The big HIMSS news for Premise was the presentation by Eric Rosow, Chairman of Premise in the Education portion of the conference.  Eric highlighted the structural causes and impacts of patient flow bottlenecks in hospitals – $50,000 to $75,000 in lost revenue per ED divert, for example.  As an added incentive to tackle patient flow, he also mentioned the new JCAHO Leadership standard for 2005 requiring patient flow studies and concrete action to improve patient flow and reduce emergency room overcrowding. Overall, his presentation was a great primer for hospital IT departments that have yet to do any patient flow studies and face the patient flow demon.

Premise Development Corp was founded in 1993 as a software design and development firm.  Over time, they’ve developed into a patient management software company.  They have a dozen installations at some marquee institutions: Loma Linda, Cleveland Clinic, and Yale New Haven to mention three. Interestingly there is at least one case of Premise being adopted as the enterprise solution with an incumbent vendor installed in a department.

Their patient management software goes beyond your traditional bed tracking system to include tools to ensure clinically driven bed placement (right patient, right bed) and software client dashboards designed to convey business intelligence for hospital management.

Client applications start with a dashboard view that is tailored for specific users: administration, admitting, bed control, ED, OR, patient care units, diagnostic departments, housekeeping, and patient transport.  There is also a tracking dashboard for tracking assets, like those IV pumps that always end up “lost” in closets.  The Executive Dashboard includes predictive modeling, scorecards, data mining, and KPIs.  The system can be deployed across one facility or several, providing a multi-facility enterprise view.

Their key technology is an embedded intelligent workflow engine.  This engine automatically optimizes tasks based on employee proximity, skill level and current workload.  The engine also includes escalation logic to prioritize and load balance resources.

Data to drive the engine is collected a variety of ways, including HL7 transactions, IVR and indoor positioning systems.  Alerts are distributed via pages, email, wireless devices, phone and on-screen messages at client workstations or displays.

Metrics are always interesting.  Premise claims their customers have increased bed turnover by 50% or more; reduced stat housekeeping orders by 70% or more; and reduced dirty beds passed from one shift to the next by more than 90%.