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Health Care Information Systems

Health Care Information Systems

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Health Care Information Systems

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  1. Health Care Information Systems

  2. 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

  3. 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

  4. 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

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

  6. HCIS Staff • Staff • 252 FTE • Budget • Capital $ 28,841,938 • Operational $ 20,783,300

  7. 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)

  8. 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 • 13,000 Devices @ 1.5 hrs /ea upgrade • Results in 7 FTE Spending 17 mos on upgrades • $ 485,800 Approx. Labor Expense • Leaves ~ 2 Months Until Next Upgrade

  9. 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

  10. 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)

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

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

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