Insert Pictures Insert pictures Transforming Care at Banner Health Through the EMR An educational update to the HIMSS Management Engineering Performance Improvement Task Force May 2, 2008
In the beginning 2
Care Management Systems Architecture Registration (SMS, HQ, Others) Extent installed within BHS: Full Assessment Other Relational Databases Partial External Knowledge Systems, Protocols & Pathways Rules Care Formulation Care Delivery & Coordination EMR Clinical Repository Productivity, External Comparative Data Data Mart None System: Cerner Ancillary Department Applications (ie, Lab, Pharmacy, Radiology, Respiratory Care) TSI HIMS Enterprise Master Patient Index (EMPI) V I E W E R S Other Interfaced Systems Lawson, Patient Education, Physiological monitoring, etc. Cost & Utilization Data SoftMed Other Prospective: Planning the Game Concurrent: Managing & Playing the Game Retrospective: Keeping Score 3
The Planets Aligned Formation of Banner s System Care Management function and design of technical architecture Strategic plan developed with focus on clinical excellence Cerner Millennium conversion underway Opening of new hospital, Banner Estrella Medical Center (BEMC), in February of 2005
What is Care Transformation? Care Transformation is an organizational initiative that combines elements of Culture Evidence - Based Best Practices Care Transformation Rapid Cycle Work Redesign Technology Standardization across all stakeholders in the patient care experience to achieve an optimal health outcome Adapted from Rick Smith, Cerner Corporation
Care Transformation Work Redesign s Work Redesign Care Transformation Oversight Care Transformation Oversight Clinical Doc. CPOE Doc. Imaging Surgery Care Mgmt. Order Mgmt. Med. Admin. Patient Scheduling Connie Harmsen K. Malloch D. Drexler Steve Kisiel K. Chaudiere Dr. Hensing BEMC Med.Dir. Dr. McAlduff Dick Andrews K. Chaudiere J. Wodrich Linda Scripter K. Chaudiere Mary Wagner Lisa Fetter Mary E. Bucco P. Nenaber P. Colwell C. Ganser Twila Burdick Deb Dahl J. Placko C. McEvoy C. Berry J. Placko Trish Will Ellen Ermer B. Sullivan D. Kaubisch M. Mackey Integrated Dept. Ancillary s (i.e.lab, RX, Rad, etc.) Application Architecture Lee Lemelson Glenn Edwards Infrastructure: Keith Price Device Strategy: Rhonda Cain L. Lemelson L. Lemelson Rhonda Cain Rhonda Cain Rhonda Cain T. Wunderlich Rhonda Cain Janice Hoppe
Banner Estrella Benefits Realization Partnership Banner Estrella Medical Center was opened in Jan 05 as Banner s first paperlight hospital Banner Estrella is the first implementation of the Care Transformation franchise model To determine the strategic value of Care Transformation, Banner, Cerner and Intel partnered on the Benefits Realization Study
Public Relations Director (Communications) Facility Deployment Council Leadership: CNO/CMO Co-Executive Sponsor & Deployment Manager Organizational Development & Learning (Change Agent) Facility CFO (Benefits Realization) Care Transformation Deployment Council Structure Management Engineer (Work Redesign) I/T Acct Mgr (Hardware Planning & Deployment) I/T Clinical Acct Mgr (MD Training/ Clinician Support) Facility Operational Leaders (Varies with implementations)
The Fundamental Theorem of Informatics
BEMC Work Work Redesign Chang e Technology Redesi gn BGMC Mgmt. Clinical Standards Change Management Training Post go-live support 2005 Care Transformation Rewiring Cars While the Cars are Running 2008
CARE TRANSFORMATION DONE BY END OF 08 SCOPE Clin Doc Doc Imaging Pediatrics MS4 ICU ED OB BI/CDW Scheduling OR Laboratory Pharmacy Radiology/PACS Order Entry Rules/Alerts
The Vision: One Example 12
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Thank you! For more information, please contact HIMSS Staff Liaison JoAnn W. Klinedinst, CPHIMS, PMP, FHIMSS at jklinedinst@himss.org 14