Navy Leadership Discussion Ms Mary Ann Rockey Navy

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Navy Leadership Discussion Ms. Mary Ann Rockey Navy Medicine CIO CAPT Bob Marshall, MC

Navy Leadership Discussion Ms. Mary Ann Rockey Navy Medicine CIO CAPT Bob Marshall, MC USN Director, M 3 C 4 -Clinical Informatics

Maslow’s Hierarchy of AHLTA Digital Info, Pred & Prev Tools, CDS, Dis Mgmt Full

Maslow’s Hierarchy of AHLTA Digital Info, Pred & Prev Tools, CDS, Dis Mgmt Full Longitudinal Record - IP, PHR, PACs, images, theater, VA, EHR Reliability, Architecture, Speed, GUI

Baseline Reliability – critical systems ideally need to have 100% up time – that

Baseline Reliability – critical systems ideally need to have 100% up time – that should be the standard for AHLTA Speed - the most common end user complaint – the refresh must be faster Architecture – change to a. NET baseline & Service-Oriented Architecture (SOA) GUI - end user driven; usability testing

Middle Level Goal needs to be an end-to-end EHR – Integration is ideal, but

Middle Level Goal needs to be an end-to-end EHR – Integration is ideal, but seamless interaction that supports the patient care work flow is acceptable – Needs to follow the patient from the point-ofinjury through complete rehabilitation & on to disability as needed – Both care and care coordination, including Network providers/Reserve/National Guard, need access to the record – Searchable image management - PACS & DFI

Top Layer Digital Information – Predicative & preventive health care – Usable disease registries

Top Layer Digital Information – Predicative & preventive health care – Usable disease registries – Disease management data at the fingertips of providers – Decision support tools at the point of care Smart systems, reference sources, patient handouts, etc

Greater User Involvement Requirements specification and development GUI development with iterative development & usability

Greater User Involvement Requirements specification and development GUI development with iterative development & usability methods Beta testing – APPTE – Remote access testing – Smaller facilities

Development Matrix Increased speed to market – on time & on target Ensure that

Development Matrix Increased speed to market – on time & on target Ensure that increased speed to market does not compromise the baseline… reliability, speed and usability IV&V – Independent Verification & Validation Iterative development instead of “spiral development”

Legacy Systems Need to be replaced Too costly to maintain Many interface issues with

Legacy Systems Need to be replaced Too costly to maintain Many interface issues with newer systems… including AHLTA Difficult to extract meaningful data for health management at the end user level

AHLTA user

AHLTA user

Innovation Needs to be encouraged Needs to be shared Both innovation now & innovation

Innovation Needs to be encouraged Needs to be shared Both innovation now & innovation for the future – Dragon, As. UType, Textra, PDF Create, etc – Business process reengineering & workflow management – Ready resources; ongoing skill development

Questions

Questions