UPMC Hospital & Community Services Division Governance Model
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1 UPMC Hospital & Community Services Division Governance Model SYSTEM erecord HCSD Executive Leadership Roles and Responsibility Membership Description Participants Provides strategic direction oversight and issue resolution for the inpatient erecord Liz Concordia, Chair Holly Lorenz Dan Martich Tami Minnier Jim Venturella Deb Redmond Sue Hoolahan Joel Weinberg Steve Docimo Ed Karlovich Marianne McConnell Vivek Reddy David Hunker Cathy Poole erecord Interdisciplinary Clinician Workgroup (formerly the erecord Physician Workgroup) Facilitates design and approval of order sets, CPOE design, complex medication administration, rules and complex data views. Facilitates documentation design for Core Measures, safety/risk and quality initiatives. Medical Director, Hospital IT Enterprise DCOI Hospital Informatics Nurses Hospital Physician Leads erecord Physicians Ad Hoc CQII Quality Rep Ad Hoc Pharmacy Ad Hoc Ancillaries erecord Analyst Designee Vivek Reddy, Co-Chair Marianne McConnell, Co- Chair Beth Augustine Deb Balcik Christa Bartos Kim Gracey Lori Hartman Kelly Heatherington Sue Hoobler Sharon McEwen Diane Michalec Carri Milano Sue Park Becky Perry Amy Roose Eileen Skalski Colleen Sunday Louis Leff Geoff Camp Dan Martich Rich Ambrosino Kevin O Toole Timothy Van Fleet Jim Levin Ann Titus Judy Batross Martha Stambaugh
2 erecord Directors of Clinical and Operational Informatics (DCOI) Approves nursing and ancillary documentation changes and design and facilitates documentation design in support of regulatory issues, such as Core Measures, safety, risk, and quality initiatives. Enterprise DCOI Hospital Informatics Nurses Ad Hoc Ancillaries Ad Hoc Pharmacy Ad Hoc CQII Quality Rep Marianne McConnell, Chair Beth Augustine Deb Balcik Christa Bartos Kim Gracey Lori Hartman Kelly Heatherington Sue Hoobler Sharon McEwen Carri Milano` Sue Park Becky Perry Amy Roose Eileen Skalski Colleen Sunday Works collaboratively with Interdisciplinary Clinician Workgroup to implement new functionality and modifications to existing erecord. Escalates issues to erecord Executive Leadership when unable to gain consensus. erecord Decision Support Workgroup Facilitates development and implementation of clinical decision support tools. Medical Director, Decision Support Hospital Physician Leads Hospital Informatics Nurses erecord Physicians Rich Ambrosino, Chair Louis Leff Geoff Camp Kevin O Toole Jim Levin Adam Akers Tim Van Fleet Richard Simmons Vivek Reddy Stephen Hasley Anthony Fiorillo Stephen Abo Kurt Ackerman Raquel Forsythe Beth Augustine Deb Balcik Christa Bartos Kim Gracey Jess Fesz Lori Hartman Sharon McEwen Diane Michalec Carri Milano Marianne McConnell Kelly Heatherington Colleen Sunday Sue Hoobler Patty Kammerer Martha Stambaugh Sue Park Becky Perry Melinda Antoniewski Mike Ondras Amy Roose Receives requests for decision support from enterprise groups and/or erecord Hospital Leadership. Presents requests to Interdisciplinary Clinician Workgroup for approval. Escalates issues to ICW when unable to gain consensus.
3 epractice Workgroup Manages erecord order set development, review and standardization based best practice guidelines. Hospital Physician Leads Hospital Order Set Coordinators erecord Physicians Informatics Nurses HIM CareNet Team Designee PharmIT Representative Hospital Pharmacists UPMC Quality Council Rep Health System Librarian Louis Leff, Chair Geoff Camp Kevin O Toole Vivek Reddy Charles Wessell Johnanne Ross Corrina Baughman Gregory Wilson Stacy Miske Christine O Neill Madelyn Bates Thomas Worrall Adele Towers Julie Brown Fran Ciamacco Deb Balcik Mary George Kim Gracey Robin Hair Patty Kammerer Jan Marco Marianne McConnell Sue Park Becky Perry DCOI Receives requests for new order sets or modifications to existing order sets from enterprise groups and/or erecord Hospital Leadership. Approves changes and facilitates implementation. Escalates issues to ICW when unable to gain consensus. Data Management, Reports and Views Workgroup Manages data request for erecord using CCL or Cognos reporting tools. Medical Director, erecord Reports Rich Ambrosino, Chair Vivek Reddy Supports clinician workflow through Marianne McConnell the development and implementation Ann Titus of Genviews and MPages. Receives requests for reports, genviews and MPages from enterprise groups and/or erecord Hospital Leadership. Approves changes and facilitates implementation. Escalates issues to ICW when unable to gain consensus. Physician Documentation Workgroup Facilitates development and adoption of physician documentation tools. Medical Director, Hospital IT CMIO Vivek Reddy, Chair Dan Martich FirstNet User Group Provides guidance for development of emergency department application. ED Medical Directors Clinical ED Directors FirstNet team Lead- Chair Coordinates FirstNet application enhancements and changes for
4 Reviews and approves requests for modifications and enhancements. Clinical ED charge nurses Registration Directors Corporate Registration the enterprise. Escalates issues to ICW or DCOI when unable to gain consensus. SurgiNet User Group/OR Directors Provides guidance for development of peri-operative application. Reviews and approves requests for modifications and enhancements. Hospital OR Directors Hospital SurgiNet IS Specialist Hospital GI Lab Representatives OR Nurses OR Schedulers SurgiNet team Lead- Chair Coordinates SurgiNet application enhancements and changes for the enterprise. Escalates issues to ICW or DCOI when unable to gain consensus.
5 Enterprise Pharm IT/UPMC Pharmacy & Therapeutics Approves and implements formulary decisions, safe medication practices, policies and procedures across UPMC. The span of control of the Pharmacy & Therapeutics Committee is based on its membership that includes physician and pharmacist Pharmacy & Therapeutics members from UPMC hospitals. VP, Patient Care Executive Director Hospital Pharmacists Pitt SOM Pharmacy Reps Albert Wright Reviews enterprise requests for changes to erecord formulary. Collaborates with ICW to create, review and revise complex ordersets. Chief Nursing Officer Leadership Committee Provides strategic direction for Nursing documentation and workflow processes. Enterprise CNO Hospital CNO Holly Lorenz, Chair Mary Barkheymer Cheryl Como Susan Hoolahan Diane Hupp Barbara Jordan Melissa Kolin Maribeth McLaughlin Kim Owens Sandy Radar Paula Thomas Tami Minton Approves changes to nursing documentation and workflow. Escalates issues to erecord Leadership for resolution. Center for Quality Improvement and Innovation for enterprise quality improvement initiatives CQII Quality Reps Tami Minnier Brings requests for quality initiatives to DCOI or ICW. Enterprise Infection Control for enterprise infection control initiatives Director Enterprise IC Hospital Infection Control Practitioners Carleen Muto, Chair Brings requests for Infection control initiatives to DCOI or ICW.
6 Enterprise Health Information Management Integration Group erecord HIM functionality. Hospital HIM Directors Adele Towers Brings requests for HIM initiatives to DCOI or ICW. Enterprise Nutrition Committee erecord nutrition functionality and documentation. Hospital Nutrition Reps Joyce Scott-Smith, Chair Brings requests for nutrition Initiatives to DCOI or ICW. Enterprise Respiratory Therapy erecord respiratory therapy functionality and documentation. Hospital RT Reps Paul Beam, Chair Brings requests for respiratory therapy initiatives to DCOI or ICW. Enterprise Radiology/Imaging Leadership Council for erecord radiology initiatives. Hospital Radiology Directors Leslie Davis Brings requests for radiology initiatives to DCOI or ICW. Enterprise Laboratory for erecord laboratory initiatives. Hospital Laboratory Directors Mike Ondras, Chair Alan Wells, Chair George Michalopoulos Jeff Kant Adriana Zeev Steve Swerdlow Bill Pasculle Adam Rosendorf Bruce Rabin Harry Blair Daryl Triulzi Ray Bezila Ralph Nauman ILO Romero Brings requests for laboratory initiatives to DCOI or ICW.
7 Clinical Standards Steering Committee for the development of enterprise clinical care standards CNO Representatives Hospital Quality Reps DCOI Reps erecord Reps Holly Lorenz, Chair Enterprise Privacy and Security Committee Provides guidance for erecord on privacy and security issues. Enterprise Privacy Officer John Houston, Chair Escalates issues for awareness to erecord Executive Leadership LOCAL erecord Hospital Leadership Recommends changes to erecord based on local needs/issues; functions as the erecord Cabinet during preimplementation. Informatics Nurse Physician Lead Pharmacy Ancillary Department Directors Quality Risk Management Chief Nursing Officer Chief Financial Officer Chief Executive Officer Chief Information Officer/Director IT Site Specific Submits requests for erecord changes or enhancements to the appropriate enterprise group for review and consensus building. Supports erecord go-live and implementation. Provide input and approves scope of erecord implementation. Facilitates physician and staff training. Facilitates physician communication at medical staff meetings. Informatics Council Staff RN from each unit DCOI, co chair Staff, co-chair Site Specific
8 Other clinical dept reps Physician Advisory Council Dan Martich, chair
Donnelly, James. Excellent, thank you very much. Jim Donnelly CQO/CNO UPMC Hamot 201 State Street Erie, PA 16550
Donnelly, James From: Sent: To: Subject: Donnelly, James Wednesday, January 11, 2012 4:35 PM McConnell, Marianne Re: CV Carri Milano Excellent, thank you very much. Jim Donnelly CQO/CNO UPMC Hamot 201
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