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Research Town Meeting

Research Town Meeting. September 9, 2013. Research Town Meeting - 10/09/2013. Announcements ( Rauch ) Fundraising Update and McLean’s Comprehensive Campaign (Cook) A Discussion about Partners Data Used to Support Research: Data Types, Data Sources, ICD-10, DSM-5 & EPIC (Christine Raine )

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Research Town Meeting

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  1. Research Town Meeting September 9, 2013

  2. Research Town Meeting - 10/09/2013 Announcements (Rauch) Fundraising Update and McLean’s Comprehensive Campaign (Cook) A Discussion about Partners Data Used to Support Research: Data Types, Data Sources, ICD-10, DSM-5 & EPIC (Christine Raine) Anne M. Cataldo Excellence in Mentoring Award  Retirement Reception for Peter Paskevich * Reception from 1:15 pm – 2:00 pm will follow

  3. Announcements Government Shutdown Updates by email Grant submissions for RFA’s; reviews delayed Research Highlights Favorable fiscal performance for research (>$44M) New NIH “Brain Bank” contract Organizational Changes Dr. Joe Coyle appointed McLean CSO Chris Coburn recruited to lead Partners Research Ventures & Licensing McLean IRB administrative functions migrated to Partners IRB oversight

  4. Fundraising Update and McLean’s Comprehensive Campaign October 9, 2013 Research Town Meeting Cathie Cook Senior Vice President and Chief Development Officer

  5. Agenda What does the Development Office do? Who are McLean’s donors? For what do donors give? What is the scale of philanthropy to McLean? What is McLean’s Comprehensive Campaign?

  6. What Does the Development Office Do? Raise Philanthropic support from: • Individuals • Foundations

  7. Who Are Our Donors? 90%: grateful families of patients or former patients themselves Others: trustees, National Council members – even staff

  8. Why Do People Give? Gratitude Desire to have an impact Hope Affiliation with a prestigious institution Belief in McLean’s mission

  9. For What Do Donors Give? Research Clinical Programs Education and Training Capital Projects Annual Fund (unrestricted gifts)

  10. What is the Scale of Philanthropy to McLean?

  11. Gifts to McLean: 2004-2013 $100 Million

  12. The Campaign For McLean $75 Million Over 5 Years

  13. Why A Campaign Now?

  14. The Campaign Will Help Fund: • McLean Divisions • Research • Clinical Care • Education • The expansion of our services • The strengthening of our infrastructure

  15. The Timing of the Campaign • Leadership (Quiet) Phase: • April 2012 to March 2015 • Public Phase: • April 2015 to March 2017

  16. The Timing of the Campaign • Leadership (Quiet) Phase: • April 2012 to March 2015 • Public Phase: • April 2015 to March 2017

  17. The Campaign for McLean Goal through Sept. 30, 2013 = $15 million Results = $27.8 million

  18. The Campaign for McLean

  19. The Campaign for McLean How Can You Help?

  20. McLean Development Staff Evangeline Bermas Lori Etringer Cathie Cook Jeanne Armocida Ronna Woodward Sue DeMarco Michelle Pontbriand Jennifer London Julia Wills Jennifer Steeves Erin Collins-Moore Patrick Collins Kristin Kilbourne Alexis Nodiff Sarah Belschner

  21. McLean Research Town Meeting October 9, 2013 Christine Raine Partners eCare Senior Integration Coordinator for Research craine@partners.org; 617-909-1781 A Discussion about Partners Data Used to Support Research:Data Types, Data Sources, ICD-10, DSM-5 & EPIC

  22. Data Types & Data Sources :What’s changing? ICD-9 to ICD-10 Procedures & Diagnoses Oct 1, 2014 Across USA! DSM-iv to DSM-5 Diagnoses Oct 1, 2014 Across USA! Multi-System Migration Patient, Billing & Clinical Data Begins Feb 1, 2014 Across Partners!

  23. Partners ICD-10 Project & Research

  24. ICD-10: When & What? When? ICD-9 will move to ICD-10 on October 1, 2014 What is ICD-9? • International Classification of Disease & Health Related Problems Clinical Modifications Version 9: ICD-CM-9 • Clinicians assign to every procedure & medical diagnoses that impact human health • Used in analysis for quality metrics, hospital operations or in human studies research. e.g. for research use: identifying patient cohorts or control groups data requests in the RPDR for clinical trials analysis & storage of diagnoses/procedures by icd-9 What’s changing? • Format, specificity, code selection grows: 24,000 icd-9 to 140,000 icd-10 • Information System remediation across Partners • RPDR & CRIMSON: metadata, systems and data • Contract/reimbursement/reporting implications, code set crosswalks needed • Do you have local requirements? departmental databases? study spreadsheets? data storage?

  25. ICD-10: Training WHO? What? • Research: ICD-9 codes? Store? Analyze? Qualify pts for clinical trials? RPDR? • Coders • Finance • Roles-based • e-learning WHEN? CONTACTS: • Training plan will be developed : • Material development • Schedules/timeline • Venue • Identifying Audience • Marijane ‘MJ’ Welford, McLean • mwelford@partners.org • Christine Raine, Partners eCare • craine@partners.org

  26. ICD-10: Information Do you need assistance figuring out if or how this change will impact you? TRAINING QUESTIONS? EMR, LIS, & RPDR SYSTEM INFORMATION? GENERAL PROJECT COMMUNICATION? • Christine Raine, Partners eCare Research Integration Coordinator craine@partners.org617.909.1781 • MariJane ‘MJ’ Welford, McLean ICD-10 Project Lead mwelford@partners.org  617.855.2272

  27. DSM-5 Upgrade & McLean

  28. DSM-5: When & What? When? DSM-IV will move to DSM-5 on October 1, 2014 What is DSM-5? • “Diagnostic and Statistical Manual of Mental Disorders” , published by APA  • a listing of psychiatric disorders and their corresponding ICD diagnosis codes • standardize data collection and facilitate communication among clinicians What’s changing? • Major Changes include: • Elimination of GAF scoring • Rolling the first three axes in DSM-IV into one in DSM-5 • RPDR: DSM coded diagnoses will have DSM-5 terms as of Oct 1, 2014. • Do you have local requirements? departmental databases? study spreadsheets? data storage?

  29. DSM-5: Training WHO? What? DSM-5 APA training tools are being explored, if any Develop our own training material if necessary Clinicians WHEN? CONTACTS: • Training plan will be developed: • Material development • Schedules/timeline • Venue • Identifying Audience • Marijane ‘MJ’ Welford, McLean • mwelford@partners.org • Chris Tangren, MD, McLean • Clinical Implementation Leader

  30. Partners eCare& Research Useof Clinical & Billing Data

  31. EPIC Changes: When & What? When? EPIC revenue cycle & clinical system implementations: 5 years What’s the goal of Partners eCare? The Partners eCare (PeC) program will support Partners HealthCare in providing world class health care services, research, education and community service. One Patient, One Record, One Team, One Partners Statement. What Systems are impacted? LMR, BICS, EMPI, Patcom, Scheduling, Revenue Cycle/Billing, TSI/EPSI, CDR, MEDITECH, more…

  32. 2012 2013 2014 2015 2016 2017 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 NWH / MGH NWH R R Upgrade MGH Legend R Revenue Cycle Enterprise Validation and Content Development BWH , BWFH , SWR , DFCI , AMB Sites Clinical RC (* Clinicals Only ) Combined NSMC , SNS , NSPG , AMB Sites RC * = Clinicals Only SNE , MEEI , MGH * , AMB Sites RC (* Clinicals Only ) NWH * , AMB Sites C (* Clinicals Only ) Rehab Sites – RC SRH , SCC , SHC ICD10 & DSM5 - McLean RC Go Live SSH , AMB Sites , MVH , NCH CDH , HHS , AMB Sites Home Health RC as of 12 / 2012 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 Q 1 Q 2 Q 3 Q 4 2012 2013 2014 2015 2016 2017 PartnerseCare Timeline Analysis, Content/Scope & Strategy Development evaluate current data usage from billing & EMR systems for the support of research.

  33. PeC: A Few Research Opportunities Desired Epic System Functionality: • Clinical trial recruitment, POC • Research order sets, patient flags, PI Alerts • Potential support of tracking research consent • Research notes in EMR: templates/structured data Desired Non-Epic Functionality/Support: • Integration of ,or access to, Epic data along with other PHS/entity data to support Research (systems, site teams, RPDR) • Disease-specific registries • Fully integrated sponsor billing Analysis, Content/Scope & Strategy Development

  34. Partners eCare Research Group Focus: Analysis, Content/Scope & Strategy Development Even though McLean Clinical & Billing Implementation is 2017, decisions need to be made now for Content, Functionality, Strategy and Implementations of EPIC across the PHS Enterprise Data Use Survey! Uses Common IT Infrastructure, Systems & Data Structure

  35. PeC Data Use Survey! • What is the name of your group/unit/program/research project? • What type of billing and clinical data do you use and where does the data come from? The more specific you can be, the better! (i.e., Radiology reports from CDR, ICD9 diagnoses from RPDR, charge detail as data files from IDX, etc.) • Do you have ideas about what can be done to reduce your concerns about how your data dependencies and environment will operate after Epic is implemented?

  36. Thank you! Handouts:ICD-10 Informational BrochurePartners eCare Data Use SurveyBusiness Cards for Key ContactsChristine Raine 617-909-1781 craine@partners.orgPresentation materials & handouts will be posted on Brainwaves.

  37. Awards Ceremony

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