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1Health Enterprise Computingand Patient Identification6.872/HST.950Peter Szolovits(some content from David Margulies)CommunityHospitalsHome HealthLong TermCareTertiaryCareClinicsPrimaryCare DocsPharmacyReferenceLabSpecialistsXXX HealthSystemIntegrated Delivery System...Integrated Delivery System...KnowledgeKnowledgeAssetsAssetsPlanPlanTertiaryTertiaryClinicsClinicsPlansPlansPHOPHOPPOPPOMSOMSOAffiliationsAffiliationsContractsContractsIDSIDSPPOPPOCarve-OutsCarve-OutsPurveyorsPurveyorsPSOPSOTHE GOVERNMENTTHE ENROLLEETHE HOMETHE EMPLOYERComplexity nowComplexity nowwithin...within...Context: Evolution of Clinical Computing...• Focus evolved from automating AR processin hospitals, to LAN-based SI ofdepartmental systems, to enterprise clinicalcomputing, toward region- and system-levelprocess automation• Changing healthcare organizational modelsand economic models ---> changing clinicalcomputing priorities and designsPhase 2: LAN-based SI -- Automate DataDistribution to MDs...CaseCaseMixMixMaterial MgmtMaterial MgmtPayrollPayrollGeneral LedgerGeneral LedgerAccounts PayableAccounts PayableLaboratoryLaboratoryNursingNursingPharmacyPharmacyRadiologyRadiologySurgerySurgeryInternal MedicineInternal MedicineOrder CommOrder CommATDsATDsPatient AcctPatient AcctEntryEntryPhysicianPhysicianPhase 3: Data-based SI to Create an EMR...CaseCaseMixMixMaterial MgmtMaterial MgmtPayrollPayrollGeneral LedgerGeneral LedgerAccounts PayableAccounts PayableLaboratoryLaboratoryNursingNursingPharmacyPharmacyRadiologyRadiologySurgerySurgeryInt Int MedMedOrder CommOrder CommATDsATDsPatient AcctPatient AcctDataDataRepositoryRepository““ElectronicElectronic Medical Medical Record Record””Paradigm 1Paradigm 1Paradigm 2Paradigm 2PatPatAcctAcctLaboratoryLaboratoryNursingNursingPharmacyPharmacyRadiologyRadiologySurgerySurgeryInt Int MedMedOrderOrderCommCommATDsATDsViewerViewerDocumentDocument Expert ExpertSystemsSystemsClinicianClinician’’s Systems SystemInterface EngineInterface EngineOrderOrderMgmtMgmt2DATA REPOSITORYGroup-PatientGroup-PatientRelationshipsRelationshipsPatient-ProviderPatient-ProviderEncountersEncountersPatient-ProviderPatient-ProviderRelationsRelationsClinical Events:Clinical Events:Procedures, ResultsProcedures, Results& Documents& DocumentsClinicalClinicalOrdersOrdersClinicalClinicalProblemsProblemsClinicalClinicalCareplansCareplansStyles ofStyles ofPracticePracticeProvidersProviders& Other& OtherPersonnelPersonnelGroupsGroupsFacilitiesFacilities&&LocationsLocationsPatientsPatientsFacility-GroupFacility-GroupAffiliationsAffiliationsVisitsVisitsGroup-ProviderGroup-ProviderRolesRolesInstitutionalInstitutionalCareCareStandardsStandards& Protocols& ProtocolsSettlementSettlementMembershipMembershipCareCareTeamTeam Int. Int.MedMedRadRadLabLabPharmPharmSurgerySurgeryAccountAccountPlanPlanDesignDesignDischargeDischargeDismissDismissEpisodeEpisodeActivationActivationAuthorizationAuthorizationHealthHealthStatusStatusMgt.Mgt.CommunityCommunityCareCareSelfSelfCareCareEvaluateEvaluateAssessAssessPlanPlanActActScheduleScheduleReferReferVisitVisitActivationActivationMgt.Mgt.TeamTeamHealth Health Mgt.Mgt.HealthHealthRecordRecordMeasureMeasurePhase 4: Enterprise-level Clinical ProcessAutomation...Most Installations...DismissDischrgFollow- UpAccountPlanActEvaluateAssessRegister Admit CheckHistorySchedulePharmSurgery IntMedLabRad ReferCareCareTeamTeamMedicalMedicalRecordRecordClinical DataClinical DataRepositoryRepositoryBased...Based...CliniciansClinicians’’WorksystemWorksystemMayoGenesysSOMEMMCHMW…...SamaritanDifferent Imperatives,Different IT StrategiesWorld-WideWorld-WideCommunity-WideCommunity-WideMultiple FacilitiesMultiple FacilitiesCritiqueingCritiqueingSchedulingSchedulingCommon Clinical OrderingCommon Clinical OrderingElectronic Chart ViewerElectronic Chart ViewerClinical Data RepositoryClinical Data RepositoryMPI/ADT SynchronizationMPI/ADT SynchronizationIndependent Departmental SystemsIndependent Departmental SystemsComputer-Based Patient RecordComputer-Based Patient RecordCare Team SupportCare Team SupportEvolutionary StagesDepartmentalDepartmentalSystemSystemStagesStagesVirtualVirtualDatabaseDatabaseIntegratedIntegratedDatabaseDatabaseComputer-BasedComputer-BasedPatient RecordPatient RecordCare ProcessCare ProcessIntrarelationIntrarelationPro-ActivePro-ActiveManagementManagementConcurrentConcurrentEventEventCritiquingCritiquingCharacteristicsCharacteristics ExamplesExamplesAccess Directly Via ProgramAccess Directly Via Program• highly structured• powerfulWorkstation Access Via NetworkWorkstation Access Via Network distribution datadistribution data disparate databases and user interfacedisparate databases and user interfacePathNet PathNet LaboratoryLaboratoryInformation SystemInformation SystemHL7 Query ToolsHL7 Query ToolsCopy Data into Central DepositoryCopy Data into Central Depository relationships possiblerelationships possible common user interfacecommon user interface multimediamultimediaORACLEORACLEControl Access and EncodeControl Access and Encode nomenclature supportnomenclature support security and audit controlsecurity and audit control data successiondata succession date authenticitydate authenticityOpen ClinicalOpen ClinicalFoundation DataFoundation DataRepositoryRepositoryDiagnoses, Care Plans and OrdersDiagnoses, Care Plans and Orders context for resultscontext for results expectations possibleexpectations possible requirements for recordsrequirements for recordsOperations DataOperations Data care managementcare management fiscal managementfiscal management EISEISNormative Data and RulesNormative Data and Rules extrapolationsextrapolations management by protocolmanagement by protocolProNet ProNet OrdersOrdersCareNet CareNet PlansPlansMRNet MRNet OperationsOperationsOpen ManagementOpen ManagementFoundation DataFoundation DataRepositoryRepositoryDiscern RulesDiscern RulesAPACHEAPACHEMEDIQUALMEDIQUALBeyond the Enterprise: CHINsValid needs, No Buyer...CommunityCommunityHealthHealthInformationInformationServicesServicesPhysiciansClinics, HMOsHospitalsUtilityProvidersRepositoryCore Services• E-MailDatabase Systems• Membership Server• Health Plan Server• Health Record Index• Outcomes ManagementTransaction Systems• Scheduling Services• Report Management• Claims Consolidation• Utilization ReviewBusiness Systems• Client Billing• Financial


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MIT 6 872 - Enterprise Computing and Identifiers

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