1. How to Find Smooth Sailing While Implementing EHRs HIPAA COW Spring Conference April 4, 2008 Kalahari Resort

2. Speaker Introductions Theresa Eckman EHR Project Director SSM Integrated Health Technologies Madison, WI Daniel R. Peterson Director, Information Services and EHR Advantage ProHealth Care, Inc. Waukesha, WI Michael A. Rosencrance CIO/VP, Information Services UW Medical Foundation Madison, WI

3. The SSM/WIITTS Experience SSM/WI partnership with Dean Health System –2 wholly-owned + 2 affiliated hospitals –500+ physicians (Dean & SMDV) One Patient = One Record Adventure –EMPI 2002 –Lab, Radiology, & Transcription 2003 –Common Sched/Reg 2005 –Big Bang Inpatient 2008

4. The ProHealth Experience Two-hospital system in suburban Milwaukee –220 system physicians –200 independent/affiliated physicians Created “Virtual Medical Community” Implemented GE Centricity EMR in 2006 –3 phase implementation methodology –Interfaces to hospital ancillaries –Will add clinical messaging and patient portal in 2008

5. The UW Health Experience Part of UW Academic Medical Enterprise –1,100+ Physicians/Faculty –Partner w/ UW Hospital and Clinics The “Epic” Journey –Registration/Scheduling/Billing 2001 –Pilot EMR 2004 –Switch to Phased Approach 2005 –UW Hospital Officially Joined 2006 –Making UW Health “More than a Brand”

6. EHRs at Their Core 3 Components Foundational Work Implementation Maintenance and Support

7. Important Lessons Foundational Work Planning Resource Allocation Interfacing Ancillary Systems Data Conversions Populating the Record BEFORE Go-live

8. Important Lessons Implementation Choose Your Approach Carefully Work Flow Analysis and Design Training Go-Live Support

9. Important Lessons Maintenance and Support Resources Optimization Upgrade and Maintenance Testing Communication and Sharing

10. Questions?