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Duke Medicine IT Strategy Jeffrey Ferranti, MD Chief Information Officer / VP Medical Informatics Duke Medicine April 17, 2015

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Duke Medicine IT Strategy

Jeffrey Ferranti, MD

Chief Information Officer / VP Medical InformaticsDuke Medicine

April 17, 2015

Duke MedicineHealth IT Strategy CONNECT

INFRASTRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

Caring for our patients, their loved ones, and each other

Enabling the health system to fully leverage information technology in achieving its mission

2

3

Foster a consistent and seamless health care experience across Duke Medicine leveraging the best technology available for patients, their loved ones, and each other.

CONNECT

STRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

Goal #1: Care

Caring for our patients, their loved ones, and each other

• Maestro Care EHR• Care Redesign• Provider Workflow Optimization• New Clinic Deployments• Meaningful Use• HIMSS Stage 7

Care Key Initiatives

4

Partner with patients, referring providers, other health care entities to improve health outcomes, the efficiency of care, and the experience of care.

Caring for our patients, their loved ones, and each other

CONNECT

STRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

Goal #2: Connect

• Patient Engagement• Referring MD Communication• Health Information Exchange• Community Connect• Telemedicine Planning

Connect Key Initiatives

5

Leverage enterprise data to support clinical care, research, and advanced analytics. Actively deliver actionable intelligence to the point of care.

Caring for our patients, their loved ones, and each other

Goal #3: Inspire

CONNECT

STRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

• Population Health• Enterprise Data Warehouse 2.0• Information Asset Management• Enterprise Reporting

Inspire Key Initiatives

Support development of new ways to take care of patients, including technologies within and around Maestro Care. Provide world class IT services to support Duke Medicine’s vast research mission.

Caring for our patients, their loved ones, and each other

Goal #4: Innovate

CONNECT

STRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

• IT Innovation • M*Health Mobile Apps• App Development Incubator• Learning Health System Activities

• Research Services• Biobank / Shared Services• Basic Science IT Strategic Plan• Clinical Trials Management System• eIRB• My Research Home @ Duke

Innovate Key Initiatives

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Build strategic, cost effective IT infrastructure and application services that scale up to support Duke Medicine’s goals

Caring for our patients, their loved ones, and each other

Goal #5: Infrastructure and Services

CONNECT

INFRASTRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

• New NC-1 Data Center• Updated G4 Network Architecture• Replacement of HL7 Interface Engine• Windows 7 Migration• Outlook 365 Migration• Physiologic Monitor Fleet Replacement• Nurse Call• IT Service Management Processes

Infrastructure Key Initiatives

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Protect the confidentiality, integrity, and availability of Duke Medicine’s information assets

Caring for our patients, their loved ones, and each other

Goal #6: Information security

CONNECT

STRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

• Multi-Factor Authentication• Vulnerability / Patch Management• eRGC Policy System Implemented• Network Admission Control (NAC)• Mobile Device Management• Cisco Managed Threat Defense• Security Information and Event

Management (SIEM)

Security Key Initiatives

9

Create a high quality work force, equipped and motivated to partner with Duke Medicine in providing excellent patient care.

Caring for our patients, their loved ones, and each other

Goal #7: Work culture

CONNECT

STRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

• Work Life Balance• Teamwork Across Teams• Communication• Skills development and training plans• Foster new ideas and innovation

Work Culture Key Initiatives

10

Effectively manage expenses, drive efficiency and cost reduction, and improve transparency into services provided and associated costs.

Caring for our patients, their loved ones, and each other

Goal #8: Finance and growth

CONNECT

STRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

• Service Based Costing• Transforming our Future• Contracts Database• FY 16 Budgeting / Margin

Improvement

Finance Key Initiatives

CONNECT

STRUCTURE AND SERVICES

CARE INNOVATE

INSPIRE

INFORMATION SECURITY

WORK CULTURE

FINANCE AND

GROWTH

Caring for our patients, their loved ones, and each other11