Transcript SmartSurg-12-14

“SmartSurg is an application built to
increase the profitability of ambulatory
surgery centers.”
Product Summary
• Intelligent system that recommends to your
staff where to go and what to do next
• Uses features such as:
–
–
–
–
Resource tracking
Electronic message boards
Artificial intelligence
Simulation modeling
• Why consider it?
– Increase your capacity
– Lower your cost of operations
– Increase patient safety
3
In a Nut-Shell…
• Product built on “just-in-time”
manufacturing concepts
• Changes the production ceiling from
the scheduler or “boardman” to the
number of procedure rooms or
surgeons
• Efficiently alerts surgeons where to go
next
• Built to maximize throughput and
revenue
4
SmartSurg Benefits
• Increased procedure capacity
• Increased patient safety
– Ability to track and measure Joint
Commission and accreditation goals
– For example, goals 1A, 2B, 2C, & 2E can
be met and documented
– Record “near misses”
• Reduction in operational costs due to
efficiency gains
5
Product Specifications
• Real-time communications system
• Interfaces with existing scheduling and
EMR systems
– Provides “dynamic scheduling”
• Wireless patient and resource tracking
– Communicates patient and resource status
• Proactive system decision-making
– Artificial intelligence based on gaming theory
• Proactive monitoring of patient flow to
minimize bottlenecks
6
Surgery Center Throughput
Maximum Patients Per Day
160
140
120
100
80
60
40
20
0
After Modeling Study
4 Performing Doctors
Average Market
System
5 Performing Doctors
SmartSurg
6 Performing Doctors
7
Client Net Revenue Projections
Estimated Annual Net Revenue
$20,000,000
$15,000,000
$10,000,000
$5,000,000
$0
After Modeling Study
4 Performing Doctors
Average Market
System
5 Performing Doctors
SmartSurg
6 Performing Doctors
8
Net Results & Financial Impact
% Increase in Capacity
% Increase in Volume
Revenue / Case
Annual Volume
Fixed Costs
Variable Costs
Total Costs
EBITDA
Cost / Case
Fixed Costs
Rent / Loan Repayment
Utilities
Equipment
Maintenance
Supplies
Adminstrative Salaries
Variable Costs
Clinical Salaries
Support Staff Salaries
Drugs
Office Supplies
Marketing
Clinical Supplies
SmartSurg
15% Change in Net Earnings
15% Change in Cost per Case
31%
-5%
$530
3750
$1,987,500
$245,300
$1,205,500
$1,450,800
$530
4313
$2,285,625
$245,750
$1,334,313
$1,580,063
$536,700
$387
$705,563
$366
Existing Cost
$21,500
$2,500
$36,800
$500
$4,000
$180,000
$245,300
Change
0%
15%
0%
15%
0%
0%
Work the numbers yourself
with the worksheet included.
Forecast Cost
$21,500
$2,875
$36,800
$575
$4,000
$180,000
$245,750
$400,000
0%
$400,000
$200,000
0%
$200,000
$300,000
15%
$345,000
$4,000
0%
$4,000
$1,500
0%
$1,500
$300,000
15%
$345,000
----------------------------------------------$0
$38,813
$1,205,500
$1,334,313
9
Communication in Today’s
Outpatient Surgery Centers
• White boards used to communicate/track:
– Patient location (i.e. exam room, phlebotomy,
pre-op, surgery, recovery)
– Procedure to be performed
– Physician assigned to patient
– Patient drug allergies
– Any other important step in the process
• Simple electronic message boards
– Display location status
– Offer no decision making or increase in
capacity
10
Today’s Communication is Inefficient
Communication
• Patient status (i.e. IV needed, patient
ready for surgery, etc.)
• Room status (i.e. room needs cleaning,
room cleaned, etc.)
• Physician/staff direction (i.e. physician
should go to which room next, staff
should bring which patient to which
surgery room next)
11
Common Issues
• Inaccurate/slow white board updating
causes poor communication which lead
to lost capacity and process delays
• High patient volumes and higher cost
per case force us to look for more
efficient ways to do business
12
Other Solutions in the Marketplace
• Wireless tracking systems
• Various output devices to deliver information
(i.e. flat screens, PDAs, pagers, etc.)
• Ability to integrate with existing scheduling
systems
• Ability to direct resources based on:
– Schedule provided
– RULES-BASED SYSTEMS
13
Limitations of These Systems
•
•
•
•
•
Only as good as the “RULES”
Cannot implement a rule for every situation
Rules may not reflect the “best decision”
Inflexible to handle changes on the fly
Still requires administrator to analyze data
for basic decision making and bottleneck
intervention
14
Comparison of Systems
SmartSurg is Not RULE BASED!
– Other systems
• Collect and display information
• Decisions are left to a human to make
• Busy days and out of the ordinary occurrences are not
accounted for
– SmartSurg
• Makes recommended action decisions and priority lists
• Collects and displays information
• Uses planned schedule and adjusts constantly
• Built for the days that go “unplanned”
• Uses RF and/or IR technologies
15
System Comparison Chart
Issue
SmartSurg
Rules-based
Real-time Updates
X
X
ADOPS
(Adaptive, Dynamic, Optimized
Predictive Scheduling)
X
Prioritization
X
Ability to Learn
X
Adaptive Decision-making Ability
X
Artificial Intelligence
X
100% Accurate Data – Always
X
On the Fly Adaptability
X
System can proactively avert
bottlenecks
X
X
16
Product Design
RF/IR receivers transmit
signals from badges to
network servers
RF/IR (Radio Frequency/Infrared)
badges track patient location.
Flat screens are located
throughout the surgery
center to display realtime status info.
Network servers
analyze information.
Touch screens are located
in all procedure rooms
and post-op rooms.
17
Technology Components
•
•
•
•
•
Data Model
Path Management Engine
Simulation Engine
Gaming Engine
Fuzzy Logic Engine
18
System Artificial Intelligence
Q: Two doctors leave procedure rooms at the
same time with next patients ready for each,
but only one procedure room available; which
doc goes next?
A: The answer here depends on the situation; i.e.
what if Dr. “X” is behind because of a difficult
stick on an earlier patient or Dr “Y” has three
patients in post-op that are waiting to be
released . . .
19
Predictive Decision-Making
Q: Why does it matter if we choose patient A or
patient B to go next at 9:00 a.m. when both
are ready at the same time?
A: Decisions that are made in the morning may
have a ripple effect on the afternoon schedule.
SmartSurg constantly analyzes all potential
outcomes of each decision and its potential
impact on the rest of the day.
20
Additional SmartSurg Features
• All times are logged for reference and
reporting
• Web reporting available
• Real time operations management
package in development
• You can be on the beach and watch
your patient flow (and resources) in
real time!
21
The Intersection of Finance and Operations
• Situation #1 – Demand > Capacity
–
–
–
–
SmartSurg increases capacity
SmartSurg increases net profitability
Fixed costs remain constant
SmartSurg decreases cost per case even after the
charge for the system
• Situation #2 – Capacity > Demand
– SmartSurg increases capacity but no increase in
volume
– SmartSurg decreases cost of operations
– SmartSurg decreases cost per case even after the
charge for the system
22
Next Steps
• Fill out estimate data sheet to find out
how much SmartSurg could help you
• Fill out the economic value model
worksheet
• Schedule a conference call to discuss
the results
• If you feel SmartSurg is right for you,
take advantage of our no risk
guarantee
23
Demo and Discussion
For a demonstration, please call
Healthcare Enterprise Solutions
866-319-8288
24