1. Mercy Children’s Hospital, Washington, DC MED INFO 405 Project Draft Group 2 Lisa Heavilon David Robbins Lisa-Marie Williams, RN

2. Mercy Children’s Hospital, Washington, DC A mid size pediatric hospital 430 beds Non-profit Medical Resident and Intern Program (teaching hospital) Located in an large metropolitan city

3. Mercy Children’s Hospital Specializes In Pediatric Oncology Infectious Disease Emergency Medicine Anatomic Pathology Reconstructive surgery Each of these specialties presents a unique requirement for data flow

4. Systems Installed at Mercy New HIT system – Meditech Automated Pharmacy Automated Lab Automated Radiology Med Stations - AccuDose CPOE - Meditech Physician Care Manager Blood Bank - Meditech Tissues and Biologics - TIMS 4

5. Meditech Screen Prints Automated Lab Results through Meditech on test patient Apple Green.

6. Meditech Screen Prints CPOE in Meditech of Continuous tube Feed on test patient Jan08 Documentation.

7. Systems Installed at Mercy Infection Control: Infection Monitor Pro Human Resources: People Soft Staffing: Daptiv Payroll: Kronos Inventory Control: Home grown Finance and Accounting: People Soft 7

8. Internal Stake Holders Physicians, Nurses, other clinicians Pharmacy Lab & Blood Bank Radiology Admissions Dietary Housekeeping

9. External Stake Holders Physicians and other clinicians External Labs External Radiology Centers The Red Cross Other Hospitals/ Medical Centers Retail Pharmacies State and Local Public Health Agencies The Centers for Disease Control (CDC) Payers

10. Logical Data Flows

11. Physical Data Flows

12. Standards Used at Mercy CCR: EHR HIPAA (835, 837 276/277, 270/271): Claims NCPDP(5.1): Pharmacy Retailers HL7 (2.5) Meditech in/outbound SNOMED – CT: Pathology Joint Commission: HTTPS/XML: CPOE ICD-9: Insurance Collections

13. Applications with No Standards Proprietary Interface: Tissues and Biologics ◦ Each donor bank has its own way

14. Discussion