October 3, 2012 Kevin Groskreutz, MBA, CIO, HSHS Division (Western Wisconsin) David Mortimer, Care Integration Grant Program Manager, HSHS Strengthening a Health Care Community with Advanced Networks: Care Integration at Two Wisconsin Hospitals
Abstract The advent of U.S. UCAN is helping U.S. health organizations make significant advances in the delivery of patient care and in expanding efficiencies in business operations. This session will describe recent advances in the operation of two hospitals in western Wisconsin, made possible by a redundant fiber Community Area Network (CAN), to allow department integration and the use of image repositories that have both saved lives and improved efficiency. 2 2012 Internet2
Strengthening a Health Care Community with Advanced Networks: Care Integration at Two Wisconsin Hospitals A. Development of a Community Area Network (CAN) B. HSHS Care Integration & Broadband Case Studies: 1) Integrating Departments, Applications & Processes 2) Metro Cluster Multi-Site Patient Data Storage & Backup 3) Tele-Radiology Image Hub 4) Dove Healthcare s Multiple Site Connectivity 3 2012 Internet2
A. Development of a Community Area Network 4 2012 Internet2
A. Development of a Community Area Network 13 hospitals in WI and IL Physician practices Strategic affiliations & joint ventures with rural hospitals Transforming health care delivery through Care Integration 5 2012 Internet2
A. Development of a Community Area Network TIMELINE 1999: Y2K CIO monthly breakfast club 2000: Discussing IT needs & cost burdens led to collaborations for mutual benefit; Chippewa Valley Inter-Networking Consortium (CINC) formed 2004: Joint purchases to share infrastructure and applications 2009: St. Joseph s Hospital became a FCC Rural Health Care Pilot; redundant link between hospitals 2010: $32M federal Building Community Capacity through h Broadband d BTOP grant (led by University it of Wisconsin-Extension) awarded to State 2011: Became Unincorporated Association 6 2012 Internet2
A. Development of a Community Area Network CINC MEMBERS REPRESENT: City, County & State Government Educational Institutions Hospitals, Clinics & Health Care Technology providers Libraries Nonprofits CINC Executive Committee 7 2012 Internet2
A. Development of a Community Area Network CINC MEMBERS REPRESENT: City, County & State Government Educational Institutions Hospitals, Clinics & Health Care Technology providers Libraries Nonprofits BTOP Grant Team (led by UW-Extension) 8 2012 Internet2
A. Development of a Community Area Network CINC Members: CESA 10 Chetek-Weyerhaueser School Dist. Chippewa County Chippewa Falls School District Chippewa Valley Technical College City of Altoona City of Chippewa Falls City of Eau Claire Dove Healthcare Eau Claire Area School District Eau Claire County Eau Claire Public Library & Indianhead Federated Library System Elk Mound School District Luther Midelfort Mayo Health System Osseo - Fairchild School District Sacred Heart Hospital (Eau Claire) St. Joseph ss Hospital (Chippewa Falls) University of Wisconsin Eau Claire University of Wisconsin Stout UW Health (Eau Claire & Augusta) WiscNet Wisconsin DOT 9 2012 Internet2
A. Development of a Community Area Network TODAY 72 miles of fiber & 3 towers 18 members >90 locations connected 20 miles between hospitals Redundancy (Rural Health Care Pilot Program) 10 2012 Internet2
A. Development of a Community Area Network EXPANSION 154 miles of additional fiber 110 new locations (BTOP) 12 new towers (BTOP) CINC Video (next slide): http://bit.ly/ytibit 11 2012 Internet2
A. Development of a Community Area Network 12 2012 Internet2
A. Development of a Community Area Network Hospitals Need Broadband that is: Fast Accessible Reliable with redundancy to assure mission critical applications are available 24/7 Affordable 13 2012 Internet2
A. Development of a Community Area Network Problem: No Fast, Accessible, Reliable & Affordable Broadband Dense files of medical information need to be shared Speed: Essential applications require speeds of 100 megabits (Mbps) to one gigabit per second (Gbps) Picture Archiving and Communications System (PACS) Diagnostic file or sharing/storing Electronic Health Records Commercially-provided speeds seldom available at any price 14 2012 Internet2
A. Development of a Community Area Network CAN Model supports HSHS Care Integration: Supports use of technologies & relationships to link patients, t providers & facilities Results: Superior value Improved care coordination Enhanced efficiency with reduced costs Increased satisfaction for patients & providers Removes distance (caregiver & patient) Expands health care access Expedites treatment Improves quality Reduces costs 15 2012 Internet2
A. Development of a Community Area Network Broadband Links Patients & Providers for: Telemedicine for interactive ti face-to-face f physician i examinations of patients to speed emergency treatments Faster emergency and trauma care by physician telepresence in emergency rooms & ambulances Improved health care access to reduce rural disparities New solutions to alleviate shortages of health care professionals by allowing on call clinicians to expand coverage Health Information Exchange (HIE) development 16 2012 Internet2
Case Studies: 1) Integrating Departments, Applications & Processes 2) Metro Cluster Multi-Site Patient Data Storage & Backup 3) Tele-Radiology Image Hub 4) Dove Healthcare s Multiple Site Connectivity 17 2012 Internet2
1) Integrating Departments & Applications Problem: Costly Duplication & Lack of Coordination Duplication of applications and departments prevented seamless coordination and sharing Economies of scale could not be leveraged (dual phone system) Separate identities of the two organizations dated back to the 1880s Solution: Shared Infrastructure & Applications Network allowed costs to be reduced through combining departments and applications to share expenses Services could be delivered faster, more efficiently, more reliably and in a more coordinated manner 18 2012 Internet2
1) Integrating Departments & Applications 19 2012 Internet2
1) Integrating Departments & Applications 20 2012 Internet2
1) Integrating Departments & Applications 21 2012 Internet2
2) Metro Cluster Multi-Site Patient Data Backup Problem: Electronic Storage of Patient Data Electronic Medical Records (EMR)--track and store patient information during a hospital admission Electronic Health Records (EHR)--historical patient data stored following a hospital discharge 24/7 access to the data is critical to patient care Disaster recovery relied on individual onsite and offsite tape backups >1 Terabyte of data per day produced Solution: Metro Cluster Solution Synchronous back up for each site at each site Reduced costs by 30% & increased reliability Zero downtime with improved disaster recovery Improved overall performance in accessing data 22 2012 Internet2
2) Metro Cluster Multi-Site Patient Data Backup 23 2012 Internet2
3) Tele-Radiology Image Hub Problem: Image Access is Critical to Patient Care & Outcomes Delays in moving imaging data from hospital ERs to specialists Difficult for 24/7 on-call radiologists to quickly respond to patient needs without delays over a wide geography & multiple locations Commercial cost for ultra-high speed broadband over long distances prohibitively high & unavailable to radiologists homes Always available bandwidth did not exist Solution: Tele-Radiology Imaging Hub Immediate image access between 43 healthcare facilities across western Wisconsin and eastern Minnesota Increased efficiency & speed of care Lower costs by utilizing redundant CAN fiber 24 2012 Internet2
3) Tele-Radiology Image Hub 25 2012 Internet2
3) Tele-Radiology Image Hub 26 2012 Internet2
4) Dove Healthcare s multiple site connectivity Problem: Slow & Unreliable Software Applications Delays in accessing array of cloud-based services and applications (data storage, backup, network & domain management and electronic medical record hosting) System was costly & inefficient (causing staff overtime) System had a single point of failure fault tolerance Not dependable Solution: Faster, More Efficient, Secure, Reliable & Affordable Multiple ISP connections and redundancy Six sites share a centrally located data center All software is accessed from central data center Nurse call system Patient records and therapy application Payroll, Phone & Voicemail Real-time point-of-care of documentation Care Integration: Access to hospital electronic record 27 2012 Internet2
4) Dove Healthcare s multiple site connectivity 28 2012 Internet2
Key Benefits of a Community Area Network Doing More With Less--Pooling Resources Substantial savings Benefits to non-profit and public sectors For-profit collaboration Removing Barriers Sharing Services Applications Networks 29 2012 Internet2
Key Benefits of a Community Area Network Your own institution (a health system or school district) Like institutions (city, county & state government) Unlike institutions (government & health care) 30 2012 Internet2
31 2012 Internet2 Discussion & Questions
Acknowledgements HSHS would like to thank: The Upper Midwest Health Group hosted dby Internet2 s t2 Health lthscience Initiative and launched by Michael Sullivan, MD and Michael McGill, PhD Tim Kich, an IT intern from the Chippewa Valley Technical College that researched and drafted these case studies Internet2 for providing funding for these case studies Members of the Chippewa Valley Inter-Networking Consortium (CINC), a best practice Community Area Network (CAN) The FCC Rural Health Care Pilot Program s support of fiber The University of Wisconsin-Extension, for leading Wisconsin s Building Community Capacity through Broadband BTOP grant WiscNet, Wisconsin's Research And Education Network 32 2012 Internet2
Kevin Groskreutz, MBA, CIO, HSHS Division (Western Wisconsin) kgroskreutz@sjcf.hshs.org David Mortimer, Care Integration Grant Program Manager, HSHS dmortimer@hshs.org Strengthening a Health Care Community with Advanced Networks: Care Integration at Two Wisconsin Hospitals