HTM 660System Management Planning

Professor William MillerJune 28, 2012

Bridget ChowJody Fenno

Alejandro Fernandez Katherine Jose

Frank LeonJonathan Munar

Kathleen Sullivan

It is our mission at Forest Regional Healthcare to enhance and improve health of those we serve in our community and beyond. Our goal is to provide caring quality, integrity and innovation of excellence.

Forest Regional Healthcare is to be the best health care system in the world. We will attain this position by transforming health care through aligning processes, technology, people, values and policies to continually improve. We strive to constantly seek new, innovative ways of meeting customer needs and exceeding expectations. Our value is unending focus on our patients, their families and embodying a unending dedication to our employees.

Why we are here

We have analyzed our current HIT and developed an IS tactical plan to support our strategic initiatives.

Decision making process consisted of the following criteria and weight:

Alignment with IDN goals – 37.50 Quality/Patient Safety – 25.00

Financial ROI – 13.75 Implementation/Tech Risk

– 12.50 Infrastructure – 11.25

Create a virtual medical community service arena in which medical centers, associated physicians and hospitals engage in a separate and shared EHR system.

Foster physician development and relations Develop partnership with patients and

community Promote employee relations Show value proposition (low cost consistent

with high quality, demonstrated high performance on outcomes)

Our vision is to be the top HCO in the area by adding value to the HCO and patients.

To do so, upgrades to current systems (EMR, Kronos) as well as implementation of new systems (BCMA, ODS) are needed.

Changes are necessary in order to improve patient safety, satisfaction and operation efficiency.

Community-based provider

Multi-hospital with Centers for Heart, Lung, Vascular, Cancer, and Cardiology, Women’s health , Neuro Sciences, and Orthopedics

Senior Communities for Independent and Assisted living, Long-term care

Home Care

Hospice

Staffing Agency

Nursing Homes (Joint Venture)

Healthcare IT that aligns with FRC’s own quality and cost-efficient goals and with federal programs and regulations.

Improvements in Efficiency and Effectiveness

of Care Improvements in Quality of Care Reduction in Costs of Care Improvements in Outcomes of Care Patients to have greater access to their

personal health information and to communicate electronically with their providers.

Medical staff

Communications technologies

Overemphasis on institutionalized care; fragmented funding and service delivery

Inadequate training and technical assistance; ineffective diagnostic and referral networks; limited information technology (IT) and data collection; and inadequate financial resources.

Caregiver experience diminished

Multiple meetings/conference calls were scheduled with senior management.

Took inventory of proposed IT initiatives Included new applications and upgrades to

existing systems Analyzed proposed initiatives by

reviewing: Project description/objectives Value to the organization Risks Assumptions and Dependencies

Created a chart that displayed the linkage between the proposed initiatives and our organizations goals.

Carried out a budget analysis for every initiative

Created a timeline of when the initiatives would be started and planned around interdependencies to other projects.

Research and education Patient Education Documentation Solution (PEDS) Patient Access/Patient Portal Program (PAP) ED Documentation (EDD)

Patient care and quality improvement Bar Coding Medication Administration (BCMA) Order Set Development and Implementation

(CPOE) Oncology Documentation System (ODS) EMR 5.1.8.10/6.0 Upgrade (iCare 6.0) Clinical Decision Support (CDS)(10-12 Critical) EMR 6.1 Upgrade (iCare 6.1) Medical Associates Program (MAP)

Patient care and non acute services Personal Health Record (PHR) EHR Kryptic Clinical Messages (EKCM)

Financial stability Workforce Analytics for HC (Kronos

Visionware)

GOALS TOP RANKED PROJECTS (of 15)

Physician Development & Relations

• ED Documentation• CPOE (Order Set Development &

Implementation)• EMR 6.0 Upgrade

Partnership with Patients & Community

• Personal Health Record• Patient Access/Patient Portal Program • Patient Education Documentation Solution

Employee Relations • Performance/Talent Management• Workforce Analytics (Kronos Visionware)• CPOE

Value Proposition • Clinical Decision Support (CDS)• Bar Coding Medication Administration

(BCMA)• EMR 6.0 Upgrade

Alignment with Goals • EMR 6.0 Upgrade• ED Documentation• CPOE

Methods used to disseminate news and information about the IT initiative will include:

Intranet & Internet Publications and other print materials▪ Public service broadcasts and videos

Media relations Events (special days, exhibitions, seminars)▪ Spokespersons

The Forest Regional Healthcare Intranet will enable staff to access:

IT initiative news and information in real time. New communications Glossary of terms Lists of IT professionals/contact information

Publications: FRHC eNewsletter Obtained via the Intranet or link e-mail

Also available through downloadable PDFs & direct mailings

Outreach & EventsStaff interested in IT news may attend events, seminars, and exhibitions. Seminars will be used as a communication tool for the promotion of IT initiatives.IT team can present to staff and receive immediate feedback.Allows for more detailedand technical information to bepresented.

Meeting with End Users

Keeping open channels of discussion in a structure forum

Allowing for open contact for possible process changes which may occur from time to time

Support product and service differentiation

Continuous shared planning activities

User /IS cooperation and learning

Experienced Users and IS personnel creating continuing training and sustainment

Senior management/CIO stuff

Whatever else you add…..

whatever, just trying to have three bullet points