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At Markham Stouffville Hospital (MSH), SmartCare describes innovation and the tools that support a culture of innovation. MSH values innovation as an enabler to deliver patient care that is more efficient, more convenient, better coordinated and smarter. SmartCare is providing the right care to the right patient at the right cost. A strategy and project gating process helps guide us as we develop an innovation hub at MSH to take ideas from conception through to commercialization.
As part of our strategic plan, MSH launched an office of innovation in 2016 to:
- foster a culture of innovation
- support the people and patient experience strategies
- advance quality and performance indicators
- embed innovations into practice
We celebrate and cultivate innovation at MSH with our annual SmartCare innovation fair and regular innovation café events where our staff showcase their innovations and meet other inspirational people.
We are constantly developing and launching new projects that will improve the patient experience, create value and efficiency, and drive research and create new knowledge. Here’s a summary of some of our projects:
- BI tool
MSH implemented a new business intelligence (BI) tool which is a critical piece of the hospital’s innovation portfolio. It allows the hospital to learn quickly from data collected about patients, take that learning and deploy it literally the next day in the form of actions that would improve the patient experience and provide sustainable care.
- Diabetes ID
When pediatric diabetes patients transition to early-adulthood, they receive a comprehensive booklet containing important resources and space to track personal information about their condition
The paper-based format was not effective mostly because young adults do not access this information in this format – they prefer more convenient digital solutions. Also booklet are too bulky, are often lost or forgotten when coming in for appointments. This means that important information isn’t reviewed with their clinician.
The Diabetes ID iPhone app was developed by one of our patients to provide patients with lifestyle management information and prepare them for the transition into our adult diabetes program. As well, Diabetes ID provides an easy way to record pump settings and lab results.
Since July 2017, the App is being used by MSH pediatric diabetes clinic patients who find it a convenient and accessible way to review and apply the lifestyle management information and record their pump settings and lab results. To date there have been over 200 Canadian downloads.
Collect user information to make improvements to this app
Build MSH culture of innovation by engaging front line staff to address important issues
- Use Colleaga, an innovation engine which allows ideas from MSH staff and global communities of practice to develop and create value more quickly.
- Colleaga connects front-line staff to ideas from subject matter experts all around the world, and is a collaboration tool that helps multiple departments and organizations work together effectively.
- The results
The Colleaga platform is being used to collect ideas from staff on wide-ranging challenges including:
- Reducing workplace violence (November 2016 – January 2017)
- 37 ideas
- 96 comments
- 36 users
- The top 5 ideas included:
- Flagging program
- Expand the ‘take your break’ policy
- Visible signage in high-risk areas
- Stress-reducing environment and cognitive tool
- Increase participation in workplace violence prevention month
- Working to implement top ideas
- SmartCare challenge (March 2017 – April 2017)
- Find ways to improve care coordination, efficiency and patient experience
- 66 ideas
- 138 comments
- 122 users
- Pilot projects from ideas presented through Colleaga and continue to launch new challenges that need ideas from staff.
- Dash MD
“All patients leave the ED with discharge instructions, follow up plans, and appointments. Patients need to absorb so much information and it is challenging to remember all of it.” - Dr. Andrew Arcand, Chief of Emergency
Use Dash MD, a smartphone app that provides patients with treatment specific aftercare information, reminders, care discovery, medication management, and more.
- 75% ED staff are likely or extremely likely to recommend Dash MD to ED patients
- >1500 downloads by patients
- “This app can take the care I receive to the next level” – MSH Patient
- Fine-tune Dash MD content
- Have multilingual support to provide translated versions of the app content
- Offer app to other departments
- Dash MD has been featured in the hospital news article
- Dash MD was a winner of the MSH SmartCare Innovation Fair
- MSH ignite
Improve professional staff onboarding and their orientation process to provide timely access to necessary resources.
- Change how MSH disseminates information to professional staff and collect physician feedback about the onboarding and orientation process.
- Co-design MSH Ignite, a smartphone app to help standardize and improve the timeliness and effectiveness of the onboarding and orientation process.
- User Experience: 100% of users would use MSH Ignite to complete their onboarding
- App Effectiveness: >70% of users would access more onboarding materials/resources
- Continued Use: 100% of users would continue to access resources on MSH Ignite after their onboarding is complete
- Phase 2 piloting to confirm value proposition.
Track the compliance during pilots and change management projects.
Use Klikkit, a system consisting of a smartphone application (app) connected by Bluetooth to physical buttons that log the number of times the button has been pressed.
To be determined.
Expand usage of Klikkit’s at MSH to aid in tracking compliance.
- Cloud Dx
Patients with Chronic Obstructive Pulmonary Disease (COPD) and asthma need a solution to help them better self-manage their condition at home to avoid unnecessary visits to the hospital.
Provide patients with the Cloud DX package which helps them self-manage their condition from the comfort of their home. Patients use a tablet and tools to measure their vital signs inculding oxygen saturation, blood pressure, heart rate, and weight. This information is then automatically sent to the patient's care team at the hospital to monitor their health condition, prevent flare-ups, and reduce the risk of emergency visits.
To Be Determined
Piloting solution 2017-2018
- My personal health
Create an open and convenient communication channel with patients to provide them updates on medical tests/procedures
Develop a mobile and web patient portal so they can receive hospital reports immediately once available, share that report with members of their circle of care, and communicate with their physician.
To be determined.
Further develop minimum viable product and pilot 2017-2018
- Engage biomechanics
Patients who have trouble moving are at risk of developing pressure ulcers. They need to be constantly monitored to assess their position and posture in order to regularly turn them according to their care plan.
- MSH has partnered with Engage Biomechanics to trial PosturePod, a wearable monitor, that continuously tracks patient posture, position, and motion and notifies nurses when the patient’s posture remains constant for too long and when a turn has occurred.
- In efforts to reduce the incidence of pressure ulcers, the PosturePod will aim to increase the efficiency, compliance, and care at MSH.
- MSH is the first hospital to pilot this innovative practice to enhance patient safety and quality of care.