Knowledge Management and Value Creation
1. 2. 3. 4. 5. 6. 7. 8.
Context Project Presentation Strategic alignment assessment Expected outcomes Structure Capabilities Estimated costs Estimated risks Governance approach
Business case for the Knowledge Management project
This document aims at presenting the business case for the implementation of thee-Knowledge Management system at the Centre Hospitalier Universitaire de Nancy.
Business Case Methodology
The first steps consists in a pragmatic analysis of the current situation and the evolution of the needs for the hospitals. Then, we present the IS project in different perspectives. The strategic alignment together with the organization capabilities will be assessed, a basis financial analysiswill be provided as well as the expected outcomes. Finally a risk assessment and the governance approach will be further detailed. Note: The business case focuses on the design-build-implement-operate phases. The retirement for the IS KM system is not foreseen in the long term.
The Nancy ‘Centre Hospitalier Universitaire’ (CHU)
Reference hospital for Northeastern France 8 facilities,more than 10,000 employees
Organized by functional directions
Nursing department 6000 employees 200 head nurses IT department (60 people) Hospitalization: 80.000 patient/year, 450.000 outpatients Budget 600,000,000 € More than 200 applications running on dedicated servers Professional nursing documentation provided through binders (37) in care units
More than 5% ofmedical nursery incident come from the lack of up-to-date information Extended encounter 4,6 day (Stanford study*) Average cost per day 1200 €/day Disparate information sources and formats 800 blood exams with lots of synonyms, 1260 procedures preparations Before the preparation of certain tests or procedures, nurses need to review useful information( 15-30 min /day) Maintaining Binders, sometimes twoor three years before an update multiples workgroups Simultaneous Update> 200 units
* Stanford University1. (1) Wise, L., Bostrom, J., Crosier, J., White, S., Caldwell, R. (1996). Cost-Benefit Analysis of an Automated Medication System. Nursing Economics, 14(4), 224-231.
Bed reduction policy Efficiency Working time reduction (RTT)
Practice optimization Needs for the CHUSafety Information sharing expansion Professional mobility
2. Project Presentation
The IT solution should allow: To respect the organization of the CHU • Remote sites, multiwings, geographic dispersion and geographic resources shared by several care unit. • Administration sites: separation of information. (Ex Specific tests did not refer to thesame way of doing because of location, equipment, skills ...) To promote content creation and updating by using very simple editing tools. To provide users of the intranet a user friendly navigation • Diversity of sources of information should not impacts on clarity and ergonomics of navigation.
2. Project Presentation
The Intranet project from Nursing Department should promote informationsharing by allowing each directorate and / or group to produce and contribute to a site intended for Care Directors, Managers, or any authorized users. The leading idea is to propose a content management tool that enables the professional documentation sharing from existing and future care units. Examples: Tests protocols (consultation, procedure preparations)
3. Strategic Alignment
Goal 1.4: Meeting the need for patient information
Action 1.4.2: Develop materials to enable nursing staff to explain the conduct of examinations to patients Action 5.3.1: Prepare a database on examinations and procedures in order to put it on a server, together with the medico-technical departments involved (in relation to 1.4.2) Action...
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