8. Process Flow Continental Drift
8
28,000 records in the CPD means:
~112 number of on-staff updates a
day
~54 number of referral updates a
day
~15 Provider Not In System WQ
updates a day
Dedicated resource to verify
all data for a clean database!
9. Why not use SER? I Can’t get no Satisfaction
9
No way to use for other systems
Can’t read from hospital directories
EMR specific information only. For instance,
marketing and outreach information cannot be
added
Unable to use for inter/intranet displays
Too embedded with EPIC!
10. What is interfaced?
10
Provider Information
• Name
• Credentials/Degree
• Primary Practice
Name
• Address
• Phone
• Fax
• Pager
• Email
• Languages
• Communication
Method
• Mail/Fax/In-basket
• Physician Group
• Specialty
Licenses
• DEA
• Temp DEA
(Residents/Fellows)
• NPI
• Medicare
• Medicaid
• UPIN
• State License
Privileges
• Services
• Default Service
• Additional Services
• Cancer Hospital
Only Physician
• Orders Authorization
• Referring
Physician Only
• Surgical Record
Type
• Anesithesa Staff
Type
• Privileges
• Attending
• Admitting
• HOD Admitting Rule
for Referrings
11. 11
• It takes MANY Epic teams to add a
new providerSimplification
• Physicians are deactivated for a
multitude of reasons then are
reactivated
Reactivations
• Future SureScripts Requirement
• Return results to correct clinic
Multiple
Practices
• For Example being able to Control
Privileges for all Modules within the
SER
Module
Integration
• Removing fields is a problem: No
longer on staff, Removal of
fax/service/rules/etc.
Data Deletion
12. Data Governance Rough Justice
12
There is a definite need to have formal
processes for:
When new on-staff providers are approved
When attending privileges expire
When mid-level privileges change
Resident/Fellow DEA changes (SureScripts)
When non-physician providers need a schedule
DEP changes:
Clinic moves
New clinics
New inpatient areas
Specialty, Service changes
13. Workflow Example Following the River
13
New Specialty Data Governance Process
IT
(CPDAdmin)
Clinical
User
Credentialing
System
Managers
IT
(IHISArch)
PhaseMIMIMUM 1 WEEK LAG!
Request
Yes
Send communication to
[IHIS MasterData CPD]
Add to various
systems (non IHIS)
End of request
Add to CPDCommunicate to
end user with denial
reason
No
End of request
Add to IHIS
Specialty Live
Valid Taxonomy? No
Do the privs
match the
request?
Yes
Add to each
physician in Cactus
14. Lessons Learned Beast of Burden
14
Default Service
• Service 1 is the default service which makes it possible
to have an unmanned service
Physician Reactivation
• Restoring information when physicians are reactivated
Privilege Expirations
• Need automated way to prevent previous attending
from being allowable attending/surgeon entries
HOD Authorization Rule
• Allow for referring staff to be the authorizing physician
for radiology, PT/OT/SP, Labs, etc.
Generic Providers
• Need an entry for consults, OPTime scheduling,
Cadence resources, etc.
