CIO Panel Discussion October 18, 2006 Bruk Kammerman

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CIO Panel Discussion October 18, 2006Bruk
Kammerman
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Who we are

• 8 hospitals and 3 outpatient centers
• 5700 Employees
• 1187 Beds

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Facility profile

• Location Payson, UT
• Beds 116

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Facility profile

• Location Orem, UT
• Beds 47

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Facility profile

• Location Draper, UT
• Beds TBD

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Facility profile

• Location Salt Lake City, UT
• Beds 294

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Facility profile

• Location Bountiful, UT
• Beds 128

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Facility profile

• Location Ogden, UT
• Beds 227

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Facility profile

• Location Brigham City, UT
• Beds 49

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Facility profile

• Location Idaho Falls, ID
• Beds 326

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Corporate affiliation

• 191 hospitals, 82 outpatient centers
• 23 states, Switzerland and England
• 139,800 employees

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IT Overview

• Application Framework
• Technology Systems
• Infrastructure
• People

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• Application Framework
• Technology Systems
• Infrastructure
• People

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Application Framework

• Core Clinical System
• Meditech
• Magic version 5.4.1
• HCAs version
• Customizable content and inputs
• Limited by application functionality
• Integration Nursing, Lab, Pharmacy, Radiology,
  Order Entry, etc.
• Less than impressive GUI

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Clinical Application Framework MountainStar
Current State
Enterprise Patient Access
Care Delivery / Management
Health Information Management
EMPI
Core Information Management
Radiology
Pharmacy/ Medication Safety
Operating Room
Departmental
Oncology
Cardiology
OB
Pulmonary Care
Perinatal PACS
Emergency Room
Lab
Quality Management
Dictation / Transcription
MEDITECH partial capability
No MEDITECH coverage No Division standard
Standardization Opportunities
MEDITECH fully provides capability
No MEDITECH coverage Division standardized
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Integration Framework MountainStar Current State
Health Information Management
Care Delivery / Management
Enterprise Patient Access
Clinical Reference
Clinical Reference
Patient Health Education
Order Entry
Clinical Doc
Clinical Decision Support
Critical Care
Radiology
Pharmacy/ Medication Safety
Physician Access Tools
MAR
Automated Dispensing
Operating Room
Order Mgmt
Departmental
Oncology
Cardiology
OB
Emergency Room
Quality Management
Lab
Dictation / Transcription
Dictation
Fully Integrated
Partially Integrated
No Vendor Solutions
No Integration
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• Application Framework
• Technology Systems
• Infrastructure
• People

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Technology Systems

• Current Project Portfolio
• Radiology PACS
• GE Centricity 3.0
• ECG Management System
• Philips TraceMasterVue
• HR and Payroll
• Lawson

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Technology Systems

• Current Project Portfolio
• Cardiac Data Reporting
• Lumedx
• Data Extraction and Analysis
• Business Objects
• CPOE Pilot
• Meditech
• Outpatient eMAR (Bedside Medication Verification)
• Meditech

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Technology Systems

• Current Project Portfolio
• Transcription and Dictation
• Dictaphone
• Electronic Documentation in ED
• T-System
• Meditech Documentation Initiatives
• Improve clinical efficiencies, drive clinical
  process, and enhance quality reporting
  capabilities

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Technology Systems

• The Road Ahead
• EHR Roadmap
• Clinical Decision Support
• Cardiology PACS
• Physician Practice EMR
• Clinical efficiencies
• Quality agenda
• Community information sharing

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• Application Framework
• Technology Systems
• Infrastructure
• People

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Infrastructure

• Simply stated The current infrastructure is not
  adequate to support our agenda.
• What will happen if we move forward in the
  current environment?

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Infrastructure
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Infrastructure

• Building a Solid Foundation
• Facility Technology Refresh
• IT Infrastructure hasnt been upgraded in many of
  our facilities in over 8 years!
• Scope Server Room construction and expansion,
  battery backup, HVAC, single mode fiber, routers,
  switches, etc.
• Facility-facility Connectivity
• Qwests Metropolitan Optical Ethernet

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Infrastructure

• Current View of our Connectivity

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Infrastructure

• Future View of Network

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• Application Framework
• Technology Systems
• Infrastructure
• People

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People

• Current organizational structure virtually
  unchanged since 1984 and reflects the business
  and technology needs of that time
• Unnecessary complexity and costs
• Too many generalists, not enough specialists
• Uneven skill and support levels in facilities
  misalignment of resources to support clinical
  agenda and physicians
• Slow implementation due to resource and strategy
  alignment

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People

• The Plan
• IT Organizational overhaul to align resources to
  better support our mission and business needs
• Analysis of current resources, costs and specific
  facility needs
• Map out desired future state
• Consolidate functions where applicable
• Identify roles and assign resources
• Develop metrics and governance model
• Begin transition to desired future state in
  January

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• Incorporating people, process, and technology in
  developing plans for long-term IT business
  success

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African Proverb

• Every morning in Africa a gazelle wakes up and
  knows that it will have to outrun the fastest
  lion or it will be killed.
• And, every morning in Africa a lion wakes up and
  knows that it will have to outrun the slowest
  gazelle or it will starve to death.
• It doesn't matter if you are the lion or the
  gazelle. 
• When the sun comes up, you better start running.