#HASummit14 Session #30 Breaking Down Silos: Resolving Academic, Medical, and Research Interests Once and for All Presenter Pre-Session Poll Question What describes my organization? a)Integrated delivery system b)Community hospital c)Children’s hospital d)Academic medical center e)Accountable care organization f)Physician group g)Industry/Pharma h)Other i)Not applicable Samuel Volchenboum, MD, PhD Assistant Professor of Pediatrics Director, Center for Research Informatics Associate Chief Research Information Officer University of Chicago Medical Center

#HASummit14 The Problem 2 It is difficult for an academic medical center to support clinical, educational, and research missions simultaneously. Most academic programs rely on investigators or core services to provide support. This often leads to siloing and an unfair appropriation of resources.

#HASummit14 In this session, you will learn…. 3 How an academic medical center can serve the three missions of clinical care, research, and education The pain points in developing enterprise-wide research services The importance of top-down leadership for supporting research informatics

#HASummit14 The Setting 4 Adjacent to University of Chicago and Pritzker Medical School 570 beds, 25,000 admissions, 492,000 outpatient visits, 78,000 ED visits Physicians are employed by the University One dean for the hospital, medical school, and biological sciences

#HASummit14 UChicago’s Situation in Few centralized biomedical informatics resources existed within University of Chicago Medicine There was a growing need for: Clinical data for research Bioinformatics resources Storage/Backup High-performance computing Clinical application development Informatics educational opportunities

#HASummit14 Establishing the Center for Research Informatics 6 Established office of the CRIO in Six staff, $10M, three-year investment HIPAA-secure, on-premises storage High-performance cluster computing Bioinformatics services Research data warehouse Application development Governance for research data Informatics education

#HASummit14 Center for Research Informatics

#HASummit14 Center for Research Informatics Applications Development and Support Applications Director Software Engineers Bioinformatics Bioinformatics Director PhD Bioinformaticians Scientific Software Dev IT Infrastructure IT Director Systems Administrators Security VM Specialists HPC Specialist Clinical Research Data Warehouse CRDW Director Data Specialists Database Experts ETL Developers Deputy Director Communications Business Administrator Project Managers Administration

#HASummit14 9 Storage and Backup

#HASummit14 10 Bioinformatics Publication-ready Results

#HASummit14 11 REDCap Usage continues to soar

#HASummit14 Clinical Research Data Warehouse 12 Data from 2006 onward Filled 350+ requests since 2012

#HASummit14 Poll Question #2 13 On a scale from 1-5, how supportive of research is your institution? 1)Not at all supportive 2)Somewhat supportive 3)Moderately supportive 4)Supportive 5)Very supportive 6)Unsure or not applicable

#HASummit Patient Experience 2.Clarity Team 3.Patient Care Services 4.Center for Research Informatics 5.Quality Analytics 6.Office of Managed Care 7.Epic program 8.Procedural Services 9.Ambulatory Services 10.Physicians Group 11.Office of Strategic Planning 12.Hospital Analytics Program 13.Budget Operations & Planning Many, many groups providing data independently Data Shopping Users would submit requests to multiple places

#HASummit14 15 Data Shopping

#HASummit14 Analytics Core Created single portal for all data requests 16 Weekly meeting to review and triage requests

#HASummit14 Major 2015 Initiatives De-identified self-service data portal Full text clinic note search with NLP National sample enrollment and tracking for clinical trials Deployment of business intelligence infrastructure 17

#HASummit14 Our Metrics of Success 18 Lowering barriers to research Faculty utilization Grants submitted/awarded Papers published Faculty recruitment Educational opportunities

#HASummit unique users Number of Users Enterprise-wide impact

#HASummit14 Lessons Learned 20 1.Develop your brand. 2.There can be no data without data governance. 3.Never underestimate researchers’ ability to hurt themselves with data. 4.Hire leaders with business experience. Expect to pay for talent…. it’s worth it. Meet with your direct reports often—be present. 5.Court the institutional leadership—it will pay off.

#HASummit14 Analytic Insights A Questions & Answers 21

#HASummit14 Choose one thing… 22 Write down one thing will you do differently after hearing this presentation

#HASummit14 Thank You 23

#HASummit14 24 Session Feedback Survey 1.On a scale of 1-5, how satisfied were you overall with this session? 1)Not at all satisfied 2)Somewhat satisfied 3)Moderately satisfied 4)Very satisfied 5)Extremely satisfied 2.What feedback or suggestions do you have?

#HASummit14 Upcoming Sessions Breakout Sessions – Wave 5 (2:20 PM – 3:05 PM) 31)Panel – Data Governance in Healthcare 32)How One ACO Is Using Analytics to Position Itself for Population Health Management and Shared Savings James J. Dearing, DO, FACOFP, FAAFP, Vice President, Chief Medical Officer, Honor Health 33)Panel – Best Practices in Achieving Physician Engagement 34)Panel – Precision Medicine and Embracing Variability 35)Improving Analytics and Processes to Ease Hospital Crowding Wes Elfman, Visualization Developer, Clinical and Business Analytics, Stanford Health Care Terrill Wolf, Manager, Data Architecture, Clinical and Business Analytics, Stanford Health Care Imperial Ballroom B Imperial Ballroom A Grand Salon Murano Venezia Location