Interfacing HIM Systems at St. Anthony Medical Center

Replying to Thought Experiments and Case Studies
For the purposes of our class the response paper is 5 pages.
There are four key areas you should cover in those 5 pages
(homework is 3 pages) Below is geared to the 5 page paper. For
homework, it is 20% shorter.
· Find and describe the elements of the thought experiment.
What is it trying to do? What is the point? Interpret any key
terms and show why they are necessary to your interpretation of
what is happening.
· Set out the relevant practical and theoretical philosophical
principles at stake and apply them to the problem.
· Solve the problem set out in the thought experiment.
· Reflect on the significance of your solution. What 3 abstract
general points about the world have now been elucidated? *
most important point. At least a page.
Rubric. If you represent all four points sequentially in your
paper you will earn some kind of “B” grade (so long as you are
also close to 5 pages, i.e., within a half-page under or a full
page over). To get a high “B” or an “A-“ or “A” grade you will
have to do well on the reflection bullet.
6/2/2019 Transcript
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onSystemsInterfacingAndInteroperability/transcript.html 1/54

P r i n t
MHA Vila Health™ Activity
Information Systems
Interfacing and
Interoperability
Vila Health Challenge
Information Systems Interfacing and Interoperability
Email #1
PDF Document
Interview Selection
Email #2
Conclusion
Credits
Vila Health Challenge
Analyze the key characteristics of di�erent health information
management (HIM)
systems, including applications, department-speci�c functions,
and capabilities.
Accurately identify the components, infrastructure, and
investment needs for the
HIM systems at each hospital.
Accurately identify the pros and cons of maintaining the current
systems, interfacing
the current HIM systems, or replacing all systems with a single
new HIM system.
Make recommendations based on best practices in HIM,
supported by current
literature.
Health care organizations use many types of information
systems in addition to electronic

health record systems. These systems enable providers and
professionals to access and
analyze needed data and to exchange data with each other in the
process of providing
health care to patients. Because data exchange is a crucial part
of treatment and many
other operations at healthcare organizations, the degree to
which information systems
interface and interoperate with each other is crucial to the
delivery e�cient, e�ective health
care.
In this activity, you will practice researching the information
systems at one of Vila Health's
hospitals, and determine the degree of interoperability between
those systems. You will
analyze whether one hospital's systems are su�ciently
interfaced and interoperable, or
whether upgrades are needed to those systems. You will make
recommendations, based
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6/2/2019 Transcript
on information about Vila Health's newly acquired hospitals,
whether those hospitals
should be transitioned to the current hospital or left on their old
platforms.
Information Systems Interfacing and
Interoperability

Vila Health is a medium-sized system of health operating
facilities in the Minnesota and
Wisconsin area. They have recently acquired two smaller
systems: Delaware County
Regional Health System and Red River Rural Health System.
The leadership teams from all
three organizations are now focused on providing a smooth
transition for both sta� and
patients.
St. Anthony Medical Center is considering whether to invest in
interfacing its current health
information management (HIM) systems. Determining the
hospital's current HIM state will
be essential to deciding whether to transition the newly acquired
hospitals to Vila Health's
system before or after interfacing the current system.
Email #1
HIM Transition Team
From: Evelyn Unger, HIM Transition Team Project Manager
Hello again! I hope your Independence Medical Center site visit
went well. From what the
transition team tells me, they're sending you o� to St. Anthony
Medical Center to �nd out
about the state of interfacing between the di�erent information
systems.
From what I understand, that hospital is already considering
whether to leave things as
they are, with point-to-point interfaces between pairs of
systems, or to invest in an
interface engine that will take incoming tra�c from all systems

and translate it so that all
systems are able to talk to each other. So the transition team
needs to know whether they
should proceed with the interface engine. They need to make the
decision about whether
to transition the new rural hospitals o� of their old systems and
onto the one at St.
Anthony Medical Center, or to leave them on their legacy
systems, so be on the lookout for
information that would apply to that decision.
The department heads and other leaders at the hospital are
happy to talk to you, so just let
me know who I need to follow up with to get some interviews
scheduled.
Evelyn
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6/2/2019 Transcript

Recognized both nationally and locally for its expertise and
dedication to patients' health,
St. Anthony Medical Center is a key element in Vila Health's
mission to be the premiere
system of health in the Twin Cities metro area. We work with
over 150,000 individuals each
year as they face illness and other challenges to their health and
wellbeing. We o�er not
only the traditional specialties you would expect from a state-
of-the-art healthcare facility
but also complementary or alternative services you can't get
anywhere else. We are
consistently ranked as one of U.S. News & World Report's Best
Hospitals in the U.S.
Our Services
Whether patients need inpatient care, outpatient treatment, post-
surgical care, or
behavioral health services or referrals, St. Anthony Medical
Center can help. We o�er the
following services and many others:
AIDS/HIV care
Cardiac/vascular care
Endovascular care
Integrative health
Joint replacement
Kidney care
Mental Health
Neurological care
Oncology
Orthopedics
Reproductive medicine
Leadership
President:

As president and CEO of St. Anthony Medical Center, Geo�rey
Vaughn oversees St.
Anthony's strategic direction by working with the Board of
Trustees to shape and
implement the mission and values of the Vila Health
organization within St. Anthony
Medical Center's entire system.
CFO:
Owen Welch oversees all hospital �nancial matters, including
revenue cycle, supply
chain, �nancial planning, accounting, taxation, reimbursement,
and contract
negotiation and management.
Vice President of Operations:
Carla Neustadt brings over 25 years of health care leadership to
her role as Vice
President of Operations. Responsible for both logistical and
administrative
operations, Carla has led key initiatives in upgrading St.
Anthony Medical Center's
ability to maximize the e�ectiveness, security, and integration
of electronic health
record and business information systems.
Vice President of Medical Support Services:
Christopher Hewitt oversees the administrative and management
support services,
which provide support with credentialing, continuing medical
education, orientation,
and other related policy, regulatory, and legal requirements in
support of not only
the medical sta�, but also our nursing and allied health
professionals.
Vice President of Medical Services:
Harold Liss provides oversight and guidance to the inpatient
and outpatient clinical
services found at St. Anthony Medical Center. Harold brings a

deep knowledge and
understanding of best practices to the role. He has been
particularly involved in
supporting the integration of electronic health records at all
levels of St. Anthony's
medical services.
6/2/2019 Transcript
Director of Clinical Operations:
George Fink oversees diagnostic and therapeutic services at St.
Anthony Medical
Center, which includes diagnostic services such as clinical or
pathology laboratory
services as well as therapeutic services such as physical,
occupational, or speech
therapy.
Vice President of Specialty Services
Bringing over 30 years of health care experience to the position,
Thomas Hayes helps
ensure that St. Anthony's Centers of Excellence and other
specializations deliver
exceptional quality of care, comprehensive services, and an
indisputably patient-
centered system of health.
St. Anthony Medical Center Foundation
With the generous charitable gifts of donors across Minnesota,
St. Anthony Medical Center
Foundation invests in medical advances, technologies, and
facilities, and funds new

programs for the overall wellness of patients and the community
at large.
Donors may make an unrestricted gift, or if they prefer, the
following programs and centers
can be targeted for donor gifts:
The Institute for Alternative Medicine:
The Institute o�ers alternative treatments like reiki, massage,
acupuncture, and
others to patients who want to reduce their stress, diminish their
symptoms, and
heal faster after surgery or other treatment.
The Bariatric Surgery Center:
The Bariatric Surgery Center at St. Anthony's Medical Center
o�ers hope to patients
who have struggled with obesity and weight loss, in the form of
surgical options like
gastric banding and gastroplasty. As a Bariatric Surgery Center
of Excellence, our
medical and surgical teams work with patients to create a
comprehensive solution to
weight-loss.
The Cardiovascular Center:
Using cutting-edge diagnostic equipment and treatments, the
Cardiovascular Center
is the premier choice for patients with a wide variety of heart or
vascular conditions
or disease in the Twin Cities metro area.
Clellan Card Cancer Center of Excellence:
Drawing from a broad team of cancer specialists, the Clellan
Card Cancer Center
strives to provide the best and most advanced care possible for
our patients, to
access and contribute to the latest scienti�c knowledge, and to
translate that

knowledge into demonstrably improved experiences for our
patients in the Twin
Cities, Minnesota, the Midwest, and the world.
Diabetes Care and Education Institute:
St. Anthony Medical Center's Diabetes Care and Education
Institute is a recognized
leader in innovation around diabetes treatment, management,
and education. With a
focus on creating a system of health in which the patient is an
active agent in his or
her care, the Diabetes Care and Education Institute focuses on
creating strong links
between the latest research and day to day diabetes care and
education.
Medical Services
St. Anthony Medical Center provides a full range of inpatient,
outpatient and emergency
care services more than 135,000 patients annually. Founded in
1913, St. Anthony Medical
Center has been serving the Minneapolis/St. Paul and
surrounding communities for over a
century. We employ more than 1150 people and o�er a wide
variety of medical services to
our patients.
6/2/2019 Transcript
Medical interventions
Our highly experienced and quali�ed team of board-certi�ed
specialists o�ers

informed consultation and state-of-the-art treatments to
residents of the Twin Cities
and greater Minnesota. Heart and vascular care, neurological
care, orthopedic care,
and many other specialties are available at St. Anthony Medical
Center. For every
major organ and organ system, we strive to provide a system of
health by o�ering
the tools and knowledge patients and their families need in
order to be active
participants in determining the best outcomes for their
circumstances.
Rehabilitative interventions
Our world-class Rehabilitation Services include comprehensive
rehabilitative
consultation and treatment for both short-term and long-term
conditions and
disabilities. This includes both inpatient and outpatient physical
therapy,
occupational therapy, speech therapy, amputee rehabilitation
and more.
Specialty services
As part of our commitment to providing the best treatment
options and a holistic
patient experience, St. Anthony Medical Center's specializations
o�er innovative
medicine and compassionate care to the patient, family and
other involved
individuals.
Medical Services: Inpatient Clinics
St. Anthony Medical Center is part of the Vila Health system of
health and is committed to
meeting patients where they are in the health continuum.
Whether you are facing serious
medical challenges or seeking ways to improve your current

health, St. Anthony Medical
Center and Vila Health want to be your partners in meeting your
health needs.
Specializations:
Behavioral: As part of the Vila Health system of health, St.
Anthony Medical Center o�ers
access to a wide range of services designed to meet immediate
and long term needs. Our
sta� will work with you to create a treatment plan designed for
your needs and
circumstances.
Behavioral Health
St. Anthony Medical Center takes pride in its compassionate,
educated approach to all
types of behavioral health needs. Patients who su�er from
eating disorders, psychiatric
conditions, chemical dependency or abuse, and co-occurring
disorders have found relief at
St. Anthony Medical Center.
Assessment. We provide phone or in-person assessment for
patients who come to the
Emergency Room, 24 hours a day, 7 days a week. We assess
each patient's need and create
a care plan that may include any or all of the following.
Inpatient treatment. Adults,
adolescents and children can get treatment from our on-sta�
psychiatrist,
psychotherapists, chemical dependency counselors and other
helping professionals, such
as:
Group, individual and family therapy

Medication management
Crisis services
After-care planning
Substance abuse assessments
Network: As part of the Vila Health system of health, St.
Anthony Medical Center o�ers
access to a wide range of services designed to meet immediate
and long term needs. Our
6/2/2019 Transcript
sta� will work with you to create a treatment plan designed for
your needs and
circumstances.
Emergency Department
St. Anthony Medical Center is a Level I trauma center with
facilities for responding
immediately to cardiovascular emergencies, neurological
emergencies, and all manner of
health crises, from prevention through rehabilitation. Our
Emergency Department's
professional medical and health care workers responds quickly
to each emergency,
including but not limited to:
Broken bones or dislocated joints
Severe pain, particularly in the abdomen
Persistent or severe chest pain
Di�culty speaking, altered mental state or confusion

Head or eye injuries
Loss of vision
High fever or fever with rash
Persistent shortness of breath or wheezing
Weakness or paralysis
Deep cuts that require stitches
Rape
Suicidal behavior
For conditions that require immediate but not emergency
attention, you are encouraged to
utilize our Urgent Care Clinics, located in and around the Twin
Cities and the surrounding
communities.
Endocrinology
The diagnosis and treatment of metabolic disease is the
province of St. Anthony Medical
Center's Endocrinology clinic, and our endocrinologists have
the experience and training to
identify, diagnose, and treat a wide variety of metabolic and
endocrine disorders.
Diabetes
The most well-known and common metabolic disorder is
diabetes, and our
physicians work with nurse and dietitian educators to not only
treat patients but also
educate them in how they can treat themselves and improve
their blood glucose
management with changes in their diet and lifestyle. For
patients who require insulin
to manage their diabetes, the care team teaches patients about
their disease and
how to use insulin, count carbohydrates, and use an insulin

pump. Non-insulin
patients receive education about managing their weight and
glucose, and any
medications that their physician recommends.
Metabolic Bone Disorders
For patients with metabolic bone diseases like osteoporosis, our
physicians
collaborate with primary care doctors to diagnose and
e�ectively treat these
conditions. Dynamic endocrine testing is available on site, and
the clinic has the
capacity to administer intravenous therapies or other drug
infusions on site as well.
Tumors
For patients who are diagnosed with thyroid, parathyroid, or
adrenal tumors, our
endocrinologists will consult with the patient's primary care
doctor and with
surgeons at St. Anthony Medical Center to determine the best
course of treatment.
St. Anthony Medical Center's Diabetes Care and Education
Institute is a recognized leader in
innovation around diabetes treatment, management, and
education. With a focus on
creating a system of health in which the patient is an active
agent in his or her care, the
6/2/2019 Transcript
Diabetes Care and Education Institute focuses on creating

strong links between the latest
research and day to day diabetes care and education.
Geriatric
For specialized elder care for the whole patient, St. Anthony
Medical Center's Geriatric
Services o�er treatment and care for the conditions that often
accompany aging. Our
medical sta� and health care professionals have extensive
experience with the problems of
aging, including immobility, speech di�culties, cognitive
limitations, and other special
concerns that aging patients often present with. The clinic
o�ers primary care, consultation
and education about speci�c conditions, and other medical
services to seniors. For seniors
who need referrals for skilled nursing facilities, the clinic helps
to coordinate care with
physicians at those facilities.
Maternal and Fetal Medicine
The miracle of life can sometimes need a little help. At St.
Maternal and Fetal Medicine department, we o�er the best and
most comprehensive care
for pregnant women and their unborn babies, from conception to
newborn care.
Perinatologists at the clinic work hand in hand with patients'
trusted OB/GYN or primary
care physicians. Among the services we provide are:
Preconception care
Genetic counseling
Prenatal diagnostics

Ultrasound
Specialized testing
First trimester screening
For mothers and unborn babies facing complications, our
medical sta� has extensive
experience and can support families through a broad variety of
needs that may occur
during and after pregnancy and childbirth.
Medical/Surgical
St. Anthony Medical Center's medical/surgical unit cares for
patients who no longer need to
be in the Emergency Room, post-op care, or other acute care
units, but who need more
recovery time or treatment before they can be discharged.
Services available in the medical/surgical unit include:
Bedside physical therapy
Cardiac monitoring
Post-surgical observation
Post-trauma observation
Occupational, speech, and massage therapy
Specialized wound care
Rapid response to dramatic changes in heart rate, breathing,
blood pressure, or
other vital signs
The unit's nursing sta� provide these and other services to
patients who have chronic
conditions, recent trauma, or recent surgeries or procedures.
Nephrology

As diabetes and high blood pressure become more common,
problems of the kidney do
too. Nephrologists, nurses, dietitians, and other medical and
healthcare professionals
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coordinate care and education for patients who present with
kidney issues. With on-site
diagnostic tests such as glomerular �ltration rate, urine protein,
or albumin-to-creatinine
ratio testing, St. Anthony Medical Center nephrologists can
determine the best course of
treatment for patients who present with kidney problems.
Neurology
For patients with diseases or injuries of the brain, spinal cord,
or central nervous system,
the neurologists at St. Anthony Medical Center have the
experience and rigorous training to
provide the best in diagnostic and treatment. Our neurologists
can diagnose and treat a
broad array of neurological disorders, whether patients su�er
from movement disorders,
migraines, dementia, cognitive de�ciencies, or other brain-
related problems. The
treatments they o�er include:
Botox injections for movement disorder
Baclofen administration via pump therapy

Nerve conduction testing
Deep-brain stimulation
Vagal nerve stimulation
Tissue plasminogen activator (tPA)
After assessment and evaluation, St. Anthony Medical Center's
neurologists will design a
care plan that includes all necessary treatment, recovery, and
follow-up care. For those
patients with brain or spine tumors, they coordinate treatment
plans with the Cancer
Center. Our on-site diagnostic technologies for neurological
disorders include:
CT scanning
PET scanning
PET scanning
EMG (electromyography)
EEG (electroencephalography)
MRI (magnetic resonance imaging)
Evoked potentials
Myelogram
Ultrasound
Operative Services
St. Anthony Medical Center o�ers a wide range of surgical
care. Our surgeons are board
certi�ed and represent the best that the Twin Cities medical
community has to o�er.
Among our surgical specialties are:
General surgery
Trauma surgery
Neurosurgery

Gastroenterology
Cardiovascular
Ophthamology
Oral and maxillofacial
Cancer
Spine and peripheral surgery
Orthopedic Surgery
Pulmonology
Transplants
Urology
6/2/2019 Transcript
Gynecology/obstetrics
Bariatric surgery
We provide elective and emergency surgeries for children and
adults in our six-operating
theater suite. Each patient receives expert pre-op consultation
and care, as well as post-op
and medical/surgical care if more recovery time is needed. The
hospital's pre-op nurses
coordinate each patient's needed medications, lab tests, and
arrival, while post-op nurses
assist with medication management and discharge either to the
medical/surgical unit or
from the hospital. They also help get services, support, and
necessary equipment or
supplies for post-surgery care.
Orthopedics

Patients with musculoskeletal conditions like arthritis, joint
injuries, and bone fractures can
get top-notch care at St. Anthony Medical Center's Orthopedics
clinic. The clinic has 36
private rooms for patients recovering from knee or hip
replacements, and the clinic o�ers
hand/elbow, foot/ankle, and other orthopedic care. For patients
who require joint
replacements (conducted by St. Anthony Medical Center's
Operative Services), the clinic
o�ers group therapy and activities, because research has shown
that support is critical to
successful healing after a joint replacement. The hospital's
physical therapists and
occupational therapists deliver therapeutic treatment and
education at the bedside, and
can continue to deliver therapy and home exercise programs
after the patient has been
discharged.
Among the procedures our orthopedists can perform:
Knee replacements
Hip replacements
Total, partial, and reverse shoulder replacements
Hip resurfacing
Pain management
Endoscopic surgeries
Carpal tunnel release
Hand and wrist fracture treatment
Foot and ankle fracture treatment
Morton's neuroma excision
Pulmonology

The Pulmonology clinic at St. Anthony Medical Center o�ers
comprehensive care for
patients with lung diseases and breathing conditions. The
diagnostic and therapeutic
capabilities of our care team, which includes pulmonologists, a
chest radiologist, and two
lung cancer experts, are known across the Twin Cities and
Minnesota. The care team
evaluates each patient and uses the following diagnostic tests to
determine their condition
and the best course of action for improved breathing or lung
health:
Cardiopulmonary exercise tests
Exercise stress tests
Heart catheterization
Methacoline challenge tests
Pulmonary function tests
Sputum induction
Our pulmonologists are skilled in traditional pulmonological
procedures but have also
studied interventional pulmonology, a relatively new and less
invasive set of diagnostic and
therapeutic procedures. These procedures include:
6/2/2019 Transcript
Airway stent
Balloon bronchoplasty
Bronchoalveolar lavage

Flexible or rigid bronchoscopy
Indwelling pleural catheters
Pleurodesis
Pleuroscopy
Thoracentesis
The team works with the hospital's Respiratory Therapy
department to coordinate
immediate and ongoing care for patients with lung and other
breathing problems.
Reconstructive surgery
Patients who survive traumatic and disease-related injuries
often need reconstructive
surgery to restore the a�ected area to normal (or close to
normal) appearance or function.
For these patients, the expertise of St. Anthony Medical
Center's reconstructive surgeons is
often the best answer.
Some of the most common reconstructions conducted at St.
Anthony Medical Center are:
Breast reconstruction: for patients who have a congenital
condition that requires
reconstruction, or for patients who have had a mastectomy due
to a cancer
diagnosis.
Cleft lip and palate reconstruction: for pediatric or adult
patients with cleft lips or
malformed palates.
Craniofacial reconstruction: For patients who have su�ered
damage to the head or
face, usually in traumatic injuries, or patients with congenital
facial deformities or

tumors.
Hand and wrist reconstruction: for patients with damage to
arteries, nerves, veins,
or the musculoskeletal structure of the hand or wrist from
repetitive stress, injuries,
osteoarthritis or rheumatoid arthritis.
Stroke Care
From the emergency event to restoring to the fullest functioning
possible, St. Anthony
Medical Center has the expertise and technology to handle
strokes. Our Emergency Room
is equipped for immediate response to a stroke, including
intravenous medication and 24/7
availability of hospital neurologists who specialize in stroke.
Treatments like clot removal,
and cerebral angioplasty are immediately available, and the
hospital's imaging department
is available 24/7 to create images that help with diagnosis, not
only of the immediate
problem but also contributing factors. Once the patient is
stabilized, neurologists
coordinate a plan of care with the patient's primary care
physician and other specialists at
the hospital. This might include further treatment, such as stents
or other interventions to
address narrowed head or neck arteries. Physical, speech, and
occupational therapy are
available at the bedside and on site so that rehabilitation begins
the moment the patient is
ready.
Urology
Urinary troubles can create havoc in a patient's life, and the

most advanced treatments and
interventions for common urological problems are available at
St. Anthony Medical Center's
Urology clinic. Men and women with urological disorders can
�nd relief from their
conditions from the on-sta� urologists at the clinic. Among the
more common conditions
we treat are:
6/2/2019 Transcript
Genitourinary cancers
Kidney and bladder stones
Voiding dysfunctions and incontinence
Prostate-related diseases (e.g. cancer and enlarged prostate)
Neuro-urology
Female urology
Erectile dysfunction
Urinary tract infections
Inguinal hernia
For prompt diagnosis of presenting conditions, the clinic has
on-site capability for tests like
X-rays, CT scans, blood tests and urine tests. Whether the
needed intervention is surgical or
pharmacological or both, our highly quali�ed urologists will
work with primary care
physicians and any other needed specialists to treat the problem
e�ectively.
Vascular Medicine

Aneurysms, varicose veins, and deep vein thrombosis are all
examples of vascular diseases
that can be treated at St. Anthony Medical Center's Vascular
Medicine clinic. These diseases
can a�ect many systems of the body but are primarily problems
with veins, arteries, lymph
vessels, and the blood. Specialists in the Vascular Medicine
clinic can collaborate with
cardiovascular and other specialists to make sure that each
patient's condition is accurately
diagnosed and appropriately treated with the most advanced
interventions available. They
con�rm their diagnosis or theory with diagnostic tests such as:
CT scans
Abdominal aortic ultrasound
Carotid artery ultrasound
Peripheral arterial evaluation
Peripheral venous evaluation
If blockages or narrowing of vessels is causing other symptoms,
physicians will use such
treatments as angioplasty or stenting. They also educate patients
about any lifestyle
changes that could help ameliorate the condition.
Medical Services: Outpatient Clinics
Allergy and Asthma
Allergies, asthma, and other immune-related problems meet
their match at St. Anthony
Medical Center's Allergy and Asthma clinic. Our board certi�ed
allergists work with each
patient to minimize symptoms and determine their source, then
create a detailed care plan

to address the cause.
Allergies
St. Anthony Medical Center allergists will test patients
experiencing allergies to determine
which allergens are causing their symptoms, then inform them
about their best options,
whether it's a course of allergy shots, recommended changes in
lifestyle or environment, or
changes in diet.
Asthma
St. Anthony Medical Center's physicians work with nurses and
respiratory therapists to help
patients understand how asthma works, the signs, triggers, and
symptoms to watch for,
and ways to control asthma once episodes begin. They also
consult with the Emergency
Room to treat patients who present with severe asthma
symptoms.
6/2/2019 Transcript
Immunology
For patients with disorders related to their immune systems, the
immunology team works
with other disciplines to diagnose such conditions as:
Immunode�ciencies
Crohn's disease

Osteoporosis
Rheumatoid arthritis
Lupus
Audiology
Di�culties with hearing can be isolating, and St. Anthony
Medical Center's Audiology
department has the experienced, board-certi�ed audiologists
and diagnostic equipment to
treat patients with a wide variety of hearing disorders. Our
audiologists evaluate each
patient to determine whether the cause of the hearing loss is
congenital or acquired, and
what treatment or treatments will help to correct the problem.
The department's state-of-
the-art equipment allows pure tone air and bone conduction
testing, otoacoustic emissions
testing, tympanometry, acoustic re�ex testing, and more.
Among the services our audiology department provides are:
Adult hearing evaluations
Pediatric hearing evaluations
Otoacoustic emissions testing
Auditory processing assessments
Tinnitus evaluation
St. Anthony Medical Center does not provide hearing aids, but
provides patients with
referrals to local providers.
Dermatology
For common and uncommon skin problems, St. Anthony
Medical Center's Dermatology

clinic has state-of-the-art treatment facilities and experienced
dermatologists who can
handle simple to complex conditions for adults and children.
Besides treating common
problems such as rosacea, dermatitis, acne, and the like,
dermatologists are also expert at
determining whether a troubling skin spot is actually skin
cancer. If a patient gets a
diagnosis of skin cancer, the dermatologist will work with the
patient's primary care doctor
and, if needed, other St. Anthony Medical Center specialists for
comprehensive care.
Ear, Nose, and Throat
St. Anthony Medical Center o�ers comprehensive care for
disorders of the ear, nose and
throat. Not only do our ear, nose, and throat (ENT) physicians
have extensive experience
and training in diagnosing and treating these disorders, they
have a wealth of consultative
experience to draw from other departments, including
Audiology, Reconstructive Surgery,
Allergy and Asthma, Sleep Medicine, and more. Among the
conditions our ENT physicians
treat are:
Hearing loss
Dizziness
Balance issues
Nose and sinus disorders
Larynx disorders
Lesions or tissue masses in the head and neck

6/2/2019 Transcript
Sleep apnea
Our ENT physicians are skilled in diagnostic testing and
treatment of these disorders. The
clinic features advanced equipment for balance testing, MRIs,
electrocochleography,
electroencephalography, scratch-and-sni� testing for smell and
taste disorders, and many
other diagnostic tests. After diagnosis and/or treatment,
physicians will make referrals for
speech therapy, swallowing therapy, sleep studies, or other
needed services to make sure
the patient makes the most complete recovery possible.
Internal Medicine
The Internal Medicine clinic focuses on the prevention,
diagnosis, and treatment of adult
diseases, and St. Anthony Medical Center internists have a long
course of study in adult
medicine. Clinic sta� include internists and residents who are
rotating through the clinic.
They work with nurses, social workers, and physical therapists
at the hospital and
elsewhere to coordinate the best possible care for adult patients
who are at least in their
teens.
Each of our internists has spent at least three years learning
about diseases that occur in
adults. They act as primary care doctors, seeing patients for

ordinary preventive care as
well as conditions that need treatment.
Our internists and residents treat patients for a wide variety of
conditions, including
common ones like:
Hypertension (high blood pressure)
Diabetes
Cardiovascular disease
Osteoporosis
Chronic pain
Migraine
Podiatry
For patients with disorders, congenital conditions, and injuries
of the foot and ankle, St.
Anthony Medical Center's Podiatry clinic o�ers state-of-the-art
diagnosis and treatment.
Our podiatrists have the skills to diagnose many foot-related
problems and to deliver the
appropriate treatment, whether surgical or nonsurgical. They
create a plan of treatment
and recovery, and coordinate with physical therapists at the
hospital to direct the patient's
rehabilitation. For more complex treatments or conditions, our
podiatrists can consult with
orthopedic and other surgeons at St. Anthony Medical Center as
necessary, or refer
patients to the hospitals Prosthetics and Orthotics department
for orthotic supports and
other interventions.
Conditions our podiatrists treat include, but are not limited to:

Arthritis
Bone spurs
Broken bones
Bunions
Calluses
Claw toe
Corns
Deformities and �at feet
Fungal infections
Hammertoe
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Mallet toe
Morton's and other neuromas
Plantar fasciitis
Plantar's warts
Sports injuries
Prosthetics and Orthotics
Traumatic injuries, debilitating illnesses, chronic conditions,
and other problems can
sometimes be addressed with prosthetic or orthotic devices.
With a huge array of
specialists throughout the hospital to consult with, the
Prosthetics and Orthotics
department at St. Anthony Medical Center is the best place in
the Twin Cities for pediatric
and adult patients who need a device designed and fabricated
for their particular issue. Our

prosthetists, orthotists, and technicians are certi�ed in orthotics
and prostheses, and they
help patients with such conditions as Morton's neuroma,
cerebral palsy, amputations, spina
bi�da, scoliosis and many more. They constantly build on their
experience working with the
most modern, lightweight materials through continuing
education on myoelectrics, suction
sockets, graphite systems and other technologies. Each patient
receives a support or
prosthetic speci�cally tailored to their physical needs and
lifestyle, and St. Anthony Medical
Center prosthetists and orthotists work with each patient to
make sure the �t is
comfortable and the function is acceptable. They make any
modi�cations necessary.
Among the procedures the clinic can do are:
Custom foot orthoses
Knee, ankle, and foot orthoses
Bracing (sports, post-polio, spinal, post-op, scoliosis)
Prosthetic designs
Microprocessor knees
Graphite composites
Thermoplastics
Trans-femoral anatomical suction sockets
Trans-tibial silicone suction sockets
Prosthetic feet
Ultra lightweight prostheses
Myoelectric prostheses
Cranial helmets
Rheumatology
Rheumatic and autoimmune disorders can be life-threatening

and cause chronic pain,
fatigue, and other unpleasant symptoms. The physicians at St.
Rheumatology clinic care for patients with all kinds of these
disorders. They also consult
with specialists at the hospital to manage rheumatic conditions'
e�ects on multiple organ
systems.
Commonly treated disorders include:
Arthritis
Rheumatism
Ankylosing spondylitis
Behcet's disease
Dermatomyositis
Gout and pseudogout
Lupus (SLE)
Marfan's syndrome
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Psoriatic arthritis
Mixed connective tissue disease (MCTD)
Polymyalgia rheumatia
Polymyositis
Reiter's syndrome
Rheumatoid arthritis
Sjogren's syndrome
Scleroderma
Temporal arthritis

Vasculitis
To relieve patients' symptoms and restore them to higher
function, St. Anthony Medical
Center's rheumatologists deliver treatments like joint aspiration,
plasma exchange therapy,
and other cutting-edge interventions. Physical and occupational
therapists augment
treatment, and physicians coordinate with nurses and patients'
primary care physicians to
educate patients on how to live with their rheumatic conditions.
Sleep Medicine
For relief from insomnia and other sleep-related disorders, St.
Sleep Medicine is the place to go for sleep-deprived patients.
Each patient receives a
thorough evaluation and history of their sleep disturbance, and
physicians at the clinic use
both pharmacological and behavioral interventions to address
the problem. Physicians are
familiar with the physiological conditions that can cause sleep
disturbances, but also the
psychological ones, such as depression, anxiety, PTSD, and
others.
Conditions we regularly treat include the following, but St.
Anthony Medical Center
physicians have knowledge of and experience with many more:
Restless leg syndrome
Sleep apnea
Narcolepsy
Periodic limb movement disorder
Insomnia

In cases where cognitive-behavioral or pharmacological
interventions are ine�ective,
patients can come to St. Anthony Medical Center's Sleep Center
for sleep studies that help
diagnose sleeping problems.
Therapeutic Services
Occupational Therapy
A stroke, a car accident, or a congenital condition can
profoundly a�ect the way a patient
walks, writes, or performs many of the daily tasks of living. To
help patients lead safe,
independent and productive lives, St. Anthony Medical Center
has �ve occupational
therapists on sta�. These therapists evaluate each patient and
develop a plan that
incorporates pain control, in�ammation management, and
sensitivity management, as well
as treatments and home exercises to build strength, improve
range of motion, or relearn
function.
Whether a patient has a stroke or tendonitis, our occupational
therapists use many
methods and adaptive equipment to make each patient as mobile
and functional as
possible, including the following interventions and evaluations:
Alternative communication devices
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Constraint-induced movement therapy
Neurodiagnostic testing (such as electromyography)
Mobility equipment and seating evaluations
Feeding evaluations
Splinting and casting
Functional vision retraining
Sensory stimulation
Eye Care
Tests, treatment, and corrective lenses for all kinds of vision
problems are available at St.
Anthony Medical Center's outpatient Eye Care Clinic. The
clinic is sta�ed with 12 board-
certi�ed physicians who can test and examine patients' eyes for
the purpose of prescribing
glasses or contacts. They also routinely screen patients for
common eye problems like
glaucoma and macular degeneration. They provide the following
services on a regular
basis:
Eye health assessment
Vision screening
Retinal assessment
Glaucoma testing
Macula assessment
Three of our physicians are also board certi�ed opthalmologists
who can provide
comprehensive care for all manner of eye disorders. Our
optometrists refer patients whose
routine eye exams reveal emerging problems like cataracts or

glaucoma, and patients can
see our opthalmologists without a referral. Among the
conditions we treat are:
Eye infections
Glaucoma
Cataracts
Cornea, ocular surface, and external eye disease
Uveitis
Strabismus
Orbital lymphoma
Retinoblastoma
Eyelid cancers
Retinitis pigmentosa
Cone-rod dystrophy
Pharmacy
At St. Anthony Medical Center's pharmacy, we don't just �ll
prescriptions. We o�er
experienced pharmacists whose many specialized services help
patients to take charge of
their medications and get the maximum bene�t from them.
Before patients leave the
hospital, our pharmacists can visit them at bedside to deliver
and explain their medications.
Especially when patients are receiving treatment from multiple
providers, pharmacists
review patients' medication lists, then consult with physicians
to make sure that
unnecessary, duplicate, or potentially con�icting medications
can be removed or modi�ed.
For conditions with more complex medication regimens (such as
organ transplant
protocols or blood-thinning medications), pharmacists answer
patients' questions and give

specialized advice for how to get the most bene�t.
Our pharmacy also o�ers the following services:
Prompted re�lls
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Prescription mail delivery
Medication management program
Unused medication donations
Expired or unwanted medication disposal
Prescription assistance program for low-income patients
Physical Therapy
To help patients rebuild strength, range of motion, and
�exibility after surgery or injuries,
physical therapists at St. Anthony Medical Center work in each
department to deliver
bedside therapy and educate patients about post-discharge self-
care. After surgery, many
patients rebuild their strength and keep injured areas mobile to
prevent scar tissue and
limited range of motion. Our licensed physical therapists
consult with physicians to create a
plan for therapy and home care, which might include teaching
stretches or strengthening
exercises or activities to avoid until recovery is complete. They
also teach patients how to
get out of bed, go to the bathroom, and do other daily tasks

safely while they continue their
recovery.
Our therapists provide care at the bedside or in the hospital's
physical therapy clinic. They
use the following techniques to speed healing and encourage
mobilization:
Heat
Cold
Ultrasound
Electrical stimulation
Soft tissue mobilization
Therapeutic exercise
Respiratory therapy
Patients with lung diseases and breathing problems know that
has the expertise to assess and determine the best possible
course of treatment. Each of
our pulmonary care specialists has extensive knowledge of the
common lung diseases,
such as asthma, emphysema, cystic �brosis), and many more.
They evaluate and treat on
an inpatient and outpatient basis. For more complicated cases,
such as lung diseases that
may lead to a needed lung transplant, our pulmonary specialists
can consult with
physicians in other specialties across the hospital.
Common diseases we treat include:
Interstitial lung disease
Acute respiratory failure
Sleep disorders

Pulmonary hypertension
Emphysema
Asthma
Cystic �brosis
Chronic obstructive pulmonary disease (COPD
Our Respiratory Care department provides pulmonary function,
spirometry, and other
diagnostic tests, and plan care for each patient. Once treatment
is determined, our sta� of
registered and certi�ed respiratory therapists provide services
including:
Ventilation management
Gases delivery
Airway care
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Medication delivery
Sleep studies
Pulmonary rehabilitation
Speech Therapy
St. Anthony Medical Center o�ers speech therapy services for
the assessment, evaluation,
and treatment of speech and language disorders. Our
experienced speech language
pathologists perform many diagnostic tests and assessments to
determine the nature and

extent of a patient's speech or language problem. They have
extensive education and
experience in such disorders as:
Swallowing disorders
Facial droop
Voice disorders
Cognitive disorders
Dysarthria
Aphasia
Whether the condition is physiological or neurological,
developmental or acquired, our
speech pathologists are trained in using the following
interventions and assessments:
Augmentive/alternative communication
Neuromuscular stimulation
Flexible Endoscopic Evaluation of Swallow (FEES) testing
Modi�ed Barium Swallow Study testing
Alaryngeal communication
Diagnostic Services
Clinical Lab
Our highly trained, professional sta� of technologists,
technicians, and phlebotomists can
perform a vast array of diagnostic tests in our 50,000-square-
foot facility to help properly
diagnose patient conditions. These tests take place on site as
soon as possible after a
doctor's order. With 600 lab professionals and 15 pathologists
on sta�, the more than 150
tests o�ered by St. Anthony Medical Center include:
ABO & Rh type

Adult food allergy pro�le
Blood urea nitrogen
Fungal antibody panel
Hemoglobin A1C
HIV-1 proviral DNA
LDL cholesterol
Pancreastatin
Potassium
White blood cell count
These tests, and the many other tests done at St. Anthony
Medical Center, can be
completed and reported to your practitioner the same day. For
specialized tests, we send
specimens to the Mayo Medical Laboratory Laboratory, and in
these cases turnaround time
may be longer.
Imaging
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St. Anthony Medical Center o�ers comprehensive, state-of-the-
art diagnostic imaging, with
same-day appointments available when needed. Our highly
skilled medical imaging
technicians keep patients as comfortable and informed as
possible while creating high-
quality images. Once images are ordered by physicians, the
Imaging Center schedules the
appointment and produces images within 24 hours to be read in

consultation with the
hospital's sta� of 12 on-site, board-certi�ed radiologists.
Some of our imaging services include:
Cardiovascular imaging
Vascular angiography
Angioplasty
Bone density testing
Bone densitometry
DXA scans
CT scans
Colonoscopy
Mammography
Electrocardiogram
Fluoroscopy
MRI
Nuclear medicine
PET scans
Cardiac stress tests
Bone scans
Lung scans
X-rays
Specialty Services
Bariatric
For some patients, weight loss can be a matter of life and death.
Patients who struggle with
their weight often develop related conditions, such as high
blood pressure, diabetes, sleep
apnea, and joint pain. That's why St. Anthony Medical Center's
Bariatric Surgery Center has
been o�ering bariatric surgeries since 2001.
The Bariatric Surgery Center has four bariatric surgeons who

can perform several weight
loss procedures for patients who are at least 100 pounds
overweight or have a body mass
index of 45. Together, they've performed more than 7,000 of
these surgeries, and they're
dedicated to helping patients live healthier, happier lives.
A few of the surgical options that our surgeons o�er are:
Sleeve gastrectomy surgery to reduce the size of the patient's
stomach.
Gastric bypass surgery to alter the patient's stomach and limit
their caloric intake.
Vertical banded gastroplasty surgery to change the path of food
through the
patient's stomach.
Adjustable gastric banding to limit a patient's ability to eat food
at one time.
St. Anthony Medical Center's support doesn't end with surgical
recovery. Our nurse
clinicians help patients prepare for surgery and heal afterward.
Our registered dietitians
and exercise specialists take over from there, working with
patients to help them create a
diet and exercise plan that will allow them to maintain the
weight loss they achieve after
surgery.
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Clellan Card Cancer Center
A cancer diagnosis means it's time to bring out the A team, and
that's what patients get at
St. Anthony Medical Center's Clellan Card Cancer Center. We
bring together experience,
technology, and compassion to create the most healing
environment possible for cancer
patients. Once a tumor has been detected, our oncologists
evaluate the patient's medical
history and orders further diagnostic testing if necessary. The
Cancer Center has on-site CT,
PET and MRI scanners for same-day imaging and complete
localization of the tumor. With
that information, the oncologist creates a complete treatment
plan, including the type of
therapy, frequency, amount, and method of delivery. The Cancer
Center's experienced
physicians use specialized equipment to deliver radiation
treatment, chemotherapy, and
more advanced treatments such as CT stimulation, high dose
rate brachytherapy,
stereotactic radiosurgery, and volumetric arc therapy.
Rehabilitation
The center's nurses, nurse clinicians, and social workers help
patients to recover from
treatment and/or surgery and to gather necessary resources for
the journey from diagnosis
to remission.
Our oncologists have a combined 90 years of experience with
the following cancers (among
many others):
Breast cancer

Brain cancer
Gastrointestinal/esophageal cancer
Liver cancer
Lung cancer
Lymphoma (Hodgkins and non-Hodgkins)
Pancreatic cancer
Prostate cancer
Cardiovascular
St. Anthony Medical Center's Cardiovascular Center is the Twin
Cities choice for the best in
heart and vascular care. With services for everything from
preventive cardiology to valve
replacements and heart transplants, the Cardiovascular Center is
equipped to handle
almost any kind of heart or vascular problem.
Prevention
Patients with previous cardiovascular-related health problems or
risk for them can be
evaluated for their level of risk and receive nutrition and
exercise counseling for ways to
minimize their risk. Diagnostic tests are available on-site, and
the Cardiovascular Center can
also refer patients to stress management and other services that
help address the
psychological aspects of heart disease.
Diagnosis
The Cardiovascular Center o�ers a full range of imaging and
testing services for the
detection of heart conditions. These include:
Calcium scoring tests
Angiograms

Echocardiograms
Electrocardiograms
Nuclear imaging
MRI
Chest x-rays
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Treatment
St. Anthony Medical Center's Emergency Room is equipped to
handle heart and blood
vessel emergencies, and so is the Cardiovascular Center. But the
Center also o�ers
preventive and responsive treatments to many cardiovascular
diseases.
Our surgical team has the experience to handle cardiac,
thoracic, and transplant-
related surgical services for conditions such as aortic
aneurysms, cardiac valve
repair, heart transplants, and more.
Our electrophysiology physicians diagnose and treat patients
with heart rhythm
issues such as �brillations, tachycardias, and premature
contractions.
Our cardiologists use catheter-based devices to repair structural
problems like artery
disease and defects.
Integrative Medicine (Alternative)

A great deal of research is being done into the e�ectiveness of
complementary and
alternative medicine, or CAM, and that research helped lead to
The Institute of Integrative
Medicine at St. Anthony Medical Center. The Institute is a
place for patients who want to
augment traditional interventions and therapies with alternative
medicine.
Whether patients are looking to reduce the stress and anxiety of
medical problems,
diminish the intensity of their symptoms, or enhance the healing
process, the Institute
o�ers a wide variety of alternative treatments.
Institute patients have used alternative therapies in the
following ways:
Yoga: to rebuild strength and increase �exibility after
chemotherapy
Chiropractic: to reduce pain and increase mobility after surgery
Acupuncture: to reduce pain and swelling after knee surgery or
to reduce nausea
after chemotherapy
Massage: relief of postoperative pain
Reiki: to reduce stress and anxiety for cancer patients
Aromatherapy: to reduce nausea-related chemotherapy
For patients who are looking to improve their overall quality of
health, the Institute also
o�ers wellness coaching, mindfulness training, and nutrition
counseling.
Spine
St. Anthony Medical Center is second to none in delivering the

most advanced treatment of
injuries and conditions that a�ect the spine. For common
conditions like low and upper
back pain, or more complicated injuries to the spine and nerve
roots, St. Anthony Medical
Center's care team includes a physiatrists, nurse practitioners,
nurse clinicians and physical
therapists.
Our physicians will evaluate each patient's spine condition and
draw from other disciplines
to create a complete treatment, rehabilitation and physical
therapy plan. The center o�ers
imaging, electromyography, and injection therapy services on
site, and if surgery is
indicated, the care team provides education to each patient
about proper pre- and post-op
care.
The Spine Center has dealt with the following conditions and
many more:
Arthritis and osteoarthritis
Disc degeneration
Fractures
Herniated discs
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Kyphosis
Lordosis

Nerve root injuries
Osteoporosis-related spinal fractures
Sciatica
Spondylolisthesis
Spondylolysis
Stenosis
Patient Services
Medical Records
Vila Health uses an electronic medical record system so that
patients can access their entire
medical history and speci�c information (such as test results)
quickly and easily. St. Anthony
Medical Center and all hospitals and clinics in the Vila system
use this system, so that all
providers can access patient contact information as well as
details about medical history,
medications, allergies, test results, and other pertinent health
information. The system
allows providers across Vila Health System, including nurses,
physicians, and pharmacists,
to access patient information and coordinate care. In the event
that patients need to send
their health records to hospitals, clinics, or providers outside of
the Vila Health System, our
records specialists help patients with printing and/or sending
records.
Admissions and Discharge
St. Anthony Medical Center maintains a quali�ed sta� of
admissions counselors who help
patients with admissions. For elective admissions – planned
stays at the hospital for
procedures or surgery – counselors answer questions about the

online pre-registration
process or conduct the process via telephone. They gather
necessary information, answer
patient questions, and provide information regarding the
hospital stay, including such
details as where to park, what to bring, and more. These
counselors help patients when
they leave the hospital, including connecting them with
resources and referrals within the
hospital and in the larger community.
Billing and collections
Questions about bills go to our sta� of billing specialists, who
help patients understand the
services they received and the cost of those services.
Our customer service department can answer questions about:
Hospital bills
Home health, medical laboratory, hospice, emergency, and
medical equipment bills
Online bill pay
Refunds: If there is an error in a bill pay transaction. St.
Anthony Medical Center will
verify the error. If an overpayment is discovered, a refund will
be issued within 10 to
30 days.
Financial assistance: If patients are having trouble paying for
services, the hospital
o�ers �nancial assistance programs.
Address changes
Dietary
Food and dining options at St. Anthony Medical Center include

the cafeteria, a café, and
vending machines throughout the hospital. The cafeteria is open
from 6 a.m. to 6 p.m. and
serves:
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Breakfast 6:30-9:30 a.m.
Lunch: 11-1 p.m.
Dinner: 5-7 p.m.
Soup/salad bar, deli, grill: 11 to 5 p.m.
St. Anthony Medical Center also o�ers education and
counseling for patients with
nutritional health needs. Our experienced dietitians meet with
patients on an outpatient
basis to explain how their diet can support healing and health,
and which foods may
undermine their recovery.
Social Services
At St. Anthony Medical Center, we understand that health is
more than getting treated for
symptoms. Access to health care, good discharge planning,
education, and other support
services are crucial for patients to fully recover. Our Social
Services department coordinates
all of the psychosocial aspects of healing. Our case workers
help patients in all areas of the
hospital with their needs after discharge, which may include

food, shelter, follow-up care,
or help with grief and loss. They work with patients and their
families to design an
appropriate post-discharge plan, which takes into account their
physical healing,
medication management, basic needs, and needed resources such
as medical supplies or
outpatient therapy. Finally, our case workers intervene on
behalf of patients when
necessary to protect their access to health care or their rights
where insurance companies
or other entities are concerned.
Support Services
Biomedical Technology
Our Biomedical Technology department is sta�ed with
experienced technicians and
information system specialists who install, calibrate, operate,
repair, and maintain that
equipment. They coordinate system installations and upgrades,
and make modi�cations to
make sure that the equipment adheres to medical standards and
hospital guidelines. They
design equipment and support systems that the hospital needs,
and test all equipment on
a regular, documented schedule so that information is always
available about the
equipment's last test, calibration data, repair record, and more.
Technicians and specialists
participate in the planning process for buying new equipment,
advising hospital leadership
about which equipment is necessary and the requirements for
integrating it with the
hospital's information systems. They also design and provide
user training and support.

Central supply
A steady supply of sterilized equipment and instruments is
crucial to any hospital's
function, and St. Anthony Medical Center's Central Supply
department works 24/7 to make
sure that surgical instruments, medical devices, and other
equipment are sterilized and
stored properly to maintain that sterilization.
Decontamination
After use, all surgical instruments and medical devices must be
decontaminated in
the hospital's special automatic washers and other
decontamination equipment. Our
sterile processing and distribution technicians inspect each item
after
decontamination to make sure it is clean, then assembles and
organizes items into
the right instrument trays and sets for later use.
Sterilization
For items that require sterilization, our technicians run the
autoclaves and other
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sterilization equipment. They also keep detailed records of each
item that has been
cleaned, sterilized, and stored.
Distribution

Our technicians deliver sterile supplies wherever they are
needed, and pick up used
ones for decontamination and sterilization. They stock crash
carts, organize medical
supplies, and keep inventory control so that sterile supplies
don't expire.
Information Technology
The Information Technology department at St. Anthony Medical
Center keeps the hospital's
[number] employees connected to each other and to the
resources they need to deliver the
best patient care possible. Our IT professionals build, install,
maintain, and troubleshoot all
in-house hospital systems, managing regular maintenance and
upgrades for these systems.
The help desk provides 24/7 user support, and the department
also conducts formal and
ad hoc training in the proper and safe use of the hospital's
network and applications.
The hospital's users rely on the following systems maintained
by IT:
E-mail
Electronic medical record
Formulary database
Building/environmental system
Patient �ow software
Medical billing
Accounting
Medical equipment networking
For third-party applications the hospital needs, the IT works
with those vendors to install,

monitor, and maintain those applications.
Safety
It's ironic but true: Hospitals, which exist to help improve
health, can be hazardous places.
Infectious organisms, sharp instruments, and other dangers can
threaten the safety of
employees and patients alike. That's why safety is St. Anthony
Medical Center's top priority.
The hospital's safety department investigates every safety-
related incident at the hospital,
including falls, infections, accidental needle sticks, equipment-
related injuries, and incidents
in the parking ramp, to prevent similar accidents from
happening in the future.
Safety analysts work with the Accreditation Department to
analyze how St. Anthony Medical
Center is complying with The Joint Commission's Physical
Environment of Care standards.
They also monitor the hospital's compliance with local, state,
and federal regulations
regarding safety in hospitals. Finally, they conduct safety tours
of all areas of the hospital,
and when changes in procedure become necessary, they deliver
training to related
personnel to ensure compliance with new safety measures.
The safety department analyzes safety data across the hospital
and benchmarks St.
Anthony Medical Center's performance to national hospital
safety statistics. The
department's reports on St. Anthony Medical Center's safety
record, which compare its
performance to that of other, comparable hospitals, go to the

hospital's vice president of
operations.
Security
St. Anthony Medical Center maintains an open-door
environment so that patients, visitors,
and practitioners can move about freely. This creates security
challenges, as open-door
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environments can become opportunities for criminal behavior.
To protect patients,
employees, and property, our security department employs
technology and human
presence to monitor open areas, employee-only areas, and the
parking ramp.
Patients and visitors can enter through various exits during
daylight hours, but in the
interest of safety, they may only enter the hospital through the
Emergency Room between
the hours of 7 p.m. and 6 a.m.
Our security personnel are on duty 24/7 to make sure that
visitors, patients, and sta� are
safe. All loading docks and receiving areas are monitored by
surveillance video and security
personnel to prevent theft of valuable medical supplies and
equipment.

All employees are issued badges that allow them access to the
areas they need to reach for
patient care. Alarmed doors prevent anyone from entering sta�-
only areas without the
proper credentials. Finally, a campus-wide building security
system allows our security
personnel to monitor all entrances and exits in a central location
and deploy a response
when needed.
Environmental Services
Our Environmental Services professionals take pride in keeping
clean, organized, and safe.
Supplies
Medical supplies, clean linen, and other needed supplies are
restocked regularly by
Environmental Services. They assemble medical supplies into
packs according to
di�erent departments' needs, and deliver emergency supplies
when needed.
Cleaning
Environmental services professionals conduct regular cleaning
of furniture,
woodwork, �oors, walls, windows, vents, fan �xtures, and
doors in every area of the
hospital. They also clean patient rooms and get them ready for
the next patient.
Waste removal
The regular removal of ordinary trash falls under Environmental
Services, but they
are also responsible for removing and disposing of medical
waste using speci�ed

bags and containers.
Equipment
Facilities workers in the Environmental Services department
maintain the hospital's
vast array of equipment, as well as the hospital's physical plant,
documenting their
regular schedule of inspections and repairing or replacing any
malfunctioning
equipment.
Operations
Finance
To make sure the hospital is guided by sound �nancial
principles, St. Anthony Medical
Center's budget analysts create an annual budget that dictates
the funds each department
gets for its day-to-day operations and special projects or
investments. They examine
volume and utilization patterns, look for developing trends, and
conduct long-range
forecasting and �nancial modeling. Using this data, they
participate in the strategic
planning process of the hospital.
Financial professionals conduct the hospital's �nancial
operations, including paying salaries,
paying suppliers, and working with the billing department to
collect on unpaid bills.
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Accountants analyze the actual �ow of funds in and out of the
hospital, including accounts
receivable, accounts payable, and other functions. Accounting
guidelines they establish
govern how the departments report their �nances and control
their spending. On a
quarterly basis, the hospital's accountants prepare �nancial
statements and other related
documents for review by the Board of Trustees and C-level
leadership.
HR
At St. Anthony Medical Center, our Human Resources
department knows that people are
our most important resource. Great patient care is delivered by
great people who have a
great place to work. We achieve that mission by making sure
that our employees have the
background, training, and resources to be their best.
The Human Resources team provides the following services:
Recruitment and Talent.
Employee and Labor Relations.
Organizational E�ectiveness.
Workforce Development.
Occupational Health Services.
Volunteer Services.
Human Resources Operations.
Medical Support Services
Accreditation
St. Anthony Medical Center is accredited by the Joint

Commission on the Accreditation of
Health Care Organizations (JCAHO). The hospital meets or
exceeds the Joint Commission's
rigorous standards of quality and patient safety. These standards
include such measures as
infection control, documentation of care and treatment,
transplant safety, and many more.
Joint Commission regulators may survey the hospital at any
time to evaluate its compliance
with JCAHO standards, and the accreditation department works
with regulators to gather all
requested data or other materials.
Patients or family members may contact our Quality Department
if they believe our sta� or
policies have in any way compromised safety or quality
standards, or they can contact the
Joint Commission itself by calling (800) 994-6610. Further
information on the JCAHO
complaint process can be found online at: Online:
http://www.jointcommission.org/report_a_complaint.aspx
Credentials and privileges
To ensure that all St. Anthony Medical Center physicians are
approved to practice both at
St. Anthony Medical Center and at other hospitals and clinics,
the Credentials and Privileges
department provides administrative support for applications
from physicians and medical
sta�. Working with regulatory agencies, universities, hospitals,
and internal departments,
credentialing specialists manage pre-application, application,
and reappointment processes
for all physicians.

They also verify the education, training, work experience,
licensure, and other information
for each physician and licensed independent provider, such as
physician assistants,
advance practice nurses, and non-physician providers such as
psychologists. The specialists
also prepare required reports for St. Anthony Medical Center's
Credentials Committee.
http://www.jointcommission.org/report_a_complaint.aspx
6/2/2019 Transcript
Quality Assurance
St. Anthony Medical Center's Quality Assurance Department is
responsible for continual
review of our processes and practices in an e�ort to identify
opportunities to improve
current care. Working in partnership with the Quality Assurance
Committee, the Quality
Assurance Department identi�es cases for internal and external
review. Data from these
reviews is used to determine whether changes in policy or
procedure would improve
quality of care. When policy changes are necessary, the Quality
Assurance department
communicates those changes to the sta� through a variety of
channels.
Nursing Support Services

Credentials and development
St. Anthony Medical Center's Department of Nursing supports
the development of the
nursing sta� through ensuring that continuing education
opportunities are available and
that these opportunities adhere to principles of adult education,
evidence based practice,
research, and professional development as well as ensuring that
these programs meet
current standards and requirements. Additionally, our nurse
credentialing program is
intended to ensure that credentials for all nurses are objectively
evaluated to ensure the
very best care and safest environment to our sta� and patients.
Nursing informatics
St. Anthony Medical Center knows that the increasing use of
data and computer technology
is transforming healthcare. Clinicians, particularly nurses, are
key components of any
strategy to use health informatics to assess, evaluate, and
improve processes, work�ows,
and knowledge. St. Anthony Medical Center's Nursing
Informatics department assists in this
process by serving as a liaison between the IT department and
nursing through
participation in the development of training, identi�cation of
areas of improvement, and
reporting on St. Anthony Medical Center's compliance with
meaningful use and other
requirements of the A�ordable Care Act.
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hospital, then select the
candidate(s) you want to interview. While you can select all
available candidates, you are
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Evelyn. However, you must
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Interviewee: Abby Hirschbaum, Manager of Bariatric Services,
Specialty
Services: Bariatric Services
6/2/2019 Transcript

Question 1:
Are there gaps between various health information systems here
at St. Anthony Medical
Center that cause ine�ciencies or work-arounds?
Answer 1:
Well, there have been issues with billing and coding. Bariatric
surgery is often covered by
insurance, but we have to be very careful about how procedures
are described or they can
be kicked. Many of our procedures could be considered elective
individually, but if they are
done as part of the overall process, they are covered.
Nutritiional counselling, for example.
Anyhow, the patients need to coordinate with their insurance
company but we also need to
coordinate with billing and coding to make sure we document
things in a way that will line
up with what the insurance company wants. Awhile back, during
a procedure, one of our
surgeons discovered an asymptomatic hiatal hernia and made
the repair. He considered it
a completely separate issue and wanted us to bill for the hernia
repair separate from the
bariatric. [laughs to self, remembering] Oh no! When billing
and coding saw the record, they
got on the phone to us IMMEDIATELY. Apparently, hiatal
hernia repair is considered an
integral part of bariatric surgery and cannot be separated out.
Question 2:
Can you describe any expectations you had about the EHR

which were not met?
Answer 2:
Not really. We didn't have high hopes and that was probably for
the best. Don't get me
wrong, overall, I think the EHR is a good thing. There's a lot
more information accessible to
all of us because of it, but in terms of work�ow, the system is
tolerable at best.
Question 3:
What would be the advantages or disadvantages of
implementing some kind of solution to
the inoperability/interface problems that our health information
systems have?
Answer 3:
Well, if we could get an interface between the EHR and billing
that could help us to research
coding issues, like what I was talking about earlier, that would
cut down on the time we
spend talking to the billing people.
But better yet, it would be helpful to have a more seamless
interface between us and
Behavioral Health. We have to schedule pre- and post-op
psychological assessments for
our patients, and it would be great if their system and ours were
better integrated. I know
that behavioral isn't part of the whole meaningful use incentive
model and I suppose I
understand why, but the fact that they aren't means that all that
documentation that is

required for our work has to be scanned or integrated into the
patient's record manually.
Even something as simple as getting the patient the
appointments they need – two totally
di�erent systems.
Interviewee: Alan Richardson, Director of Support Services,
Operations:
Support Services
Question 1:
6/2/2019 Transcript
Answer 1:
The gap I'm most familiar with is the problem sometimes with
integrating medical devices
with the EHR, which is a problem with Biomedical's system.
But it's also something of an
industry-wide problem. We've done a lot of work on integrating
the most critical equipment
- heart monitoring, other physiological monitoring – and the
nurses love the smart pumps…
but they are frustrated by the fact that the pumps aren't better
with the EHR. And in the
meantime, we still have a lot of work to do on less critical

equipment that we haven't yet
integrated - ventilators, balloon pumps, all kinds of other
technology.
Question 2:
systems have?
Answer 2:
From a Support Services perspective, any solution we put in
place will obviously tax IT's
resources, and it probably won't solve the problem with device
integration, so from my
perspective, what's the point? I know there are more
considerations than the device
integration, though.
From an operational perspective, if we cut down on billing
errors and reduce supply usage,
those are real costs that we recoup. That said, you still have to
factor in the IT costs that
nobody thinks about … are we going to need to add network
gear or access points to make
the new solution work? What about cabling? Jay in IT can go
into this more, but we de�nitely
need to think those out before we make a decision.
Question 3:
What thoughts do you have about whether or not Vila Health's
most recent acquisitions
should be transitioned to Vila Health's system?

Answer 3:
It's probably a good idea, heck, it's probably inevitable, but
again, you've got to think about
the hidden costs. If we do transition them to our EHR, are they
going to suddenly have their
own set of interface and interoperability issues to worry about?
What about their legacy
systems - will those need to be upgraded in order to work with
our EHR? What if they can't
upgrade those systems? Will they have to replace them? Then
you're starting to get into
some real costs. We might have to ask ourselves if sticking with
their current system is
better from a cost-bene�t perspective – particularly if they're
on track with meaningful use.
Interviewee: Ana Nguyen, Behavioral Health Supervisor,
Inpatient
Services: Behavioral Health
Question 1:
Can you describe the health information systems you work with
most often, particularly in
terms of functions speci�c to your department?
Answer 1:
6/2/2019 Transcript

Obviously the EHR, but it's a little complicated in that
Behavioral has its own EHR. It
integrates with the main EHR, but they are actually two separate
systems. We also have to
work with a number of di�erent systems for reporting purposes
– there are state and
federal programs we're mandated to report to – HIV
interventions… child welfare … the
prescription drug monitoring program. Quite a few systems and
they often require a lot of
duplication on our part.
Question 2:
What are the capabilities and limitations of these systems?
Answer 2:
For the most part the in house systems are well integrated,
though there are some
limitations, but that's as much due to the unique requirements of
behavioral health
documentation and patient privacy.
Nonetheless, I can go to the EHR and see what medical and
behavioral treatments, the
person's history, and of course all their medications. There are
some breakdowns in
communication, though … social services has no good way of
knowing when we're releasing
patients and that can interfere with their ability to set up a
continuity of care plan before
the patient is discharged.
Another biggie isn't so much about the patient's record or the

health information systems.
It's more that I wish other services understood how to use the
PMP … the PMP is a multi-
state Prescription Drug Monitoring Program and we lobbied
very hard to get St. Anthony
using it. The trouble is that it's separate from the EHR and so it
is admittedly very clunky to
use, but it is an amazing tool in the control of prescription drug
abuse, which is an epidemic
here in the Twin Cities.
Question 3:
Answer 3:
No more than what I've already described. It isn't speci�cally
St. Anthony … it's more an
issue with how to get behavioral health data into the system
while at the same time
protecting the patient's privacy rights. The bene�ts of health
information systems are
bypassing us if you ask me.
Interviewee: Caleb Harvey, Emergency Department Supervisor,
Inpatient
Services: Emergency
Question 1:

Answer 1:
We've got an overall hospital health information system and an
ER-speci�c system that
interface with each other so that what goes in one can be seen in
the other. That's our
repository for all patient records, and most of what we capture
goes in there. And all the
6/2/2019 Transcript
nurses in the ER use the lab and pharmacy systems, particularly
the eMAR, for tracking labs
and delivering meds.
Question 2:
Can you describe work�ow issues you have noticed in your
department that, for better or
for worse, are a�ected by the EHR?
Answer 2:
Don't get me started on work�ow. We've talked a lot about it on
an organizational level, but
we haven't even attempted a serious assessment of work�ow in
the Emergency
Department. I'm sure its that everyone thinks we're in crisis
mode all the time – and to be
honest, we often are. But we need to know what we're working

with if we're going to ever
solve these problems. I know that everyone has their own ways
of doing things, but if that
means that information isn't being recorded correctly, that's a
problem. Or if, say, there's a
problem in the system but everyone has some sort of
workaround they use instead of
letting anyone know the problem exists.
For instance, the EHR has boxes on the med schedules that are
green, and they go red if
you miss a dose of medication. But I'm only going to see that if
I'm looking at the
medication schedule in the EHR. It can go unnoticed for hours
if the next nurse doesn't
open that particular screen.
Or this … this is a good one… each hospital within the Vila
Health system has its own order-
sets. Typical, yes… but every hospital in our system can see all
the order-sets. And it's not
uncommon for us to have docs or nurses from other facilities
working here – �oating
nurses, in particular, who go to put in an order and then get a
call from Pharmacy telling
them "nope, that's not on our formulary" and of course the
person who ordered it is all
"then why does the system let me order it in the �rst place!!?!?"
Good times… right?
Question 3:

systems have?
Answer 3:
If the system could force doctors to actually say what they
want, so I don't have to call and
ask, that would be enormous. I'm always having to call the
pharmacy because the start
times don't make sense. Apparently, if the doc doesn't include a
start time, it just defaults
to the nearest start time to when they put in the order. So even
if the doc has ordered it for
09:00 AM daily, if he orders it at 10:00 PM, it populates to
10:00PM. So if the pharmacy gets
an order at 5:00 PM, they don't necessarily know if the doc
wants it to start immediately,
tomorrow morning, or what. That's crazy!
Interviewee: Carla Neustadt, Vice President of Operations,
Operations
Question 1:
which were not met?
Answer 1:
6/2/2019 Transcript
I think I was expecting a certain amount of time where things

would be in �ux and then we
would get down to business as usual. Unfortunately, we haven't
gotten to that settle down
period, in my opinion. There are far more recommended
upgrades than I was expecting
and in general, it seems that there's always something new,
some change in how we do
things. I get that this is a particularly volatile time for the
industry, but it feels like … well,
don't laugh at me, but it's like Facebook constantly tweaking
their interface. Just leave it
alone already!
Question 2:
systems have?
Answer 2:
I'm all for solutions, but I have a couple of concerns. Beside the
issue I mentioned with the
seemingly endless upgrades, I'm also concerned about storage. I
know there is a lot of talk
about going with a cloud based storage system, but that raises a
lot of red �ags for me in
terms of data security.
Question 3:

Answer 3:
I'm torn, I guess. On the one hand, the same storage
requirements we face a�ect them too,
and most likely if they upgraded to our system they'd have to
upgrade their storage as well,
or at least add more capacity to compensate for bigger �les.
And you can't do that without
o�ering archive support so they can still reach the data in their
legacy systems.
But on the other hand, if they stay on their own systems, that's
duplicate environments that
are likely to be a drain on Vila's overall IT budget. If the costs
of migration are less than the
costs of maintaining multiple environments – taking into
account storage and other issues –
it might be better for the company in the long term.
Interviewee: Christopher Hewitt, Vice President of Medical
Support
Services, Medical Support Services
Question 1:
Answer 1:
You know as well as anyone that there are still plenty of small
bugs and problems
associated with the health information systems at any health
care facility. Ours has some
known problems, but I'd say we're better than many. One area

that I don't hear people
discuss much is a usability issue – documenting how a patient's
record has been accessed.
We're required by law to provide that information in an easily
understood format – well, I
can provide the information, but it surely isn't easily
understood.
Question 2:
6/2/2019 Transcript
which were not met?
Answer 2:
For the most part, the EHR really is a one-stop shop, or at least
that's what I hear. But my
QA folks tell me that, contrary to what the vendor told us, the
multiple places to put in
narrative notes in the EHR are not a good thing. They're �nding
some clinical variances and
outright errors because there were contradictory narrative notes
in di�erent areas.
When asked about it later, providers hadn't even seen the note
that contradicted the one
they actually read. I realize this is a work�ow issue and we'll
need to have input from the
clinicians, but to the best of my knowledge, we're nowhere near

resolving it.
Question 3:
Answer 3:
It seems like a good idea to me. Both Delaware and
Independence are having some
problems with billing. Between that and other health
information management issues
they're having, I am not sure how ready they are for Stage 2.
Valley City did �ne in attesting
for Stage 1, but if they're like everyone else, the focus was on
getting the technology in
place. There are far too many people who think meaningful use
is simply about buying the
"right" technology and once they have it, life will be a bed of
roses. That kind of thinking is
misguided. It's not about the technology; it's about how our
people use that technology.
As I've said before, our system is better than most. Imperfect,
but good. It will be a lot more
cost e�ective to develop the training and work�ow
documentation processes and so forth
that we're all going to need if we're all using the same system.
Interviewee: Cornell Reed, Imaging Supervisor, Diagnostic
Services:
Imaging
Question 1:

Answer 1:
Sure... my department uses the PACS and the EHR. And we also
have a radiology
information module of the EHR that tracks our schedule and the
images we've taken. The
images themselves, and the data about them, are stored in the
PACS, and I get orders for
images from the EHR.
Question 2:
Answer 2:
6/2/2019 Transcript
If we could add the ability to attach a patient photo to images
and scans, that would be a
huge advantage. I don't know if it would save us buckets of
money directly, but I've read
that radiologists tend to feel more empathy and examine images
more thoroughly when

they see an image of the patient with it. The techs are there with
the patient, they interact
with the person – touch them, talk to them, and so forth. But the
radiologists… well,
sometimes I look at their notes and I am struck by the distance
that comes through. When I
read that there have been studies that show that the radiologists
are more thorough and
more compassionate when they see the patient's image, I
thought it would be something
we could do fairly easily.
Question 3:
systems have?
Answer 3:
The only thing I think of is the notes. When radiologists look at
the images we've captured,
they make notes and attach them to the patient's record. But
when it's an audio �le, the
voice recognition software doesn't always capture what they've
said for the transcription.
So now someone has to go back and listen and transcribe the
parts that it missed.
I've also heard about systems where you can attach the
transcription of the radiologist's
notes, even an audio �le of them, to the image in the PACS. I
know the notes go into the
EHR, but it could be helpful if they could also be attached to
the actual image. I'm not sure if

that's an interoperability issue or not, but I think it would be
helpful.
Interviewee: Cory Armstrong, Nephrology Supervisor, Inpatient
Services:
Nephrology
Question 1:
Answer 1:
The EHR is our primary system. It provides one central place
for entering or retrieving data.
Dialysis nursing sta� access treatment and drug prescriptions as
well as any notes and
comments and they use that information to make necessary
adjustments to the patient's
treatment, which then is recorded in the EHR.
Additionally, the EHR provides reminders, and
recommendations, based on the information
in the record and our established protocols. For example, lab
results are logged in the EHR,
and when the system sees certain preset values in the lab
results, certain protocols are
triggered and a noti�cation in the patient's record will
recommend a particular course of
action, such as recommending the patient receive a vaccination
for hepatitis B.
Question 2:

Answer 2:
6/2/2019 Transcript
Internally, I would say not. The system isn't perfect, but it is
much better than when
everything relied on paper records. However, we do have
problems in that we can't always
get data electronically for patients who've received treatment at
o�site dialysis centers.
That can be a real problem.
It would also be nice to see better interoperability between the
pharmacy's system and the
medication tracking tab of the EHR. Let me explain. Sometimes
the pharmacy rejects an
order we submit, but because this is all being done
electronically, we don't know why it's
been rejected. If I call the pharmacist, I'm told that he or she
put a note in the record. And
I've walked down to the pharmacy and they've shown me… it's
perfectly well documented
in their system.
However, in the clinician view the only noti�cation I saw as a
clinician was a tiny red �ag in
the medication tracking tab. The note isn't linked to that tiny

red �ag – I have to leave the
medication tracking tab and go through a whole slew of tabs to
�nd where it was saved.
Asinine. Just asinine.
Question 3:
systems have?
Answer 3:
The more we can align the technology to the way clinicians are
working, the better. There is
so much data being captured that could be used to improve our
processes, but if people
see the system as a black hole that they dump data into but
never extract information
from, then it's not worth the investment. The solution is to make
the system serve the
needs of the people using it and one way to do that is to make
sure that it works with the
way health care providers think and act.
Interviewee: Demarcus Flood, Clinical Laboratory Supervisor,
Diagnostic
Services: Clinical Laboratory
Question 1:

Answer 1:
The lab's system covers clinical pathology, surgical pathology
and cytology. It's a stand-
alone system, but is made by the same vender as our EHR and
the integration with the EHR
is very smooth. We use bar-codes for all our processes, which
improves our ability to track
specimens and ensure accuracy of results reporting. And, it's
designed to support the
billing and coding department's needs as well.
Question 2:
What are the capabilities and limitations of these systems?
Answer 2:
Capabilities, as I described, are the integration with the EHR
and with Billing and Coding's
system. Our system can also generate a wide range of reports,
which is quite useful. These
6/2/2019 Transcript
are baked in – not something we need to request through Data
Services. And so far as
limitations, there's nothing really jumping out at me.
Question 3:

systems have?
Answer 3:
The advantages are that you would quiet a lot of the nay-sayers
and EHR haters. The labs
are a perfect example of what you'd gain. The system is
designed to work with the EHR and
it does. It's designed to work with Public Health and other
legislated reporting systems and
it does. It's designed to complement and support the work�ow
of a clinical lab and it does.
I don't think any disadvantages of cost or training needs
outweigh the potential gains. Do it
right – get a truly integrated system in place and improve the
interfaces – and it will be
worth it.
Interviewee: Derrick Holden, Manager of Diagnostic Services,
Diagnostic
Services
Question 1:
Answer 1:
The people who report to me mostly use the lab information
system, the PACS, and the

EHR. They refer to the EHR for patient records, the PACS for
images, and the lab
information system for scheduling and tracking lab tests.
Question 2:
Answer 2:
The nursing units would probably say yes, but I don't think
there are for my people. The LIS
and the PACS interface nicely with the EHR, and we don't get
the requests for lab tests and
images that we used to because people can just go to the EHR to
get them.
Question 3:
systems have?
Answer 3:
Oh, boy. From our perspective, it ain't broke, so I hope they
don't try to �x it. I'm all for
change if it actually makes things better, but we've had our
share of failed IT projects here. I
know they're talking about investing in an interface engine, but
my question is: Do we have
to use the same vendor as the EHR? They've been �ne, but you
don't want to be locked into

6/2/2019 Transcript
anything when you're investing in an expensive system like this.
And you don't want to be
locked out of anything, like say a better interface engine from
another vendor that we can't
have because our EHR won't interoperate with it.
Interviewee: Emily Parker, Social Services Supervisor, Patient
Services:
Social Services
Question 1:
Answer 1:
Let me start by saying that I don't use the EHR the say the
clinical sta� does. We do use it in
Social Services, of course, but not in the same, way, which is
where the problem lies. We
don't have a view or dashboard that makes sense to how we
work, so we have to take a
good chunk of time in the morning reviewing what went on with
our patients. If things
change after we do that, though, we won't always be aware of it
… so, if for example, we're

Interfacing HIM Systems at St. Anthony Medical Center

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