Mount Sinai Queens MPI Project

Jessica Spector, Senior Project ManagerOctober 20, 2010

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

Mount Sinai Queens

Was founded in 1910 235-bed community hospitalAcquired by Mount Sinai in 1999.

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.

Mt. Sinai Queens (Keane)Marina Rivera 1.15.1975 James Cooper 5.16.1962Marilyn Dennis 10.23.1914 Joe King 1.19.1945Karen Williams 12.25.1999Dinah Walton 4.5.1985 Lila Gordon 2.16.2005Rachel Myers 6.29.1988

Mt. Sinai Manhattan (Cerner)

Joe King 1.19.1945Samantha Poppy 11.26.1936Rachel Myers 6.29.1988Debra Liner 5.10.1926 Lila Gordon 2.16.2005Michael Rine 7.4.1951

Mt. Sinai Queens (Keane)Marina Rivera 1.15.1975 James Cooper 5.16.1962Marilyn Dennis 10.23.1914 Joe King 1.19.1945Karen Williams 12.25.1999Dinah Walton 4.5.1985 Lila Gordon 2.16.2005Rachel Myers 6.29.1988

Mt. Sinai Manhattan (Cerner)

Joe King 1.19.1945Samantha Poppy 1.26.1936Rachel Myers 6.29.1988Debra Liner 5.10.1926 Lila Gordon 2.16.2005Michael Rine 7.4.1951

Issue #1- Volume

The Cerner database has approximately

2.5 million persons

The Keane database has approximately

400 thousand persons.

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 1st 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 Ringer 12.12.1997

123-43-9548 903 1st Ave

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.

Data Governance – Issue Tracker

Phase 2

iWay compared Mt. Sinai Queens database of 400K Mt. Sinai Manhattan database of 2.5 million Similar process approximately 80K potential

matches

Data Governance – Issue Tracker

Where are we today?

Completed approximately 20,000 overlapsTarget date to complete overlaps 12/2010Estimated 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