1. 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:

2. 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

3. 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)

4. 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

5. 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

6. Data Flow Process

7. Analytics Infrastructure
Attendees:

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

9. Data Aggregation

10. Data Quality

11. Predictive Analysis

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

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

14. 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

15. Examples of Cubes Dimensions & Measures

16. Questions

17. Addendum: Poster Presentations

18. 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

19. 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

20. 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.

21. 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