Informatics Strategic Plan
Status Update
July 1999

Library Resources

• Augmented electronic resource collection to include 273 full-text titles
• Expanded clinical informatics consult service to 7 critical care units
• Developed information outreach service for patients and families
• Developed customized library services for 4 VUMC research centers
• Web based reference service and FAQs

Patient care systems (projects completed and implemented during the fiscal year)

• HBOC Patient Management for Admission, Discharge, Transfer
• Medipac 3.0 for hospital billing and chart abstraction
• NT-based clinical desktop for shared work stations
• Portobello ("compiled Vegetable") for management of orderable items
• Intelligent pharmacy interface based upon clarification of provider/dispensing order boundary
• JAVA version of Wiz-order client for NT-based shared workstations
• Wiz-notes function to support template based inpatient note editing
• Wireless Wiz on MICU
• Laboratory reporting moved from Lab System to MARS
• HemoCare to provide Y2K compliant blood bank services
• Active-Card for remote access to MARS
• Radiology PACS in ED, Ortho, NSurg

Research systems

• Researcher database
• Data management for distributed clinical trials VCAN alpha

University systems

• PeopleSoft Human Resources phase 1
• PeopleSoft Accounts Payable/Purchase Orders

Connectivity

• Backbone ATM core activated, migration to switched Ethernet 1/2 complete
• Next Generation Internet- VBNS link to other Internet2 universities activated
• Virtual Private Network for non-IP dial-in traffic
• Domino/notes email implemented and all users migrated

Policy, planning, process

• Comprehensive update of the IAIMS Strategic Plan
• MC strategy based upon becoming a regional information provider & quality assurance hub
• Recruitment of Anderson Spickard to focus on education
• Report of Forum on Informatics Infrastructure to Support Research
• Confidentiality, privacy, security policies approved
• Wiring standards updated
• Managed end-user support program piloted on Psychiatry
• Reduction in network cost/node to $24/mo/node & email to .032 cents/message
• Reduction of orders & Epic downtime by >40%
• Software Oversight Committee Process activated
• All systems recoverable at Disaster Recovery hot site
• Y2K assessment and first integrated test complete, contingency planning process in place

Major efforts that are still in process 7/1/99:

Billing & financial management

• Transition of PHV to VUMC systems (went live 8/99)
• Implement Epic functionality to reduce front end errors and expedite claims management
• Implement TSI decision support for costing and profitability

Ancillary systems

• Replace 1979 CHC laboratory system with Triple G (went live 7/99)
• Outbound pharmacy interface
• Implement an integrated Outpatient Pharmacy system
• Implement a Respiratory Rx system for orders, documentation of services, and charge capture

Information support for providers

• Implement Wiz on PICU
• Added Wiz functionality - heparin protocol, Capture ICD where required for inpatient orders,
• Drug cost feedback, Blood product ordering with reason, pain management, outpatient
• chemotherapy orders, Adult TPN, attending physician update
• Wiz components - ICD completer, outpatient orders with compliance checks

• PathWorx Collaborative Care pathways Beta test and roll-out

• STARS -next generation sever infrastructure for integrated electronic record repository
• "push" reporting of laboratory data
• Document management services

• Application development infrastructure- Tengah, ObjectStore, services model of Wiz

Education

• Network based learning with Primary care clerkship
• mini med school on-line
• Roll out version 1 of ActDB Data management for distributed clinical trials in Cancer Cntr

Research

• Data management for distributed clinical trials VCAN beta

Connectivity

• Next Generation Internet - activate Abeliene point of presence (Completed 8/99)
• Perimeter firewall, support for intranet strategies, VU enterprise people index
• Adopt wiring standard on an university-wide basis, sole source wiring provider
• Revamp cable plant and communication closets
• ATM/Switched Ethernet migration
• IPX to IP migration to reduce traffic on the backbone network

Y2K test, test, test...

Key priorities going forward from 7/1/99

• Informatics Center Communications processes
• Technology Transfer - MedInformatic Inc, WebEBM, etc
• Masters/PhD program, NLM Training Grant

• Life long learning model, link between education program and quality assurance efforts
• Package and export information about best practice

• Bioinformatics faculty recruitment plan
• Bioinformatics Cores
• Research database infrastructure
• Processes to support research/Grants Management

• Core patient record (Problems, Medications, Allergies)
• Support for notes/compliance and related workflow
• Case management to reduce resource utilization >length of stay
• Purchasing and supply chain management
• Quality Improvement (Support from the bottom up)
• Support for non-professional managers

• Management of re-useable organization knowledge
• E-Commerce

Major items not in capital plan 7/1/99:

• Phase 2 and Phase 3 PACs
• Bedside Charting beyond exception reporting
• Medication Administration Reporting (MAR)