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