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Mission Bay: Impact of Priorities/Resource Realignment

Mission Bay: Impact of Priorities/Resource Realignment. We are requesting:. As CTGC and as organizational leaders, your advocacy in prioritizing IT & Clinical Systems’s activities as follows: remain focused on doing Mission Bay very well and on time

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Mission Bay: Impact of Priorities/Resource Realignment

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  1. Mission Bay: Impact of Priorities/Resource Realignment

  2. We are requesting: • As CTGC and as organizational leaders, your advocacy in prioritizing IT & Clinical Systems’s activities as follows: • remain focused on doing Mission Bay very well and on time • successfully completing projects already committed • continue doing as much required maintenance and enhancement as capacity allows • negotiate Summer/Fall 2015 project implementation timelines on any new projects, absent compelling reasons otherwise • any new project with an implementation prior to Summer 2015 requires a 1-to-1 delay (by resource) of an existing project

  3. Current state - • Committed project hours are tapering off as Mission Bay hours increase • Resource demand, as a whole, continues to outpace resource capacity • Not all required maintenance is getting done • Optimization continues to occur, but slower than organizational leaders would prefer • Holiday season reduces work days available to Mission Bay and all other work

  4. What is “Optimization” ? Some examples of Optimization • Sepsis alerts and sepsis order sets • Apex changes in response to Patient Safety Committee / RCAs • Modification of drug-dose alerting (from Septra RCA) • Heparin order set changes (two recent RCAs) • Insulin order set changes (prior RCA) • Improved identification of research orders; improved research charge routing and assignment • Order set and system changes for cost-saving • Transfusion order set changes • Telemetry order changes • Nebulizer therapy order changes

  5. What is “Optimization” ? Some examples of Optimization • Direct Scheduling expansion in Ambulatory • Changes to support reported measures • SCIP-9 (Foley out post-op Day 2) decision support • Vaccination order set and nurse-documentation changes • Changes to improve the accuracy of RightFax use • MD-Link expansion for referring physicians • Provider documentation changes to support billing and compliance

  6. Worst Case - Optimization Required Maintenance Projects Committed Mission Bay Includes Clinical Applications, Financial Applications, Community Connect, Analytics & Quality, Training and Interface resource hours; Does not include Project Management Office, Ancillary or Reporting resource hours

  7. Best Case - Optimization Required Maintenance Projects Committed Mission Bay Includes Clinical Applications, Financial Applications, Community Connect, Analytics & Quality, Training and Interface resource hours; Does not include Project Management Office, Ancillary or Reporting resource hours

  8. Questions?

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