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Information Technology

     Stephen Brown
    Chief Information Officer
IT Remains Targeted on Achieving Key
Tenet Business Objectives
                          • Excellent Clinical Quality
• Improve clinical
                            monitoring systems
  outcomes
                          • Expanding front-line Clinical Systems
• Grow both inpatient
                          • Excellent physician facing
  and outpatient
                            information systems
  volumes consistent
  with TGI                • Excellent consumer information
                            systems
• Retain and recruit
                          • High performance Revenue
  great employees and
                            Management systems
  physicians
                          • Excellent business back office
• Improve cost metrics,     information systems:
  especially labor           –   Labor
  productivity               –   Supplies
                             –   Logistics
                             –   Business Intelligence

                                                                    2
Tenet’s Consumer Tools Create New
Business and Support Patient Satisfaction


Patient Self Diagnosis
Physician Referral
Communicating Clinical Quality
Hospital Services and Events
Health Condition Education
Patient Pre-registration
Patient Kiosks
Free Internet Access
The Virtual Nursery
On-line Bill Pay




                                            3
Patient Guidance from Diagnosis to Referral




                                              4
Patient Guidance from Diagnosis to Referral




                                              5
Patient Guidance from Diagnosis to Referral




                                              6
Communicating Tenet Clinical Quality




                                       7
Education Tools Support the
Patient Experience




                              8
Patient Access to Hospital Services




                                      9
Patient Access to Hospital Services




                                      10
Patient Access to Hospital Services




                                      11
Streamlining Registration and Admitting
is a Key Objective – Pre-registration




                                          12
Streamlining Registration and Admitting
is a Key Objective – Kiosks and Tablet PCs




                                             13
Patients, Families and Friends can Remain
in Contact via Free Internet Service




                                            14
Newborn Events can be Shared through
our Growing Family Virtual Nursery




                                       15
The On-Line Bill Pay Option Adds Another
Layer of Convenience




                                           16
What’s Next?
• Personal Health Records
• Appointment requests
• Website editing tools for
  the hospitals
• Fresh, new look & feel




                              17
Productivity and Easy to Use Tools are
Important to Dr. Cogan


 Patient Scheduling
 Emergency Department
 Single Sign-on
 Physician Portal
 - Patient Location
 - Clinical Results
 - Medications
 PACS Medical Images
 Medical Chart Electronic
   Imaging and Signature




                                         18
Enterprise Patient Scheduling


                                           Single point
                                            of contact


                                           Rules-based
                                            resource
                                           coordination


                                          Pre-registration
                                             services

• 40 sites ‘live’ with enterprise scheduling
• 7 additional hospitals will be completed by year end

                                                             19
Emergency Department




• 32 hospitals ‘live’
• 16 additional sites schedules through 2009

                                               20
Single Sign-On


                                                    Single
                                                   Sign-On




• 42 hospitals ‘live’, all hospitals ‘live’ by Q1 2009

                                                             21
Physician Portal


                         Patient
                         Location

                          Medical
                          Images

                         Medication
                          History

                          Lab and
                         Radiology
                           results
• All hospitals ‘live’

                                      22
PACS – Radiology Image Access




• 49 hospitals ‘live’
• 7 hospitals ‘live’ with full motion cardio-PACS

                                                    23
Document Imaging
                                              View
                                         scanned and
                                           electronic
                                         April 23, 2001 – 6:47 am




                                          documents
          Deficiency List




                            Electronic
                            signature


• All hospitals ‘live’ by end of 2008

                                                                    24
And, We are Researching Several Potential
High-Value Initiatives This Year

• Pilot Physician handheld devices integrated with
  our Physician Portal
• Pilot full Electronic Medical Record integration for
  employed physicians
• Pilot clinical data ‘Push’ technology to provide
  real-time results directly to an affiliated physician
  Electronic Medical Record



                                                          25
IS is Built Upon Design Principles and
Architecture that is Highly Cost-Efficient
• Technology and software applications are standardized
  across Tenet hospitals
• Outsourcing of virtually all non-management
  IT capabilities
  – Shared, centrally hosted data center
  – Centrally run applications
  – End-to-end support

• Leveraging of centralized expertise across hospitals
• Blend of on-shore and off-shore IT workforce to reduce
  development and support costs


                                                           26
As a Result, Tenet Delivers Highly Effective
IT for a Cost that is Far Less than our Peers

          2008 IT Operating Expense as % of Hospital Operating Expense

   5.0%

   4.0%

   3.0%

   2.0%

   1.0%

   0.0%
          Gartner Summary of 2005      HIMSS 2007 Annual Report                          Tenet
                    IDSs                       for IDSs




                                    Source: Gartner: Summary of 2005 Integrated Delivery Systems IT Budget and
                                    Staffing Study – Average Percentage of Operating Expense budgeted for IT; HIMSS:
                                    2007 Annual Report of the US Hospital IT Market – Average IT Operating Expenses as
                                    a Percentage of Total Operating Expense for IDSs; Tenet analysis

                                                                                                                         27
IT Remains Targeted on Achieving Key
Tenet Business Objectives
• Improve clinical outcomes
• Grow both inpatient and
  outpatient volumes
  consistent with TGI
• Retain and recruit great
  employees and physicians
• Improve cost metrics,
  especially labor productivity


                                       28

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14_Brown_InformationTechnology_Final

  • 1. Information Technology Stephen Brown Chief Information Officer
  • 2. IT Remains Targeted on Achieving Key Tenet Business Objectives • Excellent Clinical Quality • Improve clinical monitoring systems outcomes • Expanding front-line Clinical Systems • Grow both inpatient • Excellent physician facing and outpatient information systems volumes consistent with TGI • Excellent consumer information systems • Retain and recruit • High performance Revenue great employees and Management systems physicians • Excellent business back office • Improve cost metrics, information systems: especially labor – Labor productivity – Supplies – Logistics – Business Intelligence 2
  • 3. Tenet’s Consumer Tools Create New Business and Support Patient Satisfaction Patient Self Diagnosis Physician Referral Communicating Clinical Quality Hospital Services and Events Health Condition Education Patient Pre-registration Patient Kiosks Free Internet Access The Virtual Nursery On-line Bill Pay 3
  • 4. Patient Guidance from Diagnosis to Referral 4
  • 5. Patient Guidance from Diagnosis to Referral 5
  • 6. Patient Guidance from Diagnosis to Referral 6
  • 8. Education Tools Support the Patient Experience 8
  • 9. Patient Access to Hospital Services 9
  • 10. Patient Access to Hospital Services 10
  • 11. Patient Access to Hospital Services 11
  • 12. Streamlining Registration and Admitting is a Key Objective – Pre-registration 12
  • 13. Streamlining Registration and Admitting is a Key Objective – Kiosks and Tablet PCs 13
  • 14. Patients, Families and Friends can Remain in Contact via Free Internet Service 14
  • 15. Newborn Events can be Shared through our Growing Family Virtual Nursery 15
  • 16. The On-Line Bill Pay Option Adds Another Layer of Convenience 16
  • 17. What’s Next? • Personal Health Records • Appointment requests • Website editing tools for the hospitals • Fresh, new look & feel 17
  • 18. Productivity and Easy to Use Tools are Important to Dr. Cogan Patient Scheduling Emergency Department Single Sign-on Physician Portal - Patient Location - Clinical Results - Medications PACS Medical Images Medical Chart Electronic Imaging and Signature 18
  • 19. Enterprise Patient Scheduling Single point of contact Rules-based resource coordination Pre-registration services • 40 sites ‘live’ with enterprise scheduling • 7 additional hospitals will be completed by year end 19
  • 20. Emergency Department • 32 hospitals ‘live’ • 16 additional sites schedules through 2009 20
  • 21. Single Sign-On Single Sign-On • 42 hospitals ‘live’, all hospitals ‘live’ by Q1 2009 21
  • 22. Physician Portal Patient Location Medical Images Medication History Lab and Radiology results • All hospitals ‘live’ 22
  • 23. PACS – Radiology Image Access • 49 hospitals ‘live’ • 7 hospitals ‘live’ with full motion cardio-PACS 23
  • 24. Document Imaging View scanned and electronic April 23, 2001 – 6:47 am documents Deficiency List Electronic signature • All hospitals ‘live’ by end of 2008 24
  • 25. And, We are Researching Several Potential High-Value Initiatives This Year • Pilot Physician handheld devices integrated with our Physician Portal • Pilot full Electronic Medical Record integration for employed physicians • Pilot clinical data ‘Push’ technology to provide real-time results directly to an affiliated physician Electronic Medical Record 25
  • 26. IS is Built Upon Design Principles and Architecture that is Highly Cost-Efficient • Technology and software applications are standardized across Tenet hospitals • Outsourcing of virtually all non-management IT capabilities – Shared, centrally hosted data center – Centrally run applications – End-to-end support • Leveraging of centralized expertise across hospitals • Blend of on-shore and off-shore IT workforce to reduce development and support costs 26
  • 27. As a Result, Tenet Delivers Highly Effective IT for a Cost that is Far Less than our Peers 2008 IT Operating Expense as % of Hospital Operating Expense 5.0% 4.0% 3.0% 2.0% 1.0% 0.0% Gartner Summary of 2005 HIMSS 2007 Annual Report Tenet IDSs for IDSs Source: Gartner: Summary of 2005 Integrated Delivery Systems IT Budget and Staffing Study – Average Percentage of Operating Expense budgeted for IT; HIMSS: 2007 Annual Report of the US Hospital IT Market – Average IT Operating Expenses as a Percentage of Total Operating Expense for IDSs; Tenet analysis 27
  • 28. IT Remains Targeted on Achieving Key Tenet Business Objectives • Improve clinical outcomes • Grow both inpatient and outpatient volumes consistent with TGI • Retain and recruit great employees and physicians • Improve cost metrics, especially labor productivity 28