integration of Medical with Administrative Data and Functions • Work Station Coding Director • Work Station Outpatient Clinic • Work Station Service Facility

3. Focus of SAP Patient Management 4.63 • DRG Support • mySAP Enterprise Portal for Coding Directors • Worklists and improved DRG-related processes • Support of “best-of-breed” groupers • Case-related DRG data processing • Clinical Work Station for Coding Directors • Empowerment for Occasional Users • Simplified user interface, e.g. service forms • mySAP Enterprise Portals for hospital-specific roles • Easy-to use devices, e.g handhelds

4. Topics 1 Work Station for Outpatient Clinics and Service Facilities 2 Appointment Scheduling in Outpatient Clinics 3 Preregistrations 4 Service Entry using Service Forms 5 DRG 6 Communication 7 Release Strategy and Outlook

5. Nurse Anne Assesses Her Work Station • The Outpatient Clinic Work Station lets me perform my tasks in record time and with greater efficiency - it also makes work more fun. • Gone is the tedious switching from function to function. In the Outpatient Clinic Work Station I see all the data at a glance and can access the functions I need at the click of a button. • The complete work station is custom tailored to my tasks.

6. Example of Use in Classic Outpatient Clinic Custom Work Stations for Outpatient Clinics ...

7. Example of Use in Service Facility ... and Service Facilities The work station shown requires IS-H*MED

8. Selection Criteria • You decide which data you want to see in your worklists • Attending Physicians • Treatment Rooms • Patients / Cases • Organizational Units • Visits / Appointments • Services

9. Flexible Layout • You decide how this data is to be displayed and with which additional information ... • Medical Data(incl. data from IS-H*MED) • Administrative Data

10. Function Variant • ... and establish which processing functions are available to you in a worklist • Medical Functions (incl. IS-H*MED) • Administrative Functions

11. Topics 1 Work Station for Outpatient Clinics and Service Facilities 2 Appointment Scheduling in Outpatient Clinics 3 Preregistrations 4 Service Entry using Service Forms 5 DRG 6 Communication 7 Release Strategy and Outlook

12. Actual Example: Alone for the orthopedics department at the Asklepios Klinik Parsewalk, the waiting time for knee and hip operations is several months. Klinik Management Aktuell 08/2000 Benefits of Visit Scheduling • The number of outpatient visits is increasing steadily in our hospital. This places even greater emphasis on the efficient planning of available resources. • Benefits • Improves Service • Reduced Waiting Times • Greater Patient Satisfaction • More Efficient Work • Improved Utilization of Expensive Devices

13. Improved Visit Scheduling • Visit Scheduling as a planning instrument in the outpatient clinic now caters for • Group Appointments • Multiappointments • Complex Treatment Units • supported by a “one-click” search

14. Group Appointment = Appointment for a particular treatment which can involve several persons Open Time Slot Search for Group Therapy • Examples: • Physiotherapy • Psychotherapy • Ergotherapy • Kinetotherapy • Relaxation therapy

15. Open Time Slot Search for Treatment Units • Treatment Unit= Single appointments that occur in a particular sequence as part of a treatment Open time slot search for ... 1. Pre-operative examination and clarification 2. Operation 2 days after pre-operative clarification 3. Discharge examination 4-6 hours after operation 4. Discussion of operation results at the earliest 3 days after operation and at the latest 6 days after operation

16. Open Time Slot Search for Multiappointments • Multiappointment= Appointments or treatment units that are repeated at regular intervals Week 1 Week 4 Week 2 Week 3 Week 10 Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Mo Tu We Th Fr Tu We Th Fr Mo ... Massage 30 MIN 10 Massage Sessions; 1 Session per Week

17. “One-Click” Search • Even searching for time slots to accommodate complex treatment units is possible at the click of a button. • Search Variant= Combination of search criteria you use for the open time slot search. • If I want to use a particular combination of search criteria again, I simply have to save the specifications on the initial screen of visit scheduling - and a new search variant is created.

18. Demonstration • See how my Outpatient Clinic Work Station gives me an overview of the scheduled outpatient treatments and enables me to assign and book new appointments quickly and efficiently.

19. Visit Overview in Outpatient Clinic Work Station The visit overview shows me today’s outpatient visits in my Outpatient Clinic. Tom Abraham needs a follow-up appointment in 2 weeks.

20. Booking Follow-Up Appointments To find an open time slot for this patient, I select the patient in the Visit Overview, and then choose Find Open Time Slot.

21. I select a search variant, and add extra restrictions relating to the patient’s appointment to the search criteria. There’s no quicker way. Booking Follow-Up Appointments

22. Selecting Open Time Slots I am shown a list of available time slots. It is even possible to tell that the patient has another appointment on the day in question in our hospital. To book the required appointment, first click on it, and then save the appointments. Done!

23. Topics 1 Work Station for Outpatient Clinics and Service Facilities 2 Appointment Scheduling in Outpatient Clinics 3 Preregistrations 4 Service Entry using Service Forms 5 DRG 6 Communication 7 Release Strategy and Outlook

24. Examples of Use of Inpatient Preregistrations • You wish to preregister patients for inpatient admission without creatinga patient master record or a case • You wish to plan inpatient admissionsand the associated treatment* in an integrated way • You wish to plan inpatient admissionsto the day • You know your admission quotas and wish to control the number of admissions per day • You use waiting lists for specific treatments * To plan surgeries/treatments you require IS-H*MED

25. Creating Preregistrations

26. Preregistration Data Finding available admission capacities

27. Admitting Patients with Reference to Preregistrations Admit patient by double-clicking the preregistration – the preregistration data is copied into the admission data

28. Topics 1 Work Station for Outpatient Clinics and Service Facilities 2 Appointment Scheduling in Outpatient Clinics 3 Preregistrations 4 Service Entry using Service Forms 5 DRG 6 Communication 7 Release Strategy and Outlook

29. What Our Customers Think About Service Forms • It’s of greatest benefit to occasional users to be able to enter services simply via a mouse-click. Being able to make subsequent changes via the form is also very important. • You must be able to tell which services were entered using which form. • I would also like to enter the multiplication factor and the quantity per service via the form.

30. My work environment contains form folders. Each folder contains a fixed set of forms. I can add new, empty formsto the folders, for example, if allforms in the folder have alreadybeen used. I used to tear up and throw away forms that were incorrectly filled out. Now I cancel the form, and this cancels the relevant services as well. I can change forms that have already been filled out. If I still need a hardcopy of a form, I simply print the service form. It contains all of the necessary patient data. Electronic Forms Replace Paper Forms

31. Standard Form Folders Admission Form folder All Forms folder contains all of the forms created for the case Customer Forms and Folders Customer-defined form folders for new service forms (type NHTM) Fixed set of available forms per form folder Automatically created forms Limited changes to form folder settings via Properties function Standard and Customer Forms and Folders

32. Topics 1 Work Station for Outpatient Clinics and Service Facilities 2 Appointment Scheduling in Outpatient Clinics 3 Preregistrations 4 Service Entry using Service Forms 5 DRG 6 Communication 7 Release Strategy and Outlook

33. DRG in mySAP Healthcare – Benefits • Supports timely and integral coding • Worklists for incomplete coding • Worklists for coding containing errors • Information relating to non-specific coding • Workflow support • Custom tailored DRG work stations • Integration of DRGs in Billing and Financial Accounting • Access to up-to-the-minute costs and revenues via integrationwith CO • Flexible DRG analyses in SAP BW CO Integration Workplaces DRG Work Station Grouper Connection Clinical Work Station Billing Support BW Workflow

34. mySAP Enterprise Portal for the Coding Director

35. Clinical Work Station for the Coding Director To-do list of patients to be checked with • information on missing coding • direct access to DRG data, diagnoses and procedures

36. Case-Related DRG Data • All important information at a glance • All necessary functions at the click of a button

37. Topics 1 Work Station for Outpatient Clinics and Service Facilities 2 Appointment Scheduling in Outpatient Clinics 3 Preregistrations 4 Service Entry using Service Forms 5 DRG 6 Communication 7 Release Strategy and Outlook

38. Why BAPIs? • Greatest possible automation and electronic support of customer-specific in-house processes and direct integration of all persons involved (collaboration): • Optimal processing of operations in all areas • More efficient use of all resources • Cost saving

39. Putting BAPI Features to Use • Standardized, widely distributed interface • Open interface (COM/DCOM, CORBA, JAVA, etc.) • Publicly documented interface(http://ifr.sap.com) • Long-term, strategic communication basis(e.g. XML enabled) • Low error-proneness • Flexible

40. New BAPIs in SAP Patient Management • Completion of existing scenarios • Change absence • BAPI_PATCASE_CHANGEABSENCE • Cancel absence • BAPI_PATCASE_CANCELABSENCE • Outlook • Design and implementation of new scenarios • Master data maintenance, e.g. business partner • Transaction data, e.g. procedure entry

41. Topics 1 Work Station for Outpatient Clinics and Service Facilities 2 Appointment Scheduling in Outpatient Clinics 3 Preregistrations 4 Service Entry using Service Forms 5 DRG 6 Communication 7 Release Strategy and Outlook

42. Release Strategy *) applies to latest maintenance level 4.63*

43. Solution: SAP Patient Management (4.63B) • Solution Positioning • For several countries the new release will be positioned mainly as legal change release • Canada localization: The prio 1 localization functionality will be included • Extended waiting list and pre-registration capabilities (focus: Spain) • Underlying Technology • R/3 Core 4.6C / SAP BW 3.0B • Critical Dependencies / Risk Factors • Application perspective • Buying decision more and more based on strength in clinical applications, business applications are seen as low priority for overall IT strategy • Technical perspective • Partner solutions integrated via desktop integration (e.g. OLE) not supported by SAPGUI for HTML (e.g. external diagnosis coding tools) • Ramp-Up Customers • Planned number of ramp-up customers: 3 with new Canadian country version, 2 with new waiting list functionality in Spain • Additional Remarks • Shipment of 4.63B is planned for August 2002 • R/3 4.7 is planned to be supported in 1st quarter 2003 by SAP Patient Management 4.71

44. Outlook to mySAP Healthcare • SAP Patient Management 4.63B • Waiting list based on preregistrations • Waiting list view in clinical work station • Planning including pre-operative and post-operative appointments/treatment • Admission • Admission cancellation • Case type change • New BAPI • Create, change, cancel procedures • Business Intelligence • Extended BW content (diagnoses, procedures) • mySAP CRM for Healthcare • mySAP SCM for Healthcare • Collaboration via SAP Enterprise Portals

46. 1 Minute Elevator Pitch <Elevator Opens, CEO enters, sees your badge> CEO: “How can SAP help me in my hospital?” YOU: “In many ways. What is your biggest problem?” CEO: “Well, compared to other hospitals we seem to be keeping the patients longer for the same treatment." YOU: “Maybe your patients need more time to recover from surgery?" CEO: “I am not sure. I have the feeling that we waste time prior to the operation." YOU: “SAP Patient Management provides you with sophisticated scheduling capabilities allowing you to easily find and book all the necessary pre-surgical examinations. CEO: “So, what does that give me?” YOU: “Patients are satisfied with the reduced length of stay. You save a lot of money as you treat more patients in the same time." <Elevator Door Opens, CEO hands over biz. card>

47. Questions?