IT@JH
Patient Management
Systems
Team
Sherrie Szekalski
Director
Thank you
for spending your lunch
time learning about the
Patient Management
Systems team!
What I’ve been ask to tell you:
Function of my team
The projects we support
Where we fit within the Hopkins Institutions
Types of positions in the group
Qualifications required for positions in the group
Pictures, with names, of group members
Patient Management
Systems Team Mission
We support JHH systems for:
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Patient Identification
Outpatient Scheduling and Registration
Admitting
Bed Management
Document Image Capture
Hospital Billing and Coding
Self-service Kiosks
Denials and Appeals
Executive Information
Integrated Patient Experience
Pre-visit
Forms – other
forms – Med
List
Appointment
On-going
Communications
between patient
and physician,
office, and hospital
services
Pre- Registration
Pre-service
Instructions
Education – Require
Sequence of Tests
Request and
Scheduling
Day of
appointment
Patient checks in
Patient - Hospital Check-in
Self Registration
Office Visit
Check-in
Examination
Lab Draw
Clinical Data
Collection –
On-line
Dictation
Hospital Services
Requested –
Scheduled or unscheduled
Results to
Patient
Virtual patient Radiology Exam
List – Active
Surgery
Patients
Lab Draw
Exception
Clinical Data
Reporting –
Collection –
Results
On-line
Other?
Dictation
Hospital Staff Virtual Patient List
– incoming patients
Pre-scrub data
Verify Sequences
Manage Resources
On-line
Order Form
Completed
and
Forwarded
So … who we think we are…
Who we really are…
We juggle projects and priorities
And….
We connect systems to share data
And…
We communicate, communicate, communicate
What is Patient Identification?
• Selecting the right patient ensures patient safety:
– Identifying the right patients allows the clinicians to pull the
correct medical history
– A sophisticated search algorithm is used to search through 4.5
million patient records.
– Linking patients across Johns Hopkins Medicine will allow for
retrieval of medical history across the JHM family.
• Systems:
– Quadramed – a vendor application which provides the searching
algorithms
– PID - a “homegrown” application which assigns the patient’s
medical record number
What is Outpatient Scheduling
and Registration?
• Schedules a patient with the right department and care provider in
the desired time slot
• Captures registration information to prepare the clinician for seeing
the patient
• Captures important insurance information to ensure that the services
are successfully billed
• System: Epic
What is Admitting?
• Captures information for patients admitted to the Hospital:
– Demographic information - who is this patient, where do they
live?
– Insurance information – who will we bill for this Hospital visit?
– Where is the patient located in the Hospital?
• Systems:
– SMS ADT is currently in use
– Keane ADT will replace SMS ADT in July, 2010
What is Bed Management?
• Captures information for all patients currently admitted to the
Hospital:
– Who is in each bed in the Hospital?
• Allows patients to be transferred to another clinical service or bed.
• Provides a discharge function for when the patient leaves the
Hospital.
• Provides a Hospital-wide view of current occupancy to plan for
incoming patients.
• System: EBB – a “homegrown” system
What is Document Image
Capture?
• Captures scanned documents:
– For outpatients – picture ID, insurance card, referral form
– For inpatients – pre-admission test information from other
providers
– For other business functions, including HR, Accounts Payable,
and the Executive Offices.
• Patient data is integrated with the EPR for access by clinicians
• System: Documentum AX. System is also known as WebX, EDMS,
Legato, and OTG.
What is Hospital Billing
and Coding?
• Produces bills for Hospital services for:
– Insurance companies
– Patients
• Tracks the Accounts Receivables for JHH
• Processes payments from insurance and patients
• Codes the services provided to using national standards – ICD-9,
DRG, CPT-4
– For billing to insurance
– For regulatory reporting
• Systems:
– Keane is used for Hospital Billing
– HDM is used for coding
What is the Self-service Kiosk?
• Allows patients to:
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electronically check-in in a clinic upon arrival
review and change demographic information
review insurance information
scan insurance cards and referral forms
review and accept the outpatient agreement form
• System: Vecna
What is Denials and Appeals?
• Tracks:
– Payor denials for payment
– JHH appeals to payors in response to denials
– Medicare audits to verify medical necessity for treatments
provided to patients
• System: Morrisey
What is the Executive
Information System?
• Provides access to consolidated financial, administrative
and clinical data for decision support.
• System: TSI
Org Chart
Director
Sherrie Szekalski
Staff Assistant
Pam Thompson
Manager
Tony Greico
Manager
Walt Frizzell
Project Lead
Kathy Gonano
Project Lead
Pam
Mioduszewski
Positions in our team
Programmer Analyst
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Work requires an understanding of a variety
of technical skills, based on the vendor or
homegrown system supported. Some of
these skills include MS SQL, Oracle, Visual
Basic, Cobol, CICS, Mumps.
Work also requires analytical ability to study
a problem, and create a specification
document for a solution.
There are four levels to this position:
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Programmer Analyst A
Programmed Analyst B
Programmer Analyst C
Programmer Analyst D
Educational and experience requirements
increase with each level of position.
Project Leader
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Responsible for coordinating, and providing
experienced leadership to software projects
from planning to implementation of various
departmental or enterprise wide
applications.
Bachelors Degree + 5-7 years experience.
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Project Coordinator
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Assists with special projects and project
budgets. Also performs administrative
tasks.
Tony’s Team
Tony Greico
Diana Knight
Project Leader
Keane and SMS
Keane and SMS ADT Team:
Bob Horst
Linda Anakaraonye
Michelle Moore
Sandy Webster
Tony’s Team
Tony Greico
Harold Felinton
TSI Analyst
EBB Team
Dawn Chiafari and Kathy Weininger
Walt’s Team
Walt Frizzell
Nancy Shipley
Project Leader
Quadramed and PID 2020
Marc Peters
Project Leader
Documentum AX
George Baier
Project Leader
HDM and Morrisey
Walt’s Team continued
Bill Gary
Epic Data Warehouse Analysts
Pete Hajewski
Donna Young
Stephany Gilbert
Sofiya Weinman
Evelyn Nyarko-Ahlijah
Kazue McHugh
Kevin Johnson
Charlene Nelson
Rob Dunham
PID 2020 Analyst
The EPIC and Kiosk
Teams
Kathy Gonano
Epic Project Leader
Pam Mioduszewski
Kiosk Project Leader
Kara Morton
Epic Analyst
Becky Forrester
Kiosk Analyst
Administrative Support
Pam Thompson
Project Coordinator
Team Director
Sherrie Szekalski
Patient Management Systems
BS in Business Administration,
IT Concentration
30 years with IT@JH
Any Questions?
Thanks for Listening!