Dee Cantrell CIO Emory Healthcare 1 Emory Healthcare

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Dee Cantrell CIO Emory Healthcare 1

Dee Cantrell CIO Emory Healthcare 1

Emory Healthcare Wesley Woods TEC Decatur Plaza ECLH ` EMCF EMORY HEALTHCARE EUH TEC

Emory Healthcare Wesley Woods TEC Decatur Plaza ECLH ` EMCF EMORY HEALTHCARE EUH TEC ECC TEC Health Care Centers WCI 2

EHC IS Mission The EMORY HEALTHCARE Information Services’ mission -To support the EHC mission

EHC IS Mission The EMORY HEALTHCARE Information Services’ mission -To support the EHC mission of “Making People Healthy” through the effective use of The EMORY HEALTHCARE Information Services’ mission, “To support Information Technology and services. The IS core the EHC mission: Makingsolutions People Healthy through the. EHC effective useobjectives of to. Information support this mission are as follows: Technology solutions and services, ” is re-emphasized in a few of the specific IS core objectives: t Ø Manage human resources efficiently while enhancing employee engagement Ø Implement innovative ways to reduce or hold constant production support costs and IT organizational costs Ø Enhance internal and external communications Ø Enhance customer service processes and service delivery Ø Focus on opportunities for process improvements Ø Keep abreast of leading edge technology and IT best practices 3

EHC Virtual Desktop (VDT) Ø Sever-based computing to deliver applications to the desktop via

EHC Virtual Desktop (VDT) Ø Sever-based computing to deliver applications to the desktop via web access. Access is device and network agnostic. Ø Simplifies access, mitigates PC obsolescence, reduces application version incompatibilities, improves virus defenses, eliminates unauthorized and unlicensed applications, improves disaster recovery, and maintains security. Ø Supports an end-user that is becoming increasingly mobile and remote. Access to a user’s VDT will be available from any PC at Emory, and any PC that has access to the Web. Ø Driven by EHC employees need for secure, easy and instant access to applications and information as they move from one location to another. 4

Enterprise Applications Clinical Ø Ee. MR Millennium • • EMPI First. Net – Emergency

Enterprise Applications Clinical Ø Ee. MR Millennium • • EMPI First. Net – Emergency Depts Enterprise Scheduling Orders Management Power. Chart / Power Chart Office Clinical Documentation Cardiology O. R. and many others! Business Ø Group. Wise – EHC Enterprise Email Ø Health. Quest – EHs PM/PA Ø IDX – TEC PM/PA with scheduling being replaced by Enterprise Scheduling Ø Eclipsys ICU Documentation Ø Lotus Notes – Transcription and several dept specific apps Ø Path. Net - Lab Ø MS Office Suite Ø PACS Ø Many others 5

Department Specific Applications Examples Department Vendor Supported Ø Ø Ø Ø Ø CBORD ECHO

Department Specific Applications Examples Department Vendor Supported Ø Ø Ø Ø Ø CBORD ECHO Credentialing Eclipsys – Emtek GE – Cath Lab GE – ICU Monitors Meta Medical Records OTTR Pharmacy Robotics Tele. Vox Third Millennium Suite of Apps ACS - Medicaid Avaya – Auto dialer Claims Logic Claims Manager FAMS Web. MD – DSS Web. MD - NVS 6

EHC IS Support Services Call Center at 8 -HELP (8 -4357) / (404) 778

EHC IS Support Services Call Center at 8 -HELP (8 -4357) / (404) 778 -4357 Ø Ø Ø Report an issue Check System Status Place a Request for Service Web access for ticket placement Average 7800 calls per month EHC WEB Site – www. eushc. org Password Reset Tool Support Center Web Based Quick Train Topics Access to Departmental Web Pages 7

EHC IS Support Services Access Security Ø Over 400 Access Coordinators Ø Thousands of

EHC IS Support Services Access Security Ø Over 400 Access Coordinators Ø Thousands of access requests processed per month Ø Audits / HIPAA Compliance Support New Request Process Ø New Projects, New Software Ø Process Improvement Projects EHC_IS_New_Requests@emoryhealthcare. org 8

Emory Evolution of EMR Ø 1950 -1992 § Hospital specific charts § Shared Ambulatory

Emory Evolution of EMR Ø 1950 -1992 § Hospital specific charts § Shared Ambulatory chart Ø 1992 -2004 § Electronic Clinical Data Repository implemented (Cerner) § Geographical dispersion maximized Ø 2004 -present § Ee. MR strategic initiative for EHC 9

Goals Ø Ø Ø Improve quality of care Improve efficiency of care Improve consistency

Goals Ø Ø Ø Improve quality of care Improve efficiency of care Improve consistency of care Increase patient and provider satisfaction Support Emory’s educational and research objectives Guiding Principles Ø Ø The provider is still ultimately responsible Reducing variation improves quality Challenge the past everyday Incorporate best practices Metrics tied to balanced scorecard Ø All levels of EHC organization 10

Ee. MR Phase I Implementation July 2002 Enterprise Master Patient Index (EMPI) for EHC

Ee. MR Phase I Implementation July 2002 Enterprise Master Patient Index (EMPI) for EHC Ø Integration of EMPI with Health. Quest (HQ) and IDX Ø Developed Web based EMPI look-up tool Ø Automated support for emergency dept. patient triage, tracking, and discharge instructions (First. Net) Ø Implemented hardware, middleware, software and associated infrastructure 11

Ee. MR Phase II Implementation 2005 Classic Apps Replaced with Millennium Apps New Cerner

Ee. MR Phase II Implementation 2005 Classic Apps Replaced with Millennium Apps New Cerner Apps Acute Care Power. Chart – Results Viewing Pharm. Net Pharmacy Dept Automation Orders Management Hospital Orders Charge Services Hospital Charging Ambulatory Hospitals Go-Live Jan/Feb 2005 TEC Go-Live(s) Apr-Nov 2005 7 Applications 10 Interfaced Systems Over 110 Million Rows of Result Data to Migrate Allergy and Cardiology Data Migrations Power. Chart Office First. Net ED Dept Automation ESM Cardiology Scheduling 12

Ee. MR Phase III Ø August/September 2006 Implementation – – – – Clinical Documentation

Ee. MR Phase III Ø August/September 2006 Implementation – – – – Clinical Documentation Wireless and WOWs! Cath Lab Event Log Documentation Surgi. Net OR Scheduling, Pref Cards, Intraoperative documentation Development of content and order sets for CPOE Emory Personal Health Record Ekg readings – text results and strip image CPOE in EHs Emergency Departments 13

FY 07 Projects Ø Radiology Information System (Rad. Net) Ø Medical Records Systems (Profile)

FY 07 Projects Ø Radiology Information System (Rad. Net) Ø Medical Records Systems (Profile) – deficiency tracking and e-signature Ø Provider Documentation (Power. Note) Ø CPOE continues Ø Clinical Documentation rollout completed across all hospitals Ø Enterprise Scheduling planning for the Physician Practice (TEC) 14

Emory Healthcare Ø Three hospitals. – Emory University Hospital – Emory Crawford Long Hospital

Emory Healthcare Ø Three hospitals. – Emory University Hospital – Emory Crawford Long Hospital – Wesley Woods Health Center Ø The Emory Clinic – – – Decatur Plaza Complex Building A Building B WCI Building 10 geographically dispersed Clinics Ø Approximately 17, 000 unique User Accounts 15