VA HIMSS Stephen Morgan, M. D. - CMIO Omid Shabestari, M. D VA HIMSS Stephen Morgan, M.D.- CMIO Omid Shabestari, M.D., PhD- Director of Analytics Attendees:

Agenda Topic Owner Duration Welcome and Kickoff Dr. Morgan 5 mins Analytics Infrastructure: Dr. Omid Shabestari, Director of Analytics Mattie Tenzer – Director or Research and Reporting 15 mins Questions Open forum 10 mins Addendum – Carilion Poster Information

About Carilion Clinic ............................. Nationally ranked integrated healthcare delivery system Tax exempt $1.5 billion in annual revenue Headquartered in Roanoke 12,000 employees 1,000 employed providers 7 hospitals Urgent care, home health, retail pharmacies, wellness, patient transportation Children’s Hospital Jefferson College of Health Sciences Virginia Tech Carilion School of Medicine (VTC SOM) & Research Institute (RI)

Information and Data Management Staying at the forefront of new technologies Unified EMR platform Epic Enterprise One database Enterprise Data Warehouse Data aggregation Analytic cubes Virginia Tech Collaboration NLP Advanced BI App development Telemedicine DOA Grant Cyber security New monitoring system Bimodal services Agile Traditional Mobile platforms Acuity monitoring Early warning tool

Overall Strategy and Goals Workflows Decision Support Data Lifecycle and quality Usability Self Service Dashboards Research Accessibility IT Transformation System priorities Collaboration and Consolidation –reduce silos Data Governance Alignment

Data Flow Process

Analytics Infrastructure Attendees:

Goals Data quality Correlation Aggregate Epic data to support: Calculated measures such as AHRQ Descriptive analysis Data quality Diagnostic analysis Correlation Predictive analysis

Data Aggregation

Data Quality

Predictive Analysis

Data Sources Epic Clarity database through EDW Lawson Kronos Claims Currently: Epic Clarity database through EDW Future Plan: Lawson Kronos Claims etc.

Project Team - Data validation reporting Technology Services Group (TSG) - EDW Health Analytics - Cube development - Data Quality - Predictive Analytics Reporting - Data validation reporting

Project Plan Agile management Validate dimensionalized data using a Proof Of Concept model Refine cube dimensions and measures to meet our goals Develop logical layer in EDW to support the defined dimensions and measures Create the cube Validate the cube data against Epic reports

Examples of Cubes Dimensions & Measures

Questions

Addendum: Poster Presentations

Surgical Site Infection Analytics Presented by Mariana Salamoun Analytics support for the Surgical Site Infections Oversight Team Comprehensive dashboard presenting the different data sources and different types of Surgical Site Infections

CAUTI Prevention Presented by Lori Crowder Business Intelligence Solution supporting an Infection Control led initiative to reduce Catheter Associated Urinary Tract Infections Focus on appropriate foley utilization and culture orders

CAUTI Prevention Presented by Theresa Stavola/Lori Crowder Tools to support Nursing focused efforts for an Infection Control led initiative to reduce Catheter Associated Urinary Tract Infections Focus on monitoring catheter care, proper indications for retention/removal and overall catheter days.

Pay for Performance Outreach Presented by Paul Mason Solution integrating Payor and EMR data to identify gaps in patient care Integrated workflow to address gaps, with documentation feeding back into the solution Efficient, timely, targeted Outreach Program