CDS

Albert Chan, MD, MS Vice President, Chief of Digital Patient Experience, Calvin Olson, MD, Regional Chief Medical Information Officer, Central Valley, and Stuart James, Chief Operating Officer, Sutter Health.  As the largest geographically contiguous, non-profit system in the United States, Sutter Health aims to deliver a consistent, high-value patient experience in the geographically and socioeconomically diverse communities it serves....

Randy Cox, MBA, SVP/CIO, St. Vincent Health Indiana.  In cooperation between the Office of the Chief Medical Officer and the Chief Information Officer, St Vincent Health - a statewide Ascension ministry in Indiana - has been launching a collaboration of clinicians and clinical/technical IT staff known as the Office Of Clinical Transformation (OCT).  The OCT complements our clinician-led clinical...

Alan Weiss, MD, Director of Medical Informatics, Memorial Hermann.  Problem lists (PL) are an essential clinical tool, but are often poorly maintained.  Dr. Weiss has investigated PL use at the Cleveland Clinic, Cedars-Sinai and at Memorial Hermann, and shares analyses and insights.  Due to a lack of consensus on problem lists use and territorial issues of problem ownership, there...

Robert Sawicki, MD, Senior VP Supportive Care, Linda Fehr, RN, Division Director Supportive Care, Roopa Foulger, Executive Director Data Delivery, OSF Healthcare, and Leslie Hough-Falk, Vice President, Health Catalyst.  OSF HealthCare, recipient of the 2014 Illinois Hospital Association (IHA) Institute for Innovations in Care and Quality's first annual Tim Philipp Award for Excellence in Palliative and End-of-Life Care, discusses...

Scott Weingarten, MD, SVP, Chief Clinical Transformation Officer, Cedar-Sinai Medical Center. Organizations are seeking clinical benefit and an ROI from their investment in an EHR.  Cedars-Sinai "hard wired" Choosing Wisely and other clinical decision support into its EHR about 18 months ago. The impact has been numerous improvements in quality of care and an approximate reduction in costs of...

Tess Settergren, MHA, MA, RN-BC, Director of Nursing Informatics, Cedars-Sinai Health System.Less than 3.5% of US hospitals have achieved HIMSS EMRAM Stage 7 status since 2006, and the bar is raised a bit more every year.  Clinician adoption of 'paperless' charts, order entry, and documentation is insufficient to meet Stage 7: Clinical decision support, continuum data integration, medical device...

Stan Huff, CMIO, Intermountain Healthcare. Currently, each EMR vendor uses proprietary clinical data models and terminology to represent clinical data.  This means that sharing data is difficult, sharing executable software across vendors is impossible, and each useful application must be created or re-created on each different platform. This in turn leads to unmet needs for healthcare applications and decision...

Chris Virgilio, PharmD, BCPS, Clinical Solutions Executive, Truven Health Analytics.  Chris discusses and provides examples of using technology solutions to support medication-specific programs that drive quality up and cost down, including antimicrobial stewardship, managing drug shortages proactively, and scaling clinical pharmacist know-how. She also covers the importance of surveillance at a patient-specific department and population level, how current, relevant...

Jane Metzger, Research Principal, and Marta Arthur, Principal Researcher, CSC. For most hospitals, the dust is settling on Stage 1 of meaningful use and efforts have turned to Stage 2. The time is right to start tying individual elements of meaningful use into a more comprehensive and unified strategy that sets the stage for using the EHR more deliberately...

Margaret Reynolds, RN, PhD, FAAN, Director of Evidence Based Practice, and Marti Satwicz, RN, MSN, Director of Clinical Transformation, CHE Trinity Health. In October 2010, Trinity Health launched a system-wide Sepsis Collaborative in 21 of its hospitals.  Margaret and Marti describe the collaborative strategies used to disseminate evidence-based practices for sepsis and identify tools/decision support that fostered improved outcomes...