SPI and its partners assist their customers in all matters necessary for the introduction of digital health and the downstream branding. In this regard, we have developed modules for the planning and implementation of digital hospitals.
Modul: Module: Feasibility Study
In cooperation with its partner architects, SPI offers a feasibility study for the implementation of the digital concept. This program is suitable for preparing a new OR as well as for renovation work on the existing facilities. For this purpose, we network with the in-house architects and contribute our medical process knowledge.
A first operational concept, which is based on the specific key performance indicators of the clinic and the planned functional scope, is simulated. We pursue a process-oriented approach, where macro processes are developed first. Resulting spatial programs are processed right afterwards.
Using specific simulation programs, the individual scenarios are analyzed according to feasibility, effectiveness, economic efficiency and amortization time. Thus, process-related or spatial planning errors may be avoided as those normally get noticed after initial operation. A respective feasibility study may be the basis for the actual investment decision and may be used for discussions with the relevant internal and external committees.
Module: Structured Digital Healthcare
A fundamental objective of SPI is to make quality reproducible. However, reproducibility mandatorily requires the digitization of all work processes. Only this way, processes may be introduced binding for all, be regularly adapted and particularly, be measured according to their outcome quality.
SPI offers a complete program for structuring and digitizing medical processes. Thus, existing processes are recorded and compared with the SPI master processes and are optimized afterwards.
This results in individual customized solutions that are made available using the SPI software. Not only the entire perioperative process, but also many highly specific surgical procedures are digitized. In this way, complicated processes are systematically merged and may be continuously improved. A digital training program is included as well as a cockpit for the continuous outcome measurement.
Surgical Procedure Manager (SPM)
The Surgical Prodecure Manager (SPM) is a workflow, documentation and training solution for the intraoperative process. The SPM is particularly suitable for operations with low process variability.
The SPM consists of two modules with different applications. The module SPM Operator is a documentation solution during surgery and the SPM Tutor serves as a training solution to prepare for relevant operations.
The SPM Operator is a process-supporting software tool that is used during surgery for documentation purposes. The SPM Operator includes:
- A detailed checklist of individual surgical steps of the respective SOP
- Illustrations of the corresponding surgical instruments and implants
- Boxes for entering comments and specifics (surgery report)
- A time module for the documentation and prediction of process times
The SPM Operator facilitates a fast and intuitive use by the surgeon (key user) and supports all other users (e.g. surgical nurse, anesthesia) during the surgical process.
Control is effected via foot pedal, a touch screen or via voice control during surgery by the surgeon. In particular, in case of deviations from the intended course of the surgery, predefined “alternative paths” as well as a free text entry via a sterile keyboard or via voice control facilitate a complete and fast documentation of the surgical process.
Based on the predefined master surgery the SPM Operator permanently compares the actual and desired state of the surgery and calculates the expected ending time. This helps both likewise the employees in the operating room and the patient. The anesthetist for example is now able to plan more precisely any medication doses in which cases patients benefit from. Even outside the OR, processes can be executed more efficiently, e.g. transport times may be reduced and subsequently patients may already be prepared. The setup and structure of the SPM Operator allows an intuitive and comfortable use. It does not generate further effort but contributes to the relief of the personnel.
The SPM does not influence the medical processes nor even restrict the medical freedom. The users are still entirely free in the implementation of the respective procedure.
The SPM Tutor includes a video showing the exact sequences of the operation and being embedded in a software interface, which includes both a textual description of the individual surgery steps and illustrations of instruments and consumables used. In addition, a voice-over explains the individual surgery steps. In particular, the SPM Tutor is used outside the OR for training purposes for surgeons and the ancillary nursing staff.
Depending on the focus of the current process step, different video perspectives may be chosen (including spatial, situs, endoscopic perspective).
General Operation Manager (GOM)
The GOM provides hospital-specific pre- and postsurgical processes in detailed electronic checklists. This ensures that every employee applies the agreed service as well as logistics process and is informed about all other running processes.
For example, a surgical team will never have to be waiting for a patient, although his or her delay had already been known for 2 hours in another department.
The GOM is linked to the existing hospital information systems.
The treatment path within the GOM starts according to the patient´s external hospitalization or internal surgery indication. The underlying patient master data is automatically being transferred to the GOM and the digital treatment path/planning process is activated. Once the GOM has been started for the patient, all further departments receive the information about the new patient and the appropriate work assignments. That means that even on the day before hospitalization, work assignments may be remitted.
Thus, the GOM reminds the personnel to call the patient to remind him or her of the appointment.
Besides parallel processes also approval processes may be defined in the GOM. Those need to be completed before starting the next step. Task lists and calendar functions help to prioritize tasks. Consequently, the adherence to defined patient pathways and workflow processes is facilitated even in an interdisciplinary team. The processes may be adapted individually to the inpatient or outpatient processes of the particular clinics and centers.
In conclusion, the GOM controls the entire patient pathway, supporting the employees in the scope of planning and application.
Entirely integrated operating rooms
Structured healthcare needs excellently equipped operating rooms of the third generation. Those rooms include an adequate integration system, video routing, image/video archiving and digital workflow engines and therefore allow a high degree of automation.
In cooperation with its medical-technical partners, SPI has developed preconfigured systems that may be optimized for specific applications. SPI provides different configurations: from mobile entry-level solutions to entirely equipped surgical solutions.
As introduction to the structured digital healthcare, we have developed mobile trolley solutions. All major modules that are necessary for the use of the Surgical Procedure Manager (SPM) have been combined on a mobile unit.
For the various fields of application we have developed matching trolley configurations, for example: ENT, gynecology, orthopedics, visceral surgery and many more.
“The cooperation with SPI is a successful partnership, as we jointly stand for innovation, efficiency and safety in the operating room. Thus, with our products we help to enhance the daily work in the OR.”
Horst Bruckmoser, Area Sales Manager, KARL STORZ
In cooperation with leading experts, SPI has developed an extensive database of master processes. This includes highly standardized surgical procedures as well as important pre- and postoperative processes.
SPI provides all process knowledge within the scope of its client projects. In cooperation with the users, these processes are improved in order to meet the specific requirements of the individual departments. SPI ensures uniform semantics concerning the description of process steps, instruments used and timestamps. In addition, SPI introduces systematic landmarks for each procedure, i.e. there are defined milestones that must be advanced through by each surgeon regardless of the detailed process. Thus in retrospective, a comparison of different surgical techniques, implant systems and alternative processes is facilitated even across multiple subsidiaries.
Upon customer request, SPI regularly analyzes relevant process indicators and figures regarding the medical outcome quality. Using the SPI database, in-house data can be compared with best practice values, in order to identify approaches to improve quality and efficiency.