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The Informatics Center's FY1999 Budget addresses key goals from the various plans, as summarized below. A listing of major on-going projects by application area is shown in Table 4. Table 5 shows major on-going infrastructure projects.
Four enterprise plans (VSM, VSN, VMG, VHS): Nine of 46 desired informatics-related capabilities:
- Searchable database of faculty methods and expertise
- Assist clinical investigators in developing patient databases
- Support patient management across practice sites
- Coding standards for clinical data
- Support for disease management
- Models to handle severity adjustment, costs, productivity
- Data to support outcomes research
- WWW page of VU research news, postdoctoral positions
- WWW page of clinical research initiatives
VMG Informatics Group: Eight of the top ten priorities
- All clinical notes and testing reports in electronic form are available in MARS
- Emergency room clinician notes are available in MARS
- MARS accessibility by physicians
- Core clinical database
- WizOrder printout
- Improved WizOrder interface
- Computerized office patient record
- Outcomes analysis tools
Clinical Enterprise: Two of two informatics-related goals in the top ten
- Support for analysis of profitability and quality
- Expand MIS network capacity and reliability
Education initiatives within VSM and VSN:
- The Informatics Center will support these initiatives outside of the shared funding.
Additional funding may be requested prior to the end of FY1999 to support use of the EPIC systems to support MSO functions and to implement plans for continuous availability. Support for managed care and capitation and support for grants management are not included in the proposed FY1999 budget.
| Table 4: Major Current Projects by Application Area |
| Patient Management/Billing Systems |
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- EPIC Middleware enhancements
- Replace SMS/Invision ADT with HBOC Patient Management
- Upgrade Hospital billing, chart abstracting to Medipac 3.0
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| Orders/Pathway Management |
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- Window-NT based version of Wiz
- Transition from paper notification to notification engine/acknowledgement
- Pathway database, pathway costing, standard charting· Externalize service master and health terms dictionary
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| Electronic Patient Record |
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- Fault tolerant data feeds and storage
- Problem list roll out
- Anesthesia: Pre/Peri-operative charting
- Cardiology databank
- H&P and progress note templates, ED, Simon
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| Decision Support |
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- Data model/clean-up, reimbursement proxy
- Long-term repository, decision models, query interface
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| Clinical Support Areas |
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- Lab reporting & cumulative summaries to MARS
- Replace lab system, anatomic path, blood bank
- Intelligent orders/pharmacy interface
- Outpatient pharmacy
- Radiology PACS - ED, Ortho, Nsurg
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| University Administrative Systems |
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- Human resources
- Accounts payable
- Purchasing
- Year 2000 upgrades
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| Table 5: Major Current Infrastructure Projects |
| Information Management Components |
| |
- Enterprise patient index, patient look-up algorithm
- Clinical universal work station desk top, remote configuration and management
- Single sign-on directory services, subscription function
- Hardware token for authentication, remote access
- Database middleware, graphical query environment, database host
- Notification engine, generalized external tables, terminology server
- WWW server framework
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| Infrastructure Development |
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- Network capacity, redundancy, security, Internet II
- System software upgrades
- Print management
- Server management, E-mail migration, redundant processors and disks
- End-to-end monitoring, groupware, web-based documentation
- Data center re-engineering, disaster recovery, satellite data center
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| Planning/Process Development |
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- End user Managed Support Program (MSP)
- Change control, help desk, problem tracking, unit-based support team
- Medical record visioning
- On-line library resources
- Consumer health information
- Learning network
- Policy formulation: confidentiality, access, security
- Software Oversight Committee
- Year 2000
- Methodologies: process documentation, application development, architecture
- Staff development
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