1. Database contains:
4 yrs rolling data
2,000,000 patient names
Every patient record billed
160,000 inpatient stays
500,000 emergency room visits
400,000 outpatient/follow-ups
2.6 million physician/patient contacts
35 Gb of server space - 2008 SQL R2
Application Server
SQL Servers
(Virtual)
Management
Console
Application
Interface
User Workstation
Thin Client
Active
Directory (AD)
ODBC
Data Integrations and Consumption
Swedish Medical Center
SQL Design Overview and Report Distribution
Christopher Richardson
Batch queries pull
raw
Elements from
Oracle
Application via
SQL virtual
workstation.
PATIENT
PHYSICIAN
SERVICE
ITEM
role
cost
coverage
demographic
classification
ENCOUNTER
disposition
procedure
diagnosis
SHSPracDb

Integration
Services (SSIS)
scripts, .dtsx
packages, push
data into the
server database.
Physician Dept Chiefs: 13
Physicians on Staff: 4,000

Reports generate per
Regulatory Standards
providing credible
data to evaluate
practitioners based
upon metrics the chief
has established
Sr Exec Mgmt: 15
Mgmt Staff: 450

Summarized P&L provided to Exec Staff to be prepared to speak
to physician staff regarding questions or performance

Architecture is used to provide various clinical teams and
physician led projects with data and analysis.
