Best Practices in SharePoint for Healthcare: US Army Medical Command

BEST PRACTICES CONFERENCE SHAREPOINT

Clarity. Direction. Confidence.

BEST PRACTICES IN SHAREPOINT FOR HEALTHCARE ORGANIZATIONS: US

ARMY MEDICAL COMMANDS

Marie-Michelle Strah, PhD

BroadPoint Technologies



WHO AM I?Marie-Michelle Strah, PhD

Twitter: @cyberslate

Email: michelle AT lifeincapslock DOT com

Work: mstrah AT broadpoint DOT net

Blog: http://lifeincapslock.com

Linkedin: www.linkedin.com/in/drstrah

SharePoint Solutions Architect and Practice Lead, BroadPoint Technologies www.broadpoint.net

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http://www.broadpoint.net/

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Twitter: #bpc11

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Business Case Studies/Lessons Learned Track

Monday 12:45 pm March 7, 2011

Shore

Really:Business Process Re-Engineering

And Improved Healthcare Outcomes


IntroductionOverview

Objectives• Clarity: Business Process Re-engineering• Direction: Mission Focus• Confidence: Standardized Repeatable Processes

Case Study Format – Longitudinal Perspective

Best Practices (3)

Worst Practice

Tradeoff


CASE STUDYArmy in Europe Transformation 2004-2008


ERMCArmy in Europe Transformation 2004-2008

• Pain Points• Challenges to military healthcare OIF/OEF• Very few automated processes for

healthcare administration• Integrating private sector best practices,

accreditation and managed care (TRICARE)

• SharePoint 2003 infrastructure but no champion


HMEDDACArmy in Europe Transformation 2004-2008

• Pain Points• Distributed command• Legacy facilities (WWII)• Transformation (Base Realignment and

Closure)• OPTEMPO and PERSTEMPO (High

Personnel Turnover)


ERMC

Army in Europe Transformation 2004-2008

• Process• Hey, we’ve got a great idea!• Command adoption (HMEDDAC)• Command adoption (ERMC)• Goals: compliance and

transformation


BEST PRACTICE #1:Army in Europe Transformation 2004-2008

• MISSION FOCUS• Improved Healthcare Outcomes• Wounded Warrior Care


ERMC

Solutions for Transformation

• Transformation• Consolidation and realignment – creation

of new processes• Integration of G-3 and G-6 processes• Rapid deployment• Provide structure, decision-making and

executive dashboarding


BP1.1 DON’T TALK ABOUT SHAREPOINT

It’s not about SharePoint, stupid.

It’s about the patient.


Healthcare Information Technology

Legacy Systems

Paper

Fax

Excel

DoD Business Improvement

Forms Management

AHLTA/CHCS

DMLSS

“Work Management”

Command Adoption

End User Adoption

Training

• Domain-specific processes• Interprofessional

collaboration• Clinical Practice

Guidelines


HMEDDAC


• Healthcare Administration• Standardization and automation of existing

processes• Quality measures (data, data, data)• Continuous process improvement


As Is Architecture (not exactly, but…)



• BUSINESS REQUIREMENTS• Healthcare IT• Healthcare Informatics


STAKEHOLDERS

Patient

Quality

Admin

Providers

IMD

PAO/STRATCOM


The Joint Commission

• Accreditation• National Patient

Safety Goals• Information

Management Standards


AHRQ: Workflow, CPGs, Evidence-Based Design


Governance

Quality Management Team

Risk Management Team

Public Affairs (PR/Marketing)

Physician/Department Heads

Nursing/Department Heads (Healthcare Informatics)

Minor roles:

IMD

Patient Administration (Coding/Billing)


Security

OPSEC

STRATCOM/PAO

Patient Engagement

Patient Relationship Management

Wounded Warrior and Family Communications

Command Information

Guidelines for Blogging, Social Media, Content Strategies…


Regulatory Compliance

HIPAA

HITECH 2009 Updates to HIPAA Privacy/Security

TRICARE (Military Health System)


Portfolio Management and HIPAA

• Role of the HIPAA Compliance Officer• Most organizations err on the side of caution but unnecessarily restrict

de-identified data…



• SHAREPOINT AS A PLATFORM• Solution-focused• Flexibility, adaptability


Phased Implementation StrategySolutions for Transformation

• Enterprise Portal - HMEDDAC• Phase I – 3 months – planning and buy-in• Phase II – 12 months – implementation

and training across subordinate commands (7) and headquarters

• Phase III – 12 months – implementation and training across clinical divisions, records management, quality and risk management, patient safety, patient satisfaction, hospitality


Phased Implementation Strategy (2)


• Enterprise Solutions - ERMC• Phase I – 3 months - Transformation

Portal and capital equipment and supply chain management

• Phase II – 12 months - Host Nation Initiatives• Host Nation Patient Liaison Program• ERMC Medical Library and Knowledge

Portal• Wounded Warrior Care


Solutions


• Document Management• Enterprise Content Management• Business Intelligence/Dashboards• Reporting Services and Metrics• Team Sites and Collaboration• Blogging and Social Features• Business Process Re-engineering• Compliance and Audit• Training and Development


Measurable Results

Results

Automation of 100% of business processes across 8 geographically dispersed hospital and ambulatory

care clinics

• Joint Commission Accreditation – Hospital (2008)• Joint Commission Accreditation – Ambulatory (2008)• DoD/MEDCOM Inspection (2008)• Congressional Inspection (2008)• 100% accountability of 2500 staff and $150 million

of durable equipment• 15% increase in patient satisfaction rates


WORST PRACTICE (BUT WAIT…)

SharePoint 2003

Don’t do everything in SharePoint…


TRADEOFFPersonnel (insourcing)


WAY FORWARD

Developments in healthcare IT

Developments in Microsoft Health offerings

Development in SharePoint 2007/2010





BP1: MISSION FOCUSBP2: BUSINESS REQUIREMENTS

BP3: EXTEND THE PLATFORM

“Don’t Talk About SharePoint!”

Patient-centered medical home model.

Domain-specific knowledge (Healthcare IT)



MARIE-MICHELLE STRAH, PHDTWITTER: @CYBERSLATE

EMAIL: MICHELLE AT LIFEINCAPSLOCK DOT COMWORK: MSTRAH AT BROADPOINT DOT NET

BLOG: HTTP://LIFEINCAPSLOCK.COMLINKEDIN: WWW.LINKEDIN.COM/IN/DRSTRAH

Contact Information and Follow Up

See also: Live Blogging:


http://lifeincapslock.com/

http://www.linkedin.com/in/drstrah




THANK YOU!

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