IS Report to Medical Center July 1-Sept. 30, 2008

Highlights The eCareNet project continued its rollout in MUH and the CPOE system is now ‘live’ in ART 3 West. The Nursing Informatics team led the rollout of AdminRx to most of the remaining MUH non-critical care units with a plan for completion in November. CPOE is also planned for activation in a 2nd ART unit in November (5 East). It is hoped to have ClinDoc and AdminRx activated in all non-critical care units including IOP and Childrens by the end of this fiscal year (FY09). The Picis Anesthesia documentation module is planned for activation in Rutledge Tower by the end of November and the Main OR in the first quarter of calendar year 2009.
Accomplishments & Project Status eCareNet Identified over 100 requests for changes or enhancements to the Oacis system (eCareNet Viewer). A committee is being identified to set priorities. Continued to roll out ClinDoc, AdminRx and Picis. Successfully activated CPOE in ART on 3 West. Coordinated a site visit to Roper ED to review their installation of the ED clinical documentation system. Continued to meet monthly with new ED service line leadership (e.g., Dr. Carr) to discuss IT-related topics and issues. Developed a plan to implement the Picis anesthesia documentation module in RT and Main ORs by 1st quarter 2009. New patient call back system developed and rolled out to inpatient units. Storage Area Network (SAN): Successfully activated a new component of the SAN, which was provided for free from IBM in light of past problems (est. value of $1M). In process of moving systems such as Oacis, Picis, McKesson and Keane to this new hardware. Maguill Laser Center: Determined that the Medflow system was more suitable for use in the 2 new procedure rooms (cataract surgery) then Picis. MUSC Excellence: Conducted 2nd OCIO LDI retreat. Velos/Transplant: Continue testing the module to transmit UNOS data which is anticipated to reduce manual effort by MUHA. Practice Partner: Completed final payment for site license. Began negotiations to purchase the e-prescription module from McKesson. E-mail (Exchange/Outlook): MUHA complete; university rollout continues (approximately 90% complete).	Radiology: Agfa PACS: Project underway to upgrade to a major new version (planned for late 2008). As part of this project, there was a required interface change that the vendor quoted $86k to complete. IS determined an alternate approach for accomplishing the change and is implementing it without vendor costs. Voice Recognition: Making plans to upgrade to a new version in October. IDXrad/ImageCast: Successfully negotiated a concession from GE whereby GE agreed to not charge MUHA license fees for the IDXrad/ ImageCast system (down from a quote of $360k). In addition, GE agreed to provide technical resources for the important patient scheduling integration project. Patient Scheduling Integration: Vendor programmers began work again on the interfaces between IDX FlowCast (clinic registration/scheduling) and IDX ImageCast (radiology). Heart and Vascular Center: Vascular Lab: Reviewing options with Dr. Elliott for implementing an image capture and reporting system using existing information systems (Philips Xcelera or Lumedx Apollo). Audio/Video: Helping to coordinate final installation of A/V equipment in 3 ART procedure rooms. In process of testing an automated billing interface to Keane for the Cath and EP procedure areas. In process of testing an interface that sends Anesthesia TEE reports from Apollo to Oacis. Lab/Millennium: A project is underway to move the Lab system to new hardware (from IBM) that will also change the operating system from an outdated ‘VMS’ configuration to Linux. Activation is planned for November. Single Sign-on: Pilot to begin in October. Enterprise Data Warehouse (EDW): First phase consists of populating the EDW with Oacis data. Plans are for initial activation by March 2009. MUSC Excellence: Continue customizing MUSC Excellence for Information Services including tri-annual LDI retreats.
Key Issues eCareNet Repository and Viewer Backlog: Many of the 100+ requests for Oacis changes and enhancements are important for improving patient care and efficiency. It is important that these projects get prioritized quickly (in process – working with Drs. Cawley and Waller).