INFORMATION SERVICES TECHNOLOGY & PROFILE OVERVIEW EDITION

Transcription

1 INFORMATION SERVICES TECHNOLOGY & PROFILE OVERVIEW 2011 EDITION

2 How to Use This Booklet Engage a Penn Medicine Technology Representative Penn Medicine health care technology provides a central support role to our organization s mission of achieving advancements in patient care, research and education. Our technology leaders are focused on continuously developing industry leading innovations and sustaining best practice solutions to apply toward supporting our caregivers in developing care approaches through translational and personalized medicine. The information provided about our organization, department and our technology experts offer insight on the accomplishments that we are achieving as well as what emerging initiatives we are pursuing. Specific themes and issues are categorized by each person s expertise encompassed in a biography format. We also demonstrate our performance through general statistics that depict our operating environment and awards which reflect our achievements. Marysusan Villa is the Information Services (IS) Public Relations Officer, accountable for leading program development of UPHS technology marketing and communications. She brokers public speaking engagements and publishing opportunities between IS personnel and the health care technology media. If you are interested in securing writing, interview or speaking opportunities with our folks, please contact Marysusan to assist you with your inquiry: villam@uphs. upenn.edu, phone Penn Medicine Information Services 3001 Market Street Suite 4 Philadelphia, PA 19104

3 TABLE OF CONTENTS Penn Medicine Overview 4 Information Technology 5-6 Statistics 7 Technology Awards & Accolades 8 Michael Restuccia 9 VICE PRESIDENT, CIO John P. Donohue 10 Associate CIO of Technology & Infrastructure Cynthia Jones 11 Associate CIO of APPLICATIONS Brian Wells 12 Associate CIO of Health Technology & Research Computing Thomas Riesenberg 13 Associate CIO of Operations Jim Beinlich 14 Associate CIO ENTITY SERVICES Sharon Civa 15 EIO for Penn Home Care & Hospice Services Terrie Hiltunen 16 ENTITY INFORMATION OFFICER, PPMC Andre Jenkins 17 ENTITY INFORMATION OFFICER, HUP Esther Sim 18 ENTITY INFORMATION OFFICER OF AMBULATORY PRACTICES Linda Sinisi 19 ENTITY INFORMATION OFFICER

4 P enn M e d i c i ne 1,626 FY10 Licensed Beds 2,080 Physicians 80,662 Adult Admissions 2,053,091 Outpatient Visits 128,618 Emergency Deparment Visits 8,957 Births The Organization Penn Medicine, which consists of the University of Pennsylvania School of Medicine, founded in 1765 as the nation s first medical school, and the University of Pennsylvania Health System, is a $4.07 billion enterprise dedicated to the related missions of medical education, biomedical research, and excellence in patient care. The School of Medicine and the Health System are often referred to together as Penn Medicine. Penn s School of Medicine is currently ranked #2 in the nation in U.S. News & World Report s survey of top researchoriented medical schools. The School of Medicine supports over 1,800 fulltime faculty, over 1300 MD and PhD students, and is recognized worldwide for its superior education and training of the next generation of physician-scientists and leaders of academic medicine. The University of Pennsylvania Health System includes three hospitals. Its flagship hospital, the Hospital of the University of Pennsylvania (HUP), is rated one of the nation s top 10 Honor Roll hospitals by U.S. News & World Report and has achieved Magnet status the highest institutional honor awarded for nursing excellence from the American Nurses Credentialing Center (ANCC). Pennsylvania Hospital (PAH), located about 2 miles away in Center City, is the nation s first hospital. And Penn Presbyterian Medical Center (PPMC) is located just across campus from HUP. The Health System also incorporates a faculty practice plan, a primary-care provider network, two multi-specialty satellite facilities, and home care and hospice services. For more Penn Medicine statistics visit:

5 Penn Medicine Information Services Key Technology Environment Components Penn Medicine has invested heavily in information technology over the last decade, and is investing about $95 million dollars in IT during the current FY11 fiscal year. Penn Medicine employs over 300 professionals in its Information Systems division, and is perennially cited as one of the nation s Most Wired Hospitals. The Sunrise Clinical Manager CPOE system from -Allscripts is implemented at all hospitals for 100 percent inpatient computer provider order entry -- a rate achieved by fewer than 10% of other health care organizations. Sunrise Clinical Manager System Sunrise Pharmacy (SRx) is a full-featured pharmacy information system that enables pharmacists to quickly review and verify orders, and then safely dispenses medications. The order entry feature offers advanced clinical decision support for checking medication contraindications. Dr. Lee Goldberg Heart Failure and Cardiac Transplant Program Medical Director Other key systems include: An updated Cerner Millennium Laboratory Information System, implemented in A successful internally developed Emergency Department system called Emtrac, which enables 100 percent CPOE and documentation supporting over 175,000 ED visits per year. An internally developed web-based medical record aggregator, called MedView, which provides an integrated read-only view of the data of all health system patients by drawing information in real time from multiple legacy systems. Approximately 15 million hits per year are made by physicians from this portal. A patient portal, mypennmedicine, has 40,000 members participating since 2008 offering members electronic means to access their doctor s office online for services such as requesting medication renewals, referral requests and accessing normal lab results. Penn Access Manager (PAM) is an enterprise-wide capability to access to multiple applications with a single sign on while following the patient context between systems. Since February 2011, Penn has completed 100% of its roll-out of the EpicCare ambulatory EMR system to all 1,800 physicians and health system outpatient practices, including all practices in the new Perelman Center for Advanced Medicine. All order entry is now fully electronic across the enterprise. The Penn Data Store is an internally developed virtual data warehouse currently containing over 1.4 billion rows of information. This powerful repository leverages the electronic information captured by our key systems, offering a one-stop comprehensive experience for physicians and researchers by allowing them to easily combine data and perform analysis thus extending health system safety and quality goals to meet the research mission. mypennmedicine Homepage

6 Penn Data Health Network Connectivity & Infrastructure - Supporting a large, complex environment Most clinical systems are connected through an e-gate interface engine which is configured in a high availability cluster environment. Penn hospitals, data centers, and other facilities are connected by a 10 Gigabit fiber-optic ring with 1 Gigabit speed to all new desktops and at least 100 Megabit speed to all existing desktops. One of Penn Medicine s two data centers, located at 3440 Market Street, less than one mile from the main hospital, contains 7,000 square feet of floor space and has 240 tons of HVAC capacity. The data centers are connected via two 10G Verizon communication links. Power is provided by dual power utility feeds with manual cutover. Equipment is powered through an uninterruptible power supply (UPS) system with generator backup. The facility employs a halon fire suppression system, Cardkey door access system, recorded security cameras, and is staffed 24hours/ day x 7 days/week x 365 days/year. A second data center, leased from the Computer Sciences Corporation in Newark, Delaware houses 600 servers, and occupies 1,232 square feet of equipment space with 176 square feet of expansion space available. The Information Services department at Penn Medicine currently supports over 1,200 servers which span the continuum of Intel - based and midrange platforms. In terms of an operating system, the I.S. department currently supports Windows and Linux. Regarding storage, Penn Medicine uses EMC and Intel based storage technologies and supports over 450TB. SQL and Oracle are the primary database platforms. There are over 200 databases currently being managed by the Information Services team. Penn Medicine manages over 20,000 desktops and laptops. These devices are centrally managed on the MS SCCM platform. The devices are engineered to an enterprise standard for consistency and a lower total cost of ownership.

7 Penn Medicine Information Services Statistics Our IS department supports: 200 projects on average are managed at any given time 400 interfaces connect data between applications 200 applications 20,000 desktop computers/laptops 1,200 servers 200 databases 36,000 network ports 4,000 cell phones/smart phones Performance: MedView a web - based portal for Penn Medicine clinicians receives over 1 million hits per month Penn Medicine s clinical data warehouse has over 1.4 billion rows of data in it and grows by 400,000 a day Penn Medicine s data and voice network supports users at over 90 separate physical locations throughout the Delaware Valley Computerized physician order entry (CPOE) is 100% deployed at all 3 hospitals The ambulatory electronic medical record (EMR) is 100% implemented with 1800 physicians currently utilizing it Emerging Technology Initiatives: Clinical Communications - Building an enterprise-wide clinical communications system to optimize delivery of critical values Epic Haiku and Canto iphone and ipad Applications Piloting for view-only access to the patient s medical record on a mobile device Epic Clinical Trial Best Practice Advisory Implementing Epic s Best Practice Advisory functionality to alert physicians when a patient meets certain criteria that make them eligible for participation in a clinical trial Epic Care Everywhere for Health Information Exchange (HIE) Deploying Epic s functionality to exchange medical information, incorporating Meaningful Use Use of the ipad in Patient Education using the ipad to deliver patient educational content to improve patient s ability to selfmanage their disease, to improve patient satisfaction, and potentially lower readmission rates. Additional Emerging Technology Prospects: Telemedicine Cloud Computing in Research Unified Communications

8 Technology Awards & Accolades As an eight time Most Wired in health care recipient, the information services department of Penn Medicine provides support for the applications, systems and technologies that support the Penn Medicine mission. From a patient care perspective, Penn Medicine information technology (IT) focuses its efforts on the clinical and financial systems that support the day-to-day operations of three hospitals, several satellite practices and more than 2,000 physicians. Honor Roll of America s Best Hospitals - The Hospital of the University of Pennsylvania (HUP) is ranked as one of the top 10 hospitals in the United States by U.S.News & World Report for the third consecutive year. The publication s prestigious annual ranking of hospitals placed HUP ninth out of more than 4,800 facilities surveyed. Modern Healthcare IT Case Study Contest 2010 (2nd Place) - Penn Medicine Information Services award recipient: This annual program recognizes healthcare IT implementation projects that have improved patient care and that also may be eligible for funding from the American Recovery and Reinvestment Act of 2009, commonly known as the economic stimulus bill. #2 School of Medicine in the Nation - The Perelman School of Medicine has been ranked #2 among the nation s research-oriented medical schools, according to an annual survey of graduate schools by U.S.News & World Report, rising from #3 in last year s survey. Penn is the only Philadelphia-area medical school ranked in nation s top InformationWeek 500 (Innovator Award; 80th Overall) - Penn Medicine Information Services organization has been recognized for the second year in a row at the 2011 Information Week 500 Innovator Conference. At this year s event, which represents information services departments from throughout the world, Penn Medicine was recognized as the Number One (#1) organization for best innovation in the category of Customer Intimacy and 80th overall on the Information Week InformationWeek Placed #54 out of Penn Medicine Information Services award recipient: Benchmarks company s technology strategies and practices against the country s leading organizations as a technology innovator. The nation s most innovative users of business technology are honored with its 2010 InformationWeek 500 listing. Now in its 22nd year, the InformationWeek 500 tracks the technology, strategies, investments and administrative practices of some of the best-known organizations in the country. One of America s 100 Most Wired Hospitals - In 2008, Penn Medicine was named one of the nation s 100 Most Wired Most Wired Most Wired hospitals and health care systems by Hospitals & Health Networks, the Journal of the American Hospital Association. This prestigious award is based on an annual survey which polls the nation s health care systems on their use of Internet technologies to connect with patients, physicians and nurses, payors, health plans and employees. Penn Medicine has been recognized by this award for eight years in the last decade. #3 Best Place to Work The University of Pennsylvania and Health System have been named the #3 workplace in the Philadelphia region by the Philadelphia Inquirer.

9 Michael Restuccia Vice President, CIO Michael Restuccia is the Vice President and Chief Information Officer of Penn Medicine. Mr. Restuccia has over twenty-five years of health care information technology experience and has worked nearly all his career in the health care information technology provider, vendor and consulting services industries. Prior to joining Penn Medicine in 2008, Mr. Restuccia served as President of MedMatica Consulting Associates, a health care information technology consulting firm that has been recognized as a three time recipient of the Inc. Magazine 5,000 Fastest Growing, Privately Held Companies in the US and the Philadelphia 100 Fastest Growing, Privately Held Companies in the Philadelphia region. Penn Medicine Technology Themes Ambulatory EMR Ambulatory Practice Management Clinical Charting Health Information Exchange / Meaningful Use Involving patients in their care through portals Large Scale Infrastructure Change Leveraging Clinical Data to Improve Outcomes Linking Patients and Caregivers Mobile Health care Translational / Personalized Medicine Using Data Exchange to Collaborate on Care Using technology to improve patient outcomes While at MedMatica, Mr. Restuccia served as the Interim Chief Information Officer for several health care organizations including Phoenixville Hospital, Doylestown Hospital and the University of Pennsylvania Health System. Prior to MedMatica, Mr. Restuccia has also served in leadership roles with several other health care information technology firms including First Consulting Group and Shared Medical Systems (now Siemens). Mr. Restuccia achieved a Bachelor in Science degree from Rider University and a Masters in Business Administration from Villanova University. College of Health care Information Management Executives (CHIME) Healthcare Information Management Systems Society (HIMSS) Greater Philadelphia Senior Executive Group (GPSEG)

10 John P. Donohue Associate cio of TECHnology & Infrastructure John P. Donohue is the Associate CIO of Technology and Infrastructure with the Penn Medicine- University of Pennsylvania Health System. Mr. Donohue is a seasoned health care IT Executive with over 20 years of experience which includes: extensive senior executive and customer interaction, understanding complex business requirements, identifying technology solutions, developing and executing IT strategic plans. He is recognized as a proactive leader who builds and develops high performance teams that are committed to excellence in the delivery of IT services and solutions. Prior to joining Penn Medicine, John held IT vice president roles at both Covance (a $4 billion Clinical Research Organization) and Children s Hospital of Philadelphia (Number one ranked Pediatric Hospital in the country). John holds a BS in Business Management from University of Phoenix and is currently pursuing a Masters degree in Information Technology at Rutgers. FY11- New Emerging Projects and Technologies Server Virtualization Desktop Virtualization In Room Patient Charting Devices Infrastructure Resiliency Converged Network Technologies Healthcare Information Management Systems Society (HIMSS) Greater Philadelphia Senior Executive Group (GPSEG) Health care Executives Network Chief Information Officers Network Areas of Expertise Business Continuity Cloud Computing Connectivity Data Center Disaster Recovery / Enterprise Massaging Enterprise IT Strategy IT Governance IT Portfolio Management IT Process Improvement IT Project Management IT Service Delivery Leadership/ Operational Excellence Mobile Devices Network Solutions Operating Systems Outsourcing Relationships Systems Standardization Technology Architecture Technology Infrastructure Tele-Communications Wireless Technologies

11 cynthia jones associate cio of applications Cynthia Jones is the Associate CIO for Applications for Penn Medicine - University of Pennsylvania Health System. She has over 30 years of experience in health care information technology. Prior to joining Penn Medicine in 2008, she was the VP and CIO of St. Luke s Hospital and Health Network in Bethlehem, Pennsylvania; with responsibility for Information Services for the four hospital system as well as numerous operational areas including, Decision Support, the Hospitalist Service, Quality, Infection Control and Case Management. Cynthia earned her undergraduate degree in business administration specializing in health care management from DeSales University. FY11- New Emerging Projects Epic APM Knowledge Based Charting College of Health care Information Management Executives (CHIME) Healthcare Information Management Systems Society (HIMSS) The American College of Health care Executives (ACHE) Served as a member of the McKesson Strategic Advisory Council & President of the McKesson User Group. Areas of Expertise Ambulatory EMR Billing Systems CPOE Document management Epic Link Financial Information Systems Inpatient EMR IT Governance Patient Portal Rx Technology / Medication Administration Transcription

12 brian wells associate cio of health technology & RESEARCH COMPUTING Brian Wells is the Associate CIO of Health Technology and Research Computing at Penn Medicine. Mr. Wells joined Penn Medicine in September, 2007 and is currently responsible for software development along with research computing informatics and infrastructure. Previously at The Children s Hospital of Philadelphia he was the Project Director of two large Epic implementations Patient Access/ Revenue Cycle and Specialty Care. Beginning in 1997 he was the founder and Chief Technology Officer of InteHealth Incorporated. For eight years prior to that he was the CTO of GMIS, Inc. and led the development and support of 11 expert system software products for the payor market. Previously, his nine years of software development and support experience at Siemens (SMS) provided him extensive management background in all aspects of health care product development. Mr. Wells earned his MBA from Villanova and his undergraduate Computer Systems degree from Rochester Institute of Technology. FY11- New Emerging Projects and Technologies in Health Technology & Research Computing Clinical Trial Management Mobile, secure clinician communication Cloud Computing Common data terminology High Performance Computing Clinical trial recruiting at the point of care ipads and Android tablets Healthcare Information Management Systems Society (HIMSS Fellowship, 2008) Areas of Expertise Cloud Computing Databases Data Exchange Data Integration Data Management Data Warehouse Decision Support Document Management / Enterprise Massaging Emerging Technologies Health Information Exchange Imaging Solutions Mobile Devices Patient Portal Personalized Medicine Speech Recognition Technology Architecture Technology for Clinical Research Technology and Patient Safety Web Services Wireless Technologies

13 Thomas Riesenberg Associate CIO of Operations Thomas Riesenberg is the Associate CIO of Operations at Penn Medicine - University of Pennsylvania Health System, a $4.07 billion health care provider organization consisting of over 2,000 physicians providing services to the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital and the health system network that serves the city of Philadelphia, the surrounding five county area and parts of southern New Jersey. Tom has 33 years of health care IT experience. He began his career in health care at Baptist Memorial Health System (Memphis TN) where he was responsible for IT systems that delivered patient access, inpatient and outpatient billing, general financials, HR, Pharmacy, Medical Records and government reporting. Tom spent the next 20 years working for Siemens Healthcare (formerly SMS) and GE Healthcare where he held several executive roles in R&D, professional services, networking and medical imaging software solutions. More recently, Tom was the COO of a global medical imaging start up business. Tom earned his MBA at The Wharton School of Business at the University of Pennsylvania. He holds a BS in Management and Computer Science from Plymouth State University (NH). Areas of Expertise Help Desk Strategy / Operations Imaging Solutions IT Project Management IT Portfolio Management IT Process Improvement IT Service Delivery Radiology / PACS technology Project Manage Institute (PMI) Healthcare Information Management Systems Society (HIMSS)

14 JIM BEINLICH associate cio of ENTITY SERVICES Jim Beinlich is the Associate Chief Information Officer of Entity Services with the Penn Medicine - University of Pennsylvania Health System. Mr. Beinlich is a certified Project Management Professional and holds an MBA in Health Care Management from Widener University. He is an adjunct professor teaching Health care Process Management in the Graduate School of Business program at Widener University. He has over 20 years of experience in Health care Information Service operations and consulting and has worked for integrated delivery systems - including a very large system consisting of over 40 hospitals along the east coast. His consulting experience was specific to health care information management and technology and included clients such as the United States Department of Defense and the National Institutes of Health. Project Manage Institute (PMI) Healthcare Information Management Systems Society (HIMSS) Areas of Expertise Business Continuity Data Protection Disaster Recovery Enterprise IT Strategy IT Governance IT Portfolio Management IT Process Improvement IT Project Management IT Service Delivery Kiosks Outsourcing Relationships Patient Portal Personalized Medicine Privacy Security Workflow Re-design

15 sharon civa EIO for Penn Home Care & Hospice Services Sharon Civa is the Entity Information Officer for Penn Home Care & Hospice Services at Penn Medicine- University of Pennsylvania Health System. Sharon is responsible for overseeing all information technology strategic and operational initiatives for this entity within Penn Medicine. Sharon obtained an MBA from Regis University, a BS in Information Systems from St. Joseph s University, and a CAPM certification from the Project Management Institute. She has 25 years of experience in health care information technology, including Penn Medicine and the Philadelphia Naval Hospital. FY11- New Emerging Projects and Technologies Homecare Telehealth Desktop Virtualization In Room Patient Charting Devices Project Management Institute (PMI) College of Health care Information Management Executives (CHIME) Healthcare Information and Management Systems Society (HIMSS) American Telemedicine Association (ATA) Areas of Expertise Business Continuity Homecare EMR IT Governance IT & Business Project Management IT Process Improvement IT Service Delivery Leadership / Operational Excellence Security Workflow re-design

16 Terrie hiltunen Entity Information Officer, PPMC Theresa Hiltunen is the Entity Information Officer at Penn Presbyterian Medical Center (PPMC) at Penn Medicine - University of Pennsylvania Health System. Theresa is a seasoned IT executive, with over 20 years experience in the health care industry. In her current role, Theresa is responsible for oversight of all strategic and operational IT initiatives at PPMC. Prior to joining Penn Medicine in 2008, she held positions as IT Director at Phoenixville Hospital, Albert Einstein Healthcare Network and The Germantown Hospital and Medical Center. Experiences include large-scale system implementations (EMR, Radiology and Cardiology PACS) and hospital merger and acquisitions. FY11- New Emerging Projects Knowledge Based Clinical Documentation Epic Optime & Anesthesia Pharmacy robot ARRA Meaningful Use Healthcare Information Management Systems Society (HIMSS) Areas of Expertise CPOE Enterprise IT Strategy Inpatient EMR IT Governance IT Process Improvement IT Project Management IT Service Delivery Leadership/ Operational Excellence Systems Standardization User Management Workflow Re-design

17 ANDRE JENKINS Entity Information Officer FOR THE HOSPITAL OF UNIVERSITY OF PENNSYLVANIA Andre Jenkins is the Entity Information Officer for the Hospital of the University of Pennsylvania (HUP) which is our flagship hospital at Penn Medicine-University of Pennsylvania Health System. The Health System is a $4.07 billion health care provider organization consisting of over 2,000 physicians providing services among our three acute care hospitals and two large ambulatory practices that serve the city of Philadelphia, the surrounding five county area and parts of southern New Jersey. Prior to joining Penn Medicine in 2008, André worked in several healthcare organizations including the Children s Hospital of Philadelphia and Independence Blue Cross. He has held a number of senior level positions in enterprise architecture and project management. André earned his MBA, Finance, and BBA, Economics, from Temple University. Healthcare Information Management Systems Society (HIMSS) Areas of Expertise Disaster Recovery Enterprise IT Strategy IT Portfolio Management IT Process Improvement IT Project Management IT Service Delivery Leadership / Operational Excellence Privacy Security Systems Standardization Technology Infrastructure User Management Workflow re-design

18 ESTHER SIM Entity Information Officer of Ambulatory Practices Esther Sim is the Entity Information Officer of Ambulatory Practices at Penn Medicine - University of Pennsylvania Health System. Esther is responsible for oversight of information technology activities for all ambulatory practices approximately 1,800 physicians and 250 practice locations. In her prior position she was the Director of Information Services at one of the largest Cardiovascular Practices in the Delaware Valley area. Accomplishments include: implementing a new Practice Management system, Electronic Medical Records system, E-prescribing, Quality Measure Reporting. She has over 10 years experience in the health care technology industry and holds a BS in Psychology from Ursinus College. Healthcare Information Management Systems Society (HIMSS) Areas of Expertise Ambulatory EMR IT Service Delivery Leadership/ Operational Excellence Meaningful Use Patient Portal Technology Infrastructure

19 LINDA SINISI Entity Information Officer Linda Sinisi is the Entity Information Officer for Pennsylvania Hospital, one of three acute care hospitals within the University of Pennsylvania Health System. She has 28 years of experience in health care information technology. Prior to joining Penn Medicine in 2008, Linda held a variety of leadership positions within Siemens Health Services and SMS (Shared Medical Systems): Research and Development Product Manager for Critical Care; Regional Manager of the National Health Systems with a focus on implementations, account management and sales support; Southern Area Support Manager and Outsourcing Manager for the Philadelphia Veteran s Hospital. Linda earned her undergraduate degree in Computer Science from Drexel University. Linda will graduate from the University of Pennsylvania with a Master s of Science degree in Organizational Dynamics in Healthcare Information Management Systems Society (HIMSS) Areas of Expertise CPOE Enterprise IT Strategy Imaging Solutions Inpatient EMR IT Governance IT Portfolio Management IT Process Improvements IT Project Management IT Service Delivery Kiosks Leadership / Operational Excellence Outsourcing Relationships Radiology / PACS Technology Systems Standardization Workflow Re-Design

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