1. MAH/MACIPA/MAPS IT Retreat June 7, 2013 Bob Todd, Director IT Mount Auburn Hospital rtodd@mah.harvard.edu Mount Auburn Hospital Information Technology Department Overview

2. Information Systems Overview Customers  Institutions’ Systems Hosted At Mount Auburn Data Center Mount Auburn Hospital BID Needham Hospital MAPS Caregroup Homecare New England Baptist Hospital  Some Major Affiliates Supported Atrius Health, MIT, Harvard Univ, Lesley Univ, Joseph Smith Centers, Marino Center,...  Over 6,000 Active Users Are Supported by the Help Desk Harvard University Medical School Teaching Institution  Interns/Residents – Turn over annually  Surgical Residents – Turn over every 6 weeks  Nursing Students Non Staff Users  Affiliates  Office Staff  Vendors  Agencies  18+ Mount Auburn Locations Hosted Systems  Over 130 Database Applications (Meditech, PACS, Dietary,Cardiology, Sleep Center, etc)  Over 100 Primary Servers (exclusive of BC/DR)  Networking and Interface Links Supported Devices  2,000+ PCs  900 Printers  200+ Smartphones/ActiveSynch  Non Managed Device Support for Office, Affiliate, Home... Staffing  28 FTEs System Availability 99.31-99.76%

3. Help Desk (617-499-5600) 24x7x365 to Monitor Systems and Staff Help Line 24x7x365 Assigned On Call  Network & Servers  Critical Applications  Operations Average 100 Calls/Day  70-80% Resolved on 1 st Call Technical Work Orders  Approximately 20-30/Day  85-90% Resolved within 1 day  >1 Day Resolution 50-75% Off Main Campus 25-50% On Main Campus First Responder and Point Person for System Events Major Software Applications Have Separate Supplemental Support Staff

4. Organizational Chart

5. Supported Database Applications AICE INFECTION TRACKINGHBR ED CodingMEDITECH DATA REPOSITORYNEICRADIATION THERAPY & HEM ONC (VARIAN ARIA) ALLSCRIPTS HOMECAREHI-IQMEDITECH DPTNORTHEAST CREDITORSRADIATION THERAPY (ECLIPSE) ALLSCRIPTS TRANSPORT SYSTEMHOMECARE SCHEDULING EXCEL SPREADSHEETSMEDITECH FANUANCE DRAGON DICTATION-HOSPITALRADIATION THERAPY (RADIATION ONCOLOGY) AMERICAN SIGN LANGUAGEHOMEMED Remote Homecare MonitoringMEDITECH GLNUANCE DRAGON DICTATION-MAPSRAISERS EDGE - BLACKBAUD ATHENANETIATRIC MEDICAL NECESSITYMEDITECH HISOCTEL VOICEMAIL - A4.12ARATE SETTING BIOMED MISC SYSTEMSIATRIC PDIMEDITECH LABONE MEDICAL PASSPORT ANESTHESIA SYSTEMREPTRAX BURSTPOINT VIDEO CONFERENCINGIATRIC POIMEDITECH MAGIC OSOUTCOME SCIENCESRESPOND! EMPLOYEE HEALTH CARD: ACC PTCA PROCEDURE DATABASEIATRIC VFSMEDITECH MICOUTLOOK EMAILRL SOLUTIONS CARD: DPH DATA BASEIDX PMSMEDITECH MISPACE MAKER TRACKING SYSTEMSLEEP STUDY DATABASE CARD: STS DATABASEINFOGENEIS CASH REGISTERSMEDITECH MMPANDORASONULTRA HI-RISK OB CAREWEBINFOGRAPHIXMEDITECH MOXParking Garage SystemsSPEECHQ RAD VOICE RECOGNITION ChartmEDINSIGHTMED OMNICAREMEDITECH MRIPATIENT SITESt Croix Workorder Management CLEAN CLAIMSInstamed Credit Card ProcessingMEDITECH NMIPCACESTATIT CLIPPER DPH BILLINGINTERBIT NETFAX/PRINTMEDITECH NURPCPRINT4SURGI VIEW VIDEO CONFERENCING CMIKAUFMAN HALL BUDGET ADVISORMEDITECH OEPHILIPS ISITE PACSTAB HIM FOLDERS COMPLY TRACK MEDIREGSKRONOS TIME AND ATTENDANCEMEDITECH OPSPHILIPS PACS EASYVISIONTalyst Pharmacy System CRANEWARELIFESCAN SURE STRIP PLUS (GLUCOSE)MEDITECH PATHOLOGYPHILIPS PACS WISEWEBTASK+ DOCUSCAN LAB REQ TRACKINGMAPS TRANSCRIPTION SERVICE (MULTIPLE?)MEDITECH PCIPHILPS PACS EASYWEBTELCORE GLUCOSE SYSTEM EclinicalworksMCKESSON INTERQUALMEDITECH PCMPICIS/MSM MEDCREDTOUCH ANESTHESIA SYSTEM Escription Dictation and Word ProcessingMEDCOMPMEDITECH PHAPICIS/MSM MEDDIETARYTRANSCRIPTOR FORMAST AUTOMATED FORMSMEDISOLVMEDITECH PPPICIS/MSM MEDSURGTRENDSTAR FREECARE ONLINE SYSTEMMEDITECH ABSMEDITECH RADPICIS/MSM OR MANAGERTUMOR REGISTRY GE (MARQUETTE) MUSE EKGMEDITECH ADMMEDITECH RAD-RWPTCT HOMECAREUPTODATE GLENN ASSOCIATESMEDITECH APMEDITECH SCHPYXISVOICEBROOK PATH VR HARVARD VANGUARD SYSTEMSMEDITECH BARMICROMEDEXQA DEPT ACCESS DATABASEWITT BIOMED HARVESTMEDITECH BBKMIDASQUALITY INDICATOR PROJECT SYSTEM NEHEN LITEQUEST DIAGNOTICS (FORMERLY SMITH KLINE)

6. Interfaced Electronic Medical Record Systems Electronic Medical Records Systems:  AllScripts - Homecare  Athena Clinicals – OB/GYN  ChartmED – Emergency Medicine  Eclinicalworks - MACIPA  EPIC – Atrius Health  GE Centricity – Community Health  MEDITECH – Hospital Acute Care  Nextgen – Community Health Centers  Point-N-Click Solutions – University Health  Varian – Medical & Radiation Oncology Patient Portals:  Athena Clinicals  Eclinicalworks  GE Centricity  PatientSite (MEDITECH and other CareGroup EHRs)

7. Functional Organization – Categories & Samples Major Applications Standard Applications Specialty Applications and Systems Remote Access and Non- Managed Devices Hardware and Infrastructure Project Management Business Intelligence and Data Management Committee Participation Security & Confidentiality MEDITECHMS OfficeTelecom, Voicemail, & Paging VPNPC, Tablet, printer, scanner Meaningful Use Data Repository Clinical Computing Audits EMRs: ChartmED, ECW, Athena EMAILTeleconference and Webcast CITRIXSecure and Guest WIFI ICD-10Report Writing Medical Informatics Advisory Group Encryption & Tracking Radiology and Cardiology PACS SQLHVACVDIHospital Network & Security Network ConstructionInterface Engine Patient SafetyHITECH RL Solutions, MIDAS Open OfficeSign Language and Specialty Communication Active SynchSmart PumpsRisk Assessment HIEJoint Commission HIPAA Budget Advisor AccessCash RegistersMDM & BYOD Digital SignageSystem Selection Regulatory Reporting Financial Planning Training & Education

8. CareGroup Services

9. Mount Auburn Campus Network Concept For illustration purposes only. Not current detail.

10. Mount Auburn WAN Network Concept For illustration purposes only. Not current detail.

11. CareGroup Network

12. Questions?