Kabir Gulati - Swipe Sense
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Kabir is currently the Senior Product Manager at SwipeSense, a healthcare startup helping hospitals lower their costs and reduce preventable harm with intelligent sensors and actionable insights. He was an early member of the Procured Health/Lumere team and a Dedicated Advisor at the Advisory Board Company (ABCO), a health care consulting and best practices research firm based in Washington D.C.
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Kabir Gulati - Swipe Sense
- 1. Using Big Data to Change Behaviors in Health Care CONFIDENTIAL 9/24/2018
- 2. 2 Our mission is to help hospitals save more lives.
- 3. Our products, powered by a single platform, are designed to create positive change and deliver safer, more efficient environments for caregivers and patients. 3
- 5. 5 Hand Hygiene Asset Tracking
- 6. 6 Hand Hygiene Asset Tracking Labor Visibility
- 7. 7 One platform, big data,
- 8. • First – Read Dr. Ari Robiscek’s article on identifying care variation and the opportunity to change behaviors in data
- 9. TDABC = Time-Driven Activity Based Costing
- 10. • Second – Identify Michael Porter’s seminal article on using TDABC in Health Care • First – Read Dr. Ari Robiscek’s article on identifying care variation and the opportunity to change behaviors in data
- 11. Core Data Set • Staff location entry and exit timestamps Labor RN CNA … SwipeSense
- 12. For every dollar a hospital spends, between .50 and .60 cents will be on labor.
- 14. • Second – Identify Michael Porter’s seminal article on using TDABC in Health Care • Third – Meet Dr. Caleb Stowell for dinner, realize he has worked with Michael Porter on developing TDABC • First – Read Dr. Ari Robiscek’s article on identifying care variation and the opportunity to change behaviors in data
- 15. Why now? Advances in hardware Cloud-based architecture Room level accuracy Plug-and-play installation Lower cost (1/2 to 1/3rd) Advances in algorithms
- 16. Care Variation
- 17. 26% 19% 17% 15% 14% 11% 5% 5% 4% 44% 60% 27% 20% 28% 20% 11% 25% 6% 13% 5% 8% 6% 2% 6% 1% 1% 2% 0% 10% 20% 30% 40% 50% 60% 70% Certified Nursing Assistant Registered Nurse Respiratory Therapist Physical Therapist Environmental Services Worker Lab Assistant Physician Technician Transporter %TimeInRoom Average Max Min Sample Insight Time in Patient Room by Role (30 day period)
- 18. 26% 19% 17% 15% 14% 11% 5% 5% 4% 44% 60% 27% 20% 28% 20% 11% 25% 6% 13% 5% 8% 6% 2% 6% 1% 1% 2% 0% 10% 20% 30% 40% 50% 60% 70% Certified Nursing Assistant Registered Nurse Respiratory Therapist Physical Therapist Environmental Services Worker Lab Assistant Physician Technician Transporter %TimeInRoom Average Max Min Sample Insight Time in Patient Room by Role (30 day period)
- 19. Sample Insight Registered Nurse Time in Patient by Unit (30 day period) 26% 23% 22% 19% 18% 16% 15% 14% 60% 52% 51% 32% 31% 36% 40% 20% 6% 10% 5% 8% 5% 6% 5% 8% 0% 10% 20% 30% 40% 50% 60% 70% ICU NICU SCU Post Partum Medical Unit SUA CSU Labor & Delivery %TimeinRoom Average Max Min
- 20. Sample Insight Registered Nurse Time in Patient by Unit (30 day period) 26% 23% 22% 19% 18% 16% 15% 14% 60% 52% 51% 32% 31% 36% 40% 20% 6% 10% 5% 8% 5% 6% 5% 8% 0% 10% 20% 30% 40% 50% 60% 70% ICU NICU SCU Post Partum Medical Unit SUA CSU Labor & Delivery %TimeinRoom Average Max Min
- 21. 60% 45% 42%41%39%39%39% 37%36%36%35%35% 33%32%31%30%30%29%28%28%27% 26% 24%24%24%23% 20%20%19% 16%14%14% 12%11% 8% 6% 6% 6% 6% 0% 10% 20% 30% 40% 50% 60% 70% ID45021 ID1002255 ID33355 ID32317 ID33391 ID31908 ID33303 ID32408 ID32865 ID33200 ID33359 ID40866 ID33114 ID32548 ID1002590 ID1002584 ID1002599 ID31715 ID31940 ID33345 ID45378 ID1000522 ID41157 ID37080 ID1002435 ID41155 ID32204 ID33069 ID31801 ID31685 ID40862 ID33517 ID43775 ID32053 ID1002164 ID31707 ID32959 ID1002109 ID32980 %TimeinRoom Staff ID % Time In Room Sample Insight ICU Registered Nurse Time in Room by Staff (30 day period) Role Average 26%
- 22. Associating Labor with a Patient
- 23. Sample Insight Labor time by ICU patient (24h Period) 0.0 5.0 10.0 15.0 20.0 2120 2126 2122 2116 2115 2117 2114 2121 TimeinPatientRoom(hrs) Room Number Registered Nurse Respiratory Therapist Physical Therapist Physician
- 24. Associating Labor with a Physician
- 25. Sample Insight Labor time by Provider (illustrative) Labor SwipeSense
- 26. What other behaviors can we change?
- 27. Appendix
- 28. Hand Hygiene: How it works
- 29. Example shown attached to bed. Asset Tracking: How it works
- 30. Mesh Network
Notes de l'éditeur
- Why do we exist? What do we do? Most importantly WHY do we do it?
- We have created one infrastructure to run multiple applications – starting with electronic hand hygiene – that are designed to improve the clinical and financial metrics most important to your hospital.
- We will get in to the specifics of the system in a moment – but I’d like to call out that we took a new approach to building an electronic hand hygiene system that truly works for hospitals. Given challenges with legacy systems, we developed an application that has high location accuracy, is non-disruptive to your clinician workflow, and surfaces accurate and reliable data via an intuitive dashboard. Currently, our system is deployed in over 20 hospitals in the U.S. (the most of any modern system on the market today).
- Our next application came from one of our customers. The BioMed team at Salt Lake Regional Medical Center was putting our staff badges on their assets to make sure they could keep tabs on them and locate them when necessary. The BioMed director asked us to build him an asset tracking product, so we did, and he uses it daily. We then met with members of BioMed, Supply Chain, Clinical Staff, and Patient Transport teams across our customer base to design an application with all of their needs in mind and deliver a product that has operational, clinical, financial and technological benefits.
- As mentioned, we partner closely with our hospitals to design and develop products that address key challenges of multiple stakeholders, and we will want to partner with you in the same fashion – you will help us continue to build out our next set of applications.
- Here is what makes us special. One infrastructure, running multiple applications, improving all of your core metrics in a connected hospital. Designed to adapt to changing healthcare landscape.