Business Model
As part of a well-thought-out strategic plan developed within
Lifespan in 1996, wireless technology was part of a strategic and tactical
element to support the delivery of high-quality healthcare. This goal is achieved by enabling mobility to
clinical systems and providing point-of-care functions to physicians and other
clinicians anytime, anywhere.
Defining the Business Case
Hemendinger explained that to realize these goals, Lifespan
directed its attention to giving healthcare providers the ability to perform
their duties by leveraging WLANs to make mobility a mainstay. According to
Hemendinger, "When you understand how physicians and clinicians work, you can
then provide a service which makes a difference at the point of care with the
patient."
Hemendinger relates that over time, enhanced patient care
through the use of mobility improved efficiencies within the clinical process,
which resulted in an "it's the right thing to do" model. In essence, they
reduced the traditional return on investment (ROI) and total cost of ownership
(TCO) requirements to something less significant in the decision-making process.
"On paper this technology and its deployment is expensive, but when you go onto
the floors and watch the clinical staff utilizing these capabilities to provide
complete diagnosis and patient treatment, its cost is easily justified," says
Hemendinger.
Using this argument, Lifespan's Information Services executive
management was able to sit with senior leadership and affiliate boards of
directors to explain a comprehensive, clinical system strategy and the valuable
role infrastructure would play. Wireless was a tactical element of the plan and
would contribute to the high adoption rate and use by the physician and
clinician. Although it was costly, the benefits that Lifespan gained revolved
around a cultural change that positively affected the care of the patient.
The efficiencies centered on how the wireless network provides
the foundation for immediate access to clinical systems, speeding the delivery
of care, standardizing care practices, reducing interface errors at all points
where they might otherwise be made, and saving on now-unnecessary transcription
costs.
The Strategic Value
In healthcare, time is the
difference between life and death. Keeping this in mind, Lifespan's strategic
plan is to take the critical healthcare information to the patient rather than
requiring the physician or clinician to seek out the information. Hemendinger
further explains the change in philosophy that provided the catalyst to deploy a
pervasive computing environment within the continuum of care.
According to Hemendinger, "We made on a cultural shift. We
deployed wireless not to reduce wire but to give function; the wireless network
has changed processes and spawned a revolution in attitudes and culture within
Lifespan hospitals. Originally conceived to support availability of data for
physician order entry [POM system] and clinical work, the wireless network has
accomplished that and much more."
This principle has proven to be highly effective, supporting
the cost justification based on a strategic model (higher quality and more
accurate treatment). Adopting this technology into the physicians' and
clinicians' workday was the foundation for acceptance and adoption within the
clinical space. Information is provided at the place and time it is needed.
Healthcare professionals rely on the application resources and pertinent data to
make the best decisions possible.
Lifespan realized
measurable and tangible benefits. The key benefit is
through system use and adoption.
At Lifespan, the high adoption rate of its Computer Physician
Order Management (CPOM) application
demonstrates this point. Launched
across the WLAN two years ago, the compliance rate for Lifespan's CPOM tool is
greater than 90 percent. Conversely, the national healthcare average for
adoption of similar healthcare applications is only 8 percent.
For Lifespan to achieve these numbers, it had to develop their
technology and application for mobile use across all its enterprise WLANs.
Although harder to measure, two other benefits surfaced and
improved at Lifespancustomer satisfaction and risk mitigation. These byproducts
came to fruition because of Lifespan's adoption of WLANs to enable a mobile
workforce. Customer satisfaction and risk mitigation cannot be overlooked in
today's healthcare environment.