8:00 8:45 8:45 9:00 9:00 9:10 9:10 9:15 9:20 10:15 10:00 11:00 11:15 11:45 HEALTH CARE IT ROUNDTABLE Agenda May 8th, 2015 Final Stockton Room (50) Franklin Room (50) Jefferson Room (50) Lincoln Room (24) Penn Room (24) Nightingale Room (24) Coffee and light breakfast: Check In, Get your Name tag, & Mingle Around the Table: Speed Round of Introductions Welcome: Michael Restuccia, Chief Information Office & VP, Quick Instructions: Gordon Tait, EMR Group Architect, Phoenix Rising from Ambulatory - How Planning & Executing a Double Upgrade Referring Provider Dictionary Tailoring Your Hyperspace Login Screen high Could Transplant Rise? Smart Pump Integration (2010 to 2014) by Sarah Morgan & Rich Urbani by Gordon Tait by Stacey Doll, Jamie Kean, & Jennifer by Lancaster General by Mike Dimino Manosca Cooper University Health Care CAUTI & the Development of a Nurse- Driven Protocol Built Into a BPA by Patty Sengstack Bon Secours Health System Referral Discussion for Closing the Loop Electronically for Int/Ext Referrals by Lancaster General Lunch In The Triple Room Planning a Real Time Location System for Patient & Provider Tracking by Andy Farella Children's Hospital of Philadelhia Fast Track to Go-Live Success (ASAP) by Brian Bell, Dr. Christopher Edwards, & Jennifer Manosca 12:00 1:00 Meaningful Use Discussion (Stages 1&2) Led by Dr. Travis Gossey & Aurelio Gracia Weill Cornell Medical College Order Transmittal & Workflow Engine Rule Version Control: Tracking Changes Using XML Comments by Phuong Tran University of Maryland Medical System Practical Integration of Telemedicine into the Epic Electronic Health Record by Dave Buchinsky, John Chuo, Jeff Martinez, & Phil Scribano Children's Hospital of Philadelphia Wave 1: Ambulatory Big Bang by Lehigh Valley Health Network 1:15 2:00 Stage 3 Meaningful Use: Initial Discussion Led by Mary Logiudice Data Conversion From Other EHRs & Analytics by Lehigh Valley Health Network Expanding Mobile Use Including Clinical Images & 2015 Droolings by Gordon Tait From Centricity to Radiant: A Big Bang Approach by Marie Hegarty, Heather Kesner, & Jennifer Manosca 2:15 3:00 Publishing our Direct Addresses through Epic & the Regional HIE (HSX) Now What Should We Expect? Led by Leslie Boff, Candace Crawford, & Sharon Laquer of Temple Health Implementing Widescreen Mode by Dr. Travis Gossey & Aurelio Gracia Weill Cornell Medical College Website: www.uphs.upenn.edu/roundtable Integrating Many Epic Environments to Single Non-Epic Test Systems by Jay Jenkins & Melissa Tirado Children's Hospital of Philadelphia Wave 2: Planning The Rest by Lehigh Valley Health Network LinkedIn Group: Healthcare IT Roundtable CER in Ordering Workflows by Zack Leinen & Nguyen Nguyen Reading Health Please R.S.V.P. with your attendee names by May 1 st via the Accept in the Save the Date invite and/or to taitg@uphs.upenn.edu (IF you are unsure if you can make it, then please mark the invite as Tentative.) Building Security will have a list of all Attendees.
Coffee Lounge Elevators Elevators Lincoln (24) Penn (24) Nightingale (24) Reception Desk Restrooms Agenda Topic Descriptions: Jefferson (50) Franklin (50) Stockton (50) Publishing our Direct Addresses through Epic and the Regional HIE (HSX) Now What Should We Expect? Discussion facilitated by Candace Crawford, MHA (Project Director); Leslie J. Boff, RN, MSN, MBA (Director of Clinical Content); Sharon Laquer, MHA, RHIA (Director HIM/MU Lead) of Temple Health. Presentation of TU s strategy of our forward facing directory and the workflows for processing incoming messages. What have others who are further along on the electronic exchange path experienced and how do you manage the workflows? Are there overwhelming volumes, unwanted documents, increased referral volume, no incoming messages? CAUTI & the Development of a Nurse-Driven Protocol Built Into a Best Practice Advisory Presented by Patty Sengstack of Bon Secours. This presentation will review how the Bon Secours Health System incorporated a nurse driven protocol to remove urinary catheters into the EHR to reduce catheter days and CAUTI s. It includes enhancements made to the original provider order as well as Best Practice Alerts that display to both nurses and providers. Data Conversion from Other EHRs & Analytics Presented by Lehigh Valley Health Network Lehigh Valley will share what they did to ensure they would have access to critical patient data after migrating several systems to Epic. Expanding Mobile Use Including Clinical Images & 2015 Droolings Presented by Gordon Tait of Starting with a fairly poor use of the mobile Epic applications (Haiku & Canto), set out to improve this use on a few fronts which lead to an improved adoption rate with an increase of more than 100% in the past 12 months. We will highlight our use of the Clinical Images feature by our department
of Dermatology and how we aim to keep that adoption curve to continue based on feature pilots and roll-outs including the upcoming 2015 features which will be listed out. Fast Track to Go-Live Success (ASAP) Presented by Brian Bell, Christopher Edwards, MD, and Jennifer Manosca, MBA of Discussion includes successes and lessons learned with organizational readiness, training, communication strategies, super users, and command center planning. went live with ASAP at three Emergency Departments with a phased approach. From Centricity to Radiant: A Big Bang Approach Presented by Marie Hegarty, MS, PMP, Heather Kesner, MBA, CPC, and Jennifer Manosca, MBA of Discussion includes successes and lessons learned with organizational readiness, training, data conversion, communication strategies, interfaces, and command center planning. went live with Radiant at all hospitals, including some of their suburb locations. Implementing Widescreen Mode Presented by Dr. Travis Gossey and Aurelio Gracia of the Weill Cornell Medical College Presentation about Cornell s implementation of Wide Screen mode in version 2014. Integrating Many Epic Environments to Single Non-Epic Test Systems Presented by Jay Jenkins and Melissa Tirado of the Children s Hospital of Philadelphia Environment Management This discussion is to describe the specifics around CHOP s need to support the concurrent and independent testing requirements for daily operations and long-term projects. We will discuss the challenge, the configuration of Epic and the Enterprise Interface Engine, and the code migration path to PRODUCTION. Meaningful Use Discussion (Stages 1 & 2) Discussion facilitated by Dr. Travis Gossely and Aurelio Gracia of the Weill Cornell Medical College This will be a discussion about everyone s challenges and tactics in currently meeting Stage 1 & 2 Meaningful Use. Order Transmittal & Workflow Engine Rule Version Control: Tracking Changes Using XML Comments Presented by Phuong Tran, MS of the University of Maryland Medical System The ability provided by EPIC to document specific changes within a rule is very limited. This presentation will show how inline XML Comments can be used to track changes in a rule and use a text differential tool to compare rules between environments. Planning & Executing a Double Upgrade (2010 to 2014) Presented by Mike Dimino (Lead Application Analyst) of Cooper University Health Care The presentation will focus on our double upgrade plan from the 2010 version of Epic to Epic 2014. It will go over the planning, executing, and go-live stages and lessons learned from our April 12 th upgrade. Planning a Real Time Location System for Patient & Provider Tracking Presented by the Children s Hospital of Philadelphia
CHOP is in the process of implementing an Real Time Location System (RTLS) for patient and provider tracking in their new Buerger ambulatory care center. They have Done a strategic plan that looks at how we plan to implement the technology over 3 years; Defined out goals and scope; Selected a hardware technology and implementation vendor; Selected a visualization and workflow software tool; Designed our workflows which we plan to implement initially; and are about to build out the infrastructure. Practical Integration of Telemedicine into the Epic Electronic Health Record Presented by John Chuo, Phil Scribano, Dave Buchinsky, and Jeff Martinez of the Children s Hospital of Philadelphia Telemedicine, the bigger picture at Children s Hospital Case Study: Piloting Telemedicine in a Child Abuse Clinic: Lessons learned Demo Epic s (Hyperspace to Hyperspace, Clinic to Clinic Functionality. Referral Discussion for Closing the Loop Electronically for Internal/External Referrals Discussion facilitated by Lancaster General. Current referral system requires a lot of manual push/chart review to close a referral. Folks are hoping there will be some health systems who have figured out how to electronically close the referral loop without manual chart review. Referring Provider Dictionary Presented by Sarah Morgan and Rich Urbani of. An overview of how the UPenn Health System utilizes an outside vendor, along with end user data contributions, to manage the referring provider dictionary. Through the use of online web tools and by interfacing the information into various platforms through the health system (including Epic), providers have information from a 5 state radius (and beyond) at their fingertips at all times. We will discuss how we incorporated this data into an active and useful database for our provider and end user population. Phoenix Rising from Ambulatory How High Could Transplant Rise? Presented by Stacey Doll, MPA, Jamie Keane, BSCS, MS, and Jennifer Manosca, MBA of -Clinical Content -for Solid Organ Programs - Synopsis, Smart Forms, Letters, Evaluation Summary, etc. -for TXP Special Areas Social Work, Nutrition, Financial Coordinator, and Infectious Disease -UNOS Forms -Reports - Reporting Workbench and Clarity Universe -Data Conversion - OTTR and UNOS -Discrete Interfaces Anatomic Pathology, HLA, and Cardiology Hemodynamics Smart Pump Integration Presented by Lancaster General In this presentation Lancaster General will talk about their integrating Smart Pumps with Epic. Stage 3 Meaningful Use Discussion facilitated by Mary Logiudice of
The proposed requirements will be listed in contrast to the previous Stages and there will be open discussions about any initial thoughts or strategies the attendees may have for them. Tailoring Your Hyperspace Login Screen Presented by Gordon Tait of This presentation will go over the soup to nuts of the login splash screen for Hyperspace and how it can be tailored for your organization. This will include the individual controls on the several login screens, how they can be adjusted, and how even the background image and loading image can be changed to what you want. A trick to add a message to the screen without the extra click of the MOTD screen will also be shown. Wave 1: Ambulatory Big Bang Presented by Lehigh Valley Health Network Recently Lehigh Valley brought up over 200 ambulatory practices on Epic. Wave 2: Planning the Rest Presented by Lehigh Valley Health Network Lehigh Valley will bring their hospitals up on Inpatient (and many other areas of Epic) this summer.
Map and Directions: 9 th Floor, West Tower, 1500 Market St, Philadelphia, PA Amtrak Trains: Get off at the Amtrak 30 th Street Station stop. Amtrak riders will need to go upstairs to the main enormous room. You can take a Taxi to 1500 Market by going west out of the Amtrak building. Or you can take a Septa train EASTbound (towards the skyscrapers) one stop to Suburban Station tickets are usually not checked within the city. Septa Trains: Get off at the Suburban Station stop. Exit out of Suburban Station by following the signs for Market Street, the lower the street number the better. If you come out on a numbered street you may need to walk a block south to Market Street. Once on Market Street, walk over to 1500 Market which is next to City Hall (white building in the middle of Market Street around 15 th ). Driving in: Each direction of travel on I-76 has its own Exit 345. The building is in Center City Philadelphia just west of and next to City Hall (white building in the middle of Market Street) on Market Street. If you are coming East(south) on the I-76 highway, then you can exit at the 30 th Street Station, Exit 345. You will need to go around the 30 th Street Station to get to Market Street. At the exit ramp traffic light, you will have to take a right. You will pass under a glass walking bridge and then pass under part of the train station. You will want to be in the 2 nd from the left lane after you pass under that part of the station (since the left-most lane will trap you into driving around the station itself like a Taxi). If you do get stuck in that lane, you can circle around and try again. You will come up to the Market Street traffic light, take a left onto Market Street. You will cross over the river and go down the main street of skyscrapers. If you are coming from I-76 West(north), take Exit 345 and that will bring you up a ramp to an intersection with Chestnut Street. You want to go straight to Market Street and work your way to the right lane so that you can take a right onto Market Street. At the Market Street traffic light, take a right onto Market Street. You will cross over the river and go down the main street of skyscrapers. There may be parking in garages at 1800 Market Street (Crowne Plaza hotel 215-567-6326) as well as 1700 Market Street (Expert Parking 215-231-3155). Driving around City Hall should be avoided for sanity sake so you will want to park before it. You can then walk over to Centre Square at 1500 Market Street which has a large clothespin sculpture. 1500 Market Street (Centre Square West Tower): Once in the lobby, you will need to go up to the security desk for the West Tower. Tell them that you are attending a conference on the 9 th floor in the Center for Innovation and Learning. Tell them your name bring a photo ID in case they ask for it. You will receive a visitor sticker for the day. Take the elevators up to the 9 th floor and go in through the glass doors to where reception persons are seated. We will be using the Franklin and Jefferson Rooms. We will have two connecting rooms so that we can have parallel sessions. Once in the rooms, please go up to the Signin table to let us know that you have arrived and to get your conference name tag. When in doubt, please use online Map programs from your departure point, etc.!
Other Presentation/Discussion topics not listed in this Roundtable will be candidates for the next Roundtable. For information, please contact Gordon Tait at taitg@uphs.upenn.edu. If you are having difficulties finding the event on your way to it, then feel free to contact us via cell 215-275-6028. There are a variety of hotels within a few blocks of the event and City Hall.