ARGOS procet in eHealth 2010 Barcelone

1. ARGOS Project
A case of Innovation?
16th march 2010, Barcelona
Lluís de Haro Martín
Director del Centre de Competència Funcional - ICS
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2. Index
Institut Català de la Salut (ICS)
ARGOS Project
Introduction
ICS Common model
System Overview
Implementation method
Project Results
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3. Institut Català de la Salut (ICS)
ICS AT A GLANCE
Primary care
More than 450 productive units:
Budget 2010: 3.000 M€ 274 primary care teams
40 centers of extra-hospital specialties.
32 emergency centers
42.000 Professionals 8 laboratories
Acute Care 32 image diagnosis services
15 rehabilitation services
8 Hospitals: 8 mental health centers, …
More than 4.000 inpatient beds It manages 80% of the whole primary
More than 130 Surgery theaters care teams in the region
More than 7000 outpatient rooms
46 millions of outpatient visits a year
Constitutes the 32% of the public
hospitals inpatient beds and the 50%
of the high-technology beds in Education
Catalonia. Annual training of more than 1.500
2008: 215.262 Inpatient visits masters.
122.454 Surgeries
More than 4.300 pre-grade students
703.424 Urgencies
2.661.390 Outpatient visits
(medicine and nursery).
412 Transplants Training of 56% of General Practitioner
and 66% of the specialists of Catalonia
Research
Constitutes the 40% of the scientific
production in Catalonia.
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4. Index
Institut Català de la Salut (ICS)
ARGOS Project
Introduction
ICS Common model
System Overview
Implementation method
Project Results
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© Copyright ICS 2010

5. ¿What is ARGOS? Objectives
• Modernization Public Sector HEALTHCARE
• Leading position in Healthcare SECTOR
Healthcare
IT Systems
Sector
MANAGEMENT
• Business monitoring system
Management • Decision making tools
THE CLINIC
• Tools for all the professionals
• Standardization of the clinical
Clinic practice
• Patient centric Healthcare PATIENT
• Integrated patient records
Patient
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6. ¿What is ARGOS? Project Principles
HEALTH
SYSTEM
ACCESIBILITY:
For the citizen to
receive the best
healthcare.
HEALTHCARE
QUALITY:
Advanced
technologic
equipments, health
coordination,
Electronic clinical
records.
HEALTH SYSTEM
SUSTAINIBILITY:
Greater efficiency, cost reduction,
realignment of resources, shared
services, central procurement.
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7. ¿What is ARGOS? Method
New ICS
A new corporate culture
Project to Project to transform Project to redefine
transform the Healthcare processes on the HR function
Back-Office the Hospitals area (HIS)
functions
New Common Process Model
Unique and integrated technology – SAP (Change Driver)
Model of Strategic Partnership
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8. Project Plan
Updated Planning March 2010:
Arnau de
Vilanova
7 from 8 hospitals implemented
Vall d’Hebrón
Viladecans
Bellvitge
Doctor Josep
Trueta
Verge de la
Cinta
Joan XXIII
Germans
Trias i
Pujol
2006 2007 2008 2009 2010
06/0 09/06 02/06 02/07 02/08 10/08 03/09 06/09 11/09 03/10 06/10
6 11/08
Advance
Prototype
Common Business
Solution Development
Model
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9. Index
Institut Català de la Salut (ICS)
ARGOS Project
Introduction
ICS Common model
System Overview
Implementation method
Project Achievements
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10. Principles of the new model
Common definition for all acute
care processes
Shared
Process re- Services
engineering Units
Catalogs
TECHNOLOGY
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11. Process Reengineering to achieve the ICS Common Model
• The ICS system has been designed by their own professionals, thinking in all the
hospitals and focusing in standardizing the processes.
Mètode per el disseny del model comú
Responsable Funcional del Projecte
• More than 180 ICS professionals defined the
Coordinadors de procés
common model
Directors de projecte
• More than 10.000 hours invested in the
Reunions de
Treball amb definition
equip IBM
Grup de
Portaveu
Líder de coordicació
per
procés
procés
funcional • More than 180 meetings between june’06
Reunions de
Reunió Cuore per
procés (multi-
centre amb
Treball amb cuore
per procés and february’07
l’equip IBM) 20 BBP-s
Publicats
el 09-02
• The architecture is built with a territorial conception (multi-instance and multi-
hospital), with capacity to incorporate other hospitals or primary centers within the
same territory
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12. Index
Institut Català de la Salut (ICS)
ARGOS Project
Introduction
ICS Common model
System Overview
Implementation method
Project Achievements
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© Copyright ICS 2010

13. Clinical Workstation – patient centric
Medication
Nursery Image Diagnosis
Patient centric clinical workstation
Hospital reports Clinical History
Primary Treatment
Clinical reports Laboratories
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14. Index
Institut Català de la Salut (ICS)
ARGOS Project
Introduction
ICS Common model
System Overview
Implementation method
Project Results
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© Copyright ICS 2010

15. Rollout plan standardization
Rollout model defined and improved with the ARGOS project experience:
- Skilled and experienced team.
- Check list: clear and defined tasks to carry on from day zero
- Best practice models for training, cutover and hypercare
- Model of rollout plan:
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16. Rollout plan - web portal and training strategy
WEB portal for project news
Training strategy:
• Online learning tool with lessons for all profiles
• “Train the trainers” approach
Hospital Nº Usuaris Nº Usuaris que Formació a
Inscrits han fet l’arrencada
Formació on‐ formació
line on‐line
GT 2.275 565 25%
VC 906 761 84%
JX 1.325 880 66%
HVi 812 640 79%
DT 2.309 1.513 66%
VH 6.283 5.169 82%
Bell 4.834 3.885 80%
ICO‐DR 675 582 86%
AV 71 37 52%
19.490 14.032 72%
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17. Index
Institut Català de la Salut (ICS)
ARGOS Project
Introduction
ICS Common model
System Overview
Implementation method
Project Results
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Competencia Funcional © Copyright ICS 2010
© Copyright ICS 2010

18. Project results
• Unified demand • Increased Patient
managemnt Security
• Elimination of • Territorial approach • Integrated Patient
redundancies • Productivity electronic Records
enhancement • E-pharmacy
Sustainability
• Digital imaging
• Management Tools
• Acute and Primary
• Economies of scale in
Accesibility Care Integration
• Shared agendas
• Better informed
Patients
IT expense • Paperless • SMS appointment
• Self-admission
• Digital records: paper • Health records /information devices
Quality
and plates accessible across the
whole Catalan Health • Standarization of
System nursery plans
• Telemedicine and • Reduction of
Home hospitalization movements to the
hospital
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19. Sistem availability and usage
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20. Results for managers and acute care professionals
ACTIVITAT
FUNCIONAMIENT
COMPLEXITAT
HOSPITALITZACIÓ ACCESSIBILITAT
HOSPITAL DE DIA CONSULTA EXTERNA
URGÈNCIES QUIRÒFANS
ESTRUCTURA
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21. Case Review
An Innovative Organization ?
Organisation Characteristics:
• Develop an active flow of ideas.
• Involve a wide cross-section of people.
• Let people free to take responsibility
for implementing their own ideas.
Characteristics
Capabilities:
• Ideas management.
• Collaboration in turning ideas into
action. Definition:
• Climate to foster and environment in New ideas that
add value
which innovation thrives.
Styles:
• Innovation as part of business Capabilities Styles
planning.
• Make innovation part of the culture.
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2010

22. Thanks!
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