Health Care Information SystemsHealth Care Information Systems

HCIS OperationsHCIS Operations Clinical Systems

55 FTE INFORMM INFORMM Patient Record ( IPR) Nursing Documentation System Radiology Information System Operating Room Cerner Laboratory, Pharmacy Electronic Medication Administration Record Clinical Outcomes / Regulatory Reporting

HCIS OperationsHCIS Operations Business Systems

43 FTE General Ledger Human Resources Decision Support ( TSI ) Patient Accounting ( FPP, UIHC, IDX) Materials Management Faculty Practice Plan Academic Support CCOM Research Support CCOM

HCIS OperationsHCIS Operations Technical Operations

90 FTE Desktop Support Local Area Network Web-Hosting Mainframe Operational Support Mid-Range Operational Support Database Support Help Desk Technical Training

HCIS OperationsHCIS Operations Telecommunications

59 FTE Data Voice Paging Hospital Operators Video Network Nurse Call / Nurse Locate Centralized Time

HCIS StaffHCIS Staff Staff

252 FTE Budget

Capital $ 28,841,938 Operational $ 20,783,300

HCIS StatsHCIS Stats INFORMM – 7 million transactions / day Electronic Mail

> 10,000 mail boxes > 45,000 transactions / hour

Data Storage > 92.0 TB Help Desk > 250 contacts / hour Desktop Computers > 13,000 Devices Telephones > 14,500 (~175,000 calls/day) Pagers > 5,000 ( ~14,000 pages/day)

Information Systems Information Systems Operational Support ChallengesOperational Support Challenges

Software Upgrades Microsoft Windows Upgrades ~ Every 24 Months

Test Upgrade ~ 3 MonthsTrain I.T. staff on Upgrade ~ 3 Months• Install Time

13,000 Devices @ 1.5 hrs /ea upgrade Results in 7 FTE Spending 17 mos on upgrades $ 485,800 Approx. Labor Expense Leaves ~ 2 Months Until Next Upgrade

Information Systems Information Systems Operational Support ChallengesOperational Support Challenges

Desktop Hardware Replacements 36 Month Replacement Cycle = 4333 Machines/Yr 2 Hours/Install = 4 FTE Dedicated to Machine

Replacements Assume 1 Trickle Down For Each New Machine = 8 FTE

Dedicated to Replacements $397,000 / Yr Approx. Labor Expense To Refresh

Desktop Workstations

Information Systems Information Systems Operational Support ChallengesOperational Support Challenges

Account Management Adding, Deleting, Modifying User Accounts

• 3 Dedicated FTE ( $160,000 / Yr )

Report Management 1.25 M Pages / Month 3 Dedicated FTE ( $150,000 / Yr)

Virus Management UIHC Devices Scanned Avg 4x / Hr Last FY Approx. 4 FTE dedicated to Virus Control ($225,000/Yr)

Information SystemsInformation SystemsSystems IntegrationSystems Integration

MSAVisit physician

diagnosis

NI?Issolation

CDBBiohazard

IPRReason for

Visit DBACombineNumbers

MRAMedicalrecords

MRROncologyRegistry

AllergyNIP

HeightWeight

NI?DischargePlanning

USHITS Data

IPRPhoneContact

IPRCareGivers

IPRProblem

List

USHPer semester

update

USHPeriodic scanfor updates

USHVisit

CEICensus

CEOClinicVisit

IPRvisit

physicians

OutboundIDX ADTHandler

ADOQINbound

ADTHandler

IDX

ADOQOUTbound

NON-IDX ADTHandler

ADTO

Cerner

Omnicell

Pathology RALS

InternalTrigger

(AXOQ)

Queue processing

(ACTO) AOTO

RLTO

INboundresult

handlerorder#Echo

ADIDdownstreamprocessing

NADTNursing

Exploding Triggers

eg, ureg, htwt

Med RecTracking

Med Records

Telecom

Food & Nutr.

Services

Pharmacy

...

AGTO

General ADT

(Cloverleaf)

cloverleaf

ADTI

BMD OB TraceVue

INFORMM

Lantis

125,000 Daily Original ADT Messages

Distributed to over 75 other systems/devices

Other interfaces incl orders, results reporting, charge records

Top 5 Operational ProblemsTop 5 Operational Problems Network (Systems) Security User Account Management

HAWKID Provisioning / De-Provisioning

Data Storage Management Recruitment of IT staff Technical Training

Top 5 Capital ProjectsTop 5 Capital Projects Electronic Medication Administration Record Critical Care Information System Inventory Control ( PeopleSoft) Clinical Information Systems

Selection/Replacement Network Security