10300 Physician Reminder System 95 750 Physician Reminder

10/3/00 Physician Reminder System, 95 -750 Physician Reminder System The Western Pennsylvania Hospital Earl Crane Hap Huynh Jeongwoo Ko Koichi Tominaga 10/3/00 95 -750

10/3/00 Physician Reminder System, 95 -750 Location 2

10/3/00 Physician Reminder System, 95 -750 3 A history of firsts Then Now • 1848 First public hospital chartered in Pittsburgh • 1971 First hospital in Pittsburgh to build a heliport • 1937 First hospital to develop and use time-lapse photography for research purposes • 1982 First teen and young adult Spina Bifida clinic in Pennsylvania • 1959 First in Pittsburgh to open an intensive care unit • 1997 First Burn Trauma Center to receive verification from the American College of Surgeons and American Burn Association

10/3/00 Physician Reminder System, 95 -750 Physician Reminder System Mission • Proactive patient management • JIT physician reminders • Compliance with practice guidelines • Result: – High quality outpatient care and follow up – Improved patient outcomes and reduce variations in care 4

10/3/00 Physician Reminder System, 95 -750 Services provide to users • Physicians • Reminders or suggestions for preventive care, treatment changes or referrals, patient education at time of visit • Patients • Reminders regarding appointments and compliance • Office Staff • Reminders of actions during current appointment and of future appointments 5

10/3/00 Physician Reminder System, 95 -750 User Requirements • Most important is response time • JIT Reminders: remind physicians to enforce clinical best practices for treatment of three diseases • Identify time-driven reminders • Identify visit-driven reminders • Maintain patient’s medical history 6

10/3/00 Physician Reminder System, 95 -750 7 System Requirements • • Demographic data from patient registration system Specific clinical data entered by physicians Secure data from unauthorized viewing System functionality • Diagnosis • Visit • Test Data • Billing and lab system

10/3/00 Physician Reminder System, 95 -750 Hardware Architecture • Client – MS Windows 95/98 • Server – MS Windows NT • Database – Oracle 8 i • User Interface – Visual Basic 6. 0 • Database Connectivity – Active. X Data Objects 8

10/3/00 Physician Reminder System, 95 -750 9 Software Architecture Front End User Interface Patient Management Reminder Systems Time-driven Back End Report Engine Visit-driven Business Logic Security Logic Common Database Administration Systems

10/3/00 Physician Reminder System, 95 -750 10 Usage Architecture Patients Nurses Labs Notification from reminders Patient & Reminder Information Test data Interconnectivity with other systems Physici an Reminder System Reminder & Response Management Hospital Information System Doctors Staffs

10/3/00 Physician Reminder System, 95 -750 Usage Scenario for Physician 11

10/3/00 Physician Reminder System, 95 -750 Login and Function Selection 12

10/3/00 Physician Reminder System, 95 -750 View “Patient List” Form. 13

10/3/00 Physician Reminder System, 95 -750 See Reminders 14

10/3/00 Physician Reminder System, 95 -750 Respond to reminders 15

10/3/00 Physician Reminder System, 95 -750 Visit Details 16

10/3/00 Physician Reminder System, 95 -750 Test Results 17

10/3/00 Physician Reminder System, 95 -750 View and update diagnosis 18

10/3/00 Physician Reminder System, 95 -750 Add new diagnosis 19

10/3/00 Physician Reminder System, 95 -750 20 Project Timeline Client Meetings 9/26 Meeting 1 - Prof. Padman, PRS developer, provided system documentation 10/6 Meeting 2 -West Penn Medical Director and IS staff review the hospital’s network architecture 10/23 -10/27 Meeting 3 -Identify vulnerabilities and discuss intrusion scenarios 11/13 -11/17 Meeting 4 -Review findings and recommend mitigation strategies 11/27 -11/29 Meeting 5 -Client response and feedback Class Presentations 10/3 Project Briefing 1 10/31 Project Briefing 2 11/14 Project Briefing 3 12/7 Project Briefing 4

10/3/00 Physician Reminder System, 95 -750 Team Activities Weekly Meeting • Standing Team Meetings- Tuesdays 11 am-1 pm • Additional Meeting will be schedule as needed Team Meetings to Date 9/23 Initial team meeting-Project discussion and assignment of roles 9/28 Client debriefing and presentation discussion 21