The Health Care Systems Resource
Center:
Potential Contributions
David Ben-Arieh Ph.D
John Wu, Ph.D
State Network Council Meeting
July 29,
Hilton Wichita Airport
Agenda
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Critical Access Hospitals: our view
Who we are
Clinical Medical records
Facilities Management
Operations Improvements
Summary
Critical Access Hospitals
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Limited capacity and CMS stipulations
Shortage of medical staff
Special reimbursement arrangements
Limited IT infrastructure and support
Cooperating with a supporting hospital
83 in Kansas participating in 21 rural
health networks
Who We Are
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Department of Industrial and
Manufacturing Systems Engineering at
Kansas State University
Systems Engineering expertise
Eleven full time faculty
Fifty graduate and 150 undergraduate
students
Cooperation with all related
departments at KSU
Capabilities/Areas of Expertise
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Computer simulation
Benchmarking, Metrics
Safety, Risk Assessment/Management
Reliability, Quality Control
Information Technology
Project Management
Resource Management
Ergonomics, Human Factors
Logistics - Inventory management, procurement
Process and Operations Optimization
How can we help?
• Clinical Medical Records
• Facility management
• Process Improvement
• Additional opportunities…
Clinical Medical Record
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No need for IT infrastructure
Very little overhead
Very (very) inexpensive
Improves communications
Improved efficiency
Reduces errors, increased patient safety
Reduces reporting effort
Access to standardized reports
Customized internal auditing capability
Can be integrated with your existing EMR
Examples
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Connecting an Emergency Department
to existing information system.
Developing a “light” EMR
Web Based EMR 1
Web Based EMR 2
Web Based EMR 3
Instance Report
Risk Assessment (A-K)
Facility Management
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Improves operations
Reduce traffic
Improves patient flow
Better space utilization
Reduces costs
Energy saving
Examples
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Development and analysis of a new
layout at a Critical Access Hospital
(Ellsworth County Medical Center)
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Improved design of a large scale
pharmacy (Irwin military hospital).
Improved facility design (Mercy Regional
Medical Center – Manhattan)
Optimal Layout
Optimal Layout
Space Analysis:
Room Specifications
Length
Width
Sq. Ft
Classroom #1
16
37
588
Classroom #2
16
37
588
Classroom #3
37
32
1188
Training Room
15
15
225
Computer Room
31
29
902
Teacher's Space
20
29
580
Food Court Area
33
34
1133
AV Supply Room
12
7
80
Warming Kitchen
15
14
210
Hallways
85
6
512
Furniture by Room
Price/unit
Classroom
Ergonomic Computer Chair
Classroom tables 72"
Total Price/room
Foodcourt/Warming Kitchen
Multi-Use Plastic Stack Chair
Multi-Purpose 42" Round Table
Total Price/room
Library
Teacher/Computer Cubicle
Multi-Purpose 42" Round Table
Multi-Use Plastic Stack Chair
Wooden Bookcase
Total Price/room
Computer Room
Ergonomic Computer Chair
Computer tables 42"
Total Price/room
Number
of Units
Total
Price
$129.00
100
$12,900.00
$499.90
40
$19,996.00
$32,896.00
$49.00
50
$2,450.00
$219.00
9
$1,971.00
$4,421.00
$1,290.00
3
$3,870.00
$219.00
2
$438.00
$49.00
8
$392.00
$49.98
2
$99.96
$4,799.96
$129.00
20
$2,580.00
$259.00
20
$5,180.00
$7,760.00
TOTAL
$49,876.96
Total Building Costs
Cost
Analysis
Furniture Cost
Classrooms
Food Court/Kitchen
Library
Computer Room
$32,896.00
$4,421.00
$4,799.96
$7,760.00
Total
$49,876.96
Cost- $130 per sq. ft.
Sq. Ft was estimated by a
Kansas State University
Construction Science
Student and manager of the
residential construction
Company, Seiler
Construction Inc, Wichita Ks
Classroom #1
Classroom #2
Classroom #3
Training Room
Computer Room
Teacher's Space
Food Court Area
AV Supply Room
Warming Kitchen
Hallways
$76,440.00
$76,440.00
$154,456.58
$29,250.00
$117,247.00
$75,400.00
$147,315.57
$10,400.52
$27,300.00
$66,495.00
Total
The energy costs are
calculated only for the new
sections and they are based
on sq. ft.
$780,744.66
Annual Energy Consumption
$6,156.60
Total
Total Cost
$6,156.60
$836,778.22
Operations Improvement
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Improves quality and patient safety
Reduces cost
Improves patient satisfaction
Improves cooperation with supporting
hospital
Better risk management
What-if analysis
Many more benefits
Examples
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Improving the operation of a Surgery
and Diagnostics/testing center (Hays)
Reducing patient waiting time in a forprofit ambulatory surgical center
(Manhattan Surgical Center)
List of Scheduled Ambulatory Surgeries
Update Surgery Detail
Update Surgery Detail
Full Form View
Remote Rapid Response Teams - RRRT
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Supplement local clinical talent
Identify problems very early on
Make better patient transfer decisions:
• Avoid unnecessary transfer
• Transfer patients before it is too late
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Establish disaster preparedness
Provide better risk management
(KUMed Dr. Simpson, Mr. Peterson)
Special Thanks to …
 The Pratt team
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Susan Page
Sherry Besser
Julie Dearinger
Luke Kumberg
 Hays Medical Center
• Dr. Bob Cox
• Terry Siek
• Bill Norris
 Ellsworth
 Manhattan Surgical Center
• Scott Chapman
 Irwin Military Hospital
• Richard Hoyt
 KU Medical Center
• Dr. Simpson
• Doug Peterson
• Carol Cleek
• Roger Pearson
And many involved
• Beth Vallier
staff members!
Contact Information
 Dr. David Ben-Arieh
email: davidbe@ksu.edu
phone: (785) 532-3724
 Dr. John Wu
email: chw@ksu.edu
phone: (785) 532-3734
Fax: (785) 532-3738
Address:
216 Durland Hall,
Kansas State University
Manhattan, KS, 66506