Duke Medicine IT Strategy Jeffrey Ferranti MD Chief

Duke Medicine IT Strategy Jeffrey Ferranti, MD Chief Information Officer / VP Medical Informatics Duke Medicine April 17, 2015

Duke Medicine Health IT Strategy CONNECT Enabling the health system to fully leverage information technology in achieving its mission CARE INFRASTRUCTURE AND SERVICES INFORMATION SECURITY INSPIRE INNOVATE FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 2

Goal #1: Care Foster a consistent and seamless health care experience across Duke Medicine leveraging the best technology available for patients, their loved ones, and each other. CONNECT CARE INSPIRE INNOVATE Care Key Initiatives • • • Maestro Care EHR Care Redesign Provider Workflow Optimization New Clinic Deployments Meaningful Use HIMSS Stage 7 STRUCTURE AND SERVICES INFORMATION SECURITY FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 3

Goal #2: Connect Partner with patients, referring providers, other health care entities to improve health outcomes, the efficiency of care, and the experience of care. Connect Key Initiatives • • • CONNECT CARE Patient Engagement Referring MD Communication Health Information Exchange Community Connect Telemedicine Planning STRUCTURE AND SERVICES INFORMATION SECURITY INSPIRE INNOVATE FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 4

Goal #3: Inspire Leverage enterprise data to support clinical care, research, and advanced analytics. Actively deliver actionable intelligence to the point of care. CONNECT CARE INSPIRE INNOVATE Inspire Key Initiatives • • Population Health Enterprise Data Warehouse 2. 0 Information Asset Management Enterprise Reporting STRUCTURE AND SERVICES INFORMATION SECURITY FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 5

Goal #4: Innovate Support development of new ways to take care of patients, including technologies within and around Maestro Care. Provide world class IT services to support Duke Medicine’s vast research mission. CONNECT INSPIRE Innovate Key Initiatives • IT Innovation • M*Health Mobile Apps • App Development Incubator • Learning Health System Activities • Research Services • Biobank / Shared Services • Basic Science IT Strategic Plan • Clinical Trials Management System • e. IRB • My Research Home @ Duke CARE STRUCTURE AND SERVICES INFORMATION SECURITY INNOVATE FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 6

Goal #5: Infrastructure and Services Build strategic, cost effective IT infrastructure and application services that scale up to support Duke Medicine’s goals CONNECT INSPIRE Infrastructure Key Initiatives • New NC-1 Data Center • Updated G 4 Network Architecture • Replacement of HL 7 Interface Engine • Windows 7 Migration • Outlook 365 Migration • Physiologic Monitor Fleet Replacement • Nurse Call • IT Service Management Processes CARE INFRASTRUCTURE AND SERVICES INFORMATION SECURITY INNOVATE FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 7

Goal #6: Information security Protect the confidentiality, integrity, and availability of Duke Medicine’s information assets CONNECT INSPIRE Security Key Initiatives • • Multi-Factor Authentication Vulnerability / Patch Management e. RGC Policy System Implemented Network Admission Control (NAC) Mobile Device Management Cisco Managed Threat Defense Security Information and Event Management (SIEM) CARE STRUCTURE AND SERVICES INFORMATION SECURITY INNOVATE FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 8

Goal #7: Work culture Create a high quality work force, equipped and motivated to partner with Duke Medicine in providing excellent patient care. CONNECT CARE INSPIRE INNOVATE Work Culture Key Initiatives • Work Life Balance • Teamwork Across Teams • Communication • Skills development and training plans • Foster new ideas and innovation STRUCTURE AND SERVICES INFORMATION SECURITY FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 9

Goal #8: Finance and growth Effectively manage expenses, drive efficiency and cost reduction, and improve transparency into services provided and associated costs. Finance Key Initiatives • • CONNECT CARE INSPIRE INNOVATE Service Based Costing Transforming our Future Contracts Database FY 16 Budgeting / Margin Improvement STRUCTURE AND SERVICES INFORMATION SECURITY FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 10

CONNECT CARE STRUCTURE AND SERVICES INFORMATION SECURITY INSPIRE INNOVATE FINANCE AND GROWTH WORK CULTURE Caring for our patients, their loved ones, and each other 11