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7/23/2015Extended EnterpriseIntegrationArchitectureJohn Ulett, VP/CIOCentraState Health SystemDefinitionExtended Enterprise Integration Architecture ArchitectureDefinitionExtended Enterprise Integration Architecture Architecture Integration1
7/23/2015DefinitionExtended Enterprise Integration Architecture EnterpriseDefinitionExtended Enterprise Integration Architecture EnterpriseDefinitionExtended Enterprise Integration Architecture2
7/23/2015DefinitionExtended Enterprise Integration ArchitectureStructure of this session Why are we doing this Who am I Where are we goingWhy are we doing this?3
7/23/2015Who am I?CIO of Center of the UniverseRooted on Consumers/Patients4
7/23/2015Where are we going?Where are we going?Where am I starting?5
7/23/2015CentraState Healthcare System’sInternal Interoperability ArchitectureClinical ApplicationFinancial ApplicationSystem ToolsLegendConfidential document. No part of this document may be reproduced ortransmitted in any form to individuals outside of CentraState HealthcareSystem without prior permission of the publisher.Clinical Applications (47) AllScriptsBed ManagementBoston LabBoston PCNCareCheck- LabCareCheck- LacChekCare ReviewManagerDiawebEchoeHIMEndoproEndoToolsFOCUSGE ORMISGemserveHarvest/Copia HIE - MobileMD HIE - Jersey HealthConnect IMPAC/ Mosaiq MedsTracker Medquist NEPS NextGen FMC NextGen FPC Nihon Kohden Carts Oak Mountain OBIX Omnicell/ Pyxis Connect OMS Job Scheduler PACS PIB pMD PowerScribe 360PyramisRALSRASSafeTrace Blood BankSentri7Siemens Pharmacy / MAKSoarian ClinicalsSQMSUMMIT Downtime ReportingSyngo DynamicsTheraOfficeVIPWellsoft EDWound ExpertFinancial Applications (49)Patient Accounting 3M HDM/ 360 PCPrintEncompass PerZip AOD Reminder Call APC Grouper Tango/04 Autofax TIGR Craneware Trendstar Crimson DRG Grouper Extol Integrator Linkup Meditech ITS Cardiology Meditech ITS Radiology Meditech Registration MedMetrix mPower Patient Accounting PatientWorksBack Office AcuteLogics/PrimroseAPIBIBoA PcardBSI Tax FactoryCBizClintegrity CQMClintegrity yIteraKreg LaservaultLawsonNetLearning LMSPinnacle SystemMonitoring ToolsPolicy and ProcedureManagerPrudential FinancialQualcareSpreadsheet Number6
7/23/2015System Tools (16) AISBoard EffectsBoston WorkstationBRMS Back-up & RecoverySoftwareCoolToolsDSSGoAnywhereHawkeye PathfinderHealthcare Query (HQ)iSeries System SoftwareOPENLinkPracticeUniteShowcaseSystem i NavigatorTEAMWellsoft / Wellsoft EDMeditech gistrationWellsoft EDSyndromicSyndromeReportingOrchard Lab –Harvest/CopiaeHIMSoarianDepartment: ED Clinical systemDescription: Patient care that come through EDRevenue: HL7 batch direct to PACerner / Soarian ereHIMGemserveAllscripts(CCDA)MedstrackerMeditech ITSRadiologyAPIMeditech ITSCardiology &RadiologyDSSSoarian AccountingOrchard Lab epartment: Nursing, Physicians, all clinical ancillary departmentsDescription: Clinical system for patient careRevenue: HL7 batch direct to PA ; Manual charges sent from Respiratory, Nursing, Rehab, 1 South, Special Procedures supplies,Cardiac Cath, Diabetes Center, ECT, Endovascular, Genetic Counseling, Sleep Center, Pulmonary Lab, Infusion Center, OutpatientNutrition, Inpatient Dialysis, LDRP, Perinatology, Speech Therapy, Occupational Therapy and Physical Therapy.7
7/23/2015CentraState / Patient Accounting Orchard LabMcKessonDRGGrouper3M APCGrouperReviewManagerDSSAutofax GE OrmisShowcase IMPAC/MosaiqPerZip TheraOffice SiemensPharmacy SoarianPatient AccountingMeditechRegistrationCraneware Wellsoft ED rimsonNextGenDepartment: Patient financial services, credit departmentDescription: Patient billing applicationRevenue: Primary source of all patient billing and paymentsEcosystem TracerMrs Jones 52 yrs. old women presents with complain of chest pain and shortness of breath tothe Emergency room at CentraState Medical Center on June 1st 2015AppCountMeditech1Wellsoft2Transactions341 – 35Meeter/Greeter: completed a quick registration.Patient shows up on the Tracking BoardUpon triage the nurse identified that patient as undergonegastric bypass in Feb 2015 at Robert wood JohnsonHospital. She also has history of diabetes and hypertensionHt: 5ft 3 inchesWeight: 203 lbs.Wt. loss: 75 lbs. since Feb 2015 due to gastric by passAllergies: sulfaVital Signs:Vital signs suggest patient’s blood pressure was elevated;patient had a temperature of 101.0Pulse rate was high at 87, resp rate of 27 and oxygen at91%Patient was started on oxygen.ED PHYSICIAN:Patient was evaluate by ED physician who determinedthat patient may be having a myocardial infarction (MI)Orchard35 - 40Labs are ordered.Transactions between Copia and Harvest and InstrumentsMeditech434 – 74Registration Clerk completes bedside registration.Build it while flying8
7/23/2015Make vs Buy vs Blend Phase 1 – Private HIE Phase 2 – ACO & PCMH Phase 3 – Link Private & Regional HIE (Nope) Phase 4 – PHO – Quani Care Management Phase D – Cerner purchases Siemens –Replace Soarian Phase 5 – Central NJ Alliance (our PHO, their IPA) Phase 6 – Provide Services to PHOPop Health for all (in negotiations)Take a ways Know why not what Decide who you are Remember the where will changeVideoACLU July 26, 20059
Radiology MeditechITS Radiology Bed Manage-ment PowerScribe 360 Summit Downtime Reporting. 7/23/2015 8 . McKesson Review Manager Autofax DRG Grouper 3M APC Grouper Craneware Go Anywhere
