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Solutions for Centralized Clinical Operations

An entirely new way to manage day-to-day operations and take action

Why a clinical operations center?

Healthcare systems need to look at totally new, more efficient ways to increase access to care and improve care collaboration. They need a simple way to not just admit patients, but to manage their progress throughout their continuum of care – while ensuring that patients are properly cared for. Centralized care is emerging as a way to radically reform patient care operations by generating real-time, actionable analytics and proactive recommendations to enable patient progression based on their clinical condition, and to help ensure that patients are transitioned to the most appropriate care setting.

 

We believe that Philips is uniquely positioned to help customers optimize clinical operations by combining the power of our pre-hospital, in-hospital and post-hospital/sub-acute platforms to efficiently expedite patients to the most appropriate care setting.

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Overview

Overview

Clinical integration

All command centers aim to enable health systems to make full use of available capacity and improve resource utilization. But at Philips, we believe that a successful clinical operations center needs to merge each patient’s clinical status with patient flow management to make operational decisions. Our vision leverages patient clinical information from our in-hospital and out-of-hospital solutions to move patients effectively across the care continuum – all from one location. So decision makers can allocate the most appropriate resources to keep costs down, patient case volume up and their enterprise performing at its peak.

Clinical integration

The goals:

  • Patients are cared for in the community hospital or post-acute settings or sub-acute beds – not transferred to higher acuity locations
  • Patients are prescribed care levels that don’t exceed guidelines or durations of care beyond recommended timing
  • Patients stay in higher acuity care settings only as long as is clinically necessary

  • Capital, such as bed space and medical equipment, is prioritized for the patients that can benefit from it most
  • Clinician’s roles are designed to enable working at top-of-license and workflow prioritizes patients who can benefit most from the clinician’s expertise

5 key features

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Optimizes clinical and operational adaptive intelligence (AI) 

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Addressing capacity utilization to improve patient flow

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Drives seamless patient care pre-hospital, in-hospital and post-hospital

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Integrates workflow between bedside and centralized virtual teams

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Adopts open performance comparison and facilitates continuous process improvements

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360 clinical operations awareness
 

Philips pioneered the centralized clinical model in the ICU to support 360 operational improvements to settings along the continuum of care: pre-hospital, in-hospital and post-hospital.

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Command Center Summit: Connected Care Delivery

July 15 and 16, 2019

In his keynote speech, Philips chief innovation & strategy officer Jeroen Tas shared his vision for optimizing patient flow in the hospital of the future. He described how hospital networks will use intelligently allocated resources and care for patients in the most optimal and patient-friendly environment.

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Our approach

Our approach

As a leader in patient monitoring, predictive analytics, telehealth technology and population health management, Philips has expertise in the many areas that inform a clinical operations center to enable patients to transfer across the care settings more effectively based on knowledge of clinical status. With solutions to help clinicians care for patients pre-hospital, during acute care and into post-acute care, Philips helps drive results as each patient move through your system of care.

For example, Philips eICU combines remote surveillance by skilled professionals, proprietary algorithms and clinical decision support, enabling proactive care delivery. This proven critical care telehealth program exemplifies the breadth of impact that Philips can help you achieve. 

Clinical Operations Center Infographic

A framework for success

The management of data and adaptive intelligence to support efficient decision-making is key to any system’s success. Our vision for a clinical operations center, like all Philips solutions, springs from this approach and is based on the mental model that physicians use to solve clinical problems.

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1) Collect – Exceptional sensors and monitors collect robust, actionable data from patients at every point in their care journey, from transport, across care settings and the home
 

2) Organize – Interpretation and presentation of real-time patient flow and resource utilization data is aggregated into dashboard level views

3) Plan – Clinical and operational decision support for instant situation awareness, informing which patients are deteriorating, and which could be ready to step down
 

4) Act – A series of care management systems enable actions to intervene and smooth out patient flow


Outcomes – Closed loop analytics inform continuous improvement in clinical pathways solutions and workflow coordination

Philips manages patient flow in key care settings today

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ED Performance Optimization and Transform Analytics improves unit throughput, reduces “left without being seen” rates and maximizes patient satisfaction

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eICU and medical/surgical telehealth helps improve unit throughput and reduces length of stay

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Radiology PerformanceBridge enables hospitals to focus on improving operational efficiency and reducing costs while maintaining an emphasis on quality, performance and value

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Centralized telemetry identifies stable patients who may be ready to transfer and provides oversight for enhanced outcomes

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Medical-surgical monitoring, both bedside and through wearables, detect deteriorations early and reduce escalations in care intensity

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Ambulatory telehealth enables discharge of patients to lower-cost settings and helps you manage patients in the community

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Philips enables clinical operations center features

Philips marries clinical and operational oversight to help health systems build capacity management and coordinate care.

Capabilities that are central to Philips clinical operations center vision are incorporated into our products and services.

Optimizing clinical and operational adaptive intelligence

At Philips, our monitoring solutions focus on capturing rich data streams to detect patient deteriorations. Our data scientists are now using those data sets and analytic capabilities to score each patient’s readiness for evaluation for discharge, and to identify ED patients who can be offered forms of oversight at home.

Addressing capacity utilization to improve patient flow

We help health systems look to clinically informed adaptive intelligence (AI) at both the individual patient level and system level to identify patients best suited for step-down to lower-cost and home settings, creating more capacity for other patients.

Driving seamless patient care pre-hospital, in-hospital and post-hospital

While the delivery of care has historically been functionally organized, each patient’s experience is continuous as they move through the system. Philips provides solutions to monitor patient status and their moves between them, to provide an uninterrupted dataset that can help to manage their pathways.

Integrating workflow between local bedside and centralized virtual teams

Philips helps health systems realize the benefits of being able to rapidly deploy virtual care resources, including: providing support to alleviate short-term throughput bottlenecks, offloading process-related tasks to enable the bedside teams to focus on hands-on activities, and making expert resources available remotely.

Adopting open performance comparison that facilitates continuous process improvement

Philips experts work with health systems to analyze performance variance between providers, departments, locations and whole systems at a point in time, and analyze trends in performance at each level of measurement over time. Building on the transparency in performance, healthcare leaders can implement evidence-based process improvements.

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Clinical workflow design + change management solutions

Through onsite engagements, Philips Healthcare Transformation Services analytic consultants provide clinical and operational expertise to help unlock data-driven insights and opportunities to help improve care efficiency.

Engagement from the start means that we can identify your highest areas of operational strength, quantify the value opportunities and develop a step-by-step implementation plan  Learn more ›

Change management leaders help you embed data into new processes and build a culture of data literacy  Learn more ›

Data integration services integrate data and connect platforms to overcoming the challenges of interoperability  Learn more ›

Physical space design strategists work with data analysts to deliver insights for improved patient flow, from departments to complete enterprise master planning  Learn more ›

Continuous improvement consultants support imaging, cardiology, ultrasound, emergency care and more, to help you maximize existing resources and achieve predictable results  Learn more ›

Healthcare operations transformations*

  • 28% reduction in time from bed requested to assignment1

  • 83% reduction in left without being seen rates2

  • 62% reduction in arrival-to-triage time3

  • 87% reduction in arrival-to-room time4

  • 64% reduction in arrival-to-provider time5

  • 95% higher patient rating higher patient rating of ER care6

*Results of customer testimonies are not predictive of results in othe cases, where results may vary

Success stories

Success stories

Philips has a history of breaking boundaries by viewing healthcare seamlessly…across time…across settings…across people…across data. Here are some of the ways that effective, clinical-based operations help manage resources across hospital systems, orchestrate clinical flow and support standards of care.

Centralized tele-ICU

Philips eICU allows doctors in a clinical operations center miles away to detect patient deterioration, creating shorter length of stays, freeing up capacity.

  • 20% shorter length-of-stay in the ICU1
  • 26% more likely to survive the ICU2
  • 15% shorter length-of-stay in the hospital3
  • 16% more likely to survive the hospital4

Central monitoring

The centralized nerve center of patient monitoring operations, our Philips Information Center (PIC iX)  provides patient data virtually anywhere it’s needed – including sending alarms and waveforms to mobile devices.  

  • View up to 32 patients on a single screen
  • Clinical decision support tools
  • Early Warning Scores or Single Parameter Scores

Solutions to improve Radiology efficiency

PerformanceBridge streamlines image review and analysis, so caregivers can communicate and collaborate with colleagues across the enterprise to make informed decisions.

  • 7% reduction of repeat scans5
  • 14 % lower CT turnaround time from order to exam6

Systems enabling early, effective intervention

Our IntelliVue Guardian General Care Solution can detect patients in distress early and summon a remote team to the bedside.

  • 86% reduction in cardiopulmonary arrests7*
  • 24% decrease in ICU readmits8*

Medical/surgical telehealth

Our program for medical/surgical patients alerts staff to patients in need of the team’s timely attention, which can shorten length of stay and lower cost.

  • 16% reduction in cost of care per case9
  • 17% reduction in length of stay10

Ambulance monitoring

Our Tempus Advanced Solution plays a vital role in the health continuum, bridging diagnosis and treatment. Addressing the pre-hospital and specialty market, it provides monitoring, defibrillation and data management, through a portfolio of connected emergency care solutions.11

  • Advanced patient data collection and sharing
  • Real-time data streaming
  • Dual-screen resuscitation care capability
  • Code review and centrally managed clinical dashboards

Comprehensive database of ICU care

Philips eICU Research Institute is a platform built from a repository of anonymous critical and acute care data. The database informs our clinical decision support tools, such as discharge readiness scores; pain, agitation, delirium automated acuity scores; and automated acuity scores.

  • Data from 400+ ICUs12
  • 2.8+ billion vital signs measurements13

ED data analytics

Our ED Performance Dashboards provide at-a-glance visibility into past and current performance including volume and arrival patterns, as well as patient trends.

  • 87.5% reduction in arrival-to-triage time14*
  • 51.5% reduction in arrival-to-provider time15*
  • 65% reduction in left without being seen rates16*

Population health management and home telehealth

When patients are discharged from the hospital, Philips technology and tools help makes sure they don’t get readmitted unless they need to.

  • 20% fewer emergency room visits17
  • 25% fewer medical and surgical inpatient days18
  • 27% absolute cost reduction19

Video-based telehealth

We eliminate communication barriers through live, video-based telehealth technology designed to improve follow-up or lower-acuity care for patients with chronic conditions, and to bolster preventive medicine.

  • Supports medication management
  • Can assist in triage
  • Helps enable prevention by monitoring conditions like diabetes and COPD 

Sources
 

*Results of customer testimonies are not predictive of results in other cases, where results may vary.

 

1-4. Lilly CM, McLaughlin JM, Zhao H, Baker SP, Cody S, Irwin RS; UMass Memorial Critical Care Operations Group. A multicenter study of ICU telemedicine reengineering of adult critical care. Chest. 2014 Mar 1;145(3):500-507.

 

5. Results are specific to Phoenix Children’s Hospital and may not reflect the results achievable at other institutions.

 

6. Results are specific to Boston Medical Center and may not reflect the results achievable at other institutions.

 

7-8. Subbe CP, Duller B, Bellomo R. Effect of an automated notification system for deteriorating ward patients on clinical outcomes. Critical Care. 2017; 21:52.

 

9-10. https://philipsproductcontent.blob.core.windows.net/assets/20170523/a2876872cdcc4693b517a77c016b2132.pdf In a study of an eAcute prototype, compared to standard care, a telehealth-based care delivery model in the medical/surgical unit was associated with 17% reduction in length of stay.

 

11. Defibrillator function pending 510(k) and not available for sale within the United States

 

12-13. https://www.usa.philips.com/healthcare/solutions/enterprise-telehealth/eri

 

14-16. https://www.usa.philips.com/healthcare/consulting/articles/customer-story/ed-performance-analytics-dashboard

 

17-18.  Results are specific to MGM Resorts International, Nevada, and may not reflect the results achievable at other institutions.

 

19.  https://www.prnewswire.com/news-releases/banner-health-achieves-27-percent-cost-savings-through-joint-pilot-telehealth-program-with-philips-300076268.html

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