HISEA 2013 Penn State Milton S. Hershey Medical Center Penn State College of Medicine Rod Dykehouse, CIO

Milton S. Hershey * l 1905 n Hershey Factory completed l 1907 n Hershey Park l 1909 n Milton S. Hershey School l 1918 n Endowed MSH School with Hershey Chocolate Co. Stock l 1963 ……….. Milton S. Hershey Catherine Hershey

How it all got started* 1963 Initial $50 million gift l (Approximately $369 million in today’s dollars) l 1967 First medical student class – 40 students, 37 men and 3 women. l Doctor of Medicine degrees. The $50 Million Phone Call

Who is Penn State Hershey? Penn State Milton S. Hershey Medical Center bed teaching & research hospital Children’s Hospital, Cancer Institute Penn State College of Medicine $107 million $107 million research enterprise 1,600 More than 1,600 learners; 300 Nearly 300 College faculty Penn State Hershey Medical Group 59 clinical sites physicians/900+ clinical providers Penn State Hershey Health System hospital and provider affiliates Rehabilitation Hospital, PPI Hershey Outpatient Surgery Center (HOSC) Hershey Endoscopy Center; Horizon Healthcare Services Four Integrated Missions: Education Research Patient Care Community Service

Penn State Hershey Medical Center and Health System*  Over $1.4B Net Revenue  1,600+ students and trainees  Over $107 million in funded research  24 academic departments  5 major institutes  563-bed University Hospital and Children’s Hospital o 27,000+ hospital admissions o 890,000+ outpatient clinic visits o 64,000+ emergency room visits  Penn State Hershey Health System o 74-bed psychiatric hospital o 54-bed rehabilitation hospital o Outpatient surgery center o 17 affiliated hospitals  59 outpatient clinic sites  900+ provider medical group  9,000+ employees Region’s only academic medical center serving 4.2 Million central Pennsylvanians

US News & World Report: Best Children’s Hospitals Opened February, 2013

THON – Another record year!

Penn State Hershey Health System* Mount Nittany Medical Center Good Samaritan Lebanon VA Medical Center Lehigh Valley Health Network Reading Hospital and Medical Center WellSpan (York Hospital) Susquehanna Health System Wyoming Valley Health Care System St. Joseph Medical Center Hanover Hospital Heart of Lancaster Lancaster Regional Medical Center Pinnacle Health Lewistown Hospital Penn State Hershey Rehabilitation Hospital PA Psychiatric Institute Hershey Endoscopy Center Hershey Outpatient Surgery Center Carlisle Regional Medical Center Lancaster General Health Holy Spirit Hospital Horizon Healthcare Services

Penn State Hershey Medical Center and Health System*  Financial (approx)  $50 M operating budget  $16M capital  200 FTE’s – IT  120 FTE’s – HIS (Med Records)  Statistics o Users – 12,500+ o Applications – 300+ Information Technology Overview  General Application Portfolio o EMR – Cerner: inpt & ambulatory (by Sept, 2013 – 75% of pt visits) o Imaging – GE/Phillips o Lab: Sunquest & Cerner Pathnet  General Application Portfolio o Revenue Cycle o Eclipsys: ADT/reg & tech billing o Signature: prof billing (lots of fun!!!) o ERP – Lawson o Time & Attendance - Kronos

Penn State Hershey College of Medicine  Approx 1,400 employees  Major Initiatives  Institute of Personalized Medicine – genome for all patients!!  CTSI & Clin Trials Mgmt Sys  i2b2 EMR data reuse  Academic Mgmt Syst for campus  Research PACS Information Technology Overview

 Major IT Initiatives  Governance across the various missions  Project Portfolio Mgmt  Prioritization  Overt decisions to “Just Say No!”  Data Center planning with University Park, i.e. similar and overbuilt for DR purposes Information Technology Overview Penn State Hershey Med Center & College of Med

IT Governance Structure PSHMC & COM IT Infrastructure Advisory Council PSHMC & COM Business/Finance IT Advisory Council PSHMC & COM Clinical IT Advisory Council PSHMC & COM Education IT Advisory Council PSHMC & COM Research IT Advisory Council PSHMC & COM IT Governance Council PSHMC & COM IT Data Advisory Council

IT Governance Structure IT Governance Council Zolko Education IT Advisory Wolpaw Research IT Advisory Gerhard Clinical IT Advisory DeFlitch Bus/Finance IT Advisory Haley Infrastructure IT Advisory Dykehouse Data IT Advisory Caputo System/Project 1.Student IS 2.LMS 3.Room Scheduling 4.A/V Design - Support 5.Conf Rms 6.Patient TV Policies 1.Room Scheduling 2.A/V use System/Project 1.CRMS 2.IRB 3.UP Research 4.BioRepository 5.Research PACS 6.I2b2 Database Policies 1.Compliance 2.IRB 3. System/Project 1.EMR 2.PACS 3.Lab IS 4.Pharmacy 5.Oncology 6.Endoscopy 7.Clinical Device Integration Policies 1.EMR use 2.Med Rec 3. System/Project 1.Lawson ERP, (HR, Finance, Mat Mgmt) 2.Kronos 3.Rev Cycle 4.Coding 5.ICD-10 6.Web Policies 1.Web 2.Compliance 3.Coding System/Project 1.Data Center 2.Network 3.IS Security 4.Authentication 5.Messaging 6.Device mgmt 7.Srvc Delivery – Help Desk, 8.Storage Policies 1.Room Scheduling System/Project 1.Master Data 2.BI & Analytics 3.Data integrity 4.Data reporting 5.Dashboards 6.Person Identity Mgmt Policies 1.Data use 2.Master file mgmt 3.Data integrity 4.Data Governance

Strategic Change Authorize Balance Prioritization Selection Evaluation Categorization Identification InitiatePlanExecuteClose Monitor & ControlReview & Report Project & Program Management Portfolio Management Includes Governance, IT Annual Planning and Controls & Measures for all processes (compliance and KPIs) Project Portfolio Management (PPM)

Campus – new Data Center…planning Draft for discussion purposes Strategic Facilities Master Plan by Cannon Design – 2011 & 2012

Questions? Thanks for the invitation to rejoin HISEA!