100119 Member Roundtable ; George Brenckle


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Dr. George Brenckle from UMASS Memorial Health Center, 2010 initiatives

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100119 Member Roundtable ; George Brenckle

  1. 1. UMass Memorial Health CareConnected Healthcare Overview<br />
  2. 2. UMass Memorial Health Care<br />7 Hospital System<br />Clinical Partner to UMass Medical School <br />13,500 employees<br />3,000 registered nurses<br />Approximately 1,600 physicians<br />1,111 beds<br />$1.4b in Annual Revenue<br />~60,000 inpatients<br />~1,000,000 outpatients<br />
  3. 3. Healthcare Reform - Factors<br />Declining reimbursement<br />Universal coverage<br />Payment reform<br />Bundled payment<br />Accountable Care Organizations (ACO’s)<br />Quality & Outcomes<br />Coordination of care<br />Redefinition of Relationships<br />Competitor vs Partner<br />Privacy and Security Issues<br />Expanding role of technology<br />3<br />
  4. 4. Current Information Systems Evolved Historically<br />HealthAlliance<br />Hospital<br />Clinton<br />Hospital<br />Private Medical <br />Practice A<br />Wing Memorial<br />Hospital<br />Hahnemann<br />Memorial<br />Marlborough<br />Hospital<br />University<br />Community<br />Medical Group<br />Medical Group<br />Private Medical <br />Practice B<br />Meditech<br />Private Medical <br />Practice C<br />Meditech<br />Siemens Soarian<br />Allscripts / IDX<br />
  5. 5. HealthAlliance<br />Hospital<br />Clinton<br />Hospital<br />Private Medical <br />Practice A<br />Wing Memorial<br />Hospital<br />Hahnemann<br />Marlborough<br />Hospital<br />Memorial<br />University<br />Community<br />Medical Group<br />Medical Group<br />Private Medical <br />Practice B<br />Initiate & dbMotion<br />Private Medical <br />Practice C<br />Siemens Soarian<br />Allscripts / IDX<br />Allscripts / Soarian Scheduling (pilot)<br />Allscripts MyWay<br />The Future <br />
  6. 6. Vision for Connected Healthcare<br />Enable high-quality, patient-centric care by making all relevant information about a patient available at the point-of-care, irrespective of organization, geography or care setting.<br />
  7. 7. Connected Healthcare Solution Stack<br />Seamless access<br />Aggregate and harmonize<br />Value<br />Uniquely identify patients and providers<br />Connect organizations<br />EMR at the point of care<br />Scope of Information Sharing<br />
  8. 8. External<br />Organization<br />Traditional Approach to Sharing Data – Central Repository<br />UMass Memorial<br />Health Care<br />2<br />1<br />dbMotion<br />Clinical<br />Repository<br />& Portal<br />Enterprise<br />Master <br />Patient<br />Index<br />Local<br />Applications<br />3<br />Send data to UMass Memorial so we can put it in our systems in case it’s needed<br />1<br />We store, aggregate and use the data<br />2<br />Data, information, or service provided back to external organization<br />3<br />
  9. 9. Challenge – What Data to Share?<br />9<br />UMass Memorial Health Care<br />Independent<br />Medical Group<br />Shared Patients<br />
  10. 10. Acute and<br />Ambulatory<br />EMR<br />Allscripts<br />Enterprise<br />UMass MemorialHealth Care Community<br />Affiliated Hospital Organization<br />Private Medical Group or IPA<br />Ambulatory<br /> EMR<br />Any other EMR<br />Community<br />Portal<br />Community<br />EMPI<br />Independent Physicians<br />UMass Memorial Healthcare<br />Many locations, 1600+ providers, 1 connection<br />Initiate<br />EMPI<br />Meditech<br />Allscripts<br />MyWay<br />Soarian<br />Any other EMR<br />Wing<br />Meditech<br />
  11. 11. Connectivity Appliance<br />Simple, rapid deployment<br />Provides secure, encrypted communication<br />No software to install or PC’s at remote locations<br />None of the cost or complexity of a virtual private network<br />Real time monitoring and trouble-shooting <br />Can view and support connected systems anddevices<br />
  12. 12. Unique Patient Identification<br />UMass MemorialMedical Center<br />John Smith<br />123 Main Street<br />Anywhere USA<br />U: 1234<br />M: M7766<br />C: 9883-2<br />H: 7765A<br />W: D-33338<br />O: 555555<br />Marlborough<br />Hospital<br />Clinton<br />Hospital<br />Health Alliance<br />Hospital<br />Wing Memorial<br />Hospital<br />Outside<br />Organization<br />
  13. 13. Data Aggregation and Harmonization<br />Meditech<br />John Smith<br />123 Main Street<br />Anywhere USA<br />Allergies<br />Medications<br />Problem List<br />Surgical History<br />Immunizations<br />Etc.<br />Imagecast<br />VISICU<br />Allscripts<br />Soarian<br />Enterprise<br />Master <br />Person<br />Index<br />Outside<br />Organization<br />
  14. 14. Clinical Portal – Access & Use<br />First<br />Last<br />DOB<br />Search<br />Standalone<br />Portal Access<br />‘Button Integration’<br />Embedded View<br />
  15. 15. For Providers with an EMR<br />Document Delivery<br />their data about their patients<br />selected UMMHC data about their patients<br />enabled by Accenx and Initiate EMPI<br />Access to everything when the want it<br />enabled by Initiate EMPI and dbMotion clinical portal<br />Bi-directional orders and results<br />enabled by Accenx<br />
  16. 16. For Providers without an EMR<br />Allscripts MyWay<br />Different EMR than Allscripts Enterprise used by UMMHC<br />specifically designed for the smaller practice (&lt; 5 physicians)<br />Offered by Allscripts as UMMHC’s preferred EMR for private physicians<br />per month subscription fee with no upfront setup or implementation fees<br />full EMR, integrated practice management, ePrescribing, electronic claims submission<br />includes three days of additional on-site training, one day of customization, and full interoperability with UMMHC<br />
  17. 17. Summary<br />Connected healthcare is key to our future<br />Building a platform for both intra- and inter-enterprise interoperability<br />Strategic partnerships between our vendors will play a large part of realizing our vision<br />Technology is only part of the solution<br />
  18. 18. Thank You.<br />Questions?<br />