iht2 health it beverly hills summit - 2015
TRANSCRIPT
@DanielJBarchi
Leadership in Technology and Business
Institute of Medicine (1999)
Preventable medical errors
44,000 deaths annually
Institute of Medicine (1999)
Preventable medical errors
44,000 deaths annually
43,468 motor vehicle accidents
42,297 breast cancer
16,516 AIDS
Healthcare – an industry in change
Payment reform
Consolidation
Legislation
Pricing pressures
Technology growth
Data-driven care
Transparency
Leadership
Aspirational
National Electronic Medical Records Initiative
January 8, 2009
National Electronic Medical Records Initiative
Aspirational
May 25, 1961
April 12, 1961 May 5, 1961
January 8, 2009
EMR Use - 2009
Hospitals 1.5% have fully implemented
comprehensive EMRs in all units
Physician Practices 4% have fully functioning EMRs in their
office
B
S
O
Healthcare leadership
Bright
Shiny
Objects
Healthcare leadership
Healthcare leadership
80% people
15% process
5% technology
Leadership
Aspirational
People first
People: The impact of change
All adult learning involves the loss of control
Enterprise-wide EMR
People: Engage your user leaders
“If you do not complete your EMR training and receive your password to access the system by July 26 you will not be prepared to care for patients. Should this happen, I will take your decision to not be trained as a voluntary resignation from the organized medical staff.”
People: Engage your user leaders
“It’s not my job”
People: Get everyone on board
“It’s not my job”
People: Get everyone on board
“It’s not my job”
People: Get everyone on board
People: the team
People: the team
Leadership
Aspirational
People first
Set ground rules
1. We will put our patients first. System and workflow design and
implementation will be undertaken with patient safety, service
excellence, and the highest quality of care as our driving forces.
2. We are all accountable for our success. Implementation will be jointly
owned and driven by clinical and operational leaders for content
development and workflow changes and Information Technology for
system build and implementation. Focus and resources will be shifted
from support and enhancement of current systems to the design and
build of Epic.
3. We will work together to standardize workflow and content.
Standardized workflows will be sought, and change management tools
and necessary resources assigned to effectively manage and adopt
change. Standard design will optimize Enterprise-wide objectives versus
individual unit or department objectives.
4. We will adopt the Model System. Generally available Epic software and
model content will be implemented with very limited configuration unless
there is a significant clinical, regulatory and/or business case to do so.
One Team, One Record, One Focus: Our Patients!
Leadership
Aspirational
People first
Set ground rules
Get started
Get started: New role
Get started: New role
Fire somebody
Fix something
Paint something
Get started: Shipyard
Get started: Shipyard
Get started
Leadership
Aspirational
People first
Set ground rules
Get started
Simplify
Specialty Practice
Pharmacy OR
ED
Imaging
Lab Inpatient Care
875
3M
Coding
Siemens
Invision
Lawson
Sybase
Integration
Engine
125, 135, 219, 223, 245, 760,
594, 676, 765, 1029, 1039, 1093, 1095
780, 805, 808, 814, 816, 830, 837, 842, 844, 849, 856, 858, 860, 862, 864
866, 900, 907, 915, 927, 935, 955, 962, 970, 976, 992, 1000, 1005
840
839
20
Misys
Vision1 of 2
850, 1015
1020
155
864
612, 620
624, 639
641
127, 170
185, 221
695, 866
1026
145,146,147
148,149 150
152,153,154,
155,158,159
160
915
158,
641, 970
962
808
730
390
CPSI2 of 2
95, 126,
154, 220
266, 862
1025 263, 556, 558,
562, 564, 568,
570, 572,
582, 594, 596,
583, 597,604
500
1036
Various
Datasets
PerSe1 of 3
TSG Application Interface Chart
725
1070995950
Financial
Services
Restricted
WebSite
Planning
& Budget
Financial
Support
Softmed2 of 2
873
778
843
925 930
792, 800,
886, 890
825
826
878
McKesson
Horizon(Pathways)
760
762
765
Updated: December 1, 2006
TOTAL Number of Interfaces: 509
75
975
149
842
660, 662
674, 676
682, 666
668, 670
677
810
626
628
161
35, 133
148, 520,
564, 624
670
121, 132,
515, 562
1091
410 402
405
Sovera
PFS1 of 2
632
640
600
960
206
622
689
920
175
Datis
812
1040
1050
HBO
REV3
HBO-CDM
Siemens
Financial
RMHIS
Softwise
530
Dynamedix
Genesys
Hyperion
Trendstar
KRONOS
OneStaff
Sanitas
RescueNet
Medicaid
HQM
SSI 2 of 3
Medicare
MedQuestTranscription
Sovera
HIM2 of 3
Novius
Radiology
PACS
(IMPAX)180
660510, 515,
520
FACS1 of 2
Wellsoft
EDIS
159,263,
189,604,
682,1000,
1027
184
837
Pyxis1 of 2
Eclipsys
EMPI1 of 2
180, 181
183, 184
185, 186
187, 189
147, 201
620, 814
Credit
Card
Payment
Coro-metics
Fetal Mon.
Siemens
Pharmacy1 or 2
CPSI1 of 2
GE
Centricity
Pillbox
CTVision
SSI1 of 3
Antrim MisysLab
Sovera
HIM1 of 3
1030
CoPath
140
560
130. 131
132, 133
134, 135
136, 137
138, 139
141, 142
265
GE Cardiology
MUSE183
755
710
965
971
Rauland Borg -
Nurse Call900
415OASIS
SunTrust
1045
592 MAK
639
955
Siemens
Soarian1 of 2
136
186
596
677
927
1105
1025
1026
1027
207, 210
SCA
735 1035
Internal
Audit846
225
PaWS
1110
Sovera
PFS2 of 2
MEMS
Rosebud
540860
25
702
704
GE
ORIS
NC AVAYA
NC CRMH
720
722
Common
Master Tool Kit
GroupWise
120, 121, 123
124, 125, 126
127, 128
123
Pharmacy
OneSource876
1090
1091
1093
1095
1105
Power
Scribe
674
Delta Dential375
Automated
Mailing
Service100
164
FACS2 of 2
162
Various Clients
& Web212
215
68
Atlas
Labworks
HEDIS
130, 260
556,
134
568
240
Wachovia 401
SHPS400
Sovera HIM
3 of 3
638
OmniCell
685
PerSe2 o f 3672
750
777
Quantum Med
CarePort
120, 131,145
181, 200, 510,
558, 612 662,
780, 1090,1075
Teletracking992
580
VA
Medical680
35
90
95
Intergual
124,849
150
Harford
Decision
Support
PR Dept
377
693
397
399
695
586
Dublin Family
Practice666
Pyxis
2 of 2716
IDS
Carousel
714
HEDIS
DB
Internet
Web
Sites
870, 795,
820, 770,
848, 776
Computrition
Dietary805
IMPAC844
907
65
PaWS2 of 2
708
Anthem
50
55
151
153
858
245
Digisonic170
668
250
Eclipsys
EMPI2 of 2
188
220
221
222
Lab
Outreach
eMPI Helper
260
200
201softmed
1 of 2
187
1029
Health Stream 380
LabPort266
394
SSI3 of 3
505
572
138, 90
128, 139
265, 582
MS4650
678
712
eDischarge
LBS142
583
146
816
Xtend160
1005
137, 935
597, 762
Professional
Research
Professional
Billing
880
882
Soarian2 of 2
1028
1078
VA Dept
Health
1077
1075
1078
Power
Campus
387
PerSe
3 of 3
630
LabCorp
262
156205
217
235
Quantum
Billing141
Various
Websites
Anthem
Centricity
379
374
396
b2b Vision
CASB 616, 618
610
CASB-FS
CCL&PA
NCHS
785
790
865
B2b Optma
230
Interfaces not on diagram: 103, 105, 110, 195, 196, 525, 550, 584,
636, 687, 692, 700, 1041, 1112
223Lawson
2 0f 2
Paitent Keeper
102
MDAssociates152
856
838
223
625
222
1038
Vision
2 or 2997
GE Centricity
Cardiology
218
219
Trendstar
2 of 2
643
Wellsoft
EDIS
2 or 2
1094
642
830
157
Pharmacy2 of 2
761
976
1039
BPI.net101
779
Total
Interfaces: 509
EMR Interface Engine
order sets
medical records (HIM) committee
integrated nursing leadership – CNO Council
physician advisory group (PAG)
pharmacy advisory council (PhAC)
formulary integration committee
revenue cycle standardization
laboratory leadership advisory group
Simplify: Standardize what you can
Leadership
Aspirational Go fast
People first
Set ground rules
Get started
Simplify
Aggressive schedule
"Nothing so focuses a man's mind as the knowledge he is to hang at dawn.”
- Samuel Johnson
Aggressive schedule
Reduces debate
Demands intense collaboration
Delivers results more quickly
Demands more participation from clinical customers
Accomplishes the most difficult work early in the project
Leadership
Aspirational Go fast
People first Capitalize on the crisis
Set ground rules
Get started
Simplify
moment
Capitalize on the moment
rew
ard
risk
Capitalize on the moment
Leadership
Aspirational Go fast
People first Capitalize on the moment
Set ground rules Communicate
Get started
Simplify
As we approach the end of month three of our go-live the Clinical Transformation Governance Group, leadership team, and Clinical Transformation team together with our partners from Epic acknowledge the ongoing challenges and difficulties we are experiencing transitioning to our new EHR. We are committed to improving our configuration so that it meets our needs. Epic has been on-site this week and coupled with feedback we have received from the survey we are developing both immediate fixes and longer term fixes. Epic has also established an incident command in Wisconsin to assist our team in working through the multiple incidents that remain outstanding. We also want to take the opportunity to address some rumors: this is the full, current version of Epic - not a discounted one. We collaborated with Epic to determine the strategy for implementation. We followed their guidance to implement as fast as possible then stabilize/optimize. All of us are committed to following through on our plan.
As we approach the end of month three of our go-live the Clinical Transformation Governance Group, leadership team, and Clinical Transformation team together with our partners from Epic acknowledge the ongoing challenges and difficulties we are experiencing transitioning to our new EHR. We are committed to improving our configuration so that it meets our needs. Epic has been on-site this week and coupled with feedback we have received from the survey we are developing both immediate fixes and longer term fixes. Epic has also established an incident command in Wisconsin to assist our team in working through the multiple incidents that remain outstanding. We also want to take the opportunity to address some rumors: this is the full, current version of Epic - not a discounted one. We collaborated with Epic to determine the strategy for implementation. We followed their guidance to implement as fast as possible then stabilize/optimize. All of us are committed to following through on our plan.
Leadership
Aspirational Go fast
People first Capitalize on the moment
Set ground rules Communicate
Get started Reimagine optimization
Simplify
Optimization activity
Orange is the New Black
Enhanced capability is the new optimization
Enhanced capability is the new optimization
Enhanced capability is the new optimization
Enhanced capability is the new optimization
+ 7.7% + 5.2%
Enhanced capability is the new optimization
Enhanced capability is the new optimization
Enhanced capability is the new optimization
Enhanced capability is the new optimization
Enhanced capability is the new optimization
Clinical Trials
Management System
EMR
Enhanced capability is the new optimization
Enhanced capability is the new optimization
Leadership
Aspirational Go fast
People first Capitalize on the moment
Set ground rules Communicate
Get started Reimagine optimization
Simplify Value data
Protect
Protect
Protect
Now…Share!
Value data
Data consistency
Joint data analytics team
Actionable data
Clinical
Evidence-based care
Precision medicine
Strategic
Accountable care
Population health
Financial
Gain and risk sharing
Cost accounting
Leadership
Aspirational Go fast
People first Capitalize on the moment
Set ground rules Communicate
Get started Reimagine optimization
Simplify Value data
Remember who your customers are
