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The Health Care Systems Resource The Health Care Systems Resource Center:Center:
Potential ContributionsPotential Contributions
David Ben-Arieh Ph.DDavid Ben-Arieh Ph.DJohn Wu, Ph.DJohn Wu, Ph.D
State Network Council Meeting State Network Council Meeting July 29, July 29,
Hilton Wichita AirportHilton Wichita Airport
AgendaAgenda Critical Access Hospitals: our viewCritical Access Hospitals: our view Who we areWho we are Clinical Medical recordsClinical Medical records Facilities ManagementFacilities Management Operations ImprovementsOperations Improvements SummarySummary
Critical Access HospitalsCritical Access Hospitals Limited capacity and CMS stipulationsLimited capacity and CMS stipulations Shortage of medical staffShortage of medical staff Special reimbursement arrangementsSpecial reimbursement arrangements Limited IT infrastructure and supportLimited IT infrastructure and support Cooperating with a supporting hospitalCooperating with a supporting hospital 83 in Kansas participating in 21 rural 83 in Kansas participating in 21 rural
health networkshealth networks
Who We AreWho We Are Department of Industrial and Department of Industrial and
Manufacturing Systems Engineering at Manufacturing Systems Engineering at Kansas State UniversityKansas State University
Systems Engineering expertiseSystems Engineering expertise Eleven full time facultyEleven full time faculty Fifty graduate and 150 undergraduate Fifty graduate and 150 undergraduate
students students Cooperation with all related Cooperation with all related
departments at KSUdepartments at KSU
Capabilities/Areas of ExpertiseCapabilities/Areas of Expertise Computer simulationComputer simulation Benchmarking, MetricsBenchmarking, Metrics Safety, Risk Assessment/ManagementSafety, Risk Assessment/Management Reliability, Quality ControlReliability, Quality Control Information TechnologyInformation Technology Project ManagementProject Management Resource ManagementResource Management Ergonomics, Human FactorsErgonomics, Human Factors Logistics - Logistics - Inventory management, procurement Inventory management, procurement
Process and Operations OptimizationProcess and Operations Optimization
How can we help?How can we help?
• Clinical Medical Records
• Facility management
• Process Improvement
• Additional opportunities…
Clinical Medical Record Clinical Medical Record No need for IT infrastructureNo need for IT infrastructure Very little overheadVery little overhead Very (very) inexpensiveVery (very) inexpensive Improves communicationsImproves communications Improved efficiencyImproved efficiency Reduces errors, increased patient safetyReduces errors, increased patient safety Reduces reporting effortReduces reporting effort Access to standardized reportsAccess to standardized reports Customized internal auditing capabilityCustomized internal auditing capability Can be integrated with your existing EMRCan be integrated with your existing EMR
ExamplesExamples Connecting an Emergency Department Connecting an Emergency Department
to existing information system.to existing information system. Developing a “light” EMRDeveloping a “light” EMR
Web Based EMRWeb Based EMR 3
Instance Report
Risk Assessment (A-K)
Web Based EMRWeb Based EMR 3
Instance Report
Risk Assessment (A-K)
Facility ManagementFacility Management Improves operations Improves operations Reduce traffic Reduce traffic Improves patient flowImproves patient flow Better space utilizationBetter space utilization Reduces costsReduces costs Energy savingEnergy saving
ExamplesExamples Development and analysis of a new Development and analysis of a new
layout at a Critical Access Hospital layout at a Critical Access Hospital (Ellsworth County Medical Center)(Ellsworth County Medical Center)
Improved design of a large scale Improved design of a large scale pharmacy (Irwin military hospital).pharmacy (Irwin military hospital).
Improved facility design Improved facility design (Mercy Regional (Mercy Regional Medical Center – Manhattan)Medical Center – Manhattan)
Space Analysis:Space Analysis:Room SpecificationsRoom Specifications
LengthLength WidthWidth Sq. FtSq. Ft
Classroom #1Classroom #1 1616 3737 588588
Classroom #2Classroom #2 1616 3737 588588
Classroom #3Classroom #3 3737 3232 11881188
Training RoomTraining Room 1515 1515 225225
Computer RoomComputer Room 3131 2929 902902
Teacher's SpaceTeacher's Space 2020 2929 580580
Food Court AreaFood Court Area 3333 3434 11331133
AV Supply RoomAV Supply Room 1212 77 8080
Warming KitchenWarming Kitchen 1515 1414 210210
HallwaysHallways 8585 66 512512
Furniture by RoomFurniture by RoomPrice/unit
Number of Units
TotalPrice
ClassroomErgonomic Computer Chair $129.00 100 $12,900.00
Classroom tables 72" $499.90 40 $19,996.00
Total Price/room $32,896.00
Foodcourt/Warming KitchenMulti-Use Plastic Stack Chair $49.00 50 $2,450.00
Multi-Purpose 42" Round Table $219.00 9 $1,971.00
Total Price/room $4,421.00
LibraryTeacher/Computer Cubicle $1,290.00 3 $3,870.00
Multi-Purpose 42" Round Table $219.00 2 $438.00
Multi-Use Plastic Stack Chair $49.00 8 $392.00
Wooden Bookcase $49.98 2 $99.96
Total Price/room $4,799.96
Computer RoomErgonomic Computer Chair $129.00 20 $2,580.00
Computer tables 42" $259.00 20 $5,180.00
Total Price/room $7,760.00
TOTAL $49,876.96
Cost Cost AnalysisAnalysis
Furniture CostClassrooms $32,896.00
Food Court/Kitchen $4,421.00Library $4,799.96
Computer Room $7,760.00
Total $49,876.96
Cost- $130 per sq. ft. Classroom #1 $76,440.00Classroom #2 $76,440.00Classroom #3 $154,456.58Training Room $29,250.00
Computer Room $117,247.00Teacher's Space $75,400.00Food Court Area $147,315.57
AV Supply Room $10,400.52Warming Kitchen $27,300.00
Hallways $66,495.00
Total $780,744.66
Annual Energy Consumption
$6,156.60Total $6,156.60
Total Cost $836,778.22
Total Building Costs
The energy costs are calculated only for the new
sections and they are based on sq. ft.
Sq. Ft was estimated by a Kansas State University
Construction Science Student and manager of the
residential construction Company, Seiler
Construction Inc, Wichita Ks
Operations ImprovementOperations Improvement Improves quality and patient safetyImproves quality and patient safety Reduces costReduces cost Improves patient satisfactionImproves patient satisfaction Improves cooperation with supporting Improves cooperation with supporting
hospitalhospital Better risk management Better risk management What-if analysis What-if analysis Many more benefitsMany more benefits
ExamplesExamples Improving the operation of a Surgery Improving the operation of a Surgery
and Diagnostics/testing center and Diagnostics/testing center (Hays)(Hays) Reducing patient waiting time in a for-Reducing patient waiting time in a for-
profit ambulatory surgical center profit ambulatory surgical center (Manhattan Surgical Center)(Manhattan Surgical Center)
Update Surgery DetailUpdate Surgery Detail Full Form View
Update Surgery DetailUpdate Surgery Detail Full Form View
Remote Rapid Response TeamsRemote Rapid Response Teams -- RRRTRRRT
Supplement local clinical talent Supplement local clinical talent Identify problems very early onIdentify problems very early on Make better patient transfer decisions:Make better patient transfer decisions:
• Avoid unnecessary transferAvoid unnecessary transfer• Transfer patients before it is too lateTransfer patients before it is too late
Establish disaster preparednessEstablish disaster preparedness Provide better risk management Provide better risk management
(KUMed Dr. Simpson, Mr. Peterson) (KUMed Dr. Simpson, Mr. Peterson)
Special Thanks to …Special Thanks to … The Pratt team The Pratt team
• Susan PageSusan Page• Sherry BesserSherry Besser• Julie Dearinger Julie Dearinger • Luke KumbergLuke Kumberg
Hays Medical CenterHays Medical Center• Dr. Bob CoxDr. Bob Cox• Terry SiekTerry Siek• Bill NorrisBill Norris
EllsworthEllsworth• Roger PearsonRoger Pearson• Beth VallierBeth Vallier
Manhattan Surgical CenterManhattan Surgical Center• Scott Chapman
Irwin Military Hospital• Richard Hoyt
KU Medical Center• Dr. Simpson• Doug Peterson• Carol Cleek
And many involved staff members!
Contact InformationContact Information Dr. David Ben-AriehDr. David Ben-Arieh
email: email: [email protected]@ksu.eduphone: (785) 532-3724phone: (785) 532-3724
Dr. John WuDr. John Wuemail: email: [email protected]@ksu.eduphone: (785) 532-3734phone: (785) 532-3734
Fax: (785) 532-3738Fax: (785) 532-3738
Address: Address: 216 Durland Hall,216 Durland Hall,Kansas State UniversityKansas State UniversityManhattan, KS, 66506Manhattan, KS, 66506