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Back to Basics

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75% Medicare/MediCal. Where is it? Where did we begin? The network ... What about software? Now in production: PACS. Cardiology. Emergency Department billing ... – PowerPoint PPT presentation

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Title: Back to Basics


1
Back to Basics
  • or
  • To the Moon on a Shoestring Budget

Harvey Roth CPHIMS, LFHIMSS Director, Information
Systems Technology CIO/CTO/CSO September, 2009
2
What is St Rose Hospital?
  • 163 Beds
  • Opened 1962
  • Independent 4 years
  • Disproportionate Share
  • Safety Net for Central Alameda County
  • Designated Cardiac Receiving Center
  • gt50 Low Income Patients
  • 75 Medicare/MediCal

3
Where is it?
4
Where did we begin?
5
The network
6
The infrastructure
7
But wait . Theres more!
  • No standards
  • No processes
  • No helpdesk
  • No documentation
  • No staff
  • No infrastructure
  • No governance
  • No budget

8
Are you nuts?
  • information systems at or beyond end of life
  • unsupported network devices
  • separate email platforms
  • inconsistent data backup
  • vendor of the day

9
The good news . . .
  • Seismically stable
  • 23 acre level campus
  • increasing volumes
  • room to build
  • open to change
  • greenfield vs brownfield

10
How do you fix it?
  • Identify greatest opportunities
  • PACS
  • Cardiology
  • Emergency Department
  • Vendor relations
  • HIS/EMR
  • Case Management
  • Develop ROI tool
  • Develop assessment tool with objective rankings
  • Communicate, communicate

11
Build pyramids

12
Whats new?
  • New datacenter
  • New physical servers
  • Virtualized legacy servers
  • Enterprise data storage
  • Enterprise-wide automated data backup
  • Standardized desktops applications
  • Integrated gigabit network
  • Enterprise-wide email
  • 802.11n wireless

13
What about software?
  • Now in production
  • PACS
  • Cardiology
  • Emergency Department EMR billing
  • Evidence-based clinical guidelines
  • Help Desk
  • Website
  • Now in process
  • HIS/EMR
  • Clinical Laboratory/Blood Bank
  • Interface Engine

14
What comes next?
  • Credentialing
  • Quality Management
  • Workforce Management
  • BPOC
  • CPOE
  • RFID
  • VoIP
  • DRP
  • Virtual Desktops
  • Thin Clients
  • Smart Cards

15
Take aways . . .
  • Plan - plan again - then plan some more
  • Communicate, communicate but not too much
  • There is a difference between education and
    communication
  • Pay your own way
  • Always read your audience
  • Do what you say youll do

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