Best Practices in SharePoint for Healthcare: US Army Medical Command

Best Practices in SharePoint for Healthcare Organizations: US Army Medical Commands
Marie-Michelle Strah, PhD
BroadPoint Technologies

Who am i?
Marie-Michelle Strah, PhD
Twitter: @cyberslate
Email: michelle AT lifeincapslock DOT com
Work: mstrah AT broadpoint DOT net
Blog: http://lifeincapslock.com
Linkedin: www.linkedin.com/in/drstrah
SharePoint Solutions Architect and Practice Lead, BroadPoint Technologies www.broadpoint.net
Women in SharePoint DC
www.meetup.com/womeninspdc
Women in SharePoint
www.womeninsharepoint.org

Twitter: #bpc11
Live Blogging:
http://womeninsharepoint.org/SitePages/BPC11LiveBlog.aspx

Business Case Studies/Lessons Learned Track
Monday 12:45 pm March 7, 2011
Shore
Really:
Business Process Re-Engineering
And Improved Healthcare Outcomes

Overview
Introduction
Objectives
Clarity: Business Process Re-engineering
Direction: Mission Focus
Confidence: Standardized Repeatable Processes
Case Study Format – Longitudinal Perspective
Best Practices (3)
Worst Practice
Tradeoff

CASE STUDY
Army in Europe Transformation 2004-2008

ERMC
Pain Points
Challenges to military healthcare OIF/OEF
Very few automated processes for healthcare administration
Integrating private sector best practices, accreditation and managed care (TRICARE)
SharePoint 2003 infrastructure but no champion

HMEDDAC
Pain Points
Distributed command
Legacy facilities (WWII)
Transformation (Base Realignment and Closure)
OPTEMPO and PERSTEMPO (High Personnel Turnover)

ERMC
Process
Hey, we’ve got a great idea!
Command adoption (HMEDDAC)
Command adoption (ERMC)
Goals: compliance and transformation

BEST PRACTICE #1:
MISSION FOCUS
Improved Healthcare Outcomes
Wounded Warrior Care

Solutions for Transformation
ERMC
Transformation
Consolidation and realignment – creation of new processes
Integration of G-3 and G-6 processes
Rapid deployment
Provide structure, decision-making and executive dashboarding

BP1.1 Don’t talk about SharePoint
It’s not about SharePoint, stupid.
It’s about the patient.

Healthcare Information Technology
Legacy Systems
Paper
Fax
Excel
DoD Business Improvement
Forms Management
AHLTA/CHCS
DMLSS
“Work Management”
Command Adoption
End User Adoption
Training
Domain-specific processes
Interprofessional collaboration
Clinical Practice Guidelines

HMEDDAC
Healthcare Administration
Standardization and automation of existing processes
Quality measures (data, data, data)
Continuous process improvement

As Is Architecture (not exactly, but…)

BEST PRACTICE #2:
BUSINESS REQUIREMENTS
Healthcare IT
Healthcare Informatics

STAKEHOLDERS
PAO/STRATCOM

The Joint Commission
Accreditation
National Patient Safety Goals
Information Management Standards

AHRQ: Workflow, CPGs, Evidence-Based Design

Governance
Quality Management Team
Risk Management Team
Public Affairs (PR/Marketing)
Physician/Department Heads
Nursing/Department Heads (Healthcare Informatics)
Minor roles:
IMD
Patient Administration (Coding/Billing)

Security
OPSEC
STRATCOM/PAO
Patient Engagement
Patient Relationship Management
Wounded Warrior and Family Communications
Command Information
Guidelines for Blogging, Social Media, Content Strategies…

Regulatory Compliance
HIPAA
HITECH 2009 Updates to HIPAA Privacy/Security
TRICARE (Military Health System)

Portfolio Management and HIPAA
Role of the HIPAA Compliance Officer
Most organizations err on the side of caution but unnecessarily restrict de-identified data…

BEST PRACTICE #3:
SHAREPOINT AS A PLATFORM
Solution-focused
Flexibility, adaptability

Phased Implementation Strategy
Enterprise Portal - HMEDDAC
Phase I – 3 months – planning and buy-in
Phase II – 12 months – implementation and training across subordinate commands (7) and headquarters
Phase III – 12 months – implementation and training across clinical divisions, records management, quality and risk management, patient safety, patient satisfaction, hospitality

Phased Implementation Strategy (2)
Enterprise Solutions - ERMC
Phase I – 3 months - Transformation Portal and capital equipment and supply chain management
Phase II – 12 months - Host Nation Initiatives
Host Nation Patient Liaison Program
ERMC Medical Library and Knowledge Portal
Wounded Warrior Care

Solutions
Document Management
Enterprise Content Management
Business Intelligence/Dashboards
Reporting Services and Metrics
Team Sites and Collaboration
Blogging and Social Features
Business Process Re-engineering
Compliance and Audit
Training and Development

Results
Measurable Results
Automation of 100% of business processes across 8 geographically dispersed hospital and ambulatory care clinics
Joint Commission Accreditation – Hospital (2008)
Joint Commission Accreditation – Ambulatory (2008)
DoD/MEDCOM Inspection (2008)
Congressional Inspection (2008)
100% accountability of 2500 staff and $150 million of durable equipment
15% increase in patient satisfaction rates

WORST Practice (BUT WAIT…)
SharePoint 2003
Don’t do everything in SharePoint…

TRADEOFF
Personnel (insourcing)

WAY FORWARD
Developments in healthcare IT
Developments in Microsoft Health offerings
Development in SharePoint 2007/2010

BP1: Mission FocusBP2: Business RequirementsBP3: Extend the platform
“Don’t Talk About SharePoint!”
Patient-centered medical home model.
Domain-specific knowledge (Healthcare IT)

Marie-Michelle Strah, PhDTwitter: @cyberslateEmail: michelle AT lifeincapslock DOT comWork: mstrah AT broadpoint DOT netBlog: http://lifeincapslock.comLinkedin: www.linkedin.com/in/drstrah
Contact Information and Follow Up
See also: Live Blogging:
http://womeninsharepoint.org/SitePages/BPC11LiveBlog.aspx

THANK YOU!
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Best Practices in SharePoint for Healthcare: US Army Medical Command

by Marie-Michelle Strah, PhD

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Best Practices in SharePoint for Healthcare: US Army Medical Command Presentation Transcript