mpages at lpch - thus far
DESCRIPTION
From the Mpages conference in Seattle help on March 30th 2009TRANSCRIPT
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MPages Development MPages Development ConferenceConference
LPCH MPages Overview
SeattleMarch 30, 2009
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IntroductionIntroduction
Chris Longhurst, MD, MSMedical Director of Clinical Informatics, LPCHAssistant Professor of Pediatrics, Stanford
Joshua FaulkenberrySenior Web Applications Engineer, LPCH
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OutlineOutline
OverviewLucile Packard Children’s Hospital at StanfordLPCH history with Cerner
MPagesClinical challenges and solutionsTechnical challenges and solutionsFuture projects
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Lucile Packard (Women and) Children’s Hospital OverviewLucile Packard (Women and) Children’s Hospital Overview
Opened in 1991 Major pediatric/obstetric hospital associated with Stanford University Patient stats (2006)
13k Discharges 5400 Deliveries 106k Clinic visits 280 Active Beds 40%+ critical care patients
Centers of Excellence (6) Top 10 children’s hospital by US News & World Report in 2007
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LPCH Information & Knowledge System (LINKS) LPCH Information & Knowledge System (LINKS) OverviewOverview
Cerner selected as LPCH partner for IT applications in 2002 LINKS phase 1 went live 9/2005 – “Conversion” from legacy system included 13 “nets” LINKS phase 2 went live 11/2007 – “Clinical Transformation” = CPOE using PowerPlans and clinical documentation (using IView)
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LPCH Development History with CernerLPCH Development History with Cerner
2005Co-developed PowerChart Outreach
2008 - 2009IView Dynamic labels development partnerPRISM development partnerMPages development partner (1st remote hosted site)
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Clinical Challenges and SolutionsClinical Challenges and Solutions
Data reviewAccessing external clinical databasesIntegrating clinical decision support toolsPediatric risk of mortality adjustment
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IView Use By Role in 24 HoursIView Use By Role in 24 Hours
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Total
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““Rounds” tab 1.0 (RTF Genview)Rounds” tab 1.0 (RTF Genview)
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Rounds tab 2.0 (MPage)Rounds tab 2.0 (MPage)
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Clinical Decision Support Tool IntegrationClinical Decision Support Tool Integration
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Technical Challenges and SolutionsTechnical Challenges and Solutions
Where to store MPage resourcesWorked with Cerner to identify a standard location for all Remote-Hosted clients (In progress)
Loading HTML files into a tabIdentified two methods to load HTML files directly into a tab on PowerChart as MPages
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Technical Challenges and SolutionsTechnical Challenges and Solutions
Discovering the mechanism for true AJAX in MPages
Reverse engineered Cerner's code, discovering how to implement a fully functional XMLCclRequest
Complete separation of client and server development
Developed the “CCL as a Service” (CCLS) architecture – allowing CCL engineers to focus on the Backend and Client-side engineers to focus on the “Frontend”
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Video demoVideo demo
Illustrating AJAX and realtime waveforms
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Future MPages Projects at LPCHFuture MPages Projects at LPCH
Continued GenView improvementPlan to combine multiple current GenView tabs into single, customizable “Pt Summary” tab with user-selectable widgets – Dr. Dan Imler*
([email protected])Continued external resource integration
Transplant database (OTTR) – Dr. Scott Sutherland ([email protected])Personal health record (Google Health) integration – Drs. Chris Longhurst / Dan Imler
Multi-patient dashboardsMed/surg – Drs. Chris Longhurst / Dan ImlerNICU – Dr. Jon Palma* ([email protected])CVICU – Dr. Andy Shin* ([email protected])PICU – Dr. Natalie Pageler ([email protected])
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CVICU Dashboard Mockup
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Google Health Mockup
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Google Health Mockup
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AcknowledgementsAcknowledgements
Mattice HarrisManager Web Services, LPCH
Ed KopetskyChief Information Officer, LPCH