health it summit in seattle 2014 - presentation “integration and collaboration: a vision for a...

Seattle Children’s:

Integration and Collaboration, A Vision

for a Pediatric Health Information

Network

IHT2

Aug 20, 2014

A Little About Me…

• Joined Seattle Children’s in March 2008

• VP and Chief Technology Officer – responsible for day-to-day operations

• Moved to CIO position in August, 2012

• Health Information Services and Air Force Background

• Health Services Administration USAF 1991 – 2006• Clinics to Hospitals

• Scripps Health, San Diego 2006 – 2008• Executive Director, IS and Deputy CIO

• Associate member of CHIME and HIMSS since 1997

• Graduate of

• University of Maryland, Asian Division (BS)

• University of New Mexico (MBA)

Seattle Children’s Mission

We believe all children have unique needs and should grow

up without illness or injury. With the support of the

community and through our spirit of inquiry,

we will prevent, treat and eliminate pediatric disease.

Our Vision

We will be the

best children’s

hospital.

KOMO TV: First Wash. leukemia patient to try new therapy is

cancer free

7/10/2013 - Seattle Children's Hospital made a landmark

announcement Wednesday – the first leukemia patient in the state to

try a new cancer therapy is disease free.

Los Angeles Times: With new plastic surgery technique, boy's face

is removed, realigned

8/01/2013 - Dr. Richard Hopper, head of the craniofacial surgery center at

Seattle Children’s Hospital, has developed a ground-breaking surgical

technique to help kids with Apert syndrome lead more normal lives.

Puget Sound Business Journal: Seattle Children’s researcher finds

a clue to the mystery of SIDS

09/26/2013 - Dr. Daniel Rubens, a physician and researcher at Seattle

Children’s Hospital, made another breakthrough in his research into

Sudden Infant Death Syndrome (SIDS), a mysterious disease that

leaves grieving parents looking for answers that science has yet to

provide.

• Inpatient beds 323 (278)

• Patient visits 357,206

• Outpatient visits 293,072

• Admissions 14,494• Only 20% from Seattle

• Employees 5,569

• Medical Staff 1,309

• Residents/Fellows 225

• Volunteers 969

Seattle Children’s Today

The focus on value is driving new business

models and partnership strategies

Value

Cost

Quality

=

Delivery Safety

Confidential and proprietary information

8

Seattle Children’s Response to A

Changing Health Care Environment

Health Information Exchange:

“It is not the strongest of the species that survive, nor the

most intelligent, but the one most responsive to change.”

Charles Darwin

“The ones who have the data provide the best value.”

Wes Wright

Why an HIE ?

Healthcare – it’s kind of complicated

Healthcare – it’s kind of complicated

Healthcare – it’s kind of complicated

Pa

tie

nt

De

mo

gra

ph

ics

Pa

tie

nt

De

mo

gra

ph

ics

Cli

nic

al S

um

ma

ry (

CC

D)

Cli

nic

al S

um

ma

ry (

CC

D)

Community Health Exchange

(PHIN)

Data Repository

Master Patient Index

HTTP/XDS

Query

HTTP/XDS

Query

It’s complicated legally too…

• Age of consent

• Different state-by-state

• 13 in WA

• Sensitive Data

• Different state-by-state

• Reproductive

• Psycho/social

• Nuclear Option

• 13-18 no data put in HIE

• 13-18 no access to portals

But we’re going to do it!

• Pediatric Health Information Network (PHIN—get it?)

PHIN

The Role of IT and Data Aggregation

8/26/2014 16

CIN

Immunizations

Referrals

Demographics

Vitals

Active Meds

CCD

SCH Ref Lab

Patients and

Families

Seattle Children’s

Document

Reconciliation Mpage,

Clinical Viewer

ORM/ORU/VXU/

Custom

Messages

PPIC

B-ACO

External HIE or

System

PIX/XDS.b/XCA/

FAX/Direct

Message

Delivery

IMAGING

CENTERSPAC

3M, Transition

of Care

Epic/CIS ADT

ORU/MDM/DICO

M/Custom

Image Exchange

PHIN

Our first steps in data gathering…

• SCH Data Elements outbound to HealthShare:• Documents – H&P, Transfer Summaries, DC Summaries, Clinic Summaries, ED Summaries

• Labs Results

• Radiology Reports – Future plans to integrate into Image Repository

• Diagnostic Studies – Endoscopy-GI, Speech ,Nutrition, Neuro DX, CV PACs, Holter, OT/PT,

Audiology

• Immunizations – Future plans to interop with State Registry

• Vitals – Height, Weight, Head Circumference, BMI in Metric

• Demographics – Including Deceased Flag and consent flag

• Referrals

• Active Meds – Service level change and clinic visit

• Allergies

• Peds Data Elements outbound to HealthShare:• Immunizations

• Vitals – Height, Weight, Head Circumference, BMI in Metric

• Demographics – Including Deceased Flag and consent flag is possible

• Referrals

• Active Meds – Service level change and clinic visit

Workflow Integration

Workflow

Integration

No more blind spots!

• Clinicians with patients

• Patients with Clinicians

Back to the Value Equation

• Quality

• All your providers know what’s gone on with you/your child

• Delivery

• Potential for instantaneous “virtual” consultations

• Module for electronic referrals

• Safety

• All known allergies, immunizations, drug-drug interactions

• Cost

• No repeat tests – MRI, Lab, etc

• Population Health

• Are you doing all you can to stay healthy?

Our Vision

We will be the

best children’s

hospital.

Questions and Comments

Thank you!