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June/July 2005
In this issue |
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The Health Care Information System
project |
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Advisors
Ralph D. Feigin,
M.D.
Physician-in-Chief
Texas Children's Hospital
Professor and Chairman
Department of Pediatrics
Baylor College of Medicine
Robert W. Warren, M.D.
Medical Director, Rheumatology Service
Medical Director,
Information Services
Assistant Medical Director, Ambulatory Services
Texas Children's Hospital
Associate
Professor of Pediatrics, Baylor College
of Medicine
Joseph A. Garcia-Prats,
M.D.
Neonatologist
Texas Children's Hospital
Professor of Pediatrics and Professor of Medical Ethics Baylor
College of Medicine
Editor
Cindy Shanley
Marketing and
Public Relations
Texas Children’s Hospital
832-824-2180
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For members of the Texas Children's Hospital medical staff
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From
the medical staff president
The Health Care Information System
project
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Robert W. Warren
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This June 2005 issue of Progress notes is a busy one. Dr. Feigin addresses the hospital's strategic planning work, as well as the outstanding results of the National Resident and Intern Match for Baylor Pediatrics and Texas Children's. Rosie Valadez-McStay, director of Government Relations, reports on the final days of the Texas
legislative session.
Other articles focus on new programs in the hospital. “Helping All of Us with Hospitalized Children” by Bonnie Geld, director of Care Management and Social Work, and Dr. Yong Han, describes the new Care Management program. “The Electronic Baby Locator” helps us find newborns among the 140 beds in NICU Levels II and III.
Dr. Jesus Vallejo takes us from bench to bedside with descriptions of his research into the molecular pathogenesis of sepsis-induced myocardial infarction.
And finally, we are initiating “medical staff news” ... brief updates from multiple sources, including hospital leadership, medical staff committees and the physician-in-chief.
For myself, I take this opportunity to expand on my May 10, 2005, quarterly medical staff meeting report to you all that we've launched our Health Care Information System (HCIS) project. Senior physician and hospital leadership agree that we need an
integrated (inpatient and outpatient), enterprise-wide electronic medical record that supports these critical goals:
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Access to Care: Exemplary customer service and improved health facilitated by seamless access to health care are provided to all patients/families.
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Communication: Relevant,
accurate information is seamlessly communicated between members
of the care team, including the patient and family.
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Data Collection & Access:
Ubiquitous access to timely, comprehensive patient information
is available anytime, as facilitated by logical, efficient and
intuitive collection of useful multidisciplinary data from all
sources.
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Decision Support: Easily
accessible clinical pathways and order sets, as well as
context-sensitive, up-to-date knowledge sources and advanced
clinical decision support tools, including artificial
intelligence engines, are easily referenced during the care
process.
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Analysis & Reporting: All
patient data are available for timely evaluation using robust,
easily accessed analytic tools to support the highest quality
patient care, research and/or education.
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Clinical Research Integration:
Clinical research data are collected, aggregated and
appropriately accessed utilizing defined research protocols as
an integrated part of the clinical care process.
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Education: Data collected
during the clinical care process supports the development and
utilization of new teaching models, tools and knowledge sources
to support the continual learning of the members of the care
team.
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Revenue Cycle: Optimized
billing and collections are facilitated by the collection,
documentation and communication of accurate and complete
information at the point of contact.
We all know that meeting these goals is about far more than buying electronic medical record software; it's about integrating that HCIS system into our clinical care processes and improving those processes where appropriate. We will look to an experienced consulting group to help smooth that path.
So, through the work of the Information Management Executive Committee, which includes physician and hospital leaders, and particularly its Clinical Subcommittee, which is a multidisciplinary group, we've begun the journey toward an integrated health care information system that meets these goals. We had preliminary and very high-level discussions here at Texas Children’s with the two leading pediatric HCIS vendors, Cerner
and Epic, on May 24 and May 31, respectively. The Medical Staff
Medical Executive Committee heard the outline of our coming
selection process at our meeting on June 7. In summary, our two candidate vendors will respond to our questions and conduct multiple demonstrations beginning in July and continuing for a number of months, anticipating an HCIS system selection by the end of 2005. As this effort quickly picks up speed, the medical staff will be hearing more – and many of you will be asked to participate in the system and clinical process reviews that will make this a success. Thank you all for your enthusiasm, participation and patience in this major effort to improve health care for our children.
Robert W. Warren, M.D., is the 2005 president of the medical staff; medical director, Rheumatology Service; medical director, Information Services; and assistant medical director, Ambulatory
Services at Texas Children’s. He also is associate professor, Department of Pediatrics, at Baylor College of Medicine.
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Grand Rounds calendar
8:30 a.m., Fridays,
Texas Children's Hospital,
lower-level Auditorium
unless
otherwise listed.
June 10
Update on Inflammatory
Bowel Disease
Anthony P. Olive, M.D.,
Assistant Professor
of Pediatrics
June 17
The Urinalysis and Other
Readily Available Tests for
Renal and Urological
Disease
Eileen D. Brewer, M.D.,
Professor of Pediatrics
June
24
Persistent Bioaccumulative
Chemicals in the
Environment as
Developmental
Neurotoxicants
Lynn Goldman, M.D., MPH,
Professor, Environmental
Health Sciences, Johns
Hopkins Bloomberg
School of Public Health
July 1
Holiday weekend
July
8
What’s New in Pediatric
Anesthesiology
Dean B. Andropoulos, M.D.,
Associate Professor,
Anesthesiology and of
Pediatrics
July
15
Clinical Pathological
Conference
July
22
Update on Gastroschisis
Carol A. Redel, M.D.,
Assistant Professor of
Pediatrics and Michael A. Helmrath,
M.D.,
Assistant Professor of
Surgery and of Pediatric
Surgery
July
29
Bell’s Palsy: What It Is and
Isn’t, How to Diagnose
and Treat
Robert P. Cruse,
M.D., Associate Professor
of Pediatrics
August
5
Pediatric AIDS: Advances
and Challenges
Mark W. Kline, M.D.,
Professor of Pediatrics
August
12
TBA
Moise L. Levy, M.D.,
Professor of Dermatology |
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