Cerner - Iowa Biomedical Engineering Seminar Presentation

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Cerner - Iowa Biomedical Engineering Seminar Presentation

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

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