1. Obtaining Administrative Efficiencies with IT Support Nick FisherBabs Vogelsang Director of Clinical ResearchDirector of Information TechnologySiteman Cancer Center

2. Administrative Challenges Research Systems vs Financial Systems Research Systems vs Clinical Systems

3. Administrative Challenges Financial Systems vs Research Systems –Cancer centers must track all research activity –Universities must track all (research) billing activity –Research and billing systems are rarely fully integrated requiring duplicative efforts

4. Administrative Challenges Clinical Systems vs Research Systems –Cancer centers must track all research activity –Clinicians must be aware of all clinical (research) activity –Research and clinical systems are rarely fully integrated requiring duplicative efforts

5. Administrative Challenges Financial & Clinical –Patient accrual data is essential to financial operations Billers must know when a patient is on a clinical trial (start/stop dates) and what services are billed to trials –Patient accrual data is essential to clinical operations Clinicians must know if patients are on clinical trials and, if so, which trial(s) they are on

6. Administrative Challenges Financial & Clinical –Research staff must “double report” clinical trial accrual information Into the clinical trial system + the university billing system Into the clinical trial system + the clinical system(s)

7. Technical Challenges Financial Systems & Research Systems –Eliminate the double entry for the staff –Ensure accuracy of information to the billing system –Automate the feed of data from research clinic trials data base to the billing system

8. Technical Challenges Clinical Systems vs Research Systems –Ensure that clinical trial information is available to the clinicians, support, and hospital staff –Ensure that clinical trial information is identifiable in the clinical systems to support patient care –Automate the feed of data from the billing system into the inpatient clinical system

9. Technical Challenges Financial & Clinical –Feed patient accrual data to the university billing system Built an automated feed to provide information concerning patients on a clinical trial and services provided that relate to the trial –Feed patient accrual data to hospital clinical systems Allows clinicians, nurses, all hospital staff to know when patient is on a clinical trial and which trials Improves patient care, including necessary labs for the trial

10. Technical Challenges Financial & Clinical –Consistent clinical trial data is automatically fed in a timely manner Clinical trial system feeds university billing system University billing system feeds the hospital clinical system(s)