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Cerner - Iowa Biomedical Engineering Seminar Presentation

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  • 1. Healthcare and Technology
    Engineering careers at Cerner Corporation
    Frank Rydzewski
    Senior Software Architect – Cerner Corporation
  • 2. Background
    1999: University of Pennsylvania
    Bachelor’s Degree in Biological Basis of Behavior
    1999-2001: Research Assistant & Student
    University of Iowa
    2001: University of Iowa
    Bachelor’s Degree in Computer Science
    2002-Present: Cerner Corporation
    Started as a Software Engineer
    Currently a Senior Software Architect
    iAware Platform team
  • 3. Cerner Corporation
    Kansas City, MO
  • 4. Cerner’s Mission
    To contribute to the systemic improvement of health care delivery and health of communities.
  • 5. Cerner at a Glance
    Founded in 1979, based in Kansas City
    Lead by 3 founders still with the company
    Most experienced healthcare IT management
    Largest standalone healthcare IT company in world
    Largest, most strategic global client footprint
    ~9,000 facilities around the world,
    2,600 hospitals
    3,500 physician practices covering more than 30,000 physicians
    500 ambulatory facilities
    800 home-health facilities
    1,600 retail pharmacies.
    9,000+ Associates Worldwide
    Over 3,500 in Professional / Managed Services
    Over 2,000 person Intellectual Property (IP) Organization
  • 6. Impacting Health Care through technology
    Who are our clients?
    Hospitals and Health Systems
    Physician Practices
    Laboratories, Clinics and Pharmacies
    Communities and Governments
    Employers
    Using Cerner solutions…
    Clinicians spend more time with patients
    Enhanced information access for superior care
    Hospitals reduce errors and waste while improving workflow
    Consumers better manage their health
    Employers save money by reducing administrative friction and improving the health of their associates
    Our Work is proven…
    Over 7,000 Cerner Millennium solutions live at 1,200 facilities
    160,000 total physician users
  • 7. Fulfilling the Mission
    Beyond Healthcare IT
  • 8. Cerner is Transforming Healthcare
    Issues with Healthcare today are systemic
    Efficiency
    Eliminate waste, reduce variance of outcomes, prevent errors
    Insurance
    Uninsured, Availability, Unnecessary friction/costs
    Community
    Educate, Promote, Incentivize
  • 9. How Cerner is Transforming Healthcare
    Innovative Healthcare IT Solutions
    Cerner is self-insured, as a model on how to improve employer-provided insurance and reduce costs and friction
    We operate our own on-campus clinics and pharmacies for associates and their families
    Reduces employer costs & improves associate productivity
    Cisco Systems recently consulted with Cerner to build their own clinic
    Community Efforts
    Kansas City Slimdown Challenge
    http://kcslimdown.com
    Focused on improving the health of Kansas City residents
  • 10. Healthcare and Technology
    Cerner Solutions
  • 11. Healthcare is Complex – coordinating people
    Each person below played a some role during the treatment of this patient’s cardiac condition
    Every interaction presents a risk in the patient’s outcome
    Keeping everyone aware of changes or updates
    Unnecessary duplication of effort (clinical tests, forms, billing)
  • 12. Healthcare is Complex – information overload
    Each participant in the treatment of a patient may be faced with an amazing array of complex interactions, each of which must be documented, managed, and updated
    flickr.com/nomadicentrepreneur/2327177503
  • 13. Healthcare Technology – Health Records
    Paper records are still a reality
    Easy to misread or transcribe something incorrectly
    Most retailer’s POS systems contain higher tech solutions than some doctors’ offices
    Huge opportunities for innovation and creative engineering solutions exist throughout healthcare
  • 14. Enter the EMR
    The EMR (Electronic Medical Record)
    Also known as a patient’s “Chart”
    Initially, focus was on putting the data INTO the system
    Manual entry by user
    Achieved the goal of eliminating paper charts
    Data could be shared and more easily retrieved during future visits
    Eliminate a patient having to fill out the same form repeatedly
    However, most modern medical treatments are complex – remember our NICU patient!
    Dozens of people interacting with the data
    Each requires a different set of data to make their decisions
    Thousands of data points possibly changing by the second
    Cost cutting reduces staffing, meaning fewer clinicians per patient
  • 15. Cerner Millennium / Powerchart
    Electronic Medical Record
    Started with old character-cell computers
    Clinical data entry / viewing
    Multi-tier client-server technology stack
    Powerchart suite of applications
    Clinical settings
    Admissions
    Billing
    Focused on recording data and venue-specific views of data
    Meaningful, but requires a lot of navigation to access all the data you need
    Goal was to develop a new platform to bring together customized views that show theright data to the right user at the right time
  • 16. Cerner Solutions
    Innovative solutions that transform healthcare
  • 17. Cerner Solutions – iAware Platform
    System independent
    Millennium
    New Cerner Solutions
    Non-Cerner
    (vendors/competitors)
    Device Integration
    Customizable Applications for a user/role/workflow
    Collaboratively designed with clinicians
    Multiple solutions
    Critical Care
    Infusion Management
    Staffing
    Enterprise Tracking / Capacity
  • 18. Cerner Solutions – innovating “at the edges”
    Community
    Web-based solutions that connect individuals in the community with the appropriate caregivers / physicians
    Link the community together in health-improving efforts
    kcslimdown.com – competition underway
    Collaboration between associates and clinician users of Cerner solutions
    www.ucern.com - blogs, documentation, discussion boards
    Chart Search
    “Google” for your EMR
    Search charts by terms and conditions, not patient names or ids
    Quickly find information on a related diagnosis or re-visit a previously diagnosed patient
    Chart Crawling
    “Crawl” and aggregate clinical information to identify trends in a population (e.g. disease outbreaks identified early)
  • 19. Cerner Solutions – innovating “at the edges”
    Mobile
    Windows Mobile, iPad/iPhone, Android
    Remote access to clinical data
    Remote interaction with applications
    Device Connectivity
    Infusion Pumps
    Ventilators
    Barcode scanners
    Medication Dispensing
    Real-time data
  • 20. Engineering
    Careers at Cerner
  • 21. Engineers… we’re kind of important.
    http://xkcd.com/898/
  • 22. What is Engineering?
    From Wikipedia:
    “Engineering is the discipline, art, skill and profession of acquiring and applying scientific, mathematical, economic, social, and practical knowledge, in order todesign and buildstructures, machines, devices, systems, materials and processes that safely realize improvements to the lives of people.”
  • 23. Engineering at Cerner
    Software Engineer
    Individuals engaged in the practiceof computer programming
    System Engineer
    Individuals engaged in installing and maintaining Cerner software systems
    Intelligent, pragmatic, critical thinkers who are able to use software and hardware to transform requirements into practical, deliverable, high-quality solutions
    Work in teams and collaborate
    Continue learning and applying new knowledge
    Interact with clients and business partners
    Deliver on-time, quality solutions
  • 24. Engineering at Cerner
    Software Development Opportunities
    Multi-tier application development
    System support, Client support, and troubleshooting
    Internal systems, tools, and processes
    Technologies
    Java
    And other JRE scripting languages
    Server and Client side development
    Web Services & Development
    REST, JAX-RS, Client Web Applications
    HTML, Javascript, Ruby on Rails, Grails
    Win32
    .NET, C#, VC++
    Data access
    Oracle, SQL, CCL (Cerner-developed scripting)
    Mobile
    iOS, Windows Mobile,Android
    Continuing Education
    Software Conferences
    Prototyping with new technologies
    Cerner Knowledgeworks Courses
  • 25. Computer Science at Iowa
    Absolutely essential if applying for Software Engineering role
    Recommended coursework:
    22C:016 – Computer Science I: Fundamentals
    22C:019 – Discrete Structures
    22C:021 – Computer Science II: Data Structures
    22C:022 (OO Software Dev) and/or 22C:031 (Algorithms)
    http-//xkcd.com/927/
  • 26. Cerner Velocity
    The Velocity Associate Development Program provides the training necessary for associates to become effective and experienced contributors to Cerner clients and organizations.
    Velocity Programs
    Business Consultant
    Delivery Consultant
    System Engineer
    Software Engineer
  • 27. Velocity System Engineer
    System Engineers oversee implementation and/or support of Cerner’s Enterprise Solutions.
    Velocity System Engineers may be responsible for:
    Performing processes related to system upgrades, foreign system interfaces and system performance management
    Consulting with clients to identify problems and provide outcomes
    Building, refreshing, and maintaining domains
    Installing and supporting Cerner and/or third-party licensed software
    Configuring systems for optimal performance
    Designing and implementing data interfaces with non-Cerner information systems
  • 28. Velocity Software Engineer
    Software Engineers develop and support
    Cerner’s leading edge clinical and management information systems.
    Responsibilities include:
    Understanding user requirements
    Providing input to functional design
    Developing applications
    Testing and troubleshooting across Cerner’s family of solutions
    Cerner’s primary programming languages:
    Java, C Languages (C#, C++, VC), SQL, .NET, JavaScript, Web
  • 29. References
    Cerner
    www.cerner.com
    www.cernercareers.com
    Cerner in the community
    Cerner and Cisco Clinic Partnership
    http://www.ucern.com
    kcslimdown.com
    Contact Me
    http://www.linkedin.com/in/frydzewski
    frydzewski@cerner.com
    Follow Cerner Careers
    www.facebook.com/CernerCareers
    twitter.com/cernercareers
  • 30. Important Dates
    9/29: Engineering Career Fair
    10/4-10/7: On-Campus Interviews
    Sign up for interviews and entry level training programs at:
    HireaHawk.com
  • 31. Questions?
    http://xkcd.com/844/