GE's Unique Approach to Clinical Command Centers

31 January, 2019

GE's Unique Approach to Clinical Command Centers

Reading through healthcare magazines and websites, you may notice quite a few firms are talking about Command Centers.

More firms than ever before presented their versions at Arab Health, and you probably see the same on LinkedIn and Twitter. You may also know that GE Healthcare is building clinical command centers supporting dozens of hospitals in three countries with more starting each month. 

So How is GE's Approach Different?

GE Healthcare’s approach to Clinical Command Centers is agnostic and unique, and we view other firms as current or future partners rather than competitors. We believe there is virtually no overlap between our technology and theirs, and that by working together we can make a bigger impact for providers.

Command Center Landscape, January 2019

What’s different about GE Healthcare?

Our capability is unique in both technology and method. The technology is unique because our platform, Wall of Analytics, is scalable and agnostic (taking data from all sources), and delivers apps that are Real Time, actionable, and create new information with AI. The method is unique because we deliver a holistic transformation. By holistic we mean physical space programming, new role creation, rules-based protocols, data integration, platform and apps, video wall, change, and activation. By transformation we mean that by engaging hundreds of staff in problem-back design and implementation, we not only ensure that staff understand and embrace their Clinical Command Center as an asset rather than a hindrance, but also that we help to achieve a more integrated culture. This approach has evolved through experience and so far has delivered breakthrough sustainable outcomes.

KLAS Report 

KLAS’s December 2018 report on “Operational Command Centers,” their first report on the topic, may be accessed here. It correctly captures some key points, but misses on a few others.

  • Key point: Page 4 correctly notes that GE Healthcare’s technology approach is unique in that we combine streaming data from multiple systems.
  • Key miss: The title of the report, Operational, is limiting. The scope of our Clinical Command Centers already extends into quality, safety, and other more clinical topics. We believe this scalability is essential for a great Clinical Command Center or "Mission Control," as some clients refer to their Command Centers.

Frost & Sullivan Award

Read the Frost & Sullivan report commending the GE Healthcare Clinical Command Center Solution here. This was an unsolicited award and came as a surprise when the firm called to notify us of the award. They found that "unlike competing command centers that serve specific objectives, GE Healthcare’s solution is holistic and custom- fitted,” and that “the GE approach is technology- agnostic.”

Vendor Perspectives

Epic and Cerner are incredible firms that automate all sorts of workflows… workflows which are the heart of organizing healthcare delivery. Along with Meditech and AllScripts, these are the titans of health IT. (We partner with all of these firms today to stream data into the Wall of Analytics).

The architecture of workflow systems, including EMRs, makes it an unnatural act to surveil risks across workflows in Real Time. Thus the “Command Center” capabilities found in EMRs tend to feature retrospective reports and KPI dashboards rather than patient-level actionable alerts.

EMR companies are, of course, technology focused and we are unaware of any “consulting” services offered by these firms to help clients design and activate the non-technology aspects of Command Centers.

Other companies create workflow systems for patient flow topics like bed management, EVS and transport, and transfer centers.

(We integrate their software today to stream data into WoA).

While many of their modules are often considered better than the EMR-equivalents, many of our clients are nonetheless in the process of replacing these systems with their Epic or Cerner equivalent because the clients believe EMRs are catching up and they want to consolidate workflow systems as much as possible.

The buzz around “Clinical Command Centers” has seen many groups re-label a bed management or transfer center as a Command Center. This makes sense in context, but is different from GE’s approach. By “Command Center” they mean displaying screens from a patient flow workflow system onto large monitors; and KPI-dashboards that show things like door-to-doc time, which is important but not actionable.

Steris, MedWorx, PedalMD, etc.

There are hundreds of other workflow systems in healthcare, but they have not suggested “Command Center” capabilities. (We integrate their software today to stream data into WoA).

Accenture & McKinsey.

These and other consulting firms have suggested Command Center-like solutions from time-to-time. The most notable example was when Accenture won the bid from Rio de Janeiro to build a city health Command Center. But their capability was limited to retrospective BI and, in the end, the project was abandoned. 

BI, Reports, and Actionable Analytics

A key factor to consider is the difference between business intelligence dashboards, reports from workflow systems, and actionable analytics.

BI dashboards in healthcare are usually built on data warehouses which update once or twice per day. Tableau and QlikView are the market leaders while Microsoft and others have renewed their offers in this competitive space. These BI tools are useful for thousands of problems, but we find them not useful for Real Time decision support.

Since Clinical Command Centers, in GE’s meaning, are all about immediate action, we find that BI is not fit for this purpose.

Workflow systems also offer a form of built-in BI which most users know as reports or analytics. These too are useful for thousands of problems but not for the Real Time action needed in Clinical Command Centers.

Actionable analytics are Real Time because they are created from high-velocity streaming messages rather than by querying the dB. This is extraordinarily difficult to do--requiring both the right technology and intense services--but when done well can be revolutionary for Real Time decision support.

This is a small niche where GE’s Clinical Command Center approach is making a difference.

 

11:37 min
#24 - New Method for Managing Physician Burnout Cover Image
Jeff Terry and Gabriella Devine discuss how OHSU Mission Control implemented Treatment ...
Jan 13 · 11:37 min
Jeff Terry and Gabriella Devine discuss how OHSU Mission Control implemented Treatment Team Workload Tile, a new app ...
Jan 13 · 11:37 min
21:16 min
#23 - Patient Manager Tile v3 at AdventHealth Cover Image
This episode describes the use, configuration and deployment of Patient Manager Tile at ...
Dec 22 · 21:16 min
This episode describes the use, configuration and deployment of Patient Manager Tile at eight AdventHealth hospitals in ...
Dec 22 · 21:16 min
11:01 min
#22 - Patient Manager Tile - A Personal Command Center for Caregivers Cover Image
This is Patient Manager, the Tile that puts a command center at every caregiver’s ...
Oct 29 · 11:01 min
This is Patient Manager, the Tile that puts a command center at every caregiver’s fingertips. Patient Manager helps ...
Oct 29 · 11:01 min
04:39 min
#21 - Patient Manager Tile - Profiles and Search Cover Image
It's so important that users can work at speed in the Patient Manager Tile. This video ...
Oct 15 · 04:39 min
It's so important that users can work at speed in the Patient Manager Tile. This video shows a bit about profiles and ...
Oct 15 · 04:39 min
04:19 min
#20 - Patient Manager Tile with Downgrade Module Cover Image
Who is ready and eligible for downgrade to another level of care? All information at once.
Oct 5 · 04:19 min
Who is ready and eligible for downgrade to another level of care? All information at once.
Oct 5 · 04:19 min
05:52 min
#19 - Advanced Illness Tile Cover Image
The Real Time all-the-time Tile helps to manage the cohort of patients who have advanced ...
Sep 28 · 05:52 min
The Real Time all-the-time Tile helps to manage the cohort of patients who have advanced illness and may be planning ...
Sep 28 · 05:52 min
07:02 min
#18 - Patient Manager Tile Introduction Cover Image
The Patient Manager Tile a game changer for two reasons: it enables multidisciplinary ...
Jul 14 · 07:02 min
The Patient Manager Tile a game changer for two reasons: it enables multidisciplinary teams to problem solve in Real ...
Jul 14 · 07:02 min
06:25 min
#17 - Procedural Snapshot Tile Cover Image
The Procedural Snapshot Tile provides situational awareness as well as patient-level ...
Jul 9 · 06:25 min
The Procedural Snapshot Tile provides situational awareness as well as patient-level actionable alerts to help keep ...
Jul 9 · 06:25 min
06:34 min
#16 - Obstetrics and Neonatal Tile Cover Image
Following an evidence-based standard of care, the Obstetrics and Neonatal Tiles improve ...
Jul 7 · 06:34 min
Following an evidence-based standard of care, the Obstetrics and Neonatal Tiles improve the situational awareness for ...
Jul 7 · 06:34 min
06:14 min
#15 - Anesthesia Exceptions Tile Cover Image
The Anesthesia Exceptions Tile is used to coordinate and assist the flow of complex ...
Jun 30 · 06:14 min
The Anesthesia Exceptions Tile is used to coordinate and assist the flow of complex procedural cases across an array of ...
Jun 30 · 06:14 min
07:37 min
#14 - ED Expediter Tile Cover Image
The ED Expediter Tile is useful in advancing patients through emergency departments and ...
Jun 25 · 07:37 min
The ED Expediter Tile is useful in advancing patients through emergency departments and providing patient level alerts ...
Jun 25 · 07:37 min
06:02 min
#13 - Transfers Tile Cover Image
The Transfers Tile aggregates information on the individual patients queued to transfer ...
Jun 23 · 06:02 min
The Transfers Tile aggregates information on the individual patients queued to transfer into the system.
Jun 23 · 06:02 min
14:18 min
#12 - Discharge Barriers Tile Cover Image
The Discharge Barriers Tile outlines the key actions the care team can take to facilitate ...
Jun 18 · 14:18 min
The Discharge Barriers Tile outlines the key actions the care team can take to facilitate patients who are identified ...
Jun 18 · 14:18 min
10:31 min
#11 - Boarders Tile Cover Image
The Boarders Tile provides facility and system level visibility to all inbound pressure ...
Jun 16 · 10:31 min
The Boarders Tile provides facility and system level visibility to all inbound pressure on the system to take patients ...
Jun 16 · 10:31 min
14:43 min
#10 - Capacity Snapshot Tile Cover Image
The Capacity Snapshot Tile provides insight on bed capacity both in the moment and after ...
Jun 11 · 14:43 min
The Capacity Snapshot Tile provides insight on bed capacity both in the moment and after we process decisions.
Jun 11 · 14:43 min
07:36 min
#09 - Critical Resources Tile Cover Image
From State-level to Unit-level, Real Time awareness of available beds.
Jun 9 · 07:36 min
From State-level to Unit-level, Real Time awareness of available beds.
Jun 9 · 07:36 min
06:46 min
#08 - Infectious Disease Tile Cover Image
The Infectious Disease Tile was developed in response the COVID-19 pandemic. It provides ...
Jun 4 · 06:46 min
The Infectious Disease Tile was developed in response the COVID-19 pandemic. It provides visualization of patient load ...
Jun 4 · 06:46 min
05:08 min
#07 - Post Acute Placement Tile Cover Image
The Post Acute Placement Tile is used to reduce excess days and facilitate outplacement ...
Jun 2 · 05:08 min
The Post Acute Placement Tile is used to reduce excess days and facilitate outplacement of patients from an inpatient ...
Jun 2 · 05:08 min
06:49 min
#06 - Imaging Expediter Tile Cover Image
The Imaging Expediter Tile provides Real Time visibility to available capacity by ...
May 28 · 06:49 min
The Imaging Expediter Tile provides Real Time visibility to available capacity by modality and supports operational ...
May 28 · 06:49 min
04:20 min
#05 - Care Progression Tile Cover Image
The Care Progression Tile provides hospitals the ability to track patients throughout ...
May 26 · 04:20 min
The Care Progression Tile provides hospitals the ability to track patients throughout their inpatient stay.
May 26 · 04:20 min
05:15 min
#04 - Risk of Harm Tile Cover Image
The Risk of Harm Tile provides visibility to track variations in practice versus hospital ...
May 21 · 05:15 min
The Risk of Harm Tile provides visibility to track variations in practice versus hospital defined care plans.
May 21 · 05:15 min
05:51 min
#03 - Seniors Care Tile Cover Image
The Seniors Care Tile helps ensure geriatric inpatients outside the geriatric unit ...
May 19 · 05:51 min
The Seniors Care Tile helps ensure geriatric inpatients outside the geriatric unit receive best practice care in ...
May 19 · 05:51 min
08:46 min
#02 - Discharge Planning and Escalation Tile Cover Image
The Discharge Planning Tile empowers rounding across the system by providing a fast way ...
May 14 · 08:46 min
The Discharge Planning Tile empowers rounding across the system by providing a fast way to review patients, log ...
May 14 · 08:46 min
06:34 min
#01 - Clinical Deterioration Tile Cover Image
The Clinical Deterioration Tile brings real-time, all-the-time awareness of the status of ...
Aug 1 · 06:34 min
The Clinical Deterioration Tile brings real-time, all-the-time awareness of the status of the most critically ill ...
Aug 1 · 06:34 min
172.16.24.62