Oregon automates analysis of hospital capacity data – GCN


Oregon automates analysis of hospital capacity data

Oregon has launched a statewide command center to monitor hospital capacity and critical medical resources. The Oregon Capacity System (OCS) will be rolled out to all hospitals across the state by summer 2022.

Even before the COVID-19 crisis, Oregon Health & Science University (OHSU) partnered with GE Healthcare to create the OCS to help manage the transfer of patients between hospitals and intensive care units in real time. Prior to the launch of OCS, finding the right type of bed in the right hospital for a particular patient could require several calls from someone working from a spreadsheet. Now, OCS tracks 7,368 beds and around 800 ventilators in 60 hospitals, processing 4.2 million data points every day. To date, the system has saved participating hospitals 45,000 man-hours and is expected to save even more time, as further automation reduces the burden of manual reporting.

GE Healthcare created the design concept, based on technology already used in Mission Control of OHSU, a command center originally dedicated to managing inpatient capacity at four hospitals during high occupancy situations. . The system features large screens mounted on the walls, each displaying various “tiles” showing a snapshot for each hospital. Details include current occupancy in various hospital units, patient movements, bed requests, pending vacations, and necessary tasks, such as imaging, cleaning, pharmacy orders, or patient transportation.

Apprise Health Insights and GE Healthcare will help expand the system to track and process more than 5 million data points per day, including acute, pediatric, intensive care, specialty, rehabilitation and psychiatry bed availability data as well as information on personal protective equipment, emergency service activities and the availability of life support systems. This data will automatically be pulled directly from each hospital’s electronic medical record system in near real time and fed into the OCS while ensuring patient privacy is appropriately protected, officials said. The information is available through easy-to-access dashboards on a website accessible from a PC, tablet or smartphone.

The system uses a combination of artificial and human intelligence, Jeff Terry, CEO of Clinical Command Centers, GE Healthcare, told the Portland Business Journal when the center launched. “The AI ​​can detect that this patient may be better served in a community hospital, or we should prioritize discharge activities because we are holding a bed, so we don’t have any blockages in surgery today,” a- he declared. “Figuring out what to do about it requires a human to be thoughtful. There are a lot of nuances.

The system proved invaluable when the pandemic struck, allowing hospitals to share critical resource information.

“Although Oregon is one of the states with the lowest bed-per-capita ratio, this system gave us such a clear and precise view of hospital capacity that we were able to maximize resources and even bring in more. patients from outside. -State, ”said Helene Anderson, regional manager of capacity and throughput at Providence Health and Services. “Having shared visibility has fostered state-level collaboration to overcome capacity constraints and overcome patient flow challenges to help patients get the care they need when they need it. need it. “

With a federal grant from the Department of Health and Human Services, Apprise Health Insights will lead the deployment of the system statewide. A governance group made up of hospital and health system leaders, with technical and operational expertise, advisers from other stakeholders will provide overall management and oversight of the system.

“Born out of the need for real-time information in response to the COVID-19 pandemic, this type of centralized platform can aggregate and escalate complex data to primary care providers,” said Andy Van Pelt, CEO of Apprise Health Insights.

“As the COVID-19 pandemic has demonstrated, health systems must be agile and ready to provide appropriate care in circumstances where resources are limited, and this requires continuous information and situational awareness,” said Jennifer Hannah, deputy director of the National Health Care Preparedness Programs branch at HHS. . “This is why the HHS office of the Assistant Secretary of Preparedness and Response is supporting the development of tools that provide valuable state-wide information on hospital capacity and the monitoring of critical resources. “

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