Custom Applications for Pandemics:ROI beyond Primary KPISes s ion HA6, Augus t 11, 2021

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Associate Chief Clinical Information OfficerRavi S. Tripa thi, MD, MBA

DISCLAIMER: The views and opinions expressed in this presentation are solely those of the author/presenter and do not necessarily represent any policy or position of HIMSS.

Assistant Director, Software Engineering

Chad Laucher, BS

2#HIMSS21

Welcome

Assistant Director of Software Engineering

Chad LaucherAssociate Professor, Clinical

Associate Chief Clinical Information Off

Ravi S. Tripa thi

#HIMSS21

Conflict of Interest

Chad Laucher, BS

Has no real or apparent conflicts of interest to report.

Ravi S. Tripathi, MD, MBA

Has no real or apparent conflicts of interest to report.

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#HIMSS21

Agenda

• Clinical Problem of Health Monitoring for COVID-19

• Proposed Technology Solutions

• Challenges and Agile Implementation

• Outcomes and Future Direction

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#HIMSS21

Learning Objectives

• Recognize the key factors that are utilized in the development of custom application for rapid implementation, using agile workflow

• Understand the financial return on investment for institutions of custom applications, specifically with staffing resources

• Leverage the secondary benefits for promoting staff wellbeing and mitigating employee burnout with custom applications for health monitoring and PPE inventory during a pandemic

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#HIMSS21

Hierarchy of Controls

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PPE

Administrative Controls

Engineering Controls

Substitution

Elimination

National Institute of OccupationalSafety and Health (NIOSH)

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• As part of routine practice, HCP should be asked to regularly monitor themselves for fever and symptoms of COVID-19.

• Screen all HCP at the beginning of their shift for fever and symptoms consistent with COVID-19

Center for Disease Control (CDC) Actively take their

temperature

and document absence of

symptoms consistent with

COVID-19

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Health MonitoringAdministrative

Controls

Ohio Department of Hea lth

Governor’sExecut ive Order

Center forDis eas e Control

The Joint Commis s ion

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Regula tory Requirements

Screen All Sta ff and Employees1

Monitor Hea lth Symptoms3

Monitor Tempera ture2

Document Compliance4

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THE Ohio StateUniversityHealth System

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Ins t itut iona l Governance

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Health of the

Workforce Taskforce

COVID 19 Healthcare

Team

Ohio State University Executive

Team

Clinical LeadersIT Representatives

Subject Matter Experts

Medical Center LeadershipChief Clinical Information Officer

Committee and Task Force Leaders

Executive Vice PresidentChief Medical Officer

Chief Information Officer

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Timeline

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Government Executive Order

Health System

AdoptionWorkforce Charged

Pilot Testing and Completion

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ProposedRequirements byMedical CenterLeadership

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Screen Employees & Staff for Tempera ture and Symptoms

Surveillance forEmployee Health Service

Documenta t ion and Databas e for Report ing

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Employee HealthMonitoring

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Authentication

Status Screen

Simple COVID Questionnaire

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2

3

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Application Development Lifecycle

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Gather Requirements

Create Wireframes

Develop Application

Customer Validate

Deploy Application

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How did we adjust?

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Leveraged Existing Framework

Daily Feedback from Product Owner

Flexible Project Team

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Manual Process for Exceptions

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1

2

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Technical Challenges

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Security Review1 Application Users2 Reporting Compliance3

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Transition to OSU Mobile Application

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Established OSU Project Team Shared Design and Lessons Learned

Tested Data Import / Reporting Soft Launch

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Ohio StateApplication

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Native Mobile App

IVR Capabilities

Consistent Application

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2

3

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Health ScienceStudent Health Monitoring

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Consistent Experience

Different Reporting Structure

Additional Health Questions

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2

3

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3/27

8.8K 8.8KEmployees Screened

Implementation

Entries Logged

650Project Hours

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Pres erve WellbeingDecreas e Dis eas e

Trans mis s ion

Opt imize Sta ffing Res ourcesMainta in the Workforce

Key Performance Indicators

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0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

0 1 5 10 15 20 25 30

Empl

oyee

s Scr

eene

d

Days

Health Monitoring Application Entries First 30 Days

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15SecondsManual

24

5Seconds

App

480+Employees

/ Hour

COST

Project Time 650 Hours

SAVINGS

Manual Screenings / Hour 240 Employees

Application Screening / Hour 720 Employees

Additional Employees Screened / Hour 480 Employees

RETURN ON INVESTMENT

Time Saved / Employee 10 Seconds

Cost Neutral (Screenings) 234,000

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Project Hours Recovered by Day 40

0

100

200

300

400

500

600

700

800

900

1000

0

4

8

12

16

20

24

28

32

36

40

0 5 10 15 20 25 30 35 40

Hour

s Rec

over

ed (T

otal

)

Hour

s Rec

over

ed (D

aily

)

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Perceived Threat ofCOVID-19&Toilet Paper Stockpiling

Threat of COVID

StockpilingEmotionality

27Adapted from Alizadeh A, et al. BMC Psychiatry. 2020.

Job Demands

Health Impairing

Job Resources Engagement

Motivational

Job Burnout

+

+

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“Clear recognition and support of importance of physician wellness from leaders”Trocket, M et al. (2016)

Physician Wellness Survey

Emotional Resilience

Culture of Wellness

Efficacy of

Practice

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650Project Hours

2.8KHours Saved

April 2020 – September 2020OSUWMC

43xTime ROI

Health Monitoring Application

22KStaff

1M+Entries

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650Project Hours

2.8KHours Saved

April 2020 – September 2020OSUWMC

43xTime ROI

1400Project Hours

3.6M+Entries

Health Monitoring Application

April 2020 – March 2021OSUWMC/OSU

22KStaff

1M+Entries

81KPersons

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650Project Hours

2.8KHours Saved

April 2020 – September 2020OSUWMC

43xTime ROI

86KPersons

4.3M+Entries

1400Project Hours

3.6M+Entries

Health Monitoring Application

April 2020 – March 2021OSUWMC/OSU

April 2020 – June 2021

22KStaff

1M+Entries

81KPersons

#HIMSS21 32

Lessons Learned for Future Direction

Agile Teams

Engaged Stakeholders &Governance

Accura te Us er Roles

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#HIMSS21

Thank you!

• Chad Laucher, BSchad.laucher@osuwmc.edu

• Ravi S. Tripathi, MD, MBAravi.tripathi@osumc.edu

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