SUNY Downstate Information Services General IS Assembly Meeting January 27, 2009 Change Has Come to Downstate 1 Agenda SUNY Downstate Information Services 10:00-10:15 Kick-Off Video 10:15-10:20 Welcome Fred Hammond 10:20 -10:30 Introduction Bert Robles 10:30-10:50 Clinical Application Ernie Weber Cont. Revenue Cycle Apps. 10:50-10:55 Customer Support Group Dilip Nath 10:55-11:05 Business Applications Rick Ramlakhan 11:05-11:15 Scientific Computing Matt Avitable 11:15-11:25 Academic Computing Greg Conyers 11:25-11:35 Biomedical Comm. Manny Bekier 11:35-11:45 Video – “Change•••” 11:45-11:55 Information Security Brian Gaon 11:55-12:05 Telecommunications Melanie Scott 12:05-12:15 Network Technology 12:15-12-25 Interoperability & Applications Tony Pagnoni 12:25-12:35 Systems Operations Robert Losonsky Change Has Come to Downstate 2 Joel Stern Office of the CIO SUNY Downstate Information Services We Heal We Teach We Discover Change Has Come to Downstate Office of the CIO SUNY Downstate Information Services Today’s Objectives Recognition of our People Reflect on our Accomplishments Our Challenge Ahead Our Professionalism & Growth Change Has Come to Downstate Office of the CIO SUNY Downstate Information Services Performance Programs • Drafts Completed –UUP Management & Staff • Completion of Performance Programs by 2/16/09 Professional & Technical Growth Plan! E-Learning SkillSoft • Extensive Courseware (800) & Referenceware libraries (4500) Interactive Courses & Certificate Programs Learning Simulations • Thousands of the latest and best business and technology books • Broad and deep coverage of over 100 different technology topics Change Has Come to Downstate Office of the CIO SUNY Downstate Information Services Gartner : World Class Research & Consulting Services 1,200 research analysts and consultants •Application Development & Integration •IT Management •Business Intelligence •Mobile & Wireless •Business Process Management •Networking & Communications Equipment •Consumer Technologies •Networking & Communications Services •Customer Relationship Management •Open Source •Data Management & Integration •Outsourcing •Emerging Trends & Technologies •PCs, Laptops & Handheld Devices •Enterprise Architecture •Security & Privacy •ERP & Supply Chain Management •Servers & Storage •High-Performance Workplace •Web Services •IT Asset Management •IT Operations Change Has Come to Downstate SUNY Downstate Information Services Announcing IS System Directory Data Base Change Has Come to Downstate Office of the CIO SUNY Downstate Information Services Change Has Come to Downstate Office of the CIO SUNY Downstate Information Services Change Has Come to Downstate SUNY Downstate Information Services Ernie Weber CAG - Computer Applications Group SUNY Health Bridge (Electronic Medical Records) Revenue Cycle Applications Group Change Has Come to Downstate 10 Clinical Applications & Imaging Group SUNY Downstate Information Services Staff Recognition • • • • • • • • Michael J. Burns, Associate Administrator Dynesdal Wint, Associate Director Richard Ajimati, Supervising Prog Analyst Tracy L. Coar, Sr. Administrative Asst. Maryam McCallum, IT Training Coordinator Eon Watts, Lead Programmer Aleksandr Roytberg, Supervising Prog Analyst Sean Bullen, Supervising Prog. Analyst Change Has Come to Downstate 11 Clinical Applications & Imaging Group SUNY Downstate Information Services Key Accomplishments for 2008 • Viasys Epilepsy Monitoring System Upgrade • CoPathplus – Implementation of Dragon Naturally Speaking Voice Recognition Change Has Come to Downstate 12 Clinical Applications & Imaging Group SUNY Downstate Information Services Key Accomplishments for 2008 • Philips OB TraceVue Fetal Monitoring System – Revision upgrade to Rev E.0.0.1 • T-SystemEV- total of four system upgrades and two revision upgrades • 3M Healthcare System –Installation of the 3M ClinTrac and Abstracting System Change Has Come to Downstate 13 Clinical Applications & Imaging Group SUNY Downstate Information Services Key Accomplishments for 2008 • Tumor Registry System Upgrade • Nurse Scheduling / System Upgrade • Cactus Physician Credentialing System • All Radiology PACS images are available on the web. Change Has Come to Downstate 14 Clinical Applications & Imaging Group SUNY Downstate Information Services Key Accomplishments for 2008 Document Imaging Management System (DIMS) • Backfile Conversion – total of 5.8 million pages scanned • 11.5 million images in our enterprise-wide system Change Has Come to Downstate 15 Clinical Applications & Imaging Group SUNY Downstate Information Services Key Accomplishments for 2008 ORSOS-Operating Room System • Implementation of Renal Division (Inventory, Scheduling and Charging) • Post case turn-around time has improved productivity and operations Change Has Come to Downstate 16 Clinical Applications & Imaging Group SUNY Downstate Information Services Key Accomplishments for 2008 GE Centricity Picture Archiving and Information System • Established workflow for Echo and Cath Lab • Established work list management for Cath Lab • Installed Cardiology Information System 1000 reading workstations Change Has Come to Downstate 17 Clinical Applications & Imaging Group SUNY Downstate Information Services Key Accomplishments for 2008 Clinical Application System Training • Cerner LIS Order Entry / Inquiry • Eagle Appointment Scheduling/ Patient Inquiry • PC Literacy • SUNY HealthBridge • Nursing Desktop Icon Training Change Has Come to Downstate 18 Clinical Applications & Imaging Group SUNY Downstate Information Services Looking Ahead 2009/2010 • GE Centricity – Cardiology Phase 1 “go-live” = 1st qtr 2009 • Morrisey System for Case Management, Denials, Social Work, Infection Control, Performance Improvement • Implementation of the Impac Radiation Oncology Management System Change Has Come to Downstate 19 Clinical Applications & Imaging Group SUNY Downstate Information Services Looking Ahead 2009/2010 • Implementation of Powerscribe Radiology Voice Dictation System • Expansion of the Document Imaging System campus-wide Change Has Come to Downstate 20 SUNY HealthBridge SUNY Downstate Information Services Staff Recognition • • • • • • • Michelle Daniels-Devore Brenda Jenkins Marva Lawrence Jeffrey Lee Henry Tseng Benjie Tudtud Alex Peskowski Change Has Come to Downstate SUNY HealthBridge SUNY Downstate Information Services Key Accomplishments for 2008 Patient Lists and Results Retrieval • Nursing units: 61, 62, 63, Dialysis. Adult Chemo. • Nursing units: 81, 82, 83, 71,72, 73,74, Epilepsy, 52. • Nursing units: 41,42, 43, RR, 31, 32, 33,34,22, 24. Change Has Come to Downstate SUNY HealthBridge SUNY Downstate Information Services Second Activation Activation of Clinical Documentation in Suite B (Family Practice) • Physician and Nurses notes • Immunization Record • Wellness schedule • Medication Profile Change Has Come to Downstate SUNY HealthBridge SUNY Downstate Information Services Looking Ahead 2009/2010 • 5.0 System Upgrade. • Pharmacy Activation • Additional Clinic Activations with new functionality including Rx Writer, Pt Tracking, and Scheduling. • Computerized Physician Order Entry (CPOE) Activation. Change Has Come to Downstate Revenue Cycle Applications Group SUNY Downstate Information Services Staff Recognition • • • • • • • Goldy Stern Izzy Chait Stuart Clenman Dilip Nath Garett King Michael Macht Parvin Tavakoli Change Has Come to Downstate • Riva Stockhammer • Dipa Nath • Joy Eisenstat • Siva kana 25 Revenue Cycle Applications Group SUNY Downstate Information Services Key Accomplishments for 2008 • Implemented new Physician NPI Set-up & UB04 Claim format, replaced UB92. • POA – Present on Admission Set-up, new data collection requirements for billing and SPARCS. • Medicaid’s New OP Ambulatory Procedure Group coding logic and reimbursement Setup for Clinic encounters. New logic for OP reimbursement like the IP Diagnostic Related Groups. • Successfully Installed and support for NDC’s ePremis product, which provides a Claim Manager and a Claim’s Clearing House. • Bay Ridge Go-Live – Registration and Billing Set-up. • We have Completed merging 40,000 patients, reducing our MPI by 20,000. This is a prerequisite to interfacing with multiple systems. • We are live with Accu-Match in the Emergency Room and Admitting areas and will be live in the OPD area by March 2009. • Eagle Support for Clintrac MR Coding System & for Lawson Implementation. Change Has Come to Downstate 26 Revenue Cycle Applications Group SUNY Downstate Information Services Looking Ahead 2009/2010 • Further rollout of APG in 2009 • Implement remainder of the Accu Match in 2009 • Implement Document Imaging Report Distribution tools to incorporate the existing FISRAS reports distribution system. • Train and Encourage users to use the document imaging system product to use for data analysis and business planning. • Implement Business Objects Data Integrator Solutions. • Migrate legacy data from dbase to Microsoft SQL environment. • Streamline information submission to various agencies including SPARCS, UHC, DOH and NYCLIX. Change Has Come to Downstate 27 SUNY Downstate Information Services Dilip Nath Customer Support Group Change Has Come to Downstate 28 Customer Support Group SUNY Downstate Information Services Staff Recognition • • • • • • Arkadiy Dvorkin Steve Fouchong Joshua Kellerman Joseph Menuau Siva Kana Gio Augustin Change Has Come to Downstate • • • • • • Nigel Robertson (New Member) Dawn Qiu (New Member) Jogy Mathew (New Member) Vicente Farias (New Member) Larin Battles (Temp) Maurice Augustin (Temp) 29 Customer Support Group SUNY Downstate Information Services Key Accomplishments for 2008 • Deployed over 500 New Devices. • Provided resolutions to over 12,000 reported incidents. • Consolidated support technicians, Desktop & 1st level applications support functions to a single point of contact. • Completed support center maturity assessments by HDI. (Help Desk Institute) • Provided professional training to most of the staffs on Windows Vista, Mac, Citrix, Customer Service Skills, and Certified several of the staff by Help Desk Institute. Change Has Come to Downstate 30 Customer Support Group SUNY Downstate Information Services Work Order Trend 5000 4500 4000 3500 3000 Impact: Average monthly request have grown from 650 to 1100 Projected Monthly CY08 Monthly Avg. CY09 Avg. 1350 1100 Request Request CY07 Monthly Avg. 859 Request CY06 Monthly Avg. 650 Request Projected Volume 2500 2000 1500 1000 500 0 Volume 4th qrt. 2006 1st qrt. 2007 2nd qrt. 2007 3rd qrt. 2007 4th qrt. 2007 1st qrt. 2008 2nd qrt. 2008 3rd qrt. 2008 4th qrt. 2008 1st qrt. 2009 2nd qrt. 2009 3rd qrt. 2009 4th qrt. 2009 1961 2543 2560 2586 2574 3132 3191 3476 3327 3610 3898 4249 4674 Change Has Come to Downstate Customer Service Group SUNY Downstate Information Services Looking Ahead 2009/2010 • Extend business hours from 8am to 8pm & by 2010 extend to 24/7/365 days. • Upgrade Track It 7.0 (incident management system) to 8.5 & implement best practice. • Introduce online customer feedback and launch self service. • Full implementation of ASCD (automated skills based call distribution) system. • Introduce ITIL methodology and KPI (Key performance indicators). • Increase remote support, and first call resolutions including mobile users. Change Has Come to Downstate 32 SUNY Downstate Information Services Enrick Ramlakhan Business Applications Group Change Has Come to Downstate 33 Business Applications Group SUNY Downstate Information Services Staff Recognition • Janet Karageozian • Ivan Vasquetelles • Elizabeth Schwartz • Herve Blemur • Vicki Marsan Change Has Come to Downstate 34 Business Applications Group SUNY Downstate Information Services Key Accomplishments for 2008 • • • • DMC Lawson Supply Chain Team – Implemented the following applications for DMC RX: • Mobile Supply Chain Implementation • GHX / EDI (Electronic Data Interchange) • Requisition Self Service Implementation (RSS) • Electronic Recognition to Purchase Order Process DMC Lawson H R Team • Transitioned over to SUNY HR from PDS (Personal Data System) • Daily XML imports of SUNY HR transactions for load to Lawson DMC Lawson Finance and G/L Team • Lawson G/L Go-Live on January 1, 2009 DMC Information Services • Building custom interfaces and solutions to fit Lawson for DMC • Maintaining the multiple technologies and platforms required for Lawson Change Has Come to Downstate 35 Business Applications Group SUNY Downstate Information Services Looking Ahead 2009/2010 • Lawson Supply Chain Rollout July 1, 2009 • Interface SUNY DMC Purchase Orders with SUNY Admin • Implement Lawson Supply Chain Management for Central Stores • Begin Requisition Self Service rollout for select departments • Lawson Business Intelligence Roll Out 3rd Q 2009 • Dashboard Reports • Smart Notifications • Process Flow • Lawson Budget and Planning Roll Out 4th Q 2009 Change Has Come to Downstate 36 SUNY Downstate Information Services Matthew Avitable Library Systems and Scientific Computing Change Has Come to Downstate 37 Scientific Computing SUNY Downstate Information Services Staff Recognition • Dr. Jay Weedon • Mr. Fred Houston • Ms. Patricka Brown Change Has Come to Downstate Library Systems SUNY Downstate Information Services Key Accomplishments for 2008 • What happened this year • Cell phone coverage in the lower level of the library • Transition to Macintosh desktop systems for Library staff • Virtual system for Microsoft applications • Parallels • VMFusion • Library admin servers now running MAC OS X Change Has Come to Downstate Scientific Computing & Library Systems SUNY Downstate Information Services Looking Ahead 2009/2010 • Completion of Server Room (EB16) • eCommerce contract finalized and implemented • Implementation of XenApps (Citrix Virtualization) • High hopes for a High Performance Computing System Change Has Come to Downstate SUNY Downstate Information Services Greg Conyers Academic Computing Change Has Come to Downstate 41 Academic Computing SUNY Downstate Information Services Staff Recognition • Educational Computing • Jim Neill • Brett Laurance • Lucien Frederic • Web and Systems • Damian Alleyne • Kenz Adai • Banner • Sophie Christoforou • Banner team leaders Change Has Come to Downstate • Student Information Systems • Dina Britan • Jimmy Chin • Vira Fedoriv • Kevin Chia • Glenn Thomas • Administrative • Omesha Paschal Academic Computing SUNY Downstate Information Services Key Accomplishments for 2008 Banner • Self serve Admissions Phase 1 • Commencement data collection • Health Insurance waiver • Enhancement of Discover reporting • Clinical Rotation scheduling • Admissions interview scheduling • Finalized data migration Change Has Come to Downstate Academic Computing SUNY Downstate Information Services Key Accomplishments for 2008 Academic Computing • Graduate Medical Education (GME) Software selection • Document imaging of Academic Administration records • Continued Development of Sharepoint Pilot for IS • Assume responsibility for development and management of Academic VMware Change Has Come to Downstate Academic Computing SUNY Downstate Information Services Key Accomplishments for 2008 Educational Computing (Jim Neill) • • • • • • Installation of 108 Computers Upgrade of Angel Courseware and Modifications Clicker introduced into curriculum Projector installations Acquisition of Smart-boards Gross Anatomy Lab : Video Cameras /Computer and AV displays • Turnitin anti-plagiarism software • Remote administration of public computers Change Has Come to Downstate Academic Computing SUNY Downstate Information Services Key Accomplishments for 2008 • Educational Computing (Jim Neill) • Installation of teaching software suite for faculty • Acrobat • Photoshop elements • SPSS • Assessment of Academic technology needs throughout the 5 colleges • Development of online tutorials for faculty and students • Upgrade of Adobe Connect Web meeting software (Breeze) • National Board of Medical Examiners (NBME) on-line exams for College of Medicine (COM) clerkships Change Has Come to Downstate Academic Computing SUNY Downstate Information Services Looking Ahead 2009/2010 • DR Planning • Technology integration into COM curriculum • MS 1 students will be required to purchase laptops for use with • Virtual Microscopy • Computerized exams • Installation of smart boards in carrels • Clinical data Collection for Students using GME Software Change Has Come to Downstate Academic Computing SUNY Downstate Information Services Looking Ahead 2009/2010 • Lecture Capture/Podcasting • Production rollout of Sharepoint • Banner • • • • • • Credit Card Payment add-on to Banner Admissions Phase 2 Complete online application Banner 8 upgrade planning Integrated self service Angel courseware integration • Deployment of room scheduling software for departmental use Change Has Come to Downstate SUNY Downstate Information Services Manny Bekier Biomedical Communications Change Has Come to Downstate 49 Biomedical Communications SUNY Downstate Information Services Staff Recognition • Web Development – John Zubrovich, Aaron Cormier, Don Stankalis • Digital Signage – Frank Fasano • Graphic Design/Print Production - Bruce Kuo, Richard Kipper, Frank Fasano • Video Production & Videoconferencing – Louis Ebarb, Ustinov Luke • Photography Unit – Ernest Cuni, Marcos Lainez • Administrative Assistant- Lila Jones Change Has Come to Downstate 50 Biomedical Communications SUNY Downstate Information Services Key Accomplishments for 2008 • Web Development • • • • Launch of New Campus Wide Website 2/14/2008 Content Management Installation and Training (45 Depts.) 32 New Websites & 21 Websites in Development Campus Publications (Research, Hospital, Academic) ( ie. Health Reports, Profiles in Innovation Research Downstate) • Video Conferencing • • Participate in regional an international video conferences Weekly Grand Rounds (Maimonides, Lutheran and LICH) • Video Production goes High Definition • • • • 81 Health Center Productions (for NYC, Queens, B’klyn Cable TV) Digital Signage System Poster Sessions (185 Research Poster Sessions) Sesquicentennial Biomed Sub-Committee • Website ( Historical Time Line), Video Production, Banners, Promos Change Has Come to Downstate 51 Biomedical Communications SUNY Downstate Information Services Looking Ahead 2009/2010 • Technology Awareness to our Faculty • • • • • and to our Affiliates Digital Asset Management Digital Signage (Phase 3) Web Development Automated Poster Session Production Department Marketing Plan Change Has Come to Downstate 52 SUNY Downstate Information Services Brian Dennis Gaon Information Security Group (ISG) Change Has Come to Downstate 53 Information Security Group (ISG) SUNY Downstate Information Services Staff Recognition • David Fox – Lead Security Engineer Enhanced Help Desk remote desktop user support solution. • Robert Williams – Network Engineer vmWare management and tactical support. • Paul Liang – Network Engineer (new member) Change Has Come to Downstate 54 Information Security Group (ISG) SUNY Downstate Information Services Key Accomplishments for 2008 • vmWare enterprise infrastructure o (server consolidation / virtualization) • SMS o (asset management of servers) • E.A.R.S. o (Emergency Alert & Response System) Change Has Come to Downstate 55 Information Security Group (ISG) SUNY Downstate Information Services Looking Ahead 2009/2010 • Downstate OneCARD initiative o Identity Management (roles-based access controls) o Reduced Sign-On to enterprise applications o Session Resumption Management (nursing workstations) o eCommerce intergration (copiers, vending, cafeteria, laundry) Change Has Come to Downstate 56 SUNY Downstate Information Services Melanie Scott Telecommunications Change Has Come to Downstate 57 Telecommunications SUNY Downstate Information Services Key Accomplishments for 2008 • Partial Implementation of Web Xchange on-call scheduling Change Has Come to Downstate 58 Telecommunications SUNY Downstate Information Services Looking Ahead 2009/2010 • • • • • • Complete Web Exchange Complete Comview Billing Complete Station Review PBX upgrade Institute Cellular policy Enhance Cellular access in authorized areas throughout the institution Change Has Come to Downstate 59 Telecommunications SUNY Downstate Information Services • Total number of lines managed by telecomm: 2006/2007 -- 6272 2007/2008 -- 6510 2008/2009 -- 7574 • Page Calls per Console per month: 2006/2007 -- 956 2007/2008 -- 1526 2008/2009 -- 1563 • Calls per Console per month: 2006/2007 -- 974 2007/2008 -- 1340 2008/2009 -- 1657 Change Has Come to Downstate SUNY Downstate Information Services Joel Stern Network Technology Group Change Has Come to Downstate 61 Network Technology Group SUNY Downstate Information Services Staff Recognition Data Communications • Jason Wei, Scott Huang, Salvador Morales Virus Protection & Patching • Prabhat Gupta Email • Lin Wang, Sean Davis Network Cabeling • Robert Williams • Adrienne Jackson Change Has Come to Downstate Network Technology Group SUNY Downstate Information Services Key Accomplishments for 2008 • Implementation of SONET Ring (fiber optic communications) • 100% Increase in Internet Capacity Back-Up & Load Balancing • Wireless Hospital Network • Upgrade of Core HSEB/Academic Network • Complete Upgrade of Hospital Network • New Switches • Upgraded Expanded closets • Increased Fiber Capacity Change Has Come to Downstate 63 Network Technology Group SUNY Downstate Information Services Looking Ahead 2009/2010 • Downstate at Bay Ridge Network • 100% Increase in Internet Bandwidth + Diversification • Virus Protection Upgrade • Internet Bandwidth Shaping • Implementation of Network Redirection Change Has Come to Downstate 64 SUNY Downstate Information Services Tony Pagnoni Interface/InteroperabilityApplications Change Has Come to Downstate 65 Interface/Interoperability SUNY Downstate Information Services Staff Recognition • Kam Lee • Yuri Rojankovski • Tim Cheung Change Has Come to Downstate 66 Interface/Interoperability SUNY Downstate Information Services Key Accomplishments for 2008 Interfaces NYCLIX 3M Chartlink PatientKeeper Centricity Dentrix Eclipsys Pharmacy interfaces to Robot and Pyxis using eLink Interoperability Support Eagle Merge Messages across multiple systems Extract Allergies from SCM and send as HL7 to pharmacy systems Monitoring Programs written Email notification when messages are rejected by Eclipsys Email notification when any HL7 feed is problematic Change Has Come to Downstate 67 Interface/Interoperability SUNY Downstate Information Services Looking Ahead 2009/2010 Interoperability Single Registration for all systems Upgrade Eagle HL7 outbound ADT interface to version 2.3 Implement Eagle HL7 ADT inbound interface Eclipsys Inbound ED Documents, Cardiology Results, STAR OP EMR Documents PACS images such as cardiology images, radiology images Ordering Pharmacy ordering Radiology bi-directional order interfaces Lab bi-directional interfaces Outbound Real-time HL7 Allergy interfaces to pharmacy systems NYCLIX ED T-system Documents, Cardiology Results Eagle Charges Pharmacy, Cardiology, Dentrix, MUSE Change Has Come to Downstate 68 Applications SUNY Downstate Information Services Staff Recognition • • • • • • Chuck Davis Metin Takil Malik Sharif Shen Meen Liu Steven Smoland Steve Liang Change Has Come to Downstate 69 Applications SUNY Downstate Information Services Key Accomplishments for 2008 • • • • • • Expansion Budget Application XML SUNY HR Feedbacks SUNY data transformations Lawson Lawson PDS Reporting I.S. Systems database Enhanced Policy & Procedures web site Change Has Come to Downstate 70 Applications SUNY Downstate Information Services Looking Ahead 2009/2010 • • • • • O/R Reservation System SUNY data transformations Lawson Lawson Budget Application Web Services Blood Bank XML database Change Has Come to Downstate 71 SUNY Downstate Information Services Robert Losonsky Systems/Operations Change Has Come to Downstate 72 Systems/Operations SUNY Downstate Information Services Staff Recognition • Database Administrator (Frank Luo) Oracle expertise • Systems Administrator (Philip Sills) Mainframe, TSM expert • Systems Administrator (Harold Irvin) proven problem solver • Systems Administrator (Herman Chen) Citrix, AIX talents • Systems Administrator (Igor Soshnik) Citrix, SQL enabler • Operations provide 7x24 coverage Change Has Come to Downstate 73 Systems/Operations SUNY Downstate Information Services Key Accomplishments for 2008 • Environmental Controls • Storage and Backup Centralization • Automated Tape Library w. Offsite Change Has Come to Downstate 74 Systems/Operations SUNY Downstate Information Services Looking Ahead 2009/2010 • Storage technology: snaps, mirroring, replication, thin provisioning, CDP(Continuous Data Protection) • Large Systems technology: Capacity backup • Citrix desktop • Complete Provisioning Change Has Come to Downstate 75 Office of the CIO SUNY Downstate Information Services 7 C’s for Information Services Competency Commitment Communication Collaboration Cooperation Consideration Customer Service Change Has Come to Downstate SUNY Downstate Information Services Thank You All! Change Has Come to Downstate 77