#1

Medical School Support for IT, Informatics, Teaching and

Learning, and Web Communications

Ted Hanss

Chief Information Officer

1 November 2011

Copyright 2011 The University of Michigan. This work is licensed under the Creative Commons Attribution 3.0

United States License. To view a copy of this license, visit <http://creativecommons.org/licenses/by/3.0/us/>.

#2

Agenda

• Background to restructuring

• Progress

• Strategic Directions

• Next Steps

#3

Background

• Previously, most IT support was department based

• Technology, organizational, and compliance considerations drove the summer 2010 restructuring proposal

• Implementation started in fall 2010

#4

The New Organization

#5

Medical SchoolChief Information Officer

Ted Hanss

Medical SchoolChief Information Officer

Ted Hanss

Medical SchoolDeputy CIOCindy Wells

Medical SchoolDeputy CIOCindy Wells

NCRC IT OfficeKevin Smith

NCRC IT OfficeKevin Smith

Educational Technology

ServicesCraig Breil

Educational Technology

ServicesCraig Breil

MLearningBarbara Eckstein

MLearningBarbara Eckstein

Michigan MultiMediaSam Keith

Michigan MultiMediaSam Keith

Multimedia Development

Chris Chapman

Multimedia Development

Chris Chapman

CCDU IT CoreJim Cavalcoli

CCDU IT CoreJim Cavalcoli

Medical SchoolChief Administrative Officer

Jim Bell

Medical SchoolChief Administrative Officer

Jim Bell

Enabling Technologies

Erik Hofer

Enabling Technologies

Erik Hofer

Applications and Information Svcs

Mary Hill

Applications and Information Svcs

Mary Hill

Solutions CenterJack Kufahl

Solutions CenterJack Kufahl

Medical SchoolChief IT Security Officer

Brett Miller

Medical SchoolChief IT Security Officer

Brett Miller

Cancer CenterFrank ManionCancer CenterFrank Manion

MICHRJim Maszatics

MICHRJim Maszatics

#6

Strategic Directions

#7

Trends

• Team science: P30s, collaborative R01s

• Infrastructure demands: storage, connectivity, compute cycles

• Technology: virtualization, mobility

• Solution approaches: partnerships (UMMS, UMHS, health science schools, other schools and colleges, ITS, and externally)

#8

Research Strategic Priorities

• Basic research IT support, desktop to HPC

• Clinical and translation research IT support

• Integrated enterprise data strategy for research

• Research administration IT support

• Policies and infrastructure to enable collaboration locally, nationally, globally

• People/resource discovery, data sharing and analysis, work flow, communications

From UMHS IT Strategy Report

#9

Education Priorities

• Establishing the “learning health system”

• Learning management and learning content systems

• Electronic portfolios

• Enhanced learning environments, including simulation

• Enterprise-wide learning architectureFrom UMHS IT Strategy Report

#10

Selected Proposed Deliverables

Research:

•Phase 1 federated research data warehouse

•BRCF IT infrastructure updated

•Enterprise CRDMS/CTMS

•“100,000 sample” scale biorepository in place

•Consolidation of most research clusters

•Research patient portal in production

Education:

•New LMS platform for all learners

•Portfolio system for all learners

•Virtual reality-enabled simulations in use

•State of the art learning spaces in renovated THSL

Infrastructure:

•Virtualized desktops

•Petabyte-scale data storage architecture and service

•Consolidation of data centers complete

•Database-driven web communications system

•50% of applications fully mobile-enabled

Research:

•Phase 2 of federated research data system

•“1,000,000 sample” scale biorepository in place

•Computation and storage provisioned on-demand

Education:

•Integrated evidence chain from intervention to patient and population outcomes

Infrastructure:

•Exabyte-scale data storage architecture and service

•100 gigabit/second network backbone

•Tele-immersive videoconferencing available in all buildings

•100% of applications fully mobile-enabled

2016 2021

From UMHS IT Strategy Report

#11

Ted HanssChief Information OfficerUniversity of Michigan Medical Schoolted@umich.edu+1.734.998.0086

#12

Enterprise Data Vision

#13

An Enterprise Data Vision

Operational Management(Historical. E.g., quality, billing, reporting etc.)

Biomedical Research & Education

Trials

Quality Reports

Clinical Data Warehouse1.CAD2.QMP

3.‘HSDW’4.Clarity

5.Others……..

Comparative Effectiveness

Research

Population Research

‘Omics RepositoryAdministration

Systems

Patient Care(Electronic Health Record)

Multiple Clinical Systems

Research WarehouseClinical Data Repository

External Organizations

External Organizations

• Honest Broker• De-Identification• Anonymization

• Consents• Identity Management• Vocabulary Mapping

Financial Reports

From UMHS IT Strategy Report

#14

BiomedicalEngineering

HistoricalData

Research Data

Management Systems

Registries

OpenClinica

Velos

BioDBX

RedCAP

Research Data Warehouse

Messaging Bus, ETL & External Collaboration Services (SOA, caGRID, SHRINE, ...)

Vocabulary & Terminology Mapping Services (ICD-9/10 SNOMED, IMO, caDSR, ...)

Research Admin.

Systems

Common Identifier Services (Patient, Provider, Research, Specimens, External Mappings)

HIPAA/IRB Services (Honest Broker, De-ID Consent Management, …)

Epic Clarity

Patient Care Systems

CentricityDocumentatio

n

Radiology

Pathology

Pharmacy

CareLink/Eclipsys

Others…

Scheduling

Revenue Cycle

Emergency Med.

Ambulatory

Research CoreFacilities/‘Omics’

Data Sharing with External Collaborators

CTSAscaBIGTCGA

Epic EHRLegacy +

ULAM

TissueBiorepositories

Metabolomics

Proteomics

Bioinformatics

Next-Gen Sequencing

Bioinformatics and Systems Biology Workbenches

Collexis

eThority (billing)

ClickCommerce

(IRB)

Research Pre, Post-

Award

Pharma/Biotech

I2b2/SHRINE

Others …

Demographics

Diseases

Individuals

Populations

Po

rtals / Pro

viders, P

ayors, P

. Health

Datab

ases / HIE

s / NH

IN

IT S

ER

CU

IRT

Y

Cam

pu

s S

yste

ms

IT S

ecurity

HSDW

i2b2

High PerfCloud

Computing & Data Storage

IT S

ecu

rity

• Reporting• Visualization• Analysis &

• Data Mining

IT S

ecurity

Research & Quality Metrics

Data Marts

Brian Athey& ECRIT 1/11/11

Health Sciences Library

Resources

NIH-Specific &External Data

Resources(PubMed, GenBank,

KEGG, GO, etc.)

SPORES

Others

CIDSSAnalytics

& Reporting

Tools

QualityMetrics

Reporting &

Peer Review

Education

CADCDREducation

KnowledgeRepository

Research Administration

Data Warehouse HIM

Others…

M-Pathways

CTools/Sakai 3

Curriculum Evaluation System

Clinical Scheduling

ComprehensiveClinical Assessment Exam

Admissions

UMHS Data Architecture Unifying the Three Missions:A Vision for Education, Research, & Patient Care

Int’l

#15

UMMS Device Support Packages

• Mac, Windows, mobile, and Linux platforms• Data backup • Distribution and management of software and

licenses• Development of HITECH ‘Safe Harbors’

– Encryption– Managed logon/logout– Remote data destruction upon device loss

#16

Device Support Scaling

2008 2009 2010

Customers MSA, EVPMA + BioChem, Physiology, ULAM

+ CAR, HG, IM-MM&G, Brehm,

NCRC

Tickets/month 625 1166 2000

Device support staff 5 8 13

% managed devices 75% 35% 5-10%

Key locations 5 10 20+

#17

NCRC Scaling