Penn Medicine is a Philadelphia-based $3.5 billion enterprise consisting of the University of Pennsylvania School of Medicine and the University of Pennsylvania Health System, which includes three hospitals — the Hospital of the University of Pennsylvania, Pennsylvania Hospital and Penn Presbyterian Medical Center. Recently, HCI Associate Editor Kate Huvane had a chance to chat with VP and CIO Michael Restuccia, who was named VP and CIO at Penn Medicine in March, 2008 after serving as interim CIO for a year.
KH: With Epic, are you using a suite of products or do you operate with a best-of-breed philosophy?
MR: We have what I call our “Pillars of Strength” here at UPHS. We utilize Epic for the ambulatory EMR and we use the IDX BAR system, which is kind of old right now, to support our ambulatory registration, scheduling and billing requirements. On the inpatient side, we use the Siemens INVISION application for registration and billing, and we are an Eclipsys Sunrise Clinical Manager from the order entry perspective.
George and his team previously were able to achieve 100 percent physician CPOE across all three hospitals and full medication documentation on the electronic meds administration record by the nurses, which is an outstanding achievement. I’m pretty fortunate that I’m in a position where they’ve worked through some difficult implementations in the past on CPOE; some of the pharmacy implementation efforts are up and running and there’s actually a vision and direction that we’re spending a lot of time implementing right now.
KH: What specific efforts are you working on in pharmacy?
MR: At this point, we’re focused on implementing the Eclipsys Sunrise Medication Manager integrated pharmacy system at one of our hospitals, and that’s the Hospital of the University of Pennsylvania — it’s our flagship hospital. We do have a competing pharmacy system at the other two hospitals, Pennsylvania Hospital and Presbyterian Medical Center, and that’s the McKesson pharmacy system. But it’s not integrated; it involves interfaces and we thought, while we had the chance, we would pilot out the Eclipsys pharmacy system in preparation for closed loop medication management.
It’ll probably take about 12 months to install. We’re looking at first quarter of 2009 to activate the application.
KH: Everything considered, it sounds like you definitely have a full plate at Penn.
MR: It’s never ending. We’re also rolling out the Eclipsys Knowledge-Based Charting solution. I don’t know how much you know about that product, but knowledge-based charting is a pre-packaged set of documentation templates with integrated evidence-based clinical content developed by a consortium of hospitals. This allows us to deliver clinical IS functionality at a quicker pace by leveraging best practices and clinical knowledge from several hundred hospitals that participate in the consortium. As an example, if a patient has a stroke and enters the hospital, the patient care plan will have already been agreed upon, and then the nurse will have their actions, the therapist will have their actions, and the dietary team will have their actions, and it’s all integrated together in the same documentation tools. And based upon your activities, you document what you have done and what you have observed and it’s one unified record, so that everyone can see what everyone else is doing. It helps standardize the care, utilizing best practices, and greatly improves communication among the caregivers. In addition, it eliminates the lost chart, which can be an issue and makes the clinician’s notes readily accessible, regardless of which facility the patient resides.
KH: Very interesting — I think it’s really important to establish those standards. Now you said the Perelman Center is being built as a digital facility. Do you have plans to make any of your other facilities paperless as well?
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