The future of healthcare is digital, and mobile technology is an essential component.
In recent years in the U.S., the volume and complexity of endoscopic procedures have increased dramatically. An increasingly aging patient population, an emphasis on preventative care and surveillance, and new technologies for both diagnostic and interventional procedures have contributed to a growing demand for endoscopy.
In any setting, whether in a large-scale, tertiary-care hospital or a community ambulatory surgery center (ASC), there are significant challenges in operating endoscopy units. As we have seen in peer-reviewed GI journals such as GI Endoscopy and from private companies on the forefront of endoscopy center management, efficiency and optimizing workflow is crucial to practice growth and sustainability in the current GI landscape.
At the same time, the growth of the electronic health record (EHR) has allowed patients to access their healthcare at never-before-seen speeds and in unprecedented ways. This has created a force for innovation that is transforming patient care into not just a medical necessity, but also a consumer product. Simply put, patients are still patients, but now they are also customers. They can shop around for their healthcare needs. They want price transparency. They want access to their healthcare providers. They want to consume health-related content at their convenience, and not just take direction from their physician during a 15-minute appointment.
All of these forces have combined to create a new healthcare industry: Digital Health. The key concept of Digital Health is that the delivery of healthcare can be captured, measured, quantified and implemented in real time using the power of information technology. The field of gastroenterology has been greatly impacted by new advances in Digital Health mainly in two arenas: endoscopy center management and the patient experience.
Using Data to Improve Operational Performance
When it comes to the management of endoscopy centers, several peer-reviewed studies have searched for metrics for evaluating the efficiency of endoscopy units. These have included room turnover time, room-per-endoscopist ratio, usage of propofol anesthesia versus moderate sedation and True Completion Time (TCT).
One of the biggest challenges to developing lasting operational solutions, however, is obtaining actionable data that can be used for real-time analytics. Traditionally, administrative and clinical leaders have monthly or quarterly operations meetings to review performance and efficiency metrics as described above. In this approach, data from the previous time period (i.e., month or quarter) is collected and reviewed, and operational solutions are then implemented based on collective decision making. Sometimes, budget projections for the following fiscal year are even made on projections from prior data analysis.
What is fundamentally lacking in this approach, however, is the ability to analyze data and make decisions in real time. Our next great challenge as leaders is to ask, “How do we learn from yesterday’s performance so that we can improve our unit workflow tomorrow?”
This is where the power of Digital Health can truly be harnessed. To date, mainstream EHRs have yet to develop tools such as mobile apps with user-friendly interfaces that can automatically capture operational data, communicate across the entire care team and produce customizable reports at the tap of an icon.
By exploring partnerships with clinical and software innovators, gastroenterologists and practice managers alike can, and should, look to leverage information technology to elevate performance to new levels.
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