MAH MACIPA MAPS IT Retreat June 7 2013 Mount Auburn

MAH/MACIPA/MAPS IT Retreat June 7, 2013 Mount Auburn Hospital Information Technology Department Overview Bob Todd, Director IT Mount Auburn Hospital rtodd@mah. harvard. edu

Information Systems Overview n Customers ¨ Institutions’ Systems Hosted At Mount Auburn Data Center n n n ¨ Some Major Affiliates Supported n ¨ Mount Auburn Hospital BID Needham Hospital MAPS Caregroup Homecare New England Baptist Hospital Atrius Health, MIT, Harvard Univ, Lesley Univ, Joseph Smith Centers, Marino Center, . . . Over 6, 000 Active Users Are Supported by the Help Desk n Harvard University Medical School Teaching Institution ¨ ¨ ¨ n Non Staff Users ¨ ¨ n Affiliates Office Staff Vendors Agencies ¨ 18+ Mount Auburn Locations Hosted Systems ¨ ¨ ¨ n Interns/Residents – Turn over annually Surgical Residents – Turn over every 6 weeks Nursing Students Over 130 Database Applications (Meditech, PACS, Dietary, Cardiology, Sleep Center, etc) Over 100 Primary Servers (exclusive of BC/DR) Networking and Interface Links Supported Devices ¨ ¨ 2, 000+ PCs 900 Printers 200+ Smartphones/Active. Synch Non Managed Device Support for Office, Affiliate, Home. . . n Staffing n System Availability 99. 31 -99. 76% ¨ 28 FTEs

Help Desk (617 -499 -5600) n n 24 x 7 x 365 to Monitor Systems and Staff Help Line 24 x 7 x 365 Assigned On Call ¨ ¨ ¨ n Average 100 Calls/Day ¨ n Network & Servers Critical Applications Operations 70 -80% Resolved on 1 st Call Technical Work Orders ¨ ¨ ¨ Approximately 20 -30/Day 85 -90% Resolved within 1 day >1 Day Resolution n n 50 -75% Off Main Campus 25 -50% On Main Campus First Responder and Point Person for System Events Major Software Applications Have Separate Supplemental Support Staff

Organizational Chart

Supported Database Applications AICE INFECTION TRACKING HBR ED Coding MEDITECH DATA REPOSITORY NEIC RADIATION THERAPY & HEM ONC (VARIAN ARIA) ALLSCRIPTS HOMECARE HI-IQ MEDITECH DPT NORTHEAST CREDITORS RADIATION THERAPY (ECLIPSE) ALLSCRIPTS TRANSPORT SYSTEM HOMECARE SCHEDULING EXCEL SPREADSHEETS MEDITECH FA NUANCE DRAGON DICTATION-HOSPITAL RADIATION THERAPY (RADIATION ONCOLOGY) AMERICAN SIGN LANGUAGE HOMEMED Remote Homecare Monitoring MEDITECH GL NUANCE DRAGON DICTATION-MAPS RAISERS EDGE - BLACKBAUD ATHENANET IATRIC MEDICAL NECESSITY MEDITECH HIS OCTEL VOICEMAIL - A 4. 12 A RATE SETTING BIOMED MISC SYSTEMS IATRIC PDI MEDITECH LAB ONE MEDICAL PASSPORT ANESTHESIA SYSTEM REPTRAX BURSTPOINT VIDEO CONFERENCING IATRIC POI MEDITECH MAGIC OS OUTCOME SCIENCES RESPOND! EMPLOYEE HEALTH CARD: ACC PTCA PROCEDURE DATABASE IATRIC VFS MEDITECH MIC OUTLOOK EMAIL RL SOLUTIONS CARD: DPH DATA BASE IDX PMS MEDITECH MIS PACE MAKER TRACKING SYSTEM SLEEP STUDY DATABASE CARD: STS DATABASE INFOGENEIS CASH REGISTERS MEDITECH MM PANDORA SONULTRA HI-RISK OB CAREWEB INFOGRAPHIX MEDITECH MOX Parking Garage Systems SPEECHQ RAD VOICE RECOGNITION Chartm. ED INSIGHTMED OMNICARE MEDITECH MRI PATIENT SITE St Croix Workorder Management CLEAN CLAIMS Instamed Credit Card Processing MEDITECH NMI PCACE STATIT CLIPPER DPH BILLING INTERBIT NETFAX/PRINT MEDITECH NUR PCPRINT 4 SURGI VIEW VIDEO CONFERENCING CMI KAUFMAN HALL BUDGET ADVISOR MEDITECH OE PHILIPS ISITE PACS TAB HIM FOLDERS COMPLY TRACK MEDIREGS KRONOS TIME AND ATTENDANCE MEDITECH OPS PHILIPS PACS EASYVISION Talyst Pharmacy System CRANEWARE LIFESCAN SURE STRIP PLUS (GLUCOSE) MEDITECH PATHOLOGY PHILIPS PACS WISEWEB TASK+ DOCUSCAN LAB REQ TRACKING MAPS TRANSCRIPTION SERVICE (MULTIPLE? ) MEDITECH PCI PHILPS PACS EASYWEB TELCORE GLUCOSE SYSTEM Eclinicalworks MCKESSON INTERQUAL MEDITECH PCM PICIS/MSM MEDCRED TOUCH ANESTHESIA SYSTEM Escription Dictation and Word Processing MEDCOMP MEDITECH PHA PICIS/MSM MEDDIETARY TRANSCRIPTOR FORMAST AUTOMATED FORMS MEDISOLV MEDITECH PP PICIS/MSM MEDSURG TRENDSTAR FREECARE ONLINE SYSTEM MEDITECH ABS MEDITECH RAD PICIS/MSM OR MANAGER TUMOR REGISTRY GE (MARQUETTE) MUSE EKG MEDITECH ADM MEDITECH RAD-RW PTCT HOMECARE UPTODATE GLENN ASSOCIATES MEDITECH AP MEDITECH SCH PYXIS VOICEBROOK PATH VR HARVARD VANGUARD SYSTEMS MEDITECH BAR MICROMEDEX QA DEPT ACCESS DATABASE WITT BIOMED HARVEST MEDITECH BBK MIDAS QUALITY INDICATOR PROJECT SYSTEM NEHEN LITE QUEST DIAGNOTICS (FORMERLY SMITH KLINE)

Interfaced Electronic Medical Record Systems n Electronic Medical Records Systems: ¨ ¨ ¨ ¨ ¨ n All. Scripts - Homecare Athena Clinicals – OB/GYN Chartm. ED – Emergency Medicine Eclinicalworks - MACIPA EPIC – Atrius Health GE Centricity – Community Health MEDITECH – Hospital Acute Care Nextgen – Community Health Centers Point-N-Click Solutions – University Health Varian – Medical & Radiation Oncology Patient Portals: ¨ ¨ Athena Clinicals Eclinicalworks GE Centricity Patient. Site (MEDITECH and other Care. Group EHRs)

Functional Organization – Categories & Samples Major Applications Standard Applications Specialty Applications and Systems Remote Access and Non. Managed Devices Hardware and Infrastructure Project Management Business Intelligence and Data Management Committee Participation Security & Confidentiality MEDITECH MS Office Telecom, Voicemail, & Paging VPN PC, Tablet, printer, scanner Meaningful Use Data Repository Clinical Computing Audits EMRs: Chartm. ED, ECW, Athena EMAIL Teleconference and Webcast CITRIX Secure and Guest WIFI ICD-10 Report Writing Medical Informatics Advisory Group Encryption & Tracking Radiology and Cardiology PACS SQL HVAC VDI Hospital Network & Security Network Construction Interface Engine Patient Safety HITECH RL Solutions, MIDAS Open Office Sign Language and Specialty Communication Active Synch Smart Pumps Risk Assessment HIE Joint Commission HIPAA Budget Advisor Access Cash Registers MDM & BYOD Digital Signage System Selection Regulatory Reporting Financial Planning Training & Education

Care. Group Services

Mount Auburn Campus Network Concept For illustration purposes only. Not current detail.

Mount Auburn WAN Network Concept For illustration purposes only. Not current detail.

Care. Group Network

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