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1 Insert Presentation Name Presentation to: Presented by: Date: 1

2 Title or Chapter Slide One patient, One record (use as needed; feel free to delete) A Journey Praveen Chopra, CPIM VP, Chief Information Officer, Chief Supply Chain Officer Children s Healthcare of Atlanta 2

3 In the beginning Egleston Scottish Rite

4 Built on three guiding principles Sick and injured children are better off in a pediatric hospital than on a pediatric floor of an adult hospital. Children s belong to the community, not the Boards of Trustees. Specialized pediatric care in a children s hospital is a precious community asset that must be preserved. 4

5 Children s today Scottish Rite Hughes Spalding Egleston 520 staffed beds in three hospitals 17 neighborhood locations employees Emory-Children s Center Marcus Autism Center 16 Neighborhood Locations 5

6 Clinical excellence inspired these achievements Center for Pediatric Nanomedicine New Research Building 2006 Hughes Spalding 8:10 AMSA Woodruff Lettie Pate Evans Grant 5 COEs Nationally Recognized Capital Campaign 5:10 AMSA 6

7 Information Systems & Technology Value Ecosystem Patient Provider Payor Continuum of Care Primary Care & Medical Home Sub Specialty ER Ambulatory Hospital Home & Ancillary Medicaid Managed Care Right Information, Right Time, Anywhere Operational Excellence Ideal Patient Experience Research and Wellness Information Workflow Clinical Outcomes Best Practice Patient Outcomes To transform pediatric healthcare and be the leading voice for the health of Georgia s children 7

8 Information Systems & Technology Building Blocks Transform Pediatric Healthcare Consumer and Provider Experience Infrastructure Electronic Medical Record Revenue Business Intelligence Cycle Security, Privacy and Identity Management Community Health Record User Mobility Business Continuance 8

9 Information Systems & Technology Electronic Medical Record Journey Enterprise Scheduling Results Rx Nursing & Support Documentation Physician Documentation CPOE Health Information System (Eclipsys) MPI Master Patient (Eclipsys) Index MPI (MPI) Clinical Data Repository (CDR) Pediatric 360 Health Information Exchange accesschoa Radiology (IBEX) Emergency Department Lab (MYSIS) (Sunquest) Lab (SMS) Radiology (SIS) Surgical Services Registration, Scheduling, Patient Accounting Data Warehouse (SMS) PT Financial and Decision SystemSupport (Clinical,(IDX) Operational Professional and Research) Billing 9

10 Information Systems & Technology Trend: Observed to Expected Mortality UCL Observed:Expected Mortality IHI BSI Bundles 5/2005 Hand Hygiene Phase 1 Clin Doc 10/2006 5/2007 Rapid Response Teams 12/2006 Phys Doc 8/2007 Foam Up 6/2008 CPOE 6/2008 PEWS 11/2008 Family Activated RRT 2/2011 Phase 1 Transfer of Care 7/2010 LCL Year - Month 10

11 Clinically Integrated Network Electronic Medical Record (Epic) Pharmacies Labs Access CHOA Community Physicians EMR Hospital Based Specialists EMR Children s Pediatrics 360 Community Health Record Personal Health Record GHIE GA HITREC Community Physicians Researchers EMR Public Registries Shared Data Repositories Other Epic Hospitals 11

12 Information Systems & Technology Community Health Record Leveraging technology to improve care One-way communication from CHOA to practices HIE Two-way communication between CHOA, practices and other facilities through 3 rd party (successful test) Pediatrics360 Two-way real-time communication between CHOA and practices Epic Inpatient Two-way, real-time communication within the hospitals and IC centers 12

13 Information Systems & Technology Business Intelligence Revenue Cycle Staffing Effectiveness Disease Management Population Health Management Patient Adherence Research Analysis Quality/Safety Analysis Business Analytics Clinical Analytics Activity-based Costing Service Line Optimization Throughput Analysis Fraud Detection CDHP Analysis & Forecasting Clinical Performance Analysis Improving Organization Performance Lowering Healthcare Costs Improving Health Outcomes 13

14 Information Systems & Technology Business Intelligence Maturity Predictive Modeling/ Optimizing Synchronize Statistical Analysis/ Forecasting Self-Service What will happen next? What is the best and worst that can happen? What is the optimal way? Query/ Drill Down/ Alerts Extension Why is the problem happening? What if the trend continues? Where is the problem? What do we do? Foundation Reports What is the problem? How many times did it happen? Localized Analytics Analytically Inspired Analytical Organization Analytical Differentiator 14

15 Information Systems & Technology Robust Infrastructure Current Facility New Data Facility 15

16 One record, One patient A Journey Improving quality, safety, clinical outcomes and operational efficiencies 16