Health Care Information Systems

HCIS Operations Clinical Systems  55 FTE  INFORMM  INFORMM Patient Record ( IPR)  Nursing Documentation System  Radiology Information System  Operating Room  Cerner Laboratory, Pharmacy  Electronic Medication Administration Record  Clinical Outcomes / Regulatory Reporting

HCIS Operations Business Systems  43 FTE  General Ledger  Human Resources  Decision Support ( TSI )  Patient Accounting ( FPP, UIHC, IDX)  Materials Management  Faculty Practice Plan  Academic Support CCOM  Research Support CCOM

HCIS Operations Technical Operations  90 FTE  Desktop Support  Local Area Network  Web-Hosting  Mainframe Operational Support  Mid-Range Operational Support  Database Support  Help Desk  Technical Training

HCIS Operations Telecommunications  59 FTE  Data  Voice  Paging  Hospital Operators  Video Network  Nurse Call / Nurse Locate  Centralized Time

HCIS Staff Staff  252 FTE Budget  Capital $ 28,841,938  Operational $ 20,783,300

HCIS Stats INFORMM – 7 million transactions / day Electronic Mail  > 10,000 mail boxes  > 45,000 transactions / hour Data Storage > 92.0 TB Help Desk > 250 contacts / hour Desktop Computers > 13,000 Devices Telephones > 14,500 (~175,000 calls/day) Pagers > 5,000 ( ~14,000 pages/day)

Information Systems Operational Support Challenges Software Upgrades  Microsoft Windows Upgrades ~ Every 24 Months Test Upgrade ~ 3 Months Train I.T. staff on Upgrade ~ 3 Months Install Time  13, hrs /ea upgrade  Results in 7 FTE Spending 17 mos on upgrades  $ 485,800 Approx. Labor Expense  Leaves ~ 2 Months Until Next Upgrade

Information Systems Operational Support Challenges Desktop Hardware Replacements  36 Month Replacement Cycle = 4333 Machines/Yr  2 Hours/Install = 4 FTE Dedicated to Machine Replacements  Assume 1 Trickle Down For Each New Machine = 8 FTE Dedicated to Replacements  $397,000 / Yr Approx. Labor Expense To Refresh Desktop Workstations

Information Systems Operational Support Challenges Account Management  Adding, Deleting, Modifying User Accounts 3 Dedicated FTE ( $160,000 / Yr ) Report Management  1.25 M Pages / Month  3 Dedicated FTE ( $150,000 / Yr) Virus Management  UIHC Devices Scanned Avg 4x / Hr  Last FY Approx. 4 FTE dedicated to Virus Control ($225,000/Yr)

Information Systems Systems Integration 125,000 Daily Original ADT Messages Distributed to over 75 other systems/devices Other interfaces incl orders, results reporting, charge records

Top 5 Operational Problems Network (Systems) Security User Account Management  HAWKID  Provisioning / De-Provisioning Data Storage Management Recruitment of IT staff Technical Training

Top 5 Capital Projects Electronic Medication Administration Record Critical Care Information System Inventory Control ( PeopleSoft) Clinical Information Systems Selection/Replacement Network Security