Australian Telehealth Conference 2018 Dr Avnesh Ratnanesan CEO, - - PowerPoint PPT Presentation

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Australian Telehealth Conference 2018 Dr Avnesh Ratnanesan CEO, - - PowerPoint PPT Presentation

TRANSFORMING THE PATIENT EXPERIENCE IN THE WORLD OF DIGITAL HEALTH Australian Telehealth Conference 2018 Dr Avnesh Ratnanesan CEO, Energesse @energesse PATIENT EXPERIENCE. CONSUMER ENGAGEMENT. OUTCOMES Western Sydney Local Health District


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TRANSFORMING THE PATIENT EXPERIENCE IN THE WORLD OF DIGITAL HEALTH Australian Telehealth Conference 2018

Dr Avnesh Ratnanesan CEO, Energesse @energesse

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PATIENT EXPERIENCE. CONSUMER ENGAGEMENT. OUTCOMES

Western Sydney Local Health District South Western Sydney Local Health District

CSIRO Health & Biosecurity

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THOUGHT LEADERSHIP TECHNOLOGY TRAINING

PX SOLUTIONS TO TRANSFORM EXPERIENCE

Research Consulting & Advisory Speaking Real-Time Patient & Staff Feedback (Survey) Platform PX Training Program

  • 6 E’s

Energesse.com

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HEALTHCARE QUADRUPLE AIMS

  • 1. Don Berwick et al Health Affairs 2008 Triple Aim, Insitute of Healthcare Improvement 2. Bodenheimer et al Annals of Family Medicine 2014
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WHAT IS Patient Experience (PX) ? The sum of all interactions, shaped by an organization's culture, that influence patient perceptions across the continuum of care.”

  • Beryl Institute
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EVIDENCE ON PATIENT EXPERIENCE, SAFETY & QUALITY

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PX CHALLENGES IN AUSTRALIA

Measurement challenges

1. Disparate, uncoordinated survey systems 2. Quantitative, not qualitative – root cause unclear 3. Minority exclusion 4. Tick-box exercise

Translate data into improvements

1. Ad-hoc actions 2. Complex ROI 3. No clear KPI’s

Analysing Insights

1. Delayed results - up to 18 months 2. Reports & Benchmarks – Too macro & lack intelligence

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Energesse.com

Experience: How to capture and measure patient experience Emotions: Analyse stories and comments for pain points and delights Engagement: How to engage front-line staff, clinicians and management in the change process Execution: Implement strategies, service recovery solutions, quality improvements and policy Excellence: Redefine success and accountability to patient-centered KPI’s Evolution: Scale maturity, repeatability and capability with future trends

HOW TO MEASURE AND IMPROVE PATIENT EXPERIENCE: 6E’s

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E.1 = EXPERIENCES

Energesse.com

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MEASURE ACROSS PATIENT JOURNEY

Surgery Hospital Inpatient General Practice & Allied Health Rehabilitation Medication Outpatient Home Workplace Supplements Health/Life Insurance

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MES EXPERIENCE The digital platform that helps you measure the patient experience & emotions in real-time

Award Winning Program – 2 Western Sydney Local Health District Quality Awards: Chairman’s Award & Bob Leece Award 2017

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OMNI-CHANNEL APPROACH

Online Mobile (SMS) Email Kiosk and Tablet Automated Telephone Surveys Postcards and Drop-boxes

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WESTMEAD HOSPITAL: OMNI-CHANNEL MEASUREMENT

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CAPTURE EXPERIENCE - REAL-TIME SURVEYS & FEEDBACK

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FREE TEXT COMMENTS = ROOT CAUSES

“Nurse Sarah was very rushed, I also did not understand the doctor’s advice about how much medication to take. The doors on this ward keep slamming, I can’t sleep”.

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E.2 = EMOTIONS

Energesse.com

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EMOTION ANALYTICS OF FREE-TEXT COMMENTS (NLP/AI) for Human-Centered Co-design

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AUTOMATED CODING ‘VOICE OF THE PATIENT’ AND ROOT CAUSE ANALYSIS

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E.3 = ENGAGEMENT

Energesse.com

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FRONT LINE WORKFORCE CHALLENGES

  • 1. Engaging staff and clinicians to take action
  • 2. High demands – fatigue, burnout
  • 3. Time and resource constraints
  • 4. Defensiveness towards feedback
  • 5. Internal competition and ‘politics’
  • 6. Prioritise Outcomes vs Experience e.g. “I treat the

tumour, not the patient”

  • 1. Harvard Business Review May 2013 Healthcare’s Service Fanatics 2. Bodenheimer et al Annals of Family Medicine 2014
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The Future of Employee Engagement & Co-Design

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E.4 = EXECUTION

Energesse.com

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HCAHPS Survey scores and Performance measures (Net & Operating Margins and Return On Assets)

PATIENT EXPERIENCE & VALUE-BASED CARE

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E.5 = EXCELLENCE

Energesse.com

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CASE STUDY EVIDENCE OF OUTCOMES

Hertfordshire Partnership University NHS Foundation Trust

Service Question July- Sept 2015 Action Taken Oct-Dec 2015 Change Albany Lodge If you came here from another service, were you kept informed throughout the process 22% At all staff meetings the team now discuss how the Trust can improve the transfer process so patients are better informed 54% + 32% Aston Ward Do you feel listened to? 57% 1:1 time was put aside for service users to express all their thoughts and feelings 100% + 43% RAID (Lister) Do you know how to mental health support out of hours? 90% Service Users provided with mental health helpline cards with relevant contact details 100% + 10% Holly Lodge Has your mental health medication and any side effects been explained to you? 50% Staff time was put aside to explain and provide more information on medication in 1:1 and group sessions 73% + 23%

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OUTCOMES IN AUSTRALIA

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E.6 = EVOLUTION

Energesse.com

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TECHNOLOGY SINGULARITY POINT – 2050

EMPATHY POINT - 2023

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E.6 = EVOLUTION

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Does anyone measure experience with an IT solution?

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Improving Patient Experience & Consumer Engagement

avnesh@energesse.com 02 8091 0918