Health Care Information Systems

1
Health Care Information Systems
2
HCIS Operations

• Clinical Systems
• 55 FTE
• INFORMM
• INFORMM Patient Record ( IPR)
• Nursing Documentation System
• Radiology Information System
• Operating Room
• Cerner Laboratory, Pharmacy
• Electronic Medication Administration Record
• Clinical Outcomes / Regulatory Reporting

3
HCIS Operations

• Business Systems
• 43 FTE
• General Ledger
• Human Resources
• Decision Support ( TSI )
• Patient Accounting ( FPP, UIHC, IDX)
• Materials Management
• Faculty Practice Plan
• Academic Support CCOM
• Research Support CCOM

4
HCIS Operations

• Technical Operations
• 90 FTE
• Desktop Support
• Local Area Network
• Web-Hosting
• Mainframe Operational Support
• Mid-Range Operational Support
• Database Support
• Help Desk
• Technical Training

5
HCIS Operations

• Telecommunications
• 59 FTE
• Data
• Voice
• Paging
• Hospital Operators
• Video Network
• Nurse Call / Nurse Locate
• Centralized Time

6
HCIS Staff

• Staff
• 252 FTE
• Budget
• Capital 28,841,938
• Operational 20,783,300

7
HCIS Stats

• INFORMM 7 million transactions / day
• Electronic Mail
• gt 10,000 mail boxes
• gt 45,000 transactions / hour
• Data Storage gt 92.0 TB
• Help Desk gt 250 contacts / hour
• Desktop Computers gt 13,000 Devices
• Telephones gt 14,500 (175,000 calls/day)
• Pagers gt 5,000 ( 14,000 pages/day)

8
Information Systems Operational Support
Challenges

• Software Upgrades
• Microsoft Windows Upgrades Every 24 Months
• Test Upgrade 3 Months
• Train I.T. staff on Upgrade 3 Months
• Install Time
• 13,000 Devices _at_ 1.5 hrs /ea upgrade
• Results in 7 FTE Spending 17 mos on upgrades
• 485,800 Approx. Labor Expense
• Leaves 2 Months Until Next Upgrade

9
Information Systems Operational Support
Challenges

• Desktop Hardware Replacements
• 36 Month Replacement Cycle 4333 Machines/Yr
• 2 Hours/Install 4 FTE Dedicated to Machine
  Replacements
• Assume 1 Trickle Down For Each New Machine 8
  FTE Dedicated to Replacements
• 397,000 / Yr Approx. Labor Expense To Refresh
  Desktop Workstations

10
Information Systems Operational Support
Challenges

• Account Management
• Adding, Deleting, Modifying User Accounts
• 3 Dedicated FTE ( 160,000 / Yr )
• Report Management
• 1.25 M Pages / Month
• 3 Dedicated FTE ( 150,000 / Yr)
• Virus Management
• UIHC Devices Scanned Avg 4x / Hr
• Last FY Approx. 4 FTE dedicated to Virus Control
  (225,000/Yr)

11
Information SystemsSystems Integration

• 125,000 Daily Original ADT Messages
• Distributed to over 75 other systems/devices
• Other interfaces incl orders, results reporting,
  charge records

12
Top 5 Operational Problems

• Network (Systems) Security
• User Account Management
• HAWKID
• Provisioning / De-Provisioning
• Data Storage Management
• Recruitment of IT staff
• Technical Training

13
Top 5 Capital Projects

• Electronic Medication Administration Record
• Critical Care Information System
• Inventory Control ( PeopleSoft)
• Clinical Information Systems Selection/Replacement
  
• Network Security