Command Centres in Healthcare

The challenge

There is a trend by hospital systems to adopt command centres equipped with new predictive analytics to improve quality, efficiency and patient outcomes. Health systems are unique but have similar challenges. Most face a new normal of more than 90 percent occupancy, resulting from changing demographics, the relative infancy of population health efforts, and little investment in new acute capacity. As a result, major providers worldwide are operating at record-high levels of occupancy and utlisation.

In this environment, it is increasingly difficult to provide reliably affordable, accessible, efficient, and safe patient care. This manifests in problems such as staff fatigue, delayed transfers, A&E, Theatre and Recovery holds, excess days, sub-optimal implementation of pathways, inefficient utilisation of staff, and imbalanced resource utilisation across the system.

Providers have invested in a range of tools to address these challenges: Lean, Electronic Medical Record, electronic bed boards, workflow software, and real-time location systems (RTLS). These tools are important but not sufficient to manage the “new normal” of 90 percent+ routine inpatient occupancy. Moreover, a wealth of data being created in IT systems and machines is not being put to work for real-time action. What’s missing is a central node with the information, authority, and wherewithal to anticipate, identify, and resolve bottlenecks, delays, and risk. This node is the healthcare analogue to the air traffic control tower or NASA mission control.