IS601: Comprehensive Case Overview for D. Boykin & Prof. Y.L. Antonucci, Ph.D.

1. IS601: Comprehensive Case Overviewfor D. Boykin &Prof. Y.L. Antonucci, Ph.D. By J. Singh, L. Seligman, D. Schade, M. Geiger, A. Bender, M. Badahdah, & V. Agrawal Group 2 Website: http://widenercase.wikispaces.com

2. PIIT Team Group 2 Website: http://widenercase.wikispaces.com

3. PIIT Team Charter • Restructure patient care process • Integrate management functions & business processes between SOVMC so that we present a single face to the patient (Lynne asks that we consider this edit) • Kaizen quality of medical & patient care • Make BOVMC the hospital of choice for patients within 30 miles radius • Explore ways to increase services utilization rates during off-season • Establish OVMC as the ambulatory/outpatient center (Lynne says, “Does this come from the charge in the case? I think that we should have clinics and outpatient centers in both locations to bring in as many patients as possible to our hospital. Location is a key to patient choice in ambulatory care.”) Group 2 Website: http://widenercase.wikispaces.com

4. SOVMC Project Overview • Step 1: Project Scope • Step 2: Analyze As-Is • Step 3: Ideas for Improving Process • Step 4: Review feasibility of ideas • Step 5: Select ideas for To-Be process • Step 6: Design Solution: To-Be • Step 7: Define measurable process goals • Step 8: Business case • Step 9: Your approval to implement To-Be Group 2 Website: http://widenercase.wikispaces.com

5. SOVMC Overview: Project Scope • While the patient care process is a continuing process from a patient's perspective, we will limit our process analysis to a single patient encounter, triggered when the patient enters either of our sites in any way, and ending when the patient physically leaves our premises. Group 2 Website: http://widenercase.wikispaces.com

6. SOVMC Overview: Boundary Edits needed. Should we consider the book’s Framework as an alternative? Group 2 Website: http://widenercase.wikispaces.com

7. SOVMC Overview: As-Is • Several Architectures Available: • ARIS Architecture • EPC • Process Decomposition Model • Microsoft Visio • SwimLane Diagram • BIZAGI • Microsoft Powerpoint • AutoCaD Are we doing all of these? Or just one? Are we including a slide with one or more of these laid out? Group 2 Website: http://widenercase.wikispaces.com

8. SOVMC Overview: Brainstormed Ideas • Medical Affairs - Collaborate and share patient information electronically with professionals - Improve medication authorizing & ordering process - Improve transfer decision of patients from OVMC to BSH - Better coordinate diagnosis, testing, & treatment - Establish privileges for all appropriate professionals for OVMC Group 2 Website: http://widenercase.wikispaces.com

9. SOVMC Overview: Brainstormed Ideas • Nursing - Eliminate multiple patient information data input - Add Ability to view tests and all patient information at OVMC & BSH - Minimize need to re-test patients on same tests - Determine how best to manage patient-related information - Improve compliance with all applicable regulations Group 2 Website: http://widenercase.wikispaces.com

10. SOVMC Overview: Brainstormed Ideas • Operations - Better coordinate transfer decisions - Input all equipment and room assignments into both the patient record and the billing record - Allow pharmacy orders to be placed electronically and signed electronically to alleviate delays - Improve pharmacy dispensing process - Better interaction with Medical Affairs, Information Services, Nursing and Finance during patient admission to discharge process Group 2 Website: http://widenercase.wikispaces.com

11. SOVMC Overview: Brainstormed Ideas • Finance - Integrate OVMC into BSH financially - Improve payor info timing to nursing - Eliminate multiple billing processes Group 2 Website: http://widenercase.wikispaces.com

12. SOVMC Overview: Brainstormed Ideas • IS - Expand open architecture network spanning all functional areas within BSH & OVMC - Implement and train OVMC on the current BSH systems Group 2 Website: http://widenercase.wikispaces.com

13. SOVMC Overview: Brainstormed Ideas • Organizational planning & integration of OVMC with BSH • Improve service utilization rates during off-season (Oct to Mar) Group 2 Website: http://widenercase.wikispaces.com

14. SOVMC Overview: Evaluate Feasibility The filter utilized to evaluate ideas: • Enhance competitive edge • Services or offerings that are: - Rare - Valued by customers - Not substitutable - Not imitable Group 2 Website: http://widenercase.wikispaces.com

15. SOVMC Overview: Paired down list • Integrate OVMC & BSH IT operations • Improve patient flows between hospitals • Improve diagnostic & treatment support services • Improve patient experience Is it BSOVMC, SOVMC or BOVMC? Group 2 Website: http://widenercase.wikispaces.com

16. SOVMC Overview: To-Be • Process Decomposition Diagram • Swimlane Diagram Group 2 Website: http://widenercase.wikispaces.com

17. SOVMC Overview: Measures • Patients treated per day • In-patient days per diagnosis • Patients transfers from OVMC • Times chain of custody compromised/ duplication of tests • Prescriptions accurately & timely delivered • Quality indicators – patient complications after discharge Group 2 Website: http://widenercase.wikispaces.com

18. SOVMC Overview: Business Case • External IT support elimination from OVMC elimination • Reduction of duplication of tests • Elimination of redundant data entry • Elimination of duplicate billing • Improved access of Medical Professionals to OVMC Group 2 Website: http://widenercase.wikispaces.com

19. SOVMC Overview: Business Case • Cautionary Note - No input from marketing - No trend data on services - These are current operational needs that need to be addressed regardless of any future projects to improve services offering Group 2 Website: http://widenercase.wikispaces.com

20. SOVMC Overview: Step 9 • Do we have Board approval to proceed with implementation? Group 2 Website: http://widenercase.wikispaces.com