Dee Cantrell

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• Dee Cantrell
• CIO Emory Healthcare

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Emory Healthcare

Wesley Woods
ECLH
TEC Decatur Plaza
EMCF
EMORY HEALTHCARE
EUH
TEC
TEC Health Care Centers
ECC
WCI
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EHC IS Mission
The EMORY HEALTHCARE Information Services
mission -To support the EHC mission of Making
People Healthy through the effective use of
Information Technology solutions and services.
The EHC IS core objectives to support this
mission are as follows
The EMORY HEALTHCARE Information Services
mission, To support the EHC mission Making
People Healthy through the effective use of
Information Technology solutions and services,
is re-emphasized in a few of the specific IS core
objectives

• Manage human resources efficiently while
  enhancing employee engagement
• Implement innovative ways to reduce or hold
  constant production support costs and IT
  organizational costs
• Enhance internal and external communications
• Enhance customer service processes and service
  delivery
• Focus on opportunities for process improvements
• Keep abreast of leading edge technology and IT
  best practices

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EHC Virtual Desktop (VDT)

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

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Enterprise Applications
Clinical
Business

• EeMR Millennium
• EMPI
• FirstNet Emergency Depts
• Enterprise Scheduling
• Orders Management
• PowerChart / Power Chart Office
• Clinical Documentation
• Cardiology
• O.R. and many others!
• Eclipsys ICU Documentation
• Path Net - Lab
• PACS
• Many others

• GroupWise EHC Enterprise Email
• HealthQuest EHs PM/PA
• IDX TEC PM/PA with scheduling being replaced by
  Enterprise Scheduling
• Lotus Notes Transcription and several dept
  specific apps
• MS Office Suite
• Many others

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Department Specific Applications Examples
Department
Vendor Supported

• CBORD
• ECHO Credentialing
• Eclipsys Emtek
• GE Cath Lab
• GE ICU Monitors
• Meta Medical Records
• OTTR
• Pharmacy Robotics
• TeleVox
• Third Millennium Suite of Apps

• ACS - Medicaid
• Avaya Auto dialer
• Claims Logic
• Claims Manager
• FAMS
• WebMD DSS
• WebMD - NVS

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EHC IS Support Services

• Call Center at 8-HELP (8-4357) / [phone]
• 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

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EHC IS Support Services

• Access Security
• Over 400 Access Coordinators
• Thousands of access requests processed per month
• Audits / HIPAA Compliance Support

• New Request Process
• New Projects, New Software
• Process Improvement Projects
• EHC_IS_New_Requests_at_emoryhealthcare.org

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Emory Evolution of EMR

• 1950-1992
• Hospital specific charts
• Shared Ambulatory chart
• 1992-2004
• Electronic Clinical Data Repository implemented
  (Cerner)
• Geographical dispersion maximized
• 2004-present
• EeMR strategic initiative for EHC

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

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EeMR Phase I Implementation July 2002

• Enterprise Master Patient Index (EMPI) for EHC
• Integration of EMPI with HealthQuest (HQ) and IDX
  
• Developed Web based EMPI look-up tool
• Automated support for emergency dept. patient
  triage, tracking, and discharge instructions
  (FirstNet)
• Implemented hardware, middleware, software and
  associated infrastructure

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EeMR Phase II Implementation 2005
Classic Apps Replaced with Millennium Apps
New Cerner Apps
Acute Care
PowerChart Results Viewing
Ambulatory
PowerChart Office
PharmNet
Hospitals Go-Live Jan/Feb 2005 TEC Go-Live(s)
Apr-Nov 2005
Pharmacy Dept Automation
FirstNet
ED Dept Automation
Orders Management
7 Applications 10 Interfaced Systems Over110
Million Rows of Result Data to Migrate Allergy
and Cardiology Data Migrations
Hospital Orders
ESM
Cardiology Scheduling
Charge Services
Hospital Charging
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EeMR Phase III

• August/September 2006 Implementation
• Clinical Documentation
• Wireless and WOWs!
• Cath Lab Event Log Documentation
• SurgiNet 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

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FY07 Projects

• Radiology Information System (RadNet)
• Medical Records Systems (Profile) deficiency
  tracking and e-signature
• Provider Documentation (PowerNote)
• CPOE continues
• Clinical Documentation rollout completed across
  all hospitals
• Enterprise Scheduling planning for the Physician
  Practice (TEC)

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Emory Healthcare
Lot's of people to support!

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