it@jh patient management systems team sherrie szekalski director
TRANSCRIPT
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
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 Scheduling
and 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 Image
Capture?• 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 Billing
and 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
Director
Sherrie Szekalski
Manager
Tony Greico
Manager
Walt FrizzellProject Lead Kathy Gonano
Project Lead
Pam Mioduszewski
Staff Assistant
Pam 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 Knight
Project Leader
Keane and SMS
Tony Greico
Keane and SMS ADT Team:
Bob Horst
Linda Anakaraonye
Michelle Moore
Sandy Webster
Tony’s Team
Tony Greico
EBB Team
Dawn Chiafari and Kathy WeiningerHarold Felinton
TSI Analyst
Walt’s Team
Marc Peters
Project Leader
Documentum AX
Walt Frizzell
Nancy Shipley
Project Leader
Quadramed and PID 2020
George Baier
Project Leader
HDM and Morrisey
Walt’s Team continued
Pete Hajewski
Donna Young
Stephany Gilbert
Sofiya Weinman
Evelyn Nyarko-Ahlijah
Kazue McHugh
Kevin Johnson
Charlene NelsonBill Gary
Epic Data Warehouse Analysts
Rob Dunham
PID 2020 Analyst
The EPIC and KioskTeams
Kathy Gonano
Epic Project Leader Pam Mioduszewski
Kiosk Project Leader
Kara Morton
Epic Analyst
Becky Forrester
Kiosk Analyst
Team Director
Sherrie SzekalskiPatient Management Systems
BS in Business Administration,
IT Concentration
30 years with IT@JH
