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Research Town Meeting. September 9, 2013. Research Town Meeting - 10/09/2013. Announcements ( Rauch ) Fundraising Update and McLean’s Comprehensive Campaign (Cook) A Discussion about Partners Data Used to Support Research: Data Types, Data Sources, ICD-10, DSM-5 & EPIC (Christine Raine ) - PowerPoint PPT Presentation
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Research Town MeetingSeptember 9, 2013
2
Research Town Meeting - 10/09/2013
• Announcements (Rauch)
• Fundraising Update and McLean’s Comprehensive Campaign (Cook)
• A Discussion about Partners Data Used to Support Research: Data Types, Data Sources, ICD-10, DSM-5 & EPIC (Christine Raine)
• Anne M. Cataldo Excellence in Mentoring Award
• Retirement Reception for Peter Paskevich
* Reception from 1:15 pm – 2:00 pm will follow
3
Announcements
• Government Shutdown– Updates by email– Grant submissions for RFA’s; reviews delayed
• Research Highlights– Favorable fiscal performance for research (>$44M)– New NIH “Brain Bank” contract
• Organizational Changes– Dr. Joe Coyle appointed McLean CSO– Chris Coburn recruited to lead Partners Research Ventures & Licensing– McLean IRB administrative functions migrated to Partners IRB oversight
Fundraising Update and McLean’s Comprehensive Campaign
October 9, 2013
Research Town Meeting
Cathie CookSenior Vice President and Chief Development Officer
5
Agenda
1. What does the Development Office do?
2. Who are McLean’s donors?
3. For what do donors give?
4. What is the scale of philanthropy to McLean?
5. What is McLean’s Comprehensive Campaign?
6
What Does the Development Office Do?
• Raise Philanthropic support from:• Individuals• Foundations
7
Who Are Our Donors?
• 90%: grateful families of patients or former patients themselves
• Others: trustees, National Council members – even staff
8
Why Do People Give?
• Gratitude• Desire to have an impact• Hope• Affiliation with a prestigious institution• Belief in McLean’s mission
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For What Do Donors Give?
• Research• Clinical Programs• Education and Training• Capital Projects• Annual Fund (unrestricted gifts)
10
What is the Scale of Philanthropy to McLean?
11
Gifts to McLean: 2004-2013
$100 Million
The Campaign For McLean
$75 MillionOver 5 Years
13
Why A Campaign Now?
14
The Campaign Will Help Fund:
• McLean Divisions Research Clinical Care Education
• The expansion of our services• The strengthening of our infrastructure
15
The Timing of the Campaign
• Leadership (Quiet) Phase: April 2012 to March 2015
• Public Phase: April 2015 to March 2017
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The Timing of the Campaign
• Leadership (Quiet) Phase: April 2012 to March 2015
• Public Phase: April 2015 to March 2017
17
The Campaign for McLean
Goal through Sept. 30, 2013 = $15 million
Results = $27.8 million
18
The Campaign for McLean FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017
$0
$10,000,000
$20,000,000
$30,000,000
$40,000,000
$50,000,000
$60,000,000
$70,000,000
$80,000,000
$5,000,000
$7,500,000 $12,500,000
$18,125,000
$24,375,000
$31,750,000
$35,000,000 $38,750,000
$42,500,000 $46,375,000
$50,250,000 $54,125,000
$58,000,000
$62,250,000
$66,500,000
$70,750,000
$75,000,000
$7,561,640
$12,000,000
$17,173,703 $19,613,124
$27,820,862
$- $- $- $- $- $- $- $- $- $- $- $- $- $- $- $- $-
Goal
19
The Campaign for McLean
How Can You Help?
20
McLean Development Staff
EvangelineBermas
Kristin Kilbourne
Cathie Cook
Lori Etringer
Jeanne Armocida
Ronna Woodward
JenniferLondon
SueDeMarco
ErinCollins-Moore
JenniferSteeves
MichellePontbriand
Julia Wills
PatrickCollins
Sarah Belschner
AlexisNodiff
A Discussion about Partners Data Used to Support Research:Data Types, Data Sources, ICD-10, DSM-5 & EPIC
McLean Research Town MeetingOctober 9, 2013
Christine RainePartners eCare Senior Integration Coordinator for Research [email protected]; 617-909-1781
Data Types & Data Sources :What’s changing?
ICD-9 to ICD-10
Procedures &Diagnoses
Oct 1, 2014Across USA!
DSM-iv to DSM-5
Diagnoses
Oct 1, 2014Across USA!
Multi-SystemMigration
Patient, Billing & Clinical Data
Begins Feb 1, 2014
Across Partners!
Partners ICD-10 Project & Research
ICD-10: When & What?
When? ICD-9 will move to ICD-10 on October 1, 2014
What is ICD-9?
International Classification of Disease & Health Related Problems Clinical Modifications Version 9: ICD-CM-9
Clinicians assign to every procedure & medical diagnoses that impact human health Used in analysis for quality metrics, hospital operations or in human studies research.
e.g. for research use: identifying patient cohorts or control groups
data requests in the RPDR for clinical trialsanalysis & storage of diagnoses/procedures by icd-9
What’s changing? Format, specificity, code selection grows: 24,000 icd-9 to 140,000 icd-10 Information System remediation across Partners RPDR & CRIMSON: metadata, systems and data Contract/reimbursement/reporting implications, code set crosswalks needed Do you have local requirements? departmental databases? study
spreadsheets? data storage?
ICD-10: Training
WHO? Research: ICD-9 codes?
Store? Analyze? Qualify pts for clinical trials? RPDR?
Coders Finance
WHAT?
WHEN?Training plan will be developed : Material development Schedules/timeline Venue Identifying Audience
Marijane ‘MJ’ Welford, [email protected]
Christine Raine, Partners [email protected]
CONTACTS:
Roles-based e-learning
ICD-10: Information
Do you need assistance figuring out if or how this change will impact you?
TRAINING QUESTIONS? EMR, LIS, & RPDR SYSTEM INFORMATION?
GENERAL PROJECT COMMUNICATION?
Christine Raine, Partners eCare Research Integration Coordinator [email protected] 617.909.1781
MariJane ‘MJ’ Welford, McLean ICD-10 Project Lead [email protected] 617.855.2272
DSM-5 Upgrade & McLean
DSM-5: When & What?
What is DSM-5? “Diagnostic and Statistical Manual of Mental Disorders” , published by APA a listing of psychiatric disorders and their corresponding ICD diagnosis
codes standardize data collection and facilitate communication among clinicians
What’s changing? Major Changes include:
Elimination of GAF scoring Rolling the first three axes in DSM-IV into one in DSM-5
RPDR: DSM coded diagnoses will have DSM-5 terms as of Oct 1, 2014.
Do you have local requirements? departmental databases? study spreadsheets? data storage?
When? DSM-IV will move to DSM-5 on October 1, 2014
DSM-5: Training
WHO?Clinicians
WHAT?
WHEN?Training plan will be developed: Material development Schedules/timeline Venue Identifying Audience
Marijane ‘MJ’ Welford, [email protected]
Chris Tangren, MD, McLean Clinical Implementation
Leader
CONTACTS:
DSM-5 APA training tools are being explored, if any
Develop our own training material if necessary
Partners eCare & Research Useof Clinical & Billing Data
EPIC Changes: When & What?
When? EPIC revenue cycle & clinical system
implementations: 5 years
What’s the goal of Partners eCare?The Partners eCare (PeC) program will support Partners HealthCare in providing world class health care services, research, education and community service.
One Patient, One Record, One Team, One Partners Statement.
What Systems are impacted?LMR, BICS, EMPI, Patcom, Scheduling, Revenue Cycle/Billing, TSI/EPSI, CDR, MEDITECH, more…
Partners eCare Timeline
32
NWH
BWH, BWFH, SWR, DFCI, AMB Sites(* Clinicals Only)
NWH*, AMB Sites(* Clinicals Only)
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4Q3 Q4 Q1 Q2 Q3 Q4
2012 2013 2014 2016 20172015
Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4Q3 Q4 Q1 Q2 Q3 Q4
2012 2013 2014 2016 20172015
MGH
NSMC, SNS, NSPG, AMB Sites
SNE, MEEI, MGH*, AMB Sites(* Clinicals Only)
Rehab Sites –SRH, SCC, SHC
McLean
SSH, AMB Sites, MVH, NCH
CDH, HHS, AMB Sites
Home Health
Enterprise Validation and Content Development
ICD10 & DSM5-Go Live
Legend
* = Clinicals Only
Revenue Cycle
Combined
Clinical
R
R
RC
RC
RC
RC
RC
C
RC
NWH/MGH Upgrade
R
as of 12/2012
Analysis, Content/Scope
& Strategy Development
evaluate current data usage from billing & EMR systems for the support of research.
PeC: A Few Research Opportunities
Desired Epic System Functionality: Clinical trial recruitment, POC Research order sets, patient flags, PI Alerts Potential support of tracking research consent Research notes in EMR: templates/structured data
Desired Non-Epic Functionality/Support:
Integration of ,or access to, Epic data along with other PHS/entity data to support Research (systems, site teams, RPDR)
Disease-specific registries Fully integrated sponsor billing
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Analysis, Content/Scope
& Strategy Development
Partners eCare Research Group Focus: Analysis, Content/Scope & Strategy Development
34
Discovery : How
Researchers are using data from
current PHS systems
Strategy, Design &
Integration:
RPDR and Registries
Support Research Billing via
Epic – Billing, ADT, Scheduling
Exploring Epic
Features & Opportunitie
s
Even though McLean Clinical & Billing Implementation is 2017, decisions need to be made
now for Content, Functionality, Strategy and Implementations of EPIC across the PHS Enterprise
Uses Common IT Infrastructure, Systems & Data Structure
Data
Use
Surv
ey!
PeC Data Use Survey!
1. What is the name of your group/unit/program/research project?
2. What type of billing and clinical data do you use and where does the data come from? The more specific you can be, the better! (i.e., Radiology reports from CDR, ICD9 diagnoses from RPDR, charge detail as data files from IDX, etc.)
3. Do you have ideas about what can be done to reduce your concerns about how your data dependencies and environment will operate after Epic is implemented?
Handouts:ICD-10 Informational BrochurePartners eCare Data Use SurveyBusiness Cards for Key Contacts
Christine Raine 617-909-1781 [email protected]
Presentation materials & handouts will be posted on Brainwaves.
Thank you!
37
Awards Ceremony