1. Mount Sinai Queens MPI Project Jessica Spector, Senior Project Manager October 20, 2010

2. Mt. Sinai Medical Center  The Mount Sinai Medical Center consists of:  An 1,171-bed, tertiary-care teaching facility  A research facility  A Faculty Practice Associates group  A Medical School

3. Mount Sinai Queens  Was founded in 1910  235-bed community hospital  Acquired by Mount Sinai in 1999.

4. MSQ MPI Project Background  MSH and MSQ do not share registration systems  MSH uses Cerner and IDXflow  MSQ uses Keane  MSH and MSQ do share ancillary systems. The systems have one database and the MSQ patients have a Q prefix to distinguish the 2.  Michael Spencer could exist in MSH with MRN 123 and MSQ with MRN 999. If In Radiology DB you would find MRN 123 and MRN Q999 for Michael.  MSH is midway through an Epic EMR solution. We have completed the Ambulatory clinics, mostly completed in the Faculty Practice Associates, and are currently working through the inpatient units (target completion Q3 2011).  In order to meet MU qualifications the Epic EMR will be implemented in MSQ  For one continuous patient chart; patients who exist in both systems need to be linked & patients who exist in one or the other system added to the other system  Finally a real time interface will be created so that if a patient is created or updated in one system they will be created or updated in all systems.

5. Mt. Sinai Queens (Keane)  Marina Rivera 1.15.1975  James Cooper 5.16.1962  Marilyn Dennis 10.23.1914  Joe King1.19.1945  Karen Williams 12.25.1999  Dinah Walton 4.5.1985  Lila Gordon2.16.2005  Rachel Myers 6.29.1988 Mt. Sinai Manhattan (Cerner)  Joe King 1.19.1945  Samantha Poppy 11.26.1936  Rachel Myers 6.29.1988  Debra Liner 5.10.1926  Lila Gordon 2.16.2005  Michael Rine 7.4.1951

6. Mt. Sinai Queens (Keane)  Marina Rivera 1.15.1975  James Cooper 5.16.1962  Marilyn Dennis 10.23.1914  Joe King1.19.1945  Karen Williams 12.25.1999  Dinah Walton 4.5.1985  Lila Gordon2.16.2005  Rachel Myers 6.29.1988 Mt. Sinai Manhattan (Cerner)  Joe King 1.19.1945  Samantha Poppy 1.26.1936  Rachel Myers 6.29.1988  Debra Liner 5.10.1926  Lila Gordon 2.16.2005  Michael Rine 7.4.1951

7. Issue #1- Volume The Cerner database has approximately 2.5 million persons The Keane database has approximately 400 thousand persons.

8. Issue #2- Data Attributes Mt. Sinai Queens (Keane)  Tom Greene 2.3.1984 243-66-1111 5 Main Street  Danielle Smith 3.15.1975 no SS# 879 Park Circle  Ava Ringer 12.12.1997 123-43-9834 903 1 st Ave Mt. Sinai Manhattan (Cerner)  Tomas Greene 3.2.1984 234-66-1111 5 Main Street  Danielle Morgan 3.15.1975 896-66-2343 1 Club Drive  Eva Ringer12.12.1997 123-43-9548 903 1 st Ave

9. Phase One Project  iWay took the 400 thousand Keane patients and analyzed them for duplicates.  Once we had our list of potential duplicates, iWay created a front end application to assist our analysts in determining if they were duplicates or not.

10. Data Governance – Issue Tracker

11. Phase 2  iWay compared  Mt. Sinai Queens database of 400K  Mt. Sinai Manhattan database of 2.5 million  Similar process approximately 80K potential matches

12. Data Governance – Issue Tracker

13. Where are we today?  Completed approximately 20,000 overlaps  Target date to complete overlaps 12/2010  Estimated date of synchronization 3/2011  Add 2.5 million patients to Mt. Sinai Queens (Keane)  Add 320K patients to Mt. Sinai Manhattan (Cerner)  Real time interface