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Penn State National Science Foundation Center for Health Organization Transformation
(Penn State CHOT) - An Industry-University Cooperative Research Center
November 2018
CHOT 2018 Project Highlight 
Surgical Intensive Care Unit Surgeon Workflow Management
Originally uploaded by Los Angeles Times
 
Penn State Health Milton S. Hershey Medical Center (HMC) Surgical Intensive Care Unit (SICU) is a 30-bed intensive care unit staffed by board certified surgeons and anesthesiologists with specialization in critical care. Board certified surgeons supervise a team of resident surgeons in daily patient care activities. Daily resident surgeon activities are divided between direct patient care activities (e.g. procedures, patient education) and indirect activities (e.g. patient rounds, clerical responsibilities). 

Penn State Health Milton S. Hershey Medical Center Surgical Intensive Care Unit blueprint
Resident surgeons at HMC SICU spend the majority of their time fulfilling clerical responsibilities instead of direct patient care activities. David Morrell, a general surgery resident at HMC, aims to assess current resident surgeon workflow. The objective is to implement intervention to maximize direct patient care activities and measure changes in resident surgeon workflow.

A survey to elicit surgeon perceptions of current workflow was distributed to 29 resident surgeons and 8 senior supervising surgeons. Perceptions will be corroborated utilizing physician location tracking. Radio-Frequency Identification (RFID) tags will be exploited to monitor real-time locations of surgeons. Physical location is highly predictive of surgeon activity - direct patient care happens exclusively in patient rooms. 

Workflow intervention will be implemented based on survey and tracking results. Potential interventions include electronic medical records (EMR) interventions or change in patient rounds format. EMR interventions would utilize a new clinical documentation format that draws more clinical information already present in the EMR automatically into the note. Following intervention, Morrell aims to reassess surgeon workflow using the same methods of surveying and physician outcome tracking. 

Physicians continue to have significant clerical responsibilities as part of indirect patient care. Competing balance between indirect and direct patient care can interfere with time spent with patients. Direct patient care remains a vital part of optimal health care outcomes and innovative options to maximize those interactions continue to be an important and interesting component of health care.  
Web-based software to monitor real-time locations of surgeons


RFID reader to detect and track locations of RFID tags
 
CHOT Industry Member Information  
   
Siemens Healthineers aims to enable health care providers to increase value by expanding precision medicine, transforming care delivery, and improving patient experience, all enabled by digitalizing health care.  
 
An estimated five million patients globally everyday benefit from their innovative technologies and services in the areas of diagnostic and therapeutic imaging, laboratory diagnostics and molecular medicine, as well as digital health and enterprise services.

They are a leading medical technology company with over 170 years of experience and 18,000 patents globally. With more than 48,000 dedicated colleagues in over 70 countries, the company continues to innovate and shape the future of health care.
 
With strong relationship and cooperative research with Siemens, CHOT has advanced knowledge and practice of transformational strategies in evidence-based management, information technology, clinical practice, and organizational learning.    
 
 
 
 
Upcoming Event
Spring 2019 IAB Meeting
Hosted by Penn State & Siemens Healthineers

Date: Wed., April 3, 2019 and Thurs., April 4, 2019
Location: Penn State Great Valley Campus, Auditorium
30 Swedesford Road, Malvern, PA 19355

More information about the event can be found here.

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