HCA Healthcare: Improving patient care with process intelligence
Coming out of the COVID-19 pandemic, Matt Oliver was looking for ways to transform operations at HCA Healthcare, which operates over 180 hospitals and approximately 2,400 sites of care in the US and UK. He wanted to drive change across the organization at the enterprise level, and as part of the Care Transformation & Innovation Group, he was on the lookout for “creative ways of thinking” and new technologies to accomplish this. “Celonis fit that bill,” Oliver told Brown and the audience.
“No one has really applied process mining to the patient experience and the patient journey,” Oliver said. “So we wanted to take as a group, and map out what does that look like from the time the patient comes in the door, to the time they leave our hospitals, and really figure out where the inefficiencies in that process are, where can we get things back on track, and in doing so, improve the quality of care that our health system is seeing and the patients experience along the way.”
They started in the emergency room. Oliver explained that the vast majority of HCA’s 43 million annual patient encounters happen within the ER, so improving ER efficiency would have a major impact on the patient journey. If a patient spends extra time in the ER, there’s a greater chance they’re going to be uncomfortable, he said. Likewise, if the first patients of the day don’t move through the ER efficiently, not only could their care be affected, but the delays will compound throughout the day, affecting the care of the patients that come in at midnight.
Oliver and the team knew that to get buy-in from the clinicians, the doctors and nurses who would implement any ER process improvements, they needed an “airtight” case for their change recommendations based on real-world data. So, the team pulled information directly from their electronic medical record system into Celonis. “We spent the vast part of our first 18 months of this journey, probably the first year really, making sure that we knew and understood every activity that was taking place,” he said. “That we had all of those mapped correctly in the system and then could build upon that.”
With the data inside Celonis, the platform was able to deliver meaningful process insights, showing the team which KPI improvements would have the largest impact. “The system is great about saying, ‘Hey, if you would improve and hit [your] goal on this specific throughput metric, then you're going to see the biggest bang for your buck in terms of the overall performance.’”
Oliver also highlighted the importance of having an interdisciplinary team to HCA’s transformation success. “We've got leaders on the data science side, clinical leaders that can bring insight into what's going on in this space, and we really came together as a team to approach this problem with Celonis, bringing the expertise from the Celonis team into the mix and truly being able to map out what problem we were trying to solve for,” he said “So, I think we were very good and intentional about bringing the right people to [the] conversation and really driving towards that common goal.”
Read: Process Intelligence: Helping providers overcome the great disconnect in healthcare