[email protected] Patient Management System - Information Technology at the

January 5, 2018 | Author: Anonymous | Category: Business, Management
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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: • • • • • • • • •

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: – – – – –

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 •





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: – – – –



Programmer Analyst A Programmed Analyst B Programmer Analyst C Programmer Analyst D

Educational and experience requirements increase with each level of position.

Project Leader •

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.



Project Coordinator •

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!

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