For the second year in a row, Healthcare Informatics and the Association of Medical Directors of Information Systems (AMDIS) are proud to sponsor the Healthcare Informatics/AMDIS IT Innovation Advocate Award program, which recognizes teams of clinical informaticists, clinicians, and other healthcare leaders in hospitals, medical groups, and health systems whose innovative initiatives are moving healthcare forward.
This year, our organizations are delighted to announce the first-, second-, and third-place winning teams here. The three teams are:
First Place: The health informatics team at the St. Paul, Minn.-based HealthEast Care System, led by HealthEast CMIO Brian Patty, M.D., for that team’s broad leveraging of clinical IT in the pursuit of the organization’s quality improvement goals.
Second Place: The short-cycle measure dashboard team at Cleveland Clinic (Cleveland, Ohio), led by Andrew W. Proctor, senior director, business intelligence, for that team’s work on a real-time quality dashboard mechanism and process.
Third Place: Edward Rippel, M.D., of Quinnipiac Internal Medicine, a solo internal medicine practice in Hamden, Conn., which was the first solo medical practice in the state of Connecticut to receive formal patient-centered medical home recognition by the National Committee on Quality Assurance (NCQA).
We at Healthcare Informatics recognized representatives of all three top teams with awards at the Healthcare Informatics Executive Summit in Orlando in May, and will share interviews with the team leads from each of those teams in the coming months.
In that regard, the first interview to be presented is with Brian Patty, M.D., who leads the health informatics team at HealthEast, a 684-bed, four-hospital integrated health system. At HealthEast, Brian Patty leads a team of about 45 informaticists, 90 percent of them clinician informaticists, who have been involved in an impressive array of initiatives across the organization.
Among the team’s accomplishments have been:
• Facilitation of several comprehensive implementations, including a full-replacement computerized physician order entry (CPOE) system, broadly interoperable clinical documentation system, bedside barcoded medication administration system (eMAR), pharmacy management system, and comprehensive physician portal.
• Development of an advanced clinical decision support (CDS) system that incorporates innovative web-based physician order sets called iForms.
• Advanced applications, including an enterprise-wide longitudinal health summary and an advanced provider notes application with capabilities expanded beyond the usual physical and discharge summary documentation capabilities.
• Implementation of a data warehouse in an online analytical processing (OLAP) environment, to facilitate financial, operational, and quality retrospective analytics.
Patty, who reports to HealthEast’s CEO and is a peer of the organization’s CIO, works collaboratively with HealthEast’s CIO, and credits the organization’s culture of cooperation and innovation with the success of his health informatics team in making inroads in all these important areas. He spoke recently with HCI Editor-in-Chief Mark Hagland about all this; below are excerpts from that interview.
Focus on Decision Support
Healthcare Informatics: What are the top-line things you’re accomplishing?
Brian Patty, M.D.: Our primary focus is to work closely with our quality department, and really find out what their priorities are. And we focus the decision support tools that we deploy based on what we feel will best help us focus our quality work. So where are the pain points in some of our quality initiatives, and what can we do with our EHR and with some of our CDS tools, to help out? Some areas that are naturally included are the management of falls and pressure ulcers, and so on; but we’re really focusing on how we can help the organization.
Brian Patty, M.D.
HCI: What have you found to be the biggest process-oriented challenges in what you do to support care improvement?