The opportunity:

      Streamline resource planning with the aim of delivering the best patient care as quickly as possible. 


      With over 60,000 planned surgeries a year and multiple emergency procedures required daily, Oslo University Hospital, like many healthcare providers, was oversubscribed and struggling with finite resources. Optimal management of these resources was critical to meet patient demands and deliver against future needs.

      By selecting KPMG in the Norway and ServiceNow to fine-tune their logistical planning, Oslo University Hospital put the needs of their patients at the core of their decision making. KPMG leveraged ServiceNow’s flexible, cloud-based platform to build ‘health flow optimizer’ — a platform designed to enable Oslo University Hospital to streamline patient flow and scheduling across all of their facilities.

      Administrators were wrestling with numerous manual scheduling systems and a complex arrangement of competing workflows and processes. Each surgery took up to an hour to plan, and each year, around 3,000 of these were cancelled. 


      The hospital facilitates 60,000 planned surgeries a year — and has to cope with multiple emergencies daily. The logistics involved in planning for that, with finite resources, are enormously complicated and costly.

      Øyvind Skraastad

      Director Acute Clinic

      Oslo University Hospital


      Oslo University Hospital believed that effective and efficient planning that could be delivered by technology transformation could help to drive down delays and cancellations and have a dramatic impact on the efficiency of the hospital.

      In response, KPMG and ServiceNow developed a tech-enabled solution in collaboration with Oslo University Hospital that helped to automate workflows and streamline processes that could fundamentally free up time and other resources to enable staff to focus on what’s most important — the care of their patients. 


      We are now able to gain a 6-10% increase in surgical productivity, which adds huge value when you consider this cost amounts to 20–30% of our total budget.

      Hanne Wikeby Asak

      Head of Department for Organ Donation

      Oslo University Hospital


      Our response:

      A cloud-based solution to optimize the resources available at any one time.

      KPMG teams worked with functional healthcare professionals and collaborated closely with Oslo University Hospital to create a health flow optimizer to automate and digitize surgery scheduling processes.

      Leveraging the ServiceNow Platform with low/no-code development tools for extensibility, the health flow optimizer was designed to deliver benefits that extend well beyond surgical planning.

      Its ability to automate and streamline processes and workflows means that it can have a positive effect on patient outcomes and experiences, and those of the clinical teams working at the hospital.

      With the integration of a cloud-based digital twin, the hospital can simulate and prepare for contingencies, develop plans and build confidence in facing scenarios such as a sudden influx of patients. Knowing the hospital’s pinch points in this way also helps capacity planning in areas like personnel, operating theatres and equipment, and eases the complexity of future investment planning, too.


      It’s easier to plan for today and the future. The ServiceNow Platform allows the hospital to simulate contingencies and evaluate new investment areas for adding more capacities and operating theaters.

      Deana Kraft

      VP, Global Industries & Solutions Partnerships

      ServiceNow


      The potential doesn’t end there, as KPMG, with ServiceNow, has made it possible for advanced use cases with machine learning and predictive analytics to be added to further improve patient outcomes and experiences, and clinician experiences.


      The outcome:

      Streamlining surgical planning and leveraging new revenue streams.

      With the help of KPMG in Norway and ServiceNow, Oslo University Hospital is well on its way to reaching its operating theatre productivity targets. The hospital has a single surgery scheduling platform tailored to areas where there is potential for automation, and integrated with existing hospital systems, including eHR systems.

      The current target for the project is to achieve a 14% increase in the utilization of its operating theatres, resulting in a potential increased income of USD 35 million per year.

      It’s a testament to the value of transformation, and the health flow optimizer is capable of much more than just scheduling surgeries. It has the ability to improve patient communication and security, identify procedures most at risk of cancellations with intelligent algorithms, model scenarios for industry best practice, reduce administrative burdens and bottlenecks, and even manage the proliferation of medical devices.


      We are already seeing the effects of the health flow optimizer in our management, where they are now able to make more informed decisions based on highly intuitive data visualization. Our mission is to truly listen to our patients and meet their evolving needs. We’re continuing to provide excellent quality healthcare to patients, supplemented with leading logistical tools and processes, with the help of KPMG and ServiceNow.

      Hanne Wikeby Asak

      Head of Department for Organ Donation

      Oslo University Hospital


      This patient-centric transformation continues to harness the power of AI to reduce administrative workloads and automate workflows, to decrease bottlenecks and enhance data accuracy. It enables staff to use data, stored securely in the cloud, to further guide processes and deliver better patient outcomes and more enjoyable clinician experiences, allowing experienced and knowledgeable clinicians to focus on patient care, not administrative roadblocks.

      The strategic vision for Oslo University Hospital will involve the building of AI agents that are transparent, ethical, secure and aligned with the goal of further improving patient care and expeditious outcomes, aiming to enhance confidence and trust in the organization and its partners.


      Some of the best changes require a holistic approach. That’s why KPMG professionals and functional healthcare professionals, along with ServiceNow, worked closely with the team at Oslo University Hospital to understand the environment at hand, and to map out critical processes for integration and automation.

      Dr. Anna van Poucke

      Global Head of Healthcare, KPMG International, and Healthcare Senior Partner

      KPMG in the Netherlands



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      Our people

      Tormod Lysne Voje

      Partner, Technology Enablement

      KPMG in Norway

      Andrew Keeling

      Global Alliance Director, ServiceNow

      KPMG International