Electronic Medical Record Projects UW Medicine

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Electronic Medical Record ProjectsUW Medicine
Information Services Board January 2006
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Introductions

• Dr. James Fine, CIO, UW Medicine IT Services
• Dr. David Chou, COO, UW Medicine IT Services
• Wendy Giles, EMR Program Director

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Presentation outline

• ISB Action Requested
• EMR Current Status
• Proposed Budget
• Schedule
• Project Success Factors
• Next Steps
• Decision-Making Process

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ISB Action Requested

• Approval of Investment Plan
• 4.2M for system stabilization
• Approval of increase in total project budget
• 39.1M approved by Board of Regents in 2002
• Request to increment total by 7.4M
• Includes 3.2M costs for production support

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EMR--current status

• Purpose Implementation of an electronic medical
  record for results reporting, clinical
  documentation, physician order entry, health
  information management and pharmacy
• Goals Improve patient safety, gain efficiencies
  in patient care and documentation
• Vendor software package from Cerner Corporation

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EMR current status

• Current activity level
• 1400 physicians signing documents electronically
• 1500 staff using the system each day
• 4000 documents processed per day through
  transcription direct entry
• 7000 documents scanned per day, including ED
  notes and discharges
• Inpatient pharmacy system in full operation
• 6000 medication orders processed per day
• 23 million in billable charges per month
• 3 years of lab, radiology pathology results
  online other results being added

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EMR-current status

• Principal barriers to expanded use
• Lack of system stability
• Performance--slow response time
• Usabilityincomplete patient record
• Propose stabilization effort to address
• Cerner software upgrade to improve stability and
  supportability (nearing completion)
• Hardware and database upgrades to improve
  performance
• Additional application interfaces to improve
  patient view and physician usability

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Schedule
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Proposed Budget
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RisksStabilization Phase
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Project Success Factors
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Next Steps Assess Options
Completed
Begin Stabilization January 1, 2006
Phase III Options Current plan Add new Cerner
functionality to complete planned scope
(outpatient pharmacy, non-MD documentation, order
entry, emergency dept. triage tracking). Option
A Limit Cerner functions to current
applications plus outpatient pharmacy and
continue to use other existing systems. Option B
Back away from Cerner over several (3 to 5)
years, adding functionality to other existing
systems and replacing existing Cerner
functionality. Current plan, Option A, and
Option B all require that Phase II be completed
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Next Steps

• Complete Phase II Stabilization
• Proposal to ISB - Spring 2006
• Direction, schedule and budget for the remainder
  of the project
• Revised project plan
• Detailed investment plan

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Decision-making process

• UW Medicine leadership Harborview, UW Medical
  Center, and the Vice President for Medical
  Affairs
• Harborview Board, UW Medicine Board
• UW Information Technology Advisory Committee
• UW Vice President for Computing Communications
• UW Executive Vice President
• UW Board of Regents
• Information Services Board January 12, 2006