Dwane Sorrells Sr. Director, Information Technology Health Services Division Choctaw Nation of Oklahoma

Choctaw Nation of Oklahoma The Choctaw Nation of Oklahoma is a federally recognized tribe whose service territory covers approximately 11,000 square miles in 10 1/2 counties in rural southeastern Oklahoma. The Choctaw Nation is comprised of more than 200,000 members worldwide. The Choctaw Nation is led by the vision and guidance of Chief Gary Batton, Assistant Chief Jack Austin Jr, and 12 Tribal Council members.

Choctaw Nation of Oklahoma Health Care Services The Health System is led by Executive Director Todd Hallmark 1 Hospital 9 Outpatient Facilities 14 Wellness Centers 2 Recovery Centers Diabetic Treatment Center Prescription Refill Center just over 2000 associates and 155 providers.

Electronic Health Record RPMS – EHR DBMS – Ensemble 2016 Compute Hardware Cisco B460M4 4X15 Core CPU (60 Cores) 1.5TB Ram Storage Hardware - Pure Storage NVME x2020 Backup Solution – Cohesity Server OS – Windows Server Datacenter 2012

Datacenter Hardware Server Hardware Storage Hardware

RPMS-EHR (Component Framework) A government open source application. The Component based framework allows for development without affecting VA/IHS components. Can map RPMS Globals to SQL tables for modernized data manipulation or web front ends. Components can be developed and implemented within the EHR client applications.

RPMS EHR Weaknesses - Not intuitive.. Certainly requires a greater learning curve than most commercial platforms. Decades of development that lacks structure, logic, and odd dependencies. -Deciphering logic gives developers headaches. Reports: outdated process of generating a canned report that spits out to a printer or to view on a terminal window. Now days we need charts, graphs, something to visualize the data. Interfacing to commercial systems is always a question. Written in MUMPS (even though many commercial systems do still reside on a MUMPS backend much of the front end and dev modules are something newer like c# Power Hungry… RPMS requires a lot of memory, and a solid state or NVME SAN is a great idea as well.

RPMS EHR Strengths - Flexible. Proper development can greatly improve the usefullness. Customizable. Sky is the limit. Cost effective – As compared to Commercial systems. Robust. This is a very comprehensive system with decades of development focused for Indian health. Quick! (on the right hardware, Client side and server side) Intersystem DBMS. The Intersystems Enseble DBMS is best of breed. Quality Data.

Custom Development Projects Leverage the component based framework to build modules that compliment the workflows of each department. The Queue. A seamless workflow engine that compliments EHR Is an extension of the EHR client, “like an additional Tab” Report Generator Point of sale module (real-time, Interactive, return to stock) Charge Ticket (GUI’ized it!) Note Builder (replaced the old clicky templates, historical data much easier to access) PAC’s images directly in EHR Mobile App (patient access to chart info, manage appointments, request refills, view labs, check on referals, etc)

Custom Development Visual