NYU Medical Center Information Technology (MCIT)

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NYU Medical CenterInformation Technology (MCIT)

• Administrative Updates Meeting
• June 14. 2006

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Agenda

• Medical Center IT Organization
• Project Overview
• Open discussion

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KeynoteAMCs Strategic Framework for
PartnershipVision - what do we aspire to be?
NYUMC 2020 is among the small number of the
worlds leading academic medical centers. As a
fully integrated health science institution, we
are committed to three equally valued and
interdependent missions of patient care,
education, and research. We demonstrate the
highest quality of patient-centered care and
safety outcomes. We innovate and demonstrate
cutting-edge discovery and utilization of
knowledge in education, basic science and
clinical research, and patient care. To support
the enterprise, we provide state-of-the-art,
adaptable infrastructure and resources to ensure
outstanding service and to sustain the health of
the community we serve.
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Where we are - Current IT Landscape
Where we are going - Future IT Landscape

NIH K30 IT
HRSA IT
CDC IT
RCR IT
Library IT
NYU Medical Center IT (MCIT)
Univ IT
SoM IT
Hospital IT
AES
IBM IT
Radiology IT
Bellevue IT
Lab IT
VA IT
DSS IT
Food Svc IT
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NYU Medical Center IT Questions

• How are other Academic Medical Center IT
  departments structured
• How should a NYU Medical Center IT Department
  Organized
• What are the benefits
• How are services accessed , delivered, and costed
• What gets measured to demonstrate that a Medical
  Center IT is better than Divisional/Department IT
• How does work get prioritized and
  allocated/approved given limited resources and
  assets
• Whats in the Core Medical Center IT services
  and who owns, sponsors, and governs them
• Is our culture ready to change and what are the
  changes

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Functional NYU Medical Center IT Organization
Dr. Robert Glickman CEO Dean NYU Medical Center
Hospital
School of Medicine
Paul Conocenti Chief Information Officer
Medical Center Core IT Systems and Services
Medical Center Specialized Systems
Collaborative IT Partners
Network Engineering and Support
Web Service (intra/internet, portals)
Messaging (eMail, Secure Msging)
Corporate Systems (HR,Fin, MM,RE)
Radiology
Outsourcing Governance of Data Centers DR
Directory Services (AD, LDAP, Novell
In-house Application Development
SoM Administrative Systems
Lab
Metaframe Support
System Integration (interfaces, objects, etc)
Decision Support
IT Contract Services
SoM Research Systems
Help Desk
Desktop Engineering
Food Service
Data Warehousing
SoM Education Systems
Desk Top Support
Systems/Application Architecture
Database Administration
Patient Access System
Research
Tele-Communication
Security Architecture Development
Patient Care System
Library
Clinical Informatics
Systems Admin (SA)
Security Policy Audit Compliance
Hospital Administrative Ancillary Systems
Media Facilities
AES
Security Admin
FGP Systems
NYU University
IT DR Business Continuity Planning
Change Mgmt
Affiliates (Bellevue, VA, etc.)
. Others
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Core IT Services are leveraged across the Medical
Center

Education
Application Development
Web Services
Systems Architecture
Education
eMail/ Messaging
Systems Integration
NYU Medical Center
Research
Education
Data Warehousing
Database Admin
Patient Care
Server Admin
Desktop Support
Telephone
Help Desk
Network
Data Center
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NYU Medical Center IT Organization
Paul Conocenti Chief Information Officer
Nancy Kaponyas Executive Assistant
Tom Jordan
Nader Mherabi
Luke Garvey
Pravene Nath
Hai Ngo
Network Engineering and Support
Web Services (intra/internet, portals)
SoM Administrative Support
Patient Care System
Security Policy Audit Compliance
Messaging Directory Services
Security Admin
SoM Clinical Trials Systems
Help Desk
Stacey Andry
Desk Top Support
Metaframe Engineering Support
HR Systems
IT DR Business Continuity Planning
Patient Access System
System Admin Architecture
Financial Systems
Desktop Engineering
Wayne Boney
Tele-Communication
Database Administration
Material Management Systems
Mark Lipton
IT Financial Control
System Integration Data Warehousing
Media Facilities
Real Estate Systems
Clinical Informatics
IT HR Control
Custom Application Development
Joe McDermott
Joe Sanger
Hospital Billing Ancillary Systems
Data Center Outsourcing Mgmt
FGP Systems
Radiology IT
IT Contracting
SoM Educational Systems
Change Mgmt
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MCIT StaffingCore IT Office
Key
Existing Hospital Positions
Existing SoM Positions
New Hospital Positions
New SoM Positions
Medical Center IT Office
Joe McDermott Data Center Managed Services
Hai. Ngo IT Security
Wayne Boney IT Business Office
T. Pezzoli
Lynn Berenberg
Contract Administration (1)
Policy Compliance(1)
Financial Analyst (1)
Performance Management (1)
Change Management (1)
IT Business Office
IT Security
IT DC
Hospital 1
Hospital 1
Hospital 3
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MCIT StaffingCore Desktop, Network, and Telecom
Infrastructure
Key
Existing Hospital Positions
Existing SoM Positions
New Hospital Positions
Tom Jordan Infrastructure Support
New SoM Positions
B. Martinez Admin Asst
Bruce Baulch Senior Director Telecom
Jamie Lynch Senior Director Network Engineering
and Operations
Director Desktop Engineering (1)
Manager Help Desk (1)
Angela Heller Manager Desktop SOM (1)
Manager Desktop Hospitals (1)
Manager Desktop Research
Yiwen Tan Lead Network Engineering
Specialist(3)
Clinical Rapid Response (12) 24x7
Tools(2)
Help Desk Analysts (9) M-F 7 to 7
SOM Desktop Techs (6.6) M-F
Engineers(4)
Network Engineers (2)
Expenses(3)
Help Desk Analysts (6) 24x7
Tisch\Rusk\VIP (5)
Charlie Bridgeman Lead Voice Engineering
Non IT SoM Dept IT Staff (33)
Operators (12)
Lead Desktop Engineer (1)
Clinical Cancer Center (3)
Security Admin (3)
Voice Engineers (1)
Lead -Cable/Facilities(1)
HJD (3)
Desktop Packaging Engineers (2)
Project Coordinators (2)
One Park Remote Offices (3)
Eric Ruiz Lead Network Security (1)
SOM Desktop Engineers (2)
Lead IMAC/asset management (1)
Net Security Engineer (1)
IMACs (3)
Ricky Rengifo Lead Network Operations (1)
Asset Mgmt (1)
Non IT SoM Dept IT Staff (33)
Sr Network Technician (1)
SOM Asset Mgmt(1)
Network Technicians (5)
EUC Engineering
Networking
Help Desk\Desktop
Hospital 51
Hospital 13
Hospital 6
SOM 2
SOM 1
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MCIT StaffingCore Systems, Architecture,
Development Technical Support
Existing Hospital Positions
Existing SoM Positions
New Hospital Positions
Nader Mherabi Applications Development
New SoM Positions
W. Milazzo Admin Asst (1)
Jeff Berliner System Engineering (1)
D. Hernberg Development
M.Maneiro Web Services
V Sayseng Interfaces/DW
L. Browne DBA/Tech
E. Goldenberg Ancillary
C. Petillo PACS/RIS
N. Yea Hospital Billing
Joe Sanger DB Development
Yoshi Nagase Platform Services
A. Cote
G. Kaminker R.DePasquale A.Ivenskiy E. Goldman V.
Si Q.He
J.Zhou KT Wang A Tumasian Robert Wang
B.Finkelstein L.Tarquino L.Simon
C.Fessler
J.Hess J.Honikman E.Berliner H.Tang E.Orciulol S.G
ottesman
L.Hernandez
A.Greenspan A. Kozlovsky M. Watt
TBD Lead System Engineers (1)
Lead Messaging Engineers (1)
J.Almonte Y.Chernyak G.Ye C.Hall TBA
H Reinhardt Orbit/OR
Messaging Engineers (5)
G. Augustine H. Carlson R. Shulman G. Tang A.
Wong
System Engineers (4)
N.Noori
1 TBA
S.Batallones
A. Dar (1)
Lead-Metaframe Engineers (1)
B. Lennon
S.Martinez
Metaframe Engineers (4)
H.Liu S.Remigio J.Chen TBA
Lead Directory Engineers (1)
R. Chin P. James C. Larson N. Ostrovsky
Directory Engineers (2)
Lead-B2B Single Sign-on (1)
M.Tavitian
Analyst (1)
Lead Storage Engineers(1)
R. Lehwohl
Storage Engineers (1)
TBA
TBA (Smilow)
Messaging/Metaframe
System Engineers
Hospital 10
Hospital 14
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MCIT StaffingCorporate and Administrative Systems
Key
Existing Hospital Positions
Existing SoM Positions
New Hospital Positions
Luke Garvey Corporate Administrative Systems
New SoM Positions
Christine Elliott Admin Assistant
Andy Maliszewski HR Financial Systems
Andrea Azzolina Som Administrative Support
Jennifer Cocco CTMS/InfoEd/ Oracle Clinicals
Maria Andrade, Business Systems Analyst 
Rob Dolce HR/Peoplesoft
Al Giammarinaro Acustaff
Salome Celleri Financial/GEAC
Brian Sands ePICS Material Management
Diana Garcia
Program Analyst (2)
V. Ravula M. Zolotarevky D. Kulawik J. Chau
GEAC
Hospital 2
Medical Center Core IT Services
Network
Desktop
Data Center
Custom Programming
Architecture Integration
Servers Database
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MCIT Staffing Patient Care Systems
Pravene Nath, MD Patient Care Systems
Jane Margolies Administrative Assistant
Lisa Dolan Project Office
Antoinette Rienzi HIS Department
Edward Lavelle Ambulatory EMR
Robert Reddy Omnicell

G. Perinchery K. Casper J. Torraco S. Varghese E.
Collazo C. Yeung
Eve Frankowski Administrative Assistant
A. Richards (Casual/P/T)

• Clinical
• R. Ventura, Clinical Manager
• B. Domings
• V. Natividad
• J. Guiwo
• U. Albania
• E. Kagaoan
• D. Janovas
• Vacant, ED Clin. Analyst

Profiles/ Security - V. Lam

• CPOE
• Pharmacy
• M. Lin
• Y. Yao

• Technical
• D. ODriscol
• T. Wittekind
• P. Massimino
• B. Watkins

• Ancillary/
• Interface
• R. Benejan, Assistant Director
• - N. Roberts
• Y. Ceballos
• J. Ziccarelli

• Training
• R. Medvedovskaya, Training Coordinator
• M. Jordan
• M. Andino

• Support
• J. Shelmet, User Support Manager
• O. Parada
• E. Saville
• R. Faussette

Medical Center Core IT Services
Network
Desktop
Data Center
Custom Programming
Architecture Integration
Servers Database
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MCIT Staffing Patient Care Systems
Stacey Andry Patient Access Systems
Maryann Cox Patient Mgmt Registration
Coleen Henry Scheduling (PHS Cerner)
M. Cruz (Dept. 9848)
A. Siroka
C. Yang (Dept 9848)
A. Bark
Madeline Solis
Vacant system analyst
Medical Center Core IT Services
Network
Desktop
Data Center
Custom Programming
Architecture Integration
Servers Database
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MCIT Collaborative IT Partner Staffing
Radiology IT
Joseph Sanger Radiology IT
Nanda Kirpekar Radiology Information System
Robert Moy Ricki Stern John Khosrofian Matthew
Lisowski Quyen Ngo Michelle Oddman Andre
Stevens Abdul Waheed David Yee Analyst TBD
Medical Center Core IT Services
Network
Desktop
Data Center
Custom Programming
Architecture Integration
Servers Database
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How Do We Manage Medical Center IT (MCIT)
ServicesManagement Structure Controls
Recommended MCIT Management Structure
Executive Management (AMC)
Leadership and Advice
Strategy/Plan
Medical Center Information Management Steering
Committee (TBD)

• Examples
• ITOG ??

Approval and Coordination
Recommendation
Information Management Subcommittees Task Forces

• Examples
• ITOPS, HJD ITAC, Cancer Center IT (Hospital)
• Education LCME Committees (Education)
• CROC CTSA Committee (Research)

Direction/ Initiatives
Information

• Examples
• AES/MCIT/Library/Univ Collaboration (Education)
• ICIS, EPASS, Charge Capture (Hospital)
• TAG (Medical Center, Bellevue, Univ))
• Peoplesoft HR/Payroll/Benefits (Medical Center)

Project Teams
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Current Projects (Critical Few)

• Medical Center
• Siemens proposal
• IBM restructure (, Mainframe, Data Center/DR,
  Staff In-Sourcing)
• Sinai OnsiteHealth separation ( ie Network,
  Juniper VPN with MAC support)
• Portal Framework
• Intranet redesign/rollout
• Email broadcast integration
• Email outlook consolidation proposal
• Secure Messaging enhancements and integration
• Wireless with guest internet access
• IT Core Management Service Improvements
• MCIT Steering Committee structure
• Media facilities consolidation
• Project tracking implementation
• Change management vendor selection and
  implementation
• Single-signon directory (password mgmt, contact
  info, etc)
• Organizational Structures Management System
  (including approvals, security, HR, financials,
  etc)

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Current Projects (Critical Few)

• School
• CTSA planning
• LCME planning
• Smilow Moves
• Research Systems strategic Plan/proposal
• ALEX Collaboration Project (with AES, MCIT,
  Library IT, Univ IT)
• CTMS Proposal Development and Rollout
• Interim Electronic Clinical Trials Ticketing
  Enrollment enhancements
• Cancer Center clinical trial product selection
  and integration (CTMS OC)
• Student portal
• Educational warehouse, reporting, and other
  educational projects (including EValue to
  replace ResWeb)
• SoM financial dashboard and electronic journal
  processing

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Current Projects (Critical Few)

• Hospital
• ICIS CPOE Documentation with Pharmacy
• EPASS rollout (HJD, O/P, Ancillary)
• Eagle/EPASS SSO Bridges
• Sieman Novious RIS
• OR System Implementation (OR replacement)
• Anestiology System Implementation
• Hemocare upgrade/replacement
• MiSys Lab upgrade/replacement
• Hemapathology (new Tamtron module)
• CAOS implementation (Cardio Vascular regulatory
  reporting)
• Case Management product selection (e.g. Canopy
• Mainframe GEAC Sinai Separation and outsourcing
  to Eclipsys
• Mainframe HIS and DSS outsoucing to Eclipsys
• Mainframe Eagle outsourcing to Siemens

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DISCUSSION