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100119 Member Roundtable ; George Brenckle
 

100119 Member Roundtable ; George Brenckle

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

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

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    100119 Member Roundtable ; George Brenckle 100119 Member Roundtable ; George Brenckle Presentation Transcript

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