Dee Cantrell CIO Emory Healthcare

1. Dee Cantrell CIO Emory Healthcare

2. Emory Healthcare ` Wesley Woods ECLH TEC Decatur Plaza EMCF EMORY HEALTHCARE EUH TEC TEC Health Care Centers ECC WCI

3. 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 t

4. 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 user’s 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.

5. 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

6. Department Specific Applications Examples Vendor Supported Department • 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

7. EHC IS Support Services • Call Center at 8-HELP (8-4357) / (404) 778-4357 • 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

8. 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@emoryhealthcare.org

9. 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

10. Goals • Improve quality of care • Improve efficiency of care • Improve consistency of care • Increase patient and provider satisfaction • Support Emory’s 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

11. 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

12. 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

13. 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

14. 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)

15. 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