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PPT

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PPT

  1. 1. University of Pittsburgh School of Dental Medicine Dr. Heiko Spallek Center for Dental Informatics
  2. 2. Comprehensive IT Infrastructure <ul><li>Patient Care </li></ul><ul><li>Education </li></ul><ul><li>Research </li></ul><ul><li>Administration </li></ul>Dental Informatics Strategic Plan
  3. 3. <ul><li>For each area </li></ul><ul><li>Current Status </li></ul><ul><li>Plan </li></ul><ul><ul><li>Level 1 </li></ul></ul><ul><ul><li>Level 2 </li></ul></ul><ul><ul><li>Level 3 </li></ul></ul>$$ $$$ $
  4. 4. <ul><li>Status </li></ul><ul><li>2000: Installation of QSI* Dental Systems (predoctoral clinics) </li></ul><ul><li>Main areas of a clinical management system: </li></ul><ul><ul><li>Patient demographics & billing area: OK </li></ul></ul><ul><ul><li>Clinical record area: none </li></ul></ul><ul><ul><li>Student progress monitoring & grading area: none </li></ul></ul><ul><li>Installation uses outdated technology: </li></ul><ul><li>CDA requirement 2-24: “Graduates should be competent in the use of information technology resources in contemporary dental practice.” </li></ul><ul><li>*Quality Systems, Inc., Irvine, CA </li></ul>Patient Care
  5. 5. <ul><li>Plan </li></ul><ul><li>The paperless school! </li></ul><ul><li>Comprehensive multi-year effort </li></ul><ul><li>Different levels of IT sophistication in the 3 areas of a clinical information system </li></ul>Patient Care
  6. 6. <ul><li>Patient Demographics and Billing </li></ul><ul><li>Level 1: </li></ul><ul><li>Keep QSI Dental Systems, but upgrade; or </li></ul><ul><li>Implement new system </li></ul><ul><li>Level 2: </li></ul><ul><li>Integrate our system with the UPMC hospital system </li></ul><ul><li>Share demographic data across healthcare providers (LHII), e.g. medical and medication history </li></ul><ul><li>Optional Patient Portal Layer: </li></ul><ul><li>Electronic scheduling and confirmation for patients </li></ul><ul><li>Complete electronic submission of pre-registration information </li></ul><ul><li>Review of account history and payment by credit card </li></ul>Patient Care
  7. 7. <ul><li>Clinical System </li></ul><ul><li>Level 1: </li></ul><ul><li>Complement QSI with QSI's Clinical Product Suite (CPS) </li></ul><ul><li>Limited diagnostic and treatment charting </li></ul><ul><ul><li>1 clinical computer workstation for 6 dental units </li></ul></ul><ul><li>Level 2: </li></ul><ul><li>Chairside computing during patient care </li></ul><ul><li>Clinical findings, treatment plan, progress notes </li></ul><ul><ul><li>1 clinical computer workstation for 1 dental unit </li></ul></ul><ul><li>Level 3: </li></ul><ul><li>More advanced clinical applications, such as imaging </li></ul><ul><li>Semi- or automatic recording of clinical findings </li></ul><ul><ul><li>dental units with integrated computing capabilities </li></ul></ul>Patient Care
  8. 8. <ul><li>Clinical System </li></ul><ul><li>Optional CAD/CAM Layer </li></ul><ul><ul><li>1-2 CAD/CAM systems </li></ul></ul><ul><li>Optional Imaging Layer </li></ul><ul><ul><li>Only for levels 2 and 3: </li></ul></ul><ul><ul><li>Digital cameras </li></ul></ul><ul><ul><li>Intra-oral cameras </li></ul></ul><ul><ul><li>Digital radiography </li></ul></ul>Patient Care
  9. 9. <ul><li>Radiology: Digital Imaging </li></ul><ul><li>Imaging: </li></ul><ul><li>Transition to digital to be implemented in phases </li></ul><ul><li>Competing technologies: selection based on diagnostic task and imaging volume for each area </li></ul><ul><li>Mostly centralized imaging for QA purposes </li></ul>Patient Care
  10. 10. <ul><li>Capture technology to be implemented: </li></ul><ul><li>Radiology: combination of CCD/CMOS and SP (FMS, extra-oral): bulk of imaging Selected PAs/BWs only </li></ul><ul><li>Endodontics: CCD/CMOS – in each graduate cubicle </li></ul><ul><li>Implant clinic, urgent care, all graduate clinics, CCP clinics, pediatric dentistry, anesthesia, AEGD: CCD/CMOS </li></ul>Patient Care Radiology: Digital Imaging
  11. 11. <ul><li>Cone Beam CT Unit: </li></ul><ul><li>Implant surgical treatment planning </li></ul><ul><li>TMJ studies, evaluation of osseous pathology </li></ul><ul><li>Endodontic, and apical surgery treatment planning </li></ul><ul><li>Orthodontic treatment planning </li></ul><ul><li>Pre-surgery planning: orthognathic surgery, other corrective (clefts/defect repair/reconstruction) procedures </li></ul><ul><li>Localization of critical anatomy (removal of impacted teeth) OSA, tongue posture & volume, tonsils, mastoid area </li></ul><ul><li>Evaluate nasal septum, turbinates, maxillary sinuses, upper airway </li></ul>Patient Care Radiology: Digital Imaging
  12. 12. <ul><li>Phase 1: </li></ul><ul><li>Facilities modification: to continue through phase 4 </li></ul><ul><li>Dedicated maxillofacial cone beam CT unit in radiology; networked with oral surgery </li></ul><ul><li>One digital extra-oral, and intra-oral imaging unit in radiology - for patients referred from OMS </li></ul><ul><li>Students rotated, exposed to technology, and trained </li></ul>Patient Care Radiology: Digital Imaging
  13. 13. <ul><li>Phase 2: </li></ul><ul><li>Orthodontics for extra-oral imaging only </li></ul><ul><li>Endodontic graduate clinic area to use intra-oral units </li></ul>Patient Care Radiology: Digital Imaging
  14. 14. <ul><li>Phase 3: </li></ul><ul><li>Full implementation of an EPR (Electronic Patient Record) as network ports, viewing stations in each operatory/cubicle </li></ul><ul><li>Other graduate student clinics to be included </li></ul>Patient Care Radiology: Digital Imaging
  15. 15. <ul><li>Phase 4: </li></ul><ul><li>Operators school-wide will have been trained in EPR use </li></ul><ul><li>Extensive training of first professional students, all remaining staff, faculty in digital radiology equipment and software </li></ul><ul><li>Most time-consuming and labor-intensive phase </li></ul>Patient Care Radiology: Digital Imaging
  16. 16. <ul><li>Students’ Progress and Grading </li></ul><ul><li>Level 1: </li></ul><ul><li>Keep QSI Dental Systems, but augment with a customized version with grading module </li></ul><ul><li>Level 2: </li></ul><ul><li>Only for clinical system levels 2 and 3 </li></ul><ul><li>Students enter completed procedures </li></ul><ul><li>All entries are approved and graded by instructors </li></ul><ul><li>Students accumulate credits and grades toward clinical progression </li></ul>Patient Care
  17. 17. <ul><li>Implementation </li></ul>Patient Care
  18. 18. <ul><li>Status </li></ul><ul><li>Limited educational technology </li></ul><ul><li>Some syllabi and course materials available through intranet </li></ul><ul><li>CDA requirement 2-10: “…school must have a curriculum management plan to avoid, for instance, unwarranted repetition...” </li></ul>Education
  19. 19. <ul><li>Plan </li></ul><ul><li>Level 1: </li></ul><ul><li>Presentation of learning material </li></ul><ul><ul><li>Exploit new intranet </li></ul></ul><ul><li>Electronic curriculum management tool </li></ul><ul><ul><li>Automatic matching between lectures to find repetition and opportunities for integration </li></ul></ul><ul><li>Level 2: </li></ul><ul><li>Development of educational software </li></ul><ul><ul><li>Innovative and effective teaching tools </li></ul></ul>Education
  20. 20. <ul><li>Status </li></ul><ul><li>Rapidly growing area </li></ul><ul><li>Use of IT and informatics: often a core review criterion </li></ul><ul><li>Funding for required computing support through individual projects </li></ul><ul><li>Overburdened research staff: grant submission process and post-award administration </li></ul><ul><li>Limited involvement of students </li></ul>Research
  21. 21. <ul><li>Clinical Research </li></ul><ul><li>Level 1: </li></ul><ul><li>Integration of research into clinic </li></ul><ul><li>Implementation of a clinical information system </li></ul><ul><li>Researchers query patient data for epidemiology studies, identification of study subjects </li></ul><ul><li>Level 2: </li></ul><ul><li>Integration of the research process into the workflow of the clinical operation </li></ul><ul><li>Upon patient enrollment: alerts about study eligibility </li></ul><ul><li>Facilitate the enforcement of research protocols </li></ul>Research
  22. 22. <ul><li>Grant Submissions </li></ul><ul><li>Level 1: </li></ul><ul><li>NIH: electronic grant submission </li></ul><ul><li>Centrally maintained information store for NIH biosketches </li></ul><ul><li>Reduction of overhead for the research staff </li></ul><ul><li>Level 2: </li></ul><ul><li>Easy access to the salary and benefit information </li></ul><ul><li>Efficient development of budget overviews </li></ul><ul><li>Use of intranet to </li></ul><ul><ul><li>Identify researchers with matching research interests </li></ul></ul><ul><ul><li>Facilitate student involvement in faculty research </li></ul></ul>Research
  23. 23. <ul><li>Collaborative Research </li></ul><ul><li>Level 1: </li></ul><ul><li>State-of-the-art collaborative work environment, e.g. Groove* </li></ul><ul><li>More research projects: group effort </li></ul><ul><li>Integration into office environment and research-specific workflow </li></ul><ul><li>Facilitates real-time data sharing, common scheduling, seamless project management </li></ul><ul><li>Level 2: </li></ul><ul><li>Site license for collaborative work environment, e.g. Groove University Department Kit </li></ul><ul><li>*Groove Networks, Inc., Beverly, MA </li></ul>Research
  24. 24. <ul><li>Post-award Administration </li></ul><ul><li>Level 1: </li></ul><ul><li>Centralized post-award management process </li></ul><ul><li>Deployment of electronic means to manage this process </li></ul>Research
  25. 25. <ul><li>Personnel and PR </li></ul><ul><li>Application Development/Database Support: </li></ul><ul><li>Point to existing expertise and resources </li></ul><ul><li>Maintain central personnel and infrastructure resources </li></ul><ul><li>Designate 1 FTE for research projects: 50% funded through school </li></ul><ul><li>Informational/PR Needs: </li></ul><ul><li>Distribution of time-sensitive information </li></ul><ul><li>Research opportunities </li></ul><ul><li>Newly funded awards </li></ul><ul><li>New NIH regulations and policies </li></ul>Research
  26. 26. <ul><li>Dental Informatics </li></ul><ul><li>Research Funding: </li></ul><ul><li>Since inception: $777,485 </li></ul><ul><li>Submitted: $3,042,511 </li></ul><ul><li>Plan: </li></ul><ul><li>Maintain leadership in the field </li></ul><ul><li>Add 2 additional faculty positions (1½ financed through soft money) </li></ul><ul><li>Add 1 applied informatician (for clinical information system) </li></ul><ul><li>Add 1 full-time administrative assistant financed through school </li></ul>Research
  27. 27. <ul><li>In-class assignment </li></ul>Five members of the Executive Committee (EC) are in favor of implemeting a laptop program in the school, requiring all students to purchase a laptop upon admission. Five other members of the EC are in favor of deploying computer workstations throughout the building instead of requiring students to purchase laptops. Collect 5 strong pro and 5 con arguments for each proposal (total of 20 arguments). Be prepared to defend your arguments!
  28. 28. <ul><li>Status </li></ul>Administration <ul><li>Intranet not yet utilized to fulfill its potential </li></ul><ul><li>Web site missing some functionality </li></ul><ul><li>Common problems affecting productivity </li></ul><ul><li>Servers hardware and facility upgrades </li></ul><ul><li>Resolution and response time improved through streamlining IT requests </li></ul><ul><li>No software asset inventory </li></ul>
  29. 29. <ul><li>Core Components </li></ul>Administration <ul><li>Software upgrades and maintenance </li></ul><ul><li>Hardware upgrades and new systems </li></ul><ul><li>Server room climate control and status monitoring </li></ul><ul><li>Network ports and security </li></ul><ul><li>Multiple databases and excel documents will continue to be consolidated into database server to eliminate redundant data </li></ul>
  30. 30. <ul><li>Productivity Enhancements </li></ul><ul><li>Intranet deployment and development </li></ul><ul><ul><li>Improve current utilization </li></ul></ul><ul><ul><li>Improve the functionality of current features </li></ul></ul><ul><ul><li>Develop new features </li></ul></ul><ul><li>User identification and authentication </li></ul><ul><ul><li>Biometric finger print authentication </li></ul></ul><ul><li>Establish an enterprise-level spyware protection </li></ul>Administration
  31. 31. <ul><li>Training </li></ul>Administration <ul><li>Delegate 10% effort of dental informatics faculty to manage a comprehensive training plan </li></ul><ul><li>Identify IT competencies necessary for each job </li></ul><ul><li>Provide qualified trainers, facilities, and courses </li></ul><ul><li>Encourage one-to-one training through a mentoring program </li></ul><ul><li>Utilize University resources </li></ul>
  32. 32. <ul><li>Web Site </li></ul>Administration <ul><li>Enhancing the site through improving the look and functionality </li></ul><ul><li>Continuing education online registration </li></ul><ul><ul><li>Online registration integrated with student and course administration </li></ul></ul>
  33. 33. <ul><li>Support Infrastructure </li></ul>Administration <ul><li>New administrative/junior technical phone support position that will: </li></ul><ul><ul><li>Provide administrative functions, such as purchasing </li></ul></ul><ul><ul><li>Provide full-time phone service </li></ul></ul><ul><ul><li>Maintain software and hardware asset inventory </li></ul></ul><ul><ul><li>Track the status of purchase and help requests </li></ul></ul><ul><li>Locate IT service to the 3 rd floor of Salk Hall </li></ul><ul><li>Establish regular customer service surveys </li></ul><ul><li>Provide periodic analysis to measure affectivity </li></ul><ul><li>Establish a system for feedback from users </li></ul><ul><li>Continue to utilize the POC group feedback </li></ul>

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