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Transforming Care
at Banner Health
Through the EMR
An educational update to the
HIMSS Management Engineering – Performance Improvement
Task Force
May 2, 2008
In the beginning…

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 Care Management Systems Architecture
Extent installed
within BHS:
Registration (SMS, HQ, Others)
Full
Other
Relational Partial
Assessment
Databases

Productivity, None
External
Care Formulation
External Comparative
Knowledge Data
Systems, Rules EMR
Protocols & System:
Pathways Care Delivery & Coordination
Clinical Data Mart
Repository Cerner

Ancillary Department Applications

(ie, Lab, Pharmacy, Radiology, Respiratory Care)
TSI
Cost &
Other Interfaced Systems
Enterprise Master Utilization SoftMed
Patient Index Lawson, Patient Data
HIMS
(EMPI) Education, Physiological
monitoring, etc.
Other
VIEWERS

Prospective: Concurrent: Retrospective:

Planning the Game Managing & Playing the Game Keeping Score

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 The Planets Aligned…
• Formation of Banner’s System Care Management
function and design of technical architecture
• Strategic plan developed with focus on clinical
excellence
• Cerner Millennium conversion underway
• Opening of new hospital, Banner Estrella Medical
Center (BEMC), in February of 2005
 What is Care Transformation?
Care Transformation is
an organizational Culture
initiative that combines
elements of…

Evidence - Care Rapid Cycle

Based Best Transformation Work Redesign
Practices

Standardization
…across all stakeholders
Technology in the patient care
experience to achieve an
optimal health outcome
Adapted from Rick Smith, Cerner Corporation
 Care Transformation
Work Redesign Teams

Work Redesign

Care Transformation Oversight Care Transformation Oversight

Patient
Clinical Doc. CPOE Doc. Imaging Surgery Care Mgmt. Order Mgmt. Med. Admin.
Scheduling

Op. Sponsor: Op. Sponsor: Op. Sponsor: Op. Sponsor: Op. Sponsor: Op. Sponsor: Op. Sponsor: Op. Sponsor: Integrated
Connie Dr. Hensing J. Wodrich Mary Wagner P. Nenaber Deb Dahl C. Berry B. Sullivan Dept. Ancillary
Harmsen BEMC Med.Dir. Teams (i.e.Lab,
RX, Rad, etc.)
Team Lead: Team Lead: Team Lead: Team Lead: Team Lead: Team Lead: Team Lead: Team Lead: Application
K. Malloch Dr. McAlduff Linda Scripter Lisa Fetter P. Colwell J. Placko J. Placko D. Kaubisch
Architecture
D. Drexler C. Ganser Trish Will
Lee Lemelson
Glenn Edwards
ME: ME: ME: ME: ME: ME: ME: ME: Infrastructure:
Steve Kisiel Dick Andrews K. Chaudiere Mary E. Bucco Twila Burdick C. McEvoy Ellen Ermer M. Mackey
K. Chaudiere K. Chaudiere
Keith Price
Team Team Team Team Team Team Team Team
Members Members Members Members Members Members Members Members Device Strategy:

I/T Resource: I/T Resource: I/T Resource: I/T Resource: I/T Resource: I/T Resource: I/T Resource: I/T Resource: Janice Hoppe
Rhonda Cain L. Lemelson L. Lemelson Rhonda Cain Rhonda Cain Rhonda Cain T. Wunderlich Rhonda Cain
 Banner Estrella
Benefits Realization Partnership
←Banner Estrella Medical Center was
opened in Jan ‘05 as Banner’s first “paper-
light” hospital

←Banner Estrella is the first

implementation of the Care
Transformation “franchise model”

←To determine the strategic value of

Care Transformation, Banner, Cerner and
Intel partnered on the Benefits Realization
Study
 Facility Deployment
Council Leadership:
CNO/CMO
Co-Executive Sponsor &
Public Relations Deployment Manager Organizational
Director Development &
(Communications) Learning
(Change
Agent)

Care Transformation Management

Facility CFO
(Benefits Deployment Council Engineer
(Work
Realization)
Structure Redesign)

Facility
Operational
I/T Acct Mgr
Leaders
(Hardware
(Varies with
Planning &
I/T Clinical implementations)
Deployment)
Acct Mgr
(MD Training/
Clinician
Support)
The Fundamental Theorem of
Informatics
 BEMC
Work
Redesi
Technology
BGMC
Work gn
Redesign
Chang
e
Mgmt.
Clinical
Standards

Change
Management

Post go-live
Training support

2005 Care Transformation – “Rewiring Cars While the Cars are Running” 2008
 CARE TRANSFORMATION “DONE BY END OF ’08” SCOPE

Clin Doc Doc Imaging Pediatrics

ICU ED OB BI/CDW Scheduling OR

MS4 Laboratory Pharmacy Radiology/PACS Order Entry Rules/Alerts

The Vision: One Example

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 Thank you!

For more information,

please contact HIMSS Staff Liaison
JoAnn W. Klinedinst, CPHIMS, PMP, FHIMSS at
jklinedinst@himss.org

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