South Dakota Health Information Technology Summit

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• South Dakota Health Information Technology Summit
• August 23, 2007

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Sanford Information Technology Overview Arlyn
Broekhuis VP CIO Sanford Health
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• There are two areas that are changing...
  information technology and medical technology.
  These two things will make the world very
  different 20 years from now
• Bill Gates

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Sanford IT History
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Changes in Sanford IT

• First computer system installed in the 1970s.
• First pc installed in 1982 we now have over
  6,000 PCs.
• In the 1980s IT was lt 1 of the organizations
  operating expense today we are 3.
• In 1984 our total storage was 1,300 megabytes
  (1,300,000,000) - today we have over 90 terabytes
  of storage (90,000,000,000,000).
• In the early 1990s we had no help desk today
  the help desk takes 5,000 calls per month.
• The first web site was implemented in 1997 our
  web site now has over 200,000 visitors per month.

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SanfordInformation Technology Department
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Evolution of Sanford IT

• 1981 Installed NCRs Interactive Hospital
  Information System
• 1982 Installed Control Data 3M Lab System
• 1986 Installed McKesson Series Revenue Cycle
• 1990s Installed Vital Works Pace Practice
  Management
• 2002 Implemented Solcom HIM Imaging System
• 2003 Clinical Information System Planning Process
• 2003-2004 System Selection Process
• 2004 Moved into the Peterson Center
• 2004 Signed Epic Enterprise Agreement
• 2005 First Sites Live on docZ

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Sanford Health Clinical Information System
Planning System Selection
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CIS Planning Project Purpose

• To Develop a Complete Clinical Information System
  (CIS) Plan for the Entire Health System

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System Selection Process

• Request for Proposal (RFP)
• Vendor Demonstration
• Reference Calls
• Site Visits

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Epic Clients

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Clinical Information System Goals

• Improve Quality by Providing Timely Access to
• Clinical Information
• Increase Patient Safety
• Improve Flow of Patients
• Decrease Clinical Documentation Time
• Eliminate Duplicate Data Entry
• Improve Employee and Physician Satisfaction
• Facilitate Tracking of Outcomes and Quality
  Indicators
• Improve Security of Patient Information

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Our Leaders
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Critical Success Factors

• Strategic System Initiative
• Executive Leadership
• Physician Leadership
• Infrastructure to Support the Journey
• Capital
• Personnel
• Design, Build and Validate Process
• Change Management Methodology
• TrainingNO Exceptions!
• Realistic Time Expectations
• Effective Communication Plan

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Sanford Health docZ Project
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docZ Accomplishments to Date
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Other Important IT Implementations

• SMC Radiology PACS Images - seven years
• SMC Cardiology PACS Images - eight years
• SMC Solcom HIM Medical Records Images
• Outpatients - five years
• Inpatients - three years
• Dictaphone Dictation/Transcription with Voice
  Recognition
• Lawson Financial System installed in 2006

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Sanford Health Information Exchange
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Sanford Health Information Exchange

• Current
• docZ Implementation One EMR System Wide
• docZ Affiliate Link
• Radiology Image Exchange
• DOH Lab Results Interface
• North Central Hematology EMR Interface
• Medical Associates Pierre EMR Interface
• Exchange Lab orders and Results with Reference
  Lab Customers
• Electronic Claims Receive and Send
• Participate in several National and Local Data
  bases
• Future
• docZ My Chart

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Fatalistic?
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Confident!
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Threatened?
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Uncertain?
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Focused!
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Helpless?
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Empowered!
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On the Wrong Track?
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On The Right Track!