Ten Technology Trends Facing Hospital Execs In 2013
The annual Top 10 C-Suite Watch List: Hospital Technology Issues for 2013 identifies technologies used in clinical care that could change care, workflow and/or operations in 2013 and beyond.
“New demands for information and clinical technology are top issues for executives and objective perspectives are critical,” said Jeffrey Lerner, President and Chief Executive Officer of ECRI Institute.
Some of the technology on the list represents significant capital investments, while others may greatly affect operations and care patterns, according to ECRI.
Healthcare Global outlines the top 10 technology issues facing hospital executives in 2013 >>>
#10. Lung Cancer Screenings
Early detection of lung cancer is very important and many facilities have begun offering lung cancer CT screening. However, the false-positive rate is very high, resulting in unnecessary follow-up procedures and escalating costs for both patients and payers.
#9. Radiation Dose Safety
The conversations regarding CT scanners are mostly about radiation dose and its harm. Since dose-reduction and dose-monitoring requirements are being propelled forward, healthcare facilities are looking at optimizing scanning parameters while safeguarding against excessive radiation.
#8. Supply Chain
Supply chain management rears its head once again as a top concern for healthcare execs. Considering the supply chain accounts for almost 50 percent of all hospital expenditures, it is worth developing a strategy to optimise them early on in the year.
#7. Bariatric Surgery
Clinicians have noticed that patients with type II diabetes had their disease resolved with bariatric surgery.
“Clinicians are asking whether an early surgical intervention in patients with moderate obesity and type II diabetes may prove to be more cost-effective in the long run compared with the normal care practice of pharmaceutical management and lifestyle changes,” according to the ECRI report.
According to ECRI, combining positron emission tomography (PET) with MRI can possibly create better images and more accurate diagnoses of certain types of cancers.
#5. Imaging & Surgery
Advances in this area have shortened hospital stays, sped up patient recovery and reduced costs. The new trend is for full-scale imaging systems to be moved into the operating room.
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#4. Minimally Invasive Cardiac Surgery
Last year, transcatheter health valve implantation (TAVI) was number five. In May 2012, the Centers for Medicare and Medicaid Services (CMS) said it would cover TAVI provided multiple conditions are met. As a result many hospitals are considering the best setting for minimally invasive heart valve programs.
#3. Alarm Integration Technology
For two years in a row alarms were ECRI’s top health technology hazard because excessive alarms can result in sensory overload and eventually blend into background noise.
#2. Mobile Health
The rise of new technologies has untethered doctors as much as the rest of the population, allowing them to change the way they collect, monitor and deliver health care information.
Eligible providers are racing to meet the criteria of Stage 2 requirements; however, ECRI warns that in the rush, patient safety could be compromised. Health information technology was one of ECRI’s top 10 health technology hazards since a number of issues can arise from inadequate data transfer to patient-data mismatches in the system.
How UiPath robots are helping with the NHS backlog
The COVID-19 pandemic has caused many hospitals to have logistical nightmares, as backlogs of surgeries built up as a result of cancellations. The BMJ has estimated it will take the UK's National Health Service (NHS) a year and a half to recover.
However software robots can help, by automating computer-based processes such as replenishing inventory, managing patient bookings, and digitising patient files. Mark O’Connor, Public Sector Director for Ireland at UiPath, tells us how they deployed robots at Mater Hospital in Dublin, saving clinicians valuable time.
When Did Mater Hospital implement the software robots - was it specifically to address the challenges of the pandemic?
The need for automation at Mater Hospital pre-existed the pandemic but it was the onset of COVID-19 that got the team to turn to the technology and start introducing software robots into the workflow of doctors and nurses.
The pandemic placed an increased administrative strain on the Infection Prevention and Control (IPC) department at Mater Hospital in Dublin. To combat the problem and ensure that nurses could spend more time with their patients and less time on admin, the IPC deployed its first software robots in March 2020.
The IPC at Mater plans to continue using robots to manage data around drug resistant microbes such as MRSA once the COVID-19 crisis subsides.
What tasks do they perform?
In the IPC at Mater Hospital, software robots have taken the task of reporting COVID-19 test results. Pre-automation, the process created during the 2003 SARS outbreak required a clinician to log into the laboratory system, extract a disease code and then manually enter the results into a data platform. This was hugely time consuming, taking up to three hours of a nurse’s day.
UiPath software robots are now responsible for this task. They process the data in a fraction of the time, distributing patient results in minutes and consequently freeing up to 18 hours of each IPC nurse’s time each week, and up to 936 hours over the course of a year. As a result, the healthcare professionals can spend more time caring for their patients and less time on repetitive tasks and admin work.
Is there any possibility of error with software robots, compared to humans?
By nature, humans are prone to make mistakes, especially when working under pressure, under strict deadlines and while handling a large volume of data while performing repetitive tasks.
Once taught the process, software robots, on the other hand, will follow the same steps every time without the risk of the inevitable human error. Simply speaking, robots can perform data-intensive tasks more quickly and accurately than humans can.
Which members of staff benefit the most, and what can they do with the time saved?
In the case of Mater Hospital, the IPC unit has adopted a robot for every nurse approach. This means that every nurse in the department has access to a robot to help reduce the burden of their admin work. Rather than spending time entering test results, they can focus on the work that requires their human ingenuity, empathy and skill – taking care of their patients.
In other sectors, the story is no different. Every job will have some repetitive nature to it. Whether that be a finance department processing thousands of invoices a day or simply having to send one daily email. If a task is repetitive and data-intensive, the chances are that a software robot can help. Just like with the nurses in the IPC, these employees can then focus on handling exceptions and on work that requires decision making or creativity - the work that people enjoy doing.
How can software robots most benefit healthcare providers both during a pandemic and beyond?
When the COVID-19 outbreak hit, software robots were deployed to lessen the administrative strain healthcare professionals were facing and give them more time to care for an increased number of patients. With hospitals around the world at capacity, every moment with a patient counted.
Now, the NHS and other healthcare providers face a huge backlog of routine surgeries and procedures following cancellations during the pandemic. In the UK alone, 5 million people are waiting for treatment and it’s estimated that this could cause 6,400 excess deaths by the end of next year if the problem isn’t rectified.
Many healthcare organisations have now acquired the skills needed to deploy automation, therefore it will be easier for them to build more robots to respond to the backlog going forwards. Software robots that had been processing registrations at COVID test sites, for example, could now be taught how to schedule procedures, process patient details or even manage procurement and recruitment to help streamline the processes associated with the backlog. The possibilities are vast.
The technology, however, should not be considered a short-term, tactical and reactive solution that can be deployed in times of crisis. Automation has the power to solve systematic problems that healthcare providers face year-round. Hospital managers should consider the wider challenge of dealing with endless repetitive work that saps the energy of professionals and turns attention away from patient care and discuss how investing in a long-term automation project could help alleviate these issues.
How widely adopted is this technology in healthcare at the moment?
Automation was being used in healthcare around the world before the pandemic, but the COVID-19 outbreak has certainly accelerated the trend.
Automation’s reach is wide. From the NHS Shared Business Service in the UK to the Cleveland Clinic in the US and healthcare organisations in the likes of Norway, India and Canada, we see a huge range of healthcare providers deploying automation technology.
Many healthcare providers, however, are still in the early stages of their journeys or are just discovering automation’s potential because of the pandemic. I expect to see the deployment of software robots in healthcare grow over the coming years as its benefits continue to be realised globally.
How do you see this technology evolving in the future?
If one thing is certain, it’s that the technology will continue to evolve and grow over time – and I believe there will come a point in time when all processes that can be automated, will be automated. This is known as the fully automated enterprise.
By joining all automation projects into one enterprise-wide effort, the healthcare industry can tap into the full benefits of the technology. This will involve software robots becoming increasingly intelligent in order to reach and improve more processes. Integrating the capabilities of Artificial Intelligence and Machine Learning into automation, for example, will allow providers to reach non-rule-based processes too.
We are already seeing steps towards this being taken by NHS Shared Business Service, for example. The organisation, which provides non-clinical services to around two-thirds of all NHS provider trusts and every clinical commissioning organisation in the UK, is working to create an entire eco-system of robots. It believes that no automation should be looked at in isolation, but rather the technology should stretch across departments and functions. As such, inefficiencies in the care pathway can be significantly reduced, saving healthcare providers a substantial amount of time and money.