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Best Practices in SharePoint for Healthcare Organizations: US Army Medical Commands<br />Marie-Michelle Strah, PhD<br />Br...
Who am i?<br />Marie-Michelle Strah, PhD<br />Twitter: @cyberslate<br />Email: michelle AT lifeincapslock DOT com<br />Wor...
Twitter: #bpc11<br />Live Blogging:<br />http://womeninsharepoint.org/SitePages/BPC11LiveBlog.aspx<br />
Business Case Studies/Lessons Learned Track<br />Monday 12:45 pm March 7, 2011<br />Shore<br />Really:<br />Business Proce...
Overview<br />Introduction<br />Objectives<br /><ul><li>Clarity: Business Process Re-engineering
Direction: Mission Focus
Confidence: Standardized Repeatable Processes</li></ul>Case Study Format – Longitudinal Perspective<br />Best Practices (3...
CASE STUDY<br />Army in Europe Transformation 2004-2008<br />
Army in Europe Transformation 2004-2008<br />ERMC<br /><ul><li>Pain Points
Challenges to military healthcare OIF/OEF
Very few automated processes for healthcare administration
Integrating private sector best practices, accreditation and managed care (TRICARE)
SharePoint 2003 infrastructure but no champion</li></li></ul><li>Army in Europe Transformation 2004-2008<br />HMEDDAC<br /...
Distributed command
Legacy facilities (WWII)
Transformation (Base Realignment and Closure)
OPTEMPO and PERSTEMPO (High Personnel Turnover)</li></li></ul><li>Army in Europe Transformation 2004-2008<br />ERMC<br /><...
Hey, we’ve got a great idea!
Command adoption (HMEDDAC)
Command adoption (ERMC)
Goals: compliance and transformation</li></li></ul><li>BEST PRACTICE #1:<br />Army in Europe Transformation 2004-2008<br /...
Improved Healthcare Outcomes
Wounded Warrior Care</li></li></ul><li>Solutions for Transformation<br />ERMC<br /><ul><li>Transformation
Consolidation and realignment – creation of new processes
Integration of G-3 and G-6 processes
Rapid deployment
Provide structure, decision-making and executive dashboarding</li></li></ul><li>BP1.1 Don’t talk about SharePoint<br />It’...
Healthcare Information Technology<br />Legacy Systems<br />Paper<br />Fax<br />Excel<br />DoD Business Improvement<br />Fo...
Interprofessional collaboration
Clinical Practice Guidelines</li></li></ul><li>Solutions for Transformation<br />HMEDDAC<br /><ul><li>Healthcare Administr...
Standardization and automation of existing processes
Quality measures (data, data, data)
Continuous process improvement</li></li></ul><li>As Is Architecture (not exactly, but…)<br />
BEST PRACTICE #2:<br />Army in Europe Transformation 2004-2008<br /><ul><li>BUSINESS REQUIREMENTS
Healthcare IT
Healthcare Informatics</li></li></ul><li>STAKEHOLDERS<br />PAO/STRATCOM<br />
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Best Practices in SharePoint for Healthcare: US Army Medical Command

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Day One Presentation at SharePoint Best Practices Conference March 7, 2011 La Jolla, CA on Business Process Re-engineering and Improved Healthcare Outcomes

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Best Practices in SharePoint for Healthcare: US Army Medical Command

  1. 1. Best Practices in SharePoint for Healthcare Organizations: US Army Medical Commands<br />Marie-Michelle Strah, PhD<br />BroadPoint Technologies<br />
  2. 2. Who am i?<br />Marie-Michelle Strah, PhD<br />Twitter: @cyberslate<br />Email: michelle AT lifeincapslock DOT com<br />Work: mstrah AT broadpoint DOT net<br />Blog: http://lifeincapslock.com<br />Linkedin: www.linkedin.com/in/drstrah<br />SharePoint Solutions Architect and Practice Lead, BroadPoint Technologies www.broadpoint.net<br />Women in SharePoint DC<br />www.meetup.com/womeninspdc<br />Women in SharePoint<br />www.womeninsharepoint.org<br />
  3. 3. Twitter: #bpc11<br />Live Blogging:<br />http://womeninsharepoint.org/SitePages/BPC11LiveBlog.aspx<br />
  4. 4. Business Case Studies/Lessons Learned Track<br />Monday 12:45 pm March 7, 2011<br />Shore<br />Really:<br />Business Process Re-Engineering <br />And Improved Healthcare Outcomes<br />
  5. 5. Overview<br />Introduction<br />Objectives<br /><ul><li>Clarity: Business Process Re-engineering
  6. 6. Direction: Mission Focus
  7. 7. Confidence: Standardized Repeatable Processes</li></ul>Case Study Format – Longitudinal Perspective<br />Best Practices (3)<br />Worst Practice<br />Tradeoff<br />
  8. 8. CASE STUDY<br />Army in Europe Transformation 2004-2008<br />
  9. 9. Army in Europe Transformation 2004-2008<br />ERMC<br /><ul><li>Pain Points
  10. 10. Challenges to military healthcare OIF/OEF
  11. 11. Very few automated processes for healthcare administration
  12. 12. Integrating private sector best practices, accreditation and managed care (TRICARE)
  13. 13. SharePoint 2003 infrastructure but no champion</li></li></ul><li>Army in Europe Transformation 2004-2008<br />HMEDDAC<br /><ul><li>Pain Points
  14. 14. Distributed command
  15. 15. Legacy facilities (WWII)
  16. 16. Transformation (Base Realignment and Closure)
  17. 17. OPTEMPO and PERSTEMPO (High Personnel Turnover)</li></li></ul><li>Army in Europe Transformation 2004-2008<br />ERMC<br /><ul><li>Process
  18. 18. Hey, we’ve got a great idea!
  19. 19. Command adoption (HMEDDAC)
  20. 20. Command adoption (ERMC)
  21. 21. Goals: compliance and transformation</li></li></ul><li>BEST PRACTICE #1:<br />Army in Europe Transformation 2004-2008<br /><ul><li>MISSION FOCUS
  22. 22. Improved Healthcare Outcomes
  23. 23. Wounded Warrior Care</li></li></ul><li>Solutions for Transformation<br />ERMC<br /><ul><li>Transformation
  24. 24. Consolidation and realignment – creation of new processes
  25. 25. Integration of G-3 and G-6 processes
  26. 26. Rapid deployment
  27. 27. Provide structure, decision-making and executive dashboarding</li></li></ul><li>BP1.1 Don’t talk about SharePoint<br />It’s not about SharePoint, stupid.<br />It’s about the patient.<br />
  28. 28. Healthcare Information Technology<br />Legacy Systems<br />Paper<br />Fax<br />Excel<br />DoD Business Improvement<br />Forms Management<br />AHLTA/CHCS<br />DMLSS<br />“Work Management”<br />Command Adoption<br />End User Adoption<br />Training<br /><ul><li>Domain-specific processes
  29. 29. Interprofessional collaboration
  30. 30. Clinical Practice Guidelines</li></li></ul><li>Solutions for Transformation<br />HMEDDAC<br /><ul><li>Healthcare Administration
  31. 31. Standardization and automation of existing processes
  32. 32. Quality measures (data, data, data)
  33. 33. Continuous process improvement</li></li></ul><li>As Is Architecture (not exactly, but…)<br />
  34. 34. BEST PRACTICE #2:<br />Army in Europe Transformation 2004-2008<br /><ul><li>BUSINESS REQUIREMENTS
  35. 35. Healthcare IT
  36. 36. Healthcare Informatics</li></li></ul><li>STAKEHOLDERS<br />PAO/STRATCOM<br />
  37. 37. The Joint Commission<br /><ul><li>Accreditation
  38. 38. National Patient Safety Goals
  39. 39. Information Management Standards</li></li></ul><li>AHRQ: Workflow, CPGs, Evidence-Based Design<br />
  40. 40. Governance<br />Quality Management Team<br />Risk Management Team<br />Public Affairs (PR/Marketing)<br />Physician/Department Heads<br />Nursing/Department Heads (Healthcare Informatics)<br />Minor roles:<br />IMD<br />Patient Administration (Coding/Billing)<br />
  41. 41. Security<br />OPSEC<br />STRATCOM/PAO<br />Patient Engagement<br />Patient Relationship Management<br />Wounded Warrior and Family Communications<br />Command Information<br />Guidelines for Blogging, Social Media, Content Strategies…<br />
  42. 42. Regulatory Compliance<br />HIPAA<br />HITECH 2009 Updates to HIPAA Privacy/Security<br />TRICARE (Military Health System)<br />
  43. 43. Portfolio Management and HIPAA<br /><ul><li>Role of the HIPAA Compliance Officer
  44. 44. Most organizations err on the side of caution but unnecessarily restrict de-identified data…</li></li></ul><li>BEST PRACTICE #3:<br />Army in Europe Transformation 2004-2008<br /><ul><li>SHAREPOINT AS A PLATFORM
  45. 45. Solution-focused
  46. 46. Flexibility, adaptability</li></li></ul><li>Solutions for Transformation<br />Phased Implementation Strategy<br /><ul><li>Enterprise Portal - HMEDDAC
  47. 47. Phase I – 3 months – planning and buy-in
  48. 48. Phase II – 12 months – implementation and training across subordinate commands (7) and headquarters
  49. 49. Phase III – 12 months – implementation and training across clinical divisions, records management, quality and risk management, patient safety, patient satisfaction, hospitality</li></li></ul><li>Solutions for Transformation<br />Phased Implementation Strategy (2)<br /><ul><li>Enterprise Solutions - ERMC
  50. 50. Phase I – 3 months - Transformation Portal and capital equipment and supply chain management
  51. 51. Phase II – 12 months - Host Nation Initiatives
  52. 52. Host Nation Patient Liaison Program
  53. 53. ERMC Medical Library and Knowledge Portal
  54. 54. Wounded Warrior Care</li></li></ul><li>Solutions for Transformation<br />Solutions<br /><ul><li>Document Management
  55. 55. Enterprise Content Management
  56. 56. Business Intelligence/Dashboards
  57. 57. Reporting Services and Metrics
  58. 58. Team Sites and Collaboration
  59. 59. Blogging and Social Features
  60. 60. Business Process Re-engineering
  61. 61. Compliance and Audit
  62. 62. Training and Development</li></li></ul><li>Results<br />Measurable Results<br />Automation of 100% of business processes across 8 geographically dispersed hospital and ambulatory care clinics<br /><ul><li>Joint Commission Accreditation – Hospital (2008)
  63. 63. Joint Commission Accreditation – Ambulatory (2008)
  64. 64. DoD/MEDCOM Inspection (2008)
  65. 65. Congressional Inspection (2008)
  66. 66. 100% accountability of 2500 staff and $150 million of durable equipment
  67. 67. 15% increase in patient satisfaction rates</li></li></ul><li>WORST Practice (BUT WAIT…)<br />SharePoint 2003<br />Don’t do everything in SharePoint…<br />
  68. 68. TRADEOFF<br />Personnel (insourcing)<br />
  69. 69. WAY FORWARD<br />Developments in healthcare IT<br />Developments in Microsoft Health offerings<br />Development in SharePoint 2007/2010<br />
  70. 70.
  71. 71.
  72. 72. BP1: Mission FocusBP2: Business RequirementsBP3: Extend the platform<br />“Don’t Talk About SharePoint!”<br />Patient-centered medical home model.<br />Domain-specific knowledge (Healthcare IT)<br />
  73. 73. Marie-Michelle Strah, PhDTwitter: @cyberslateEmail: michelle AT lifeincapslock DOT comWork: mstrah AT broadpoint DOT netBlog: http://lifeincapslock.comLinkedin: www.linkedin.com/in/drstrah<br />Contact Information and Follow Up<br />See also: Live Blogging:<br />http://womeninsharepoint.org/SitePages/BPC11LiveBlog.aspx<br />
  74. 74. THANK YOU!<br />Please be sure to fill out your session evaluation!<br />

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