it@jh patient management systems team

IT@JHPatient Management Systems

Team Sherrie Szekalski

Director

Thank youfor spending your lunch time

learning about the Patient Management Systems

team!

What I’ve been ask to tell you: Function of my team

The projects we supportWhere we fit within the Hopkins Institutions

Types of positions in the groupQualifications required for positions in the group

Pictures, with names, of group members

Patient Management Systems Team Mission

We support JHH systems for:

• Patient Identification• Outpatient Scheduling and Registration• Admitting• Bed Management• Document Image Capture• Hospital Billing and Coding• Self-service Kiosks• Denials and Appeals• Executive Information

Appointment Request and Scheduling

Pre-visit Forms –

other forms – Med List

Office VisitCheck-in

Hospital Services Requested –

Scheduled or un-scheduled

On-lineOrder FormCompleted

and Forwarded

Patient - Hospital Check-in Self Registration

Virtual patient List

– Active Patients

Exception Reporting –

ResultsOther?

Integrated Patient Experience

Results to

Patient

ExaminationLab Draw

Clinical Data Collection –

On-lineDictation

Hospital Staff Virtual Patient List – incoming patients

Pre-scrub dataVerify Sequences

Manage Resources

Radiology ExamSurgery

Lab DrawClinical Data Collection –

On-lineDictation

On-going Communications between patient and physician,

office, and hospital services

Pre-service Instructions

Education – Require Sequence of Tests

Pre- Registration

Day of appointment

Patient checks in

So … who we think we are…

Who we really are…

We juggle projects and priorities

And….

We connect systems to share data

And…

We communicate, communicate, communicate

What is Patient Identification?• Selecting the right patient ensures patient safety:

– Identifying the right patients allows the clinicians to pull the correct medical history

– A sophisticated search algorithm is used to search through 4.5 million patient records.

– Linking patients across Johns Hopkins Medicine will allow for retrieval of medical history across the JHM family.

• Systems:– Quadramed – a vendor application which provides the searching

algorithms– PID - a “homegrown” application which assigns the patient’s

medical record number

What is Outpatient Schedulingand Registration?

• Schedules a patient with the right department and care provider in the desired time slot

• Captures registration information to prepare the clinician for seeing the patient

• Captures important insurance information to ensure that the services are successfully billed

• System: Epic

What is Admitting?• Captures information for patients admitted to the Hospital:

– Demographic information - who is this patient, where do they live?

– Insurance information – who will we bill for this Hospital visit?– Where is the patient located in the Hospital?

• Systems:– SMS ADT is currently in use– Keane ADT will replace SMS ADT in July, 2010

What is Bed Management?• Captures information for all patients currently admitted to the

Hospital:– Who is in each bed in the Hospital?

• Allows patients to be transferred to another clinical service or bed.• Provides a discharge function for when the patient leaves the

Hospital.• Provides a Hospital-wide view of current occupancy to plan for

incoming patients.

• System: EBB – a “homegrown” system

What is Document ImageCapture?

• Captures scanned documents:– For outpatients – picture ID, insurance card, referral form– For inpatients – pre-admission test information from other

providers– For other business functions, including HR, Accounts Payable,

and the Executive Offices.• Patient data is integrated with the EPR for access by clinicians

• System: Documentum AX. System is also known as WebX, EDMS, Legato, and OTG.

What is Hospital Billingand Coding?

• Produces bills for Hospital services for:– Insurance companies– Patients

• Tracks the Accounts Receivables for JHH• Processes payments from insurance and patients• Codes the services provided to using national standards – ICD-9,

DRG, CPT-4– For billing to insurance– For regulatory reporting

• Systems:– Keane is used for Hospital Billing– HDM is used for coding

What is the Self-service Kiosk?• Allows patients to:

– electronically check-in in a clinic upon arrival– review and change demographic information– review insurance information– scan insurance cards and referral forms– review and accept the outpatient agreement form

• System: Vecna

What is Denials and Appeals?• Tracks:

– Payor denials for payment– JHH appeals to payors in response to denials– Medicare audits to verify medical necessity for treatments

provided to patients

• System: Morrisey

What is the Executive Information System?

• Provides access to consolidated financial, administrative and clinical data for decision support.

• System: TSI

Org Chart

DirectorSherrie Szekalski

ManagerTony Greico

ManagerWalt Frizzell

Project Lead Kathy Gonano

Project LeadPam

Mioduszewski

Staff AssistantPam Thompson

Positions in our teamProgrammer Analyst• Work requires an understanding of a variety

of technical skills, based on the vendor or homegrown system supported. Some of these skills include MS SQL, Oracle, Visual Basic, Cobol, CICS, Mumps.

• Work also requires analytical ability to study a problem, and create a specification document for a solution.

• There are four levels to this position:– Programmer Analyst A – Programmed Analyst B– Programmer Analyst C– Programmer Analyst D

• Educational and experience requirements increase with each level of position.

Project Leader• Responsible for coordinating, and providing

experienced leadership to software projects from planning to implementation of various departmental or enterprise wide applications.

• Bachelors Degree + 5-7 years experience.

Project Coordinator• Assists with special projects and project

budgets. Also performs administrative tasks.

Tony’s Team

Diana KnightProject LeaderKeane and SMS

Tony Greico

Keane and SMS ADT Team:Bob Horst

Linda Anakaraonye Michelle MooreSandy Webster

Tony’s Team

Tony Greico

EBB TeamDawn Chiafari and Kathy WeiningerHarold Felinton

TSI Analyst

Walt’s Team

Marc Peters Project Leader

Documentum AX

Walt Frizzell

Nancy ShipleyProject Leader

Quadramed and PID 2020

George Baier Project Leader

HDM and Morrisey

Walt’s Team continued

Pete HajewskiDonna Young

Stephany GilbertSofiya Weinman

Evelyn Nyarko-AhlijahKazue McHughKevin Johnson Charlene NelsonBill Gary

Epic Data Warehouse Analysts

Rob DunhamPID 2020 Analyst

The EPIC and KioskTeams

Kathy GonanoEpic Project Leader Pam Mioduszewski

Kiosk Project Leader

Kara Morton Epic Analyst

Becky ForresterKiosk Analyst

Administrative Support

Pam ThompsonProject Coordinator

Team Director

Sherrie SzekalskiPatient Management SystemsBS in Business Administration,

IT Concentration30 years with IT@JH

Any Questions?

Thanks for Listening!