iHT2 Health IT Beverly Hills Summit - 2015
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Keynote Presentation - Leadership in Technology and Business - Daniel Barchi
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iHT2 Health IT Beverly Hills Summit - 2015
- 1. @DanielJBarchi Leadership in Technology and Business
- 7. Institute of Medicine (1999) Preventable medical errors 44,000 deaths annually
- 8. Institute of Medicine (1999) Preventable medical errors 44,000 deaths annually 43,468 motor vehicle accidents 42,297 breast cancer 16,516 AIDS
- 16. Healthcare – an industry in change Payment reform Consolidation Legislation Pricing pressures Technology growth Data-driven care Transparency
- 18. National Electronic Medical Records Initiative
- 19. January 8, 2009
- 20. National Electronic Medical Records Initiative Aspirational
- 21. May 25, 1961
- 22. April 12, 1961 May 5, 1961
- 25. January 8, 2009
- 26. EMR Use - 2009 Hospitals 1.5% have fully implemented comprehensive EMRs in all units Physician Practices 4% have fully functioning EMRs in their office
- 31. Healthcare leadership 80% people 15% process 5% technology
- 35. People: The impact of change All adult learning involves the loss of control
- 39. People: Engage your user leaders
- 40. “If you do not complete your EMR training and receive your password to access the system by July 26 you will not be prepared to care for patients. Should this happen, I will take your decision to not be trained as a voluntary resignation from the organized medical staff.” People: Engage your user leaders
- 41. “It’s not my job” People: Get everyone on board
- 42. “It’s not my job” People: Get everyone on board
- 43. “It’s not my job” People: Get everyone on board
- 44. People: the team
- 45. People: the team
- 48. 1. We will put our patients first. System and workflow design and implementation will be undertaken with patient safety, service excellence, and the highest quality of care as our driving forces. 2. We are all accountable for our success. Implementation will be jointly owned and driven by clinical and operational leaders for content development and workflow changes and Information Technology for system build and implementation. Focus and resources will be shifted from support and enhancement of current systems to the design and build of Epic. 3. We will work together to standardize workflow and content. Standardized workflows will be sought, and change management tools and necessary resources assigned to effectively manage and adopt change. Standard design will optimize Enterprise-wide objectives versus individual unit or department objectives. 4. We will adopt the Model System. Generally available Epic software and model content will be implemented with very limited configuration unless there is a significant clinical, regulatory and/or business case to do so. One Team, One Record, One Focus: Our Patients!
- 50. Leadership Aspirational People first Set ground rules Get started
- 51. Get started: New role
- 52. Get started: New role Fire somebody Fix something Paint something
- 55. Get started
- 56. Leadership Aspirational People first Set ground rules Get started Simplify
- 61. 875 3M Coding Siemens Invision Lawson Sybase Integration Engine 125, 135, 219, 223, 245, 760, 594, 676, 765, 1029, 1039, 1093, 1095 780, 805, 808, 814, 816, 830, 837, 842, 844, 849, 856, 858, 860, 862, 864 866, 900, 907, 915, 927, 935, 955, 962, 970, 976, 992, 1000, 1005 840 839 20 Misys Vision 1 of 2 850, 1015 1020 155 864 612, 620 624, 639 641 127, 170 185, 221 695, 866 1026 145,146,147 148,149 150 152,153,154, 155,158,159 160 915 158, 641, 970 962 808 730 390 CPSI 2 of 2 95, 126, 154, 220 266, 862 1025 263, 556, 558, 562, 564, 568, 570, 572, 582, 594, 596, 583, 597,604 500 1036 Various Datasets PerSe 1 of 3 TSG Application Interface Chart 725 1070995 950 Financial Services Restricted WebSite Planning & Budget Financial Support Softmed 2 of 2 873 778 843 925 930 792, 800, 886, 890 825 826 878 McKesson Horizon (Pathways) 760 762 765 Updated: December 1, 2006 TOTAL Number of Interfaces: 509 75 975 149 842 660, 662 674, 676 682, 666 668, 670 677 810 626 628 161 35, 133 148, 520, 564, 624 670 121, 132, 515, 562 1091 410 402 405 Sovera PFS 1 of 2 632 640 600 960 206 622 689 920 175 Datis 812 1040 1050 HBO REV3 HBO-CDM Siemens Financial RMHIS Softwise 530 Dynamedix Genesys Hyperion Trendstar KRONOS OneStaff Sanitas RescueNet Medicaid HQM SSI 2 of 3 Medicare MedQuest Transcription Sovera HIM 2 of 3 Novius Radiology PACS (IMPAX)180 660 510, 515, 520 FACS 1 of 2 Wellsoft EDIS 159,263, 189,604, 682,1000, 1027 184 837 Pyxis 1 of 2 Eclipsys EMPI 1 of 2 180, 181 183, 184 185, 186 187, 189 147, 201 620, 814 Credit Card Payment Coro-metics Fetal Mon. Siemens Pharmacy 1 or 2 CPSI 1 of 2 GE Centricity Pillbox CTVision SSI 1 of 3 Antrim MisysLab Sovera HIM 1 of 3 1030 CoPath 140 560 130. 131 132, 133 134, 135 136, 137 138, 139 141, 142 265 GE Cardiology MUSE 183 755 710 965 971 Rauland Borg - Nurse Call 900 415OASIS SunTrust 1045 592 MAK 639 955 Siemens Soarian 1 of 2 136 186 596 677 927 1105 1025 1026 1027 207, 210 SCA 735 1035 Internal Audit 846 225 PaWS 1110 Sovera PFS 2 of 2 MEMS Rosebud 540 860 25 702 704 GE ORIS NC AVAYA NC CRMH 720 722 Common Master Tool Kit GroupWise 120, 121, 123 124, 125, 126 127, 128 123 Pharmacy OneSource 876 1090 1091 1093 1095 1105 Power Scribe 674 Delta Dential375 Automated Mailing Service 100 164 FACS 2 of 2 162 Various Clients & Web 212 215 68 Atlas Labworks HEDIS 130, 260 556, 134 568 240 Wachovia 401 SHPS400 Sovera HIM 3 of 3 638 OmniCell 685 PerSe 2 o f 3672 750 777 Quantum Med CarePort 120, 131,145 181, 200, 510, 558, 612 662, 780, 1090,1075 Teletracking992 580 VA Medical680 35 90 95 Intergual 124,849 150 Harford Decision Support PR Dept 377 693 397 399 695 586 Dublin Family Practice 666 Pyxis 2 of 2 716 IDS Carousel 714 HEDIS DB Internet Web Sites 870, 795, 820, 770, 848, 776 Computrition Dietary 805 IMPAC 844 907 65 PaWS 2 of 2 708 Anthem 50 55 151 153 858 245 Digisonic 170 668 250 Eclipsys EMPI 2 of 2 188 220 221 222 Lab Outreach eMPI Helper 260 200 201 softmed 1 of 2 187 1029 Health Stream 380 LabPort 266 394 SSI 3 of 3 505 572 138, 90 128, 139 265, 582 MS4650 678 712 eDischarge LBS 142 583 146 816 Xtend 160 1005 137, 935 597, 762 Professional Research Professional Billing 880 882 Soarian 2 of 2 1028 1078 VA Dept Health 1077 1075 1078 Power Campus 387 PerSe 3 of 3 630 LabCorp 262 156 205 217 235 Quantum Billing 141 Various Websites Anthem Centricity 379 374 396 b2b Vision CASB 616, 618 610 CASB-FS CCL&PA NCHS 785 790 865 B2b Optma 230 Interfaces not on diagram: 103, 105, 110, 195, 196, 525, 550, 584, 636, 687, 692, 700, 1041, 1112 223 Lawson 2 0f 2 Paitent Keeper 102 MDAssociates 152 856 838 223 625 222 1038 Vision 2 or 2 997 GE Centricity Cardiology 218 219 Trendstar 2 of 2 643 Wellsoft EDIS 2 or 2 1094 642 830 157 Pharmacy 2 of 2 761 976 1039 BPI.net 101 779 Total Interfaces: 509 EMR Interface Engine
- 66. order sets medical records (HIM) committee integrated nursing leadership – CNO Council physician advisory group (PAG) pharmacy advisory council (PhAC) formulary integration committee revenue cycle standardization laboratory leadership advisory group Simplify: Standardize what you can
- 67. Leadership Aspirational Go fast People first Set ground rules Get started Simplify
- 68. Aggressive schedule "Nothing so focuses a man's mind as the knowledge he is to hang at dawn.” - Samuel Johnson
- 70. 5 knots
- 71. Flank III
- 72. Aggressive schedule Reduces debate Demands intense collaboration Delivers results more quickly Demands more participation from clinical customers Accomplishes the most difficult work early in the project
- 73. Leadership Aspirational Go fast People first Capitalize on the crisis Set ground rules Get started Simplify moment
- 74. Capitalize on the moment
- 75. reward risk Capitalize on the moment
- 76. Leadership Aspirational Go fast People first Capitalize on the moment Set ground rules Communicate Get started Simplify
- 77. As we approach the end of month three of our go-live the Clinical Transformation Governance Group, leadership team, and Clinical Transformation team together with our partners from Epic acknowledge the ongoing challenges and difficulties we are experiencing transitioning to our new EHR. We are committed to improving our configuration so that it meets our needs. Epic has been on-site this week and coupled with feedback we have received from the survey we are developing both immediate fixes and longer term fixes. Epic has also established an incident command in Wisconsin to assist our team in working through the multiple incidents that remain outstanding. We also want to take the opportunity to address some rumors: this is the full, current version of Epic - not a discounted one. We collaborated with Epic to determine the strategy for implementation. We followed their guidance to implement as fast as possible then stabilize/optimize. All of us are committed to following through on our plan.
- 78. As we approach the end of month three of our go-live the Clinical Transformation Governance Group, leadership team, and Clinical Transformation team together with our partners from Epic acknowledge the ongoing challenges and difficulties we are experiencing transitioning to our new EHR. We are committed to improving our configuration so that it meets our needs. Epic has been on-site this week and coupled with feedback we have received from the survey we are developing both immediate fixes and longer term fixes. Epic has also established an incident command in Wisconsin to assist our team in working through the multiple incidents that remain outstanding. We also want to take the opportunity to address some rumors: this is the full, current version of Epic - not a discounted one. We collaborated with Epic to determine the strategy for implementation. We followed their guidance to implement as fast as possible then stabilize/optimize. All of us are committed to following through on our plan.
- 79. Leadership Aspirational Go fast People first Capitalize on the moment Set ground rules Communicate Get started Reimagine optimization Simplify
- 81. Orange is the New Black
- 82. Enhanced capability is the new optimization
- 83. Enhanced capability is the new optimization
- 84. Enhanced capability is the new optimization
- 85. Enhanced capability is the new optimization
- 86. + 7.7% + 5.2% Enhanced capability is the new optimization
- 87. Enhanced capability is the new optimization
- 88. Enhanced capability is the new optimization
- 89. Enhanced capability is the new optimization
- 90. Enhanced capability is the new optimization Clinical Trials Management System EMR
- 91. Enhanced capability is the new optimization
- 92. Enhanced capability is the new optimization
- 93. Leadership Aspirational Go fast People first Capitalize on the moment Set ground rules Communicate Get started Reimagine optimization Simplify Value data
- 100. Data consistency
- 101. Joint data analytics team
- 102. Actionable data Clinical Evidence-based care Precision medicine Strategic Accountable care Population health Financial Gain and risk sharing Cost accounting
- 108. Leadership Aspirational Go fast People first Capitalize on the moment Set ground rules Communicate Get started Reimagine optimization Simplify Value data Remember who your customers are