Sphaira | Enterprise Resources CARE

Multiple Layer Information

Management are basically divided into 3 layers all over the industry, and each layer have different function in parts strategy. To accommodate the harmonization of that, all layers should rely on trusted source of data and build them into different perspectives as the responsibility.

1. Operational Management
Daily Operational Routine

Operational management's role is to make sure all of the hospital's daily activities runs properly and requires the support of reporting in daily, weekly and monthly basis to determine the achievement. Typically, reports need static data or fixed reports in paper-based size.

2. Middle Management
Monitoring Tools

Middle management concerns are certainly different from operational management. There is more concern over the quality of service to ensure the patients or customers are satisfied.

The system's areas of concern are in 2 areas internal and external:

• Workflow "Orders" Monitoring

Consider the needs for hospital to be able to manage the quality of care for each ancillaries support as required for accreditation, we propose "workflow orders monitoring" that has adopted the push technology of information into specific devices such as IPTV or computers based on the specific ip address to enable the supervisors or managers stay informed of the actual status and condition to take the necessary action.
The information provided will always show the sequence of process in durations and color code and automatically refresh to get the latest information.
The workflow order monitoring divided into 2 groups:

1. • Clinical Order Monitoring consist of:
     • Pharmacy Monitoring.
     • Laboratory Monitoring.
     • Imaging Monitoring.
     • ICU Monitoring.
     • Emergency Monitoring.
     • Patient List Monitoring.
     • MCU – Corporate Monitoring.*
     • Operating Theater Monitoring.*
     • Nursing Care Monitoring.*
   • Non-Clinical Order Monitoring:
     • Procurement Monitoring.
     • Service Order Monitoring.

3. Top Management
Tools: BI, BSC, Big Data (Predictive Analytics)

The information required by the top management is definitely different with others; they have two concerns, about the hospital performance (historical based) and the achievement of targets (for future).

• Business Intelligence

Business intelligence (BI) is a technology-driven process for analyzing data and presenting actionable information to help top management, corporate executives, business managers and other end users make more informed business decisions. BI encompasses a variety of tools, applications and methodologies that enable hospitals to collect data from internal systems and external sources, prepare it for analysis, develop and run queries against the data, and create reports, dashboards and data visualizations to make the analytical results available to decision makers.

The potential benefits of using business intelligence are:

1. • Accelerating and improving decision-making.
   • Optimizing internal business process.
   • Increasing operational efficiency.
   • Driving new revenues.
   • Gaining competitive advantages over business competitors.

BI data can include historical information, as well as new data gathered from other sources and support both strategic and tactical decision-making process.

• Balanced Scorecards

Balanced scorecards (BSC) is a strategic planning and management system that is used extensively in business and industries to align business activities to the vision and strategy of the organization, improve internal and external communications, and monitor organization performance against strategic goals.
Robert Kaplan and David Norton originated it in 1990's and since then, more than 50% of large US firms have adopted it and continue using it in Europe and Asia. A recent global study by Bain & Co listed balance scorecard fifth on its top ten most widely used management tools around the world.BSC is a management system that enables organization to clarify their vision and strategy and translate into action.
BSC provides a clear direction to organization measurements in order to balance the 4 main perspectives and develop metrics, collect data and analyze it relative to the perspectives:

1. 1. Financial perspective.
   2. Customer perspective.
   3. Internal process perspective.
   4. Learning and growth perspective.

Strategy mapping is used to communicate the all perspectives as logical strategic objectives in the form of a cause-and-effect chain.

• BIG Data (Predictive Analytics)

Healthcare intelligence to ensure improvement to patient outcomes and reduce healthcare cost through actionable evidence based insight. With advances in machine learning and analytics, it is now possible to not only reflect at what had happened, but also predict what could happen next and what you should do about it.
Predictive analytics infuse insight at the point-of-care to improve patient outcomes and overall population health management.

Some sample of Predictive Analytics in Healthcare according with Predixion:

1. • Preventable Readmissions.
   • Length of Stay Management.
   • Predictive (elective) Surgery.
   • Hospital Acquired Illness.
   • Population Health Management.
   • Medication Adherence.