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Title or Chapter Slide (use as needed; feel free to delete) One patient, One record

A JourneyPraveen Chopra, CPIM

VP, Chief Information Officer, Chief Supply Chain OfficerChildren’s Healthcare of Atlanta

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In the beginning…

Egleston - 1998 Scottish Rite - 1998

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Built on three guiding principles

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Sick and injured children are better off in a pediatric hospital than on a pediatric floor of an adult hospital.

Children’s belong to the community, not the Boards of Trustees.

Specialized pediatric care in a children’s hospital is a precious community asset that must be preserved.

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Children’s today

Emory-Children’s Center

Scottish Rite Hughes Spalding

Marcus Autism Center

16 Neighborhood Locations

Egleston

520 staffed beds in three hospitals

17 neighborhood locations6500+ employees

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Clinical excellence inspired these achievements

1998

2001

2004

2006

2007 - 2008

2009 - 2011

5:10 AMSA

Woodruff Lettie Pate

Evans Grant

New Research Building

Capital Campaign

5 COEs Nationally

Recognized

8:10 AMSAHughes

Spalding

Center for Pediatric

Nanomedicine

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Value Ecosystem

and Wellness

InformationWorkflow

ClinicalOutcomes

Research

Operational Excellence

Medicaid Managed CareSub Specialty Ambulatory HospitalHome & Ancillary

Primary Care & Medical Home ER

Ideal Patient Experience

Best Practice Patient Outcomes

Patient

PayorProvider

Continuum of Care

“To transform pediatric healthcare and be the leading voice for the health of Georgia’s children”

Right Information, Right Time, Anywhere

Information Systems & Technology

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Infra

struc

ture

Revenue Cycle

Elec

tronic

Med

ical R

ecor

d

Busin

ess I

ntellig

ence

Comm

unity

Hea

lth R

ecor

dBusiness Continuance

Consumer and Provider Experience

Transform Pediatric Healthcare

User Mobility

Security, Privacy and Identity Management

Building BlocksInformation Systems & Technology

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Electronic Medical Record Journey

(Eclipsys) MPI

(SMS) PT Financial System

(Sunquest) Lab

(IDX) Professional Billing

(SMS) Radiology (SIS) Surgical Services

(IBEX) Emergency Department

Data Warehouse and Decision Support (Clinical, Operational and Research)

Registration, Scheduling, Patient Accounting

Lab (MYSIS)

Radiology

Pedia

tric 36

0

(Eclipsys) MPI

Healt

h Info

rmati

on E

xcha

nge

acce

ssCH

OA

Clinical Data Repository (CDR)

Master Patient Index (MPI)

Health Information System

Results Rx Nursing & SupportDocumentation

Physician Documentation CPOE

Enterprise Scheduling

Information Systems & Technology

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Clin Doc5/2007

Phys Doc8/2007

CPOE6/2008

UCL

LCL

IHI BSI Bundles5/2005

Hand Hygiene Phase 110/2006Rapid Response Teams

12/2006

Foam Up6/2008

PEWS11/2008

Phase 1 Transfer of Care7/2010

Family Activated RRT2/2011

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Obs

erve

d:Ex

pect

ed M

orta

lity

Year - Month

Trend: Observed to Expected Mortality

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

Information Systems & Technology

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GHIE

Other Epic HospitalsEMR

EMR

EMR

Community Health Record

Researchers

Personal Health Record

Labs Pharmacies

Children’s

Electronic Medical Record(Epic)

Hospital Based Specialists

Community Physicians

Public Registries

Community Physicians

Shared Data Repositories

Access CHOA

Pediatrics 360

Clinically Integrated Network

GA HITREC

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Community Health Record

HIE

Epic Inpatient

Pediatrics360

Two-way, real-time communication within the hospitals and IC centers

Two-way real-time communication between CHOA and practices

Two-way communication between CHOA, practices and other facilities through 3rd party (successful test)

One-way communication from CHOA to practices

Leveraging technology to improve care

Information Systems & Technology

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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BusinessAnalytics

ClinicalAnalytics

Activity-based Costing

Revenue Cycle

Service Line Optimization

Staffing Effectiveness

Disease Management

Fraud Detection

Patient Adherence

CDHP Analysis & Forecasting

Quality/Safety Analysis

ThroughputAnalysis

Research Analysis

Clinical Performance Analysis

Improving Organization Performance

Lowering Healthcare Costs

Improving Health Outcomes

Business IntelligenceInformation Systems & Technology

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

Population Health Management

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What is the problem? How many times did it happen?Reports

LocalizedAnalytics

AnalyticallyInspired

Query/ Drill Down/ Alerts

Statistical Analysis/

Forecasting

AnalyticalOrganization

Predictive Modeling/

Optimizing

Foundation

Extension

Where is the problem? What do we do?

Self-Service

Synchronize

What will happen next? What is the best and worst that can happen? What is the optimal way?

Why is the problem happening? What if the trend continues?

AnalyticalDifferentiator

Business Intelligence Maturity Information Systems & Technology

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Robust Infrastructure

Current Facility New Data Facility

Information Systems & Technology

Privileged/Confidential information, property of Children’s Healthcare of Atlanta

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Improving quality, safety, clinical outcomes and operational efficiencies

One record, One patient – A Journey

Privileged/Confidential information, property of Children’s Healthcare of Atlanta