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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
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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