Back to Basics

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Back to Basics

• or
• To the Moon on a Shoestring Budget

Harvey Roth CPHIMS, LFHIMSS Director, Information
Systems Technology CIO/CTO/CSO September, 2009
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What is St Rose Hospital?

• 163 Beds
• Opened 1962
• Independent 4 years
• Disproportionate Share
• Safety Net for Central Alameda County
• Designated Cardiac Receiving Center
• gt50 Low Income Patients
• 75 Medicare/MediCal

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Where is it?
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Where did we begin?
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The network
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The infrastructure
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But wait . Theres more!

• No standards
• No processes
• No helpdesk
• No documentation
• No staff
• No infrastructure
• No governance
• No budget

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Are you nuts?

• information systems at or beyond end of life
• unsupported network devices
• separate email platforms
• inconsistent data backup
• vendor of the day

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The good news . . .

• Seismically stable
• 23 acre level campus
• increasing volumes
• room to build
• open to change
• greenfield vs brownfield

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How do you fix it?

• Identify greatest opportunities
• PACS
• Cardiology
• Emergency Department
• Vendor relations
• HIS/EMR
• Case Management
• Develop ROI tool
• Develop assessment tool with objective rankings
• Communicate, communicate

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Build pyramids

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Whats new?

• New datacenter
• New physical servers
• Virtualized legacy servers
• Enterprise data storage
• Enterprise-wide automated data backup
• Standardized desktops applications
• Integrated gigabit network
• Enterprise-wide email
• 802.11n wireless

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What about software?

• Now in production
• PACS
• Cardiology
• Emergency Department EMR billing
• Evidence-based clinical guidelines
• Help Desk
• Website
• Now in process
• HIS/EMR
• Clinical Laboratory/Blood Bank
• Interface Engine

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What comes next?

• Credentialing
• Quality Management
• Workforce Management
• BPOC
• CPOE
• RFID
• VoIP
• DRP
• Virtual Desktops
• Thin Clients
• Smart Cards

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Take aways . . .

• Plan - plan again - then plan some more
• Communicate, communicate but not too much
• There is a difference between education and
  communication
• Pay your own way
• Always read your audience
• Do what you say youll do

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