2017-2018 State of Penn Medicine Information Services

MESSAGE FROM

THE DEAN & CEO

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IN THE NEWS

GLOSSARY

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RESEARCH / 12 MONTH PERIOD

OPERATIONS PERFORMANCE BY THE NUMBERS (12 MONTH PERIOD) PENN DATA STORE SELF-SERVICE QUERIES AND REPORTS GENERATED

BY USERS

HITS ON THE MEDVIEW WEB BASED CLINICIAN PORTAL

SPAM MESSAGES BLOCKED MONTHLY

APPOINTMENTS (NOT INCLUDING ADMISSIONS) SCHEDULED THROUGH PENNCHART

HL7 INTERFACE TRANSACTIONS PROCESSED BY OUR INTERFACE ENGINE

PAGES VIEWED ON PENNMEDICINE.ORG & UPHS.UPENN.EDU INTERNET SITES

CLASSES ADMINISTERED & OVER 4,285 NEW HIRES EDUCATED IN 2017

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EMAILS INFORMATION SERVICES PROCESSES ON AVERAGE PER DAY

Numbers reported in the last 12 month period ending May 2018 or as of May 2018.

IS SERVICE DESK CONTACTS ANNUALLY

E-LEARNING EDUCATION VIDEOS VIEWED IN 2017

INFOGRAPHIC

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PATIENT ENGAGEMENT

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INTEGRATING AND UPDATING CORE SYSTEMS

• Development of a patient EHR to enhance patient care by providing the right data, to the right caregivers, in the right location, at the right time, via the right medium.

• Advance research efforts by proactively identifying candidates that may qualify for relevant clinical trials based upon their aggregated historical patient data.

• Engage patients in the participation and provision of their care by providing key clinical and administrative data available to the patient in virtually any location.

• Improve operational efficiencies within the Health System to reduce inappropriate expenses, maximize revenue cycle margin opportunities and allow for the reinvestment of these savings back into the Health System.

• Advance health information exchange capabilities by ensuring that patient data can be easily received and transmitted to other healthcare organizations.

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INTEGRATING AND UPDATING CORE SYSTEMS The principles below guided the organization in moving swiftly and consistently through the project.

• One build for all sites - One common platform with standardized workflows, policies and alerts • Enhance the Patient Experience - Transparency with clinical and business data; improve and simplify access • Enhance the Clinician Experience - Provider efficiency; ‘Make the right thing to do the easy thing to do’ and promote clinicians to work at the top of their license • Integrate Research - Design to support and enhance world class clinical research • Capture Key Information at the Point of Care - Reduce manual entry and duplicative process • Share Data Seamlessly Across the Care Continuum - Provide clinical / business data at POC and for strategic decision making • Enable Care Coordination and Outcomes Management - Clear, timely information to enable care management • Reduce Unnecessary Variations - Enterprise-wide approach, standardize wherever possible • Ease of Maintenance - One common platform with agreed upon standards, policies and procedures across the enterprise to facilitate support and adoption.

• 98% of all patient orders entered by physicians via Computerized Physician Order Entry functionality.

• 99% child immunization rate.

• 99% electronic physician and nursing documentation rate.

• 95% electronic barcode administration.

• 100% electronic access to all clinical patient data and images.

• Full electronic integration between PennChart and all patient monitoring equipment.

• Over 450,000 patients registered to access their clinical and administrative and communicate with their care givers data via the PennChart patient portal, (myPennMedicine).

• 41% of all patients that had visits to Penn Medicine in the past 12 months leveraged myPennMedicine.

• 78% of finalized patient results released through myPennMedicine within 30 days.

• Securely shared over 2.3m patient records with other healthcare institutions across the United States.

• Deployed 100% of real-time quality alerts across the entire continuum of patient care.

• Reducing Readmissions: Supported the decrease of 30 day unplanned readmissions by 1.6% across the board.

• Saving lives: Supported a mortality rate of .69 which is 31% below expectation based on our severity of illness.

• Attained highest national patient satisfaction percentile for communication from patients to physicians/nurses.

• Reducing hospital acquired infections: Supported the reduction of infections that Medicare tracks for quality reporting purposes and value based purchasing by 4.9%

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CONTINUED...

PENNCHART PHASE 2 INTEGRATING PATIENT DATA THROUGHOUT THE CARE CONTINUUM Research Benefits: • Accelerated clinical trial candidate identification through the integration of the electronic medical record and research data warehouse.

• Supports precision medicine patient care initiatives-integrating genetic results into the EHR workflow.

• Supported a 27% increase of active clinical trials over the past three years.

• Information Services infrastructure supported Penn Perelman School of Medicine being ranked 3rd in National Institute of Health dollars for research in FY2016.

NIH Research Dollars Ranking for Research in 2016 FY2016 RANK ORDER

FY2016 (EXCLUDING CONTRACTS)

RANK

TOTAL

UCSF

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$517,617

HOPKINS

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$456,662

PENN

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$391,642

STANFORD

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$381,075

WASHU

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$373,985

Revenue Cycle Benefits: • Achieved Hospital Billing Accounts Receivable of 29.2 days representing 8% below industry average.

• Recognized and maintained 102.9 % of baseline revenue within just 30 days of inpatient activation.

• Increased inpatient professional billing monthly fees by 10%.

• Improved clean claim rate to be more than 3 times better than the industry average.

• Reduced overall costs associated with patient billing activities by 14%.

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Multi-VENDOR i-VENDOR CARDIOLOGY

INTEGRATING AND UPDATING CORE SYSTEMS

CARDIOLOGY JOINS PENNCHART EHR IN 2018 Information Services implemented the Cardiology module of our PennChart EHR on November 29, 2018. Integrating the cardiovascular information system within PennChart further leverages patient information shared throughout the Health System and produces state of the art structured reports meeting the needs of cardiovascular providers, referring providers and patients. PennChart Cardiology workflows support collaborative team based care that avoids duplicate documentation and allows for quality improvement in patient care.

The implementation spanned four Penn Medicine hospitals (CCH, HUP, PAH, PPMC) and over 20 ambulatory sites. General cardiology services encompass hospital and ambulatory based heart and vascular procedures and testing including Cath and EP Labs, Nuclear medicine, Echo - TEE and Cardioversion, heart and vascular invasive/non-invasive areas. The transition included converting hundreds of studies and procedures into the new system. Our caregivers are now integrated with the “Power of One” PennChart EHR.

POINT OF SALE PAYMENT SYSTEM CONVERTS TO PENNCHART Penn Medicine Finance replaced the previous credit card processing system with a new one that worked much differently. The scope of the project included 600 points of sale for healthcare services throughout the organization. The Payment Card Industry (PCI) standards became more rigorous due to increased credit card fraud occurring worldwide. Penn Medicine along with the University’s combined credit card processing, maintains the highest standards in order to be deemed PCI compliant.

The new system interfaces with our PennChart EMR for both inpatient and outpatient practices, while addressing all connected applications. The application development team enhanced an existing cash management tool to provide the internal controls needed for cash management and introduced a new interface to the general ledger. Training over 1,000 employees in the new workflow was a significant accomplishment.

This project touched almost every IS department contributing to the solution due to the number of tentacles that the previous payment system established over the years. The project also incorporated changes to finance, education, patient services, IS operations and clinical operations teams.

INTEGRATING HEMONC INFRASTRUCTURE INTO PENNCHART Penn Medicine Hematology / Oncology practices from West Chester, Exton and Kennett Square were implemented with PennChart EHR. By integrating the practices onto the common EHR, providers and nurses now document in patient’s electronic charts, putting all of the patient’s medical information in one place.

As part of the project, the hematology locations were refurbished with new cabling in the exam rooms to support the addition of new computers for in-room charting. Also, all provider and support staff computers and printers were replaced.

Now, providers and nurses can more efficiently chart in the exam rooms and print to the new printers. Patient care information is now all documented in their electronic medical record and accessible by all Penn Medicine providers.

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INTEGRATING AND UPDATING CORE SYSTEMS LANCASTER EXTENDS COMMUNITY CONNECT EHR TO BEHAVIORAL HEALTH HOSPITAL Lancaster General Health rolled out their electronic health record (EHR) Community Connect functionality to support the new Lancaster Behavioral Health Hospital, which is jointly owned between LGH and a third party.

The continued expansion of LG’s instance of its EHR to hospitals and private physician practices using the Community Connect model expands the amount of patient data accessible to our providers for treatment of their patients.

PATIENT CONTROLLED ANALGESIA (PCA) INFUSION PUMP IS EHR INTEGRATED AT LANCASTER GENERAL Lancaster General Hospital became the first organization to fully use autoprogramming for PCA Infusion Pumps through our EHR software. This functionality allows the nurse to send the details of the PCA order in the electronic chart directly to the pump. The pump then auto-programs the settings from the order. The nurse confirms on the pump that the settings match the order in the EHR and then starts the PCA pump. With this golive, new functionality was introduced that allowed providers to order discrete doses for patient trigger doses, basal rates, max doses and lock out intervals in order to send each individual variable to the PCA pump.

With the bi-directional interface feed, the EHR is also able to pull in the PCA pump activity directly in to a PCA flowsheet. This allows the care givers to easily see how much medication the patient is receiving from the PCA pump. Prior to integration, the nursing staff had to print that information from the pump and transcribe it in to the EHR.

PENN RADIATION ONCOLOGY CHESTER COUNTY HOSPITAL ARIA INTEGRATION The Radiation Oncology team at Chester County Hospital was using an independent application system.

Although the application was consistent with the Penn Radiation Oncology sites, the separation made it inefficient for staff that worked at multiple sites, more cumbersome to share data, and varied support models both internally and externally.

Penn Medicine Radiation Oncology transitioned Chester County Hospital (CCH) Radiation from their separate application to the enterprise instance of the system. Over several months the Information Services department partnered with CCH and Radiation Oncology operations to plan the integration and perform the tasks, system builds, and intricate testing necessary for this transition.

The immediate benefits of unifying the two systems were accessing one production system across multiple sites, standardization of workflows, and economies for system licensing and vendor relationships. Support during the implementation was provided by various areas of Information Services, Radiation Oncology operations, and the vendor.

PENN RADIATION ONCOLOGY SOFTWARE UPGRADE Penn Radiation Oncology’s strategy is to operate on the latest version of their enterprise radiation treatment planning and delivery software. The Penn Radiation Oncology department upgraded their enterprise application to version 13.7 in August, 2016. The preliminary work of the project began prior to the clinical release of the software. This preparation allowed Penn Radiation Oncology to be an early adopter upon release, which paved the way for new clinical capabilities. The Information Services department partnered with Penn Radiation Oncology in all aspects of this major upgrade, including comprehensive planning and testing.

This culminated in an intense six-day upgrade event that included software installation, super user and vendor training, and side-by-side vendor support at the main site and all network locations.

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INTEGRATING AND UPDATING CORE SYSTEMS

SOFTWARE UPGRADE FOR HYPERBARIC MEDICINE The Hyperbaric department at HUP used a unique standalone software system supported by one or two technicians within their department. Penn Medicine sought to upgrade the software and centralize it at a UPHS datacenter to offer network redundancy. As part of the transition, a test environment was created on the UPHS network for the upgraded version of the system. The vendor and UPHS resources used this to confirm that the system could handle the integration within our UPHS network. All user workstations were upgraded to use the new environment and our standard IS support model was put in place to handle any standard downtime procedures. The new set up provides redundant connectivity for all users of the system and standardizes the UPHS support model providing additional coverage on off hours as opposed to the previously limited one or two person support team.

INTEGRATION OF SCANNED CLINICAL DOCUMENTATION Four scanning solutions and three scanned document management systems were used throughout Penn Medicine. This impacted clinical users’ ability to have one central location to view scanned clinical documentation when caring for patients. Additionally, multiple systems needed to be accessed when releasing information from a patient’s medical record to the patient or authorized requestor.

We improved scanning operations and data management by implementing a single scanning and document management solution as well as converting historical scanned data from the multiple legacy systems. Up to fifteen years of scanned documents were converted into the unified system.

By moving to a single scanning and document management solution and integrating with our PennChart EHR, clinical users now have one location to view scanned documents. Clinical staff can also view scanned documents within a patient’s chart in PennChart EHR. This reduces time to accessing multiple systems and gives a larger view into the patient’s history across all entities. Moreover, a patient’s complete medical record can be released through a centralized process.

ENTERPRISE INPATIENT PHARMACY DISPENSING SYSTEM UPGRADE INTEGRATES MEDICATION ORDERING & FULFILLMENT Throughout 2016, each hospital and the Abramson Cancer Center was migrated to a centralized formulary ordering and dispensing program in the inpatient care setting. By transitioning to a new system to manage the Automated Distribution Cabinet (ADC) environment, a shared formulary for the enterprise was designed.

Common dosages, standardized return policies, and centralized server based transaction records were developed.

As a more secure automated system, a password and biometric scan is now needed for the drawer to open with system access. Each hospital can also support its peers if needed. An interface integrates the medication data to our EHR, saving time for our pharmacists in the central pharmacy and puts them in touch with patients and physicians on each patient floor.

Deployment and integration of over 300 ADC devices throughout the Health System were all sized according to the space available and the distribution needs of each particular unit in the hospital it serves. Benefits for this new system included shared formulary, shared procedures for each entity of the Health System, a centralized vendor supported deployment and service model standard for each entity involved in our Health System.

ANESTHESIA AND SURGICAL ELECTRONIC CONSENTS IN PENNCHART Anesthesiology was transitioned from using paper consent forms to using the electronic medical record so that all documentation is in one place – the patient’s comprehensive medical record. The project team was responsible for taking inventory, reviewing all consent forms, gaining final review consensus, and then building the consent forms within PennChart in an electronic system. The electronic consent form is now saved into the patient’s chart in PennChart and reduces the number of documents scanned into the system.

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INTEGRATING AND UPDATING CORE SYSTEMS KIOSKS WELCOME PATIENTS CHECKING IN FOR RADIOLOGY OUTPATIENT AND ADMISSIONS (PAH) The patient care outpatient registration process was streamlined at PaH so that patients could “arrive’” themselves at a Welcome Kiosk in high volume visit areas. The registration processes in these three areas benefit by having one kiosk at first floor outpatient registration, one at second floor radiology registration and one at third floor Penn Medicine Rittenhouse Tuttleman registration area.

IS coordinated the moves of the kiosks. Software enhancement updates were also developed for the PennChart Welcome Kiosk application as part of the project. A mobile registration cart was stationed next to the Kiosk at Tuttleman for a registrar to assist patients and complete registrations. A laptop, cart, USB hub, and security cable equipment was outfitted with power, data drops and port activation at Tuttleman for the kiosk and cart.

There was a positive impact on decreasing wait times as a result of the new kiosks. Patients really like the kiosks. Shortly after the initial implementation, two additional kiosks were added to outpatient registration areas at the hospital.

AMBULATORY PATIENT PROGRESSION INFRASTRUCTURE IS IMPLEMENTED FOR CPUP Family Medicine (PMUC), OTO and the Perelman Center Plastic Surgery center were part of a pilot project to implement large screen monitors for use as patient tracker boards for each practice. Our EHR managed patient appointments and showed overall progress and status for each patient as they went through the process of checking-in, taking vitals and meeting with the physician.

IT hardware, power and data requirements were estimated for the practices. PC’s were imaged, and the software was installed. The flow of patients improved immensely and within a short time period, additional monitors were requested in selected areas. Patient appointment status displayed on the board for the benefit of physicians, nursing staff, patient and family. Physicians were color coded and assigned to each respective screen so that staff could see which patient was being seen by which doctor. Sometimes simple technology infrastructure goes a long way in enhancing the patient experience.

PENN MEDICINE CHERRY HILL PATIENT PROGRESSION PILOT IMPLEMENTATION Since Penn Medicine moved towards using a single EHR platform, patient progression was transitioned as part of the PennChart integration. The ambulatory patient progression module is used for continuity of monitoring and measuring patient progression milestones in inpatient and outpatient areas.

This EHR module was piloted in the Family Medicine, Otorhinolaryngology, and Plastic Surgery outpatient CPUP practices before implementing enterprise wide. Patient progression triggers were identified during this pilot and reports were created for the operations team to identify and quantify where service delays were occurring.

The patient tracking module of the integrated EHR is much more efficient and coordinated with the other aspects of patient care through the EHR.

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DATA ANALYTICS

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EDUCATION AND RESEARCH

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• Backed-up data is stored off-site • A recovery operation allows a single file to enable recovery • Have multiple retention policies due to the nature of the data • Have two methods of encryption; in-flight and at-rest • The system allows for expansion into a disaster recovery plan • The solution is a single product

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• Development of wide-area network connectivity between Princeton Health and the Penn Medicine data centers; • Replacing the existing Princeton Health desktop platform with the standard Penn Medicine desktop and peripheral capabilities; • Gaining familiarity with the new functionality and capabilities associated with the PennChart platform; • Adjusting many of the clinical and revenue cycle workflows to leverage existing Penn Medicine workflows; • Training over 4,000 employees on the PennChart platform; • Providing several weeks of shoulder to shoulder go-live support.

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EXPANDING AND CHANGING THE PENN MEDICINE LANDSCAPE

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LAWSON HOST INSOURCING PROJECT GAINS COST AND PERFORMANCE EFFICIENCIES Lawson, the application used by UPHS to manage its main business functions (Finance, Purchasing, AP, Payroll, and HR), has always been hosted here at UPHS externally and managed by a third party vendor. With a renewal date of June 2015 coming into play, we reviewed the business drivers and costs associated with our hosting arrangement and decided bring hosting of the application in house.

Our decision was driven by two factors – stability/flexibility and costs. Over the years, across two different vendors, we have had struggles with vendors providing the stability we expected along with the flexibility that we desired. We also determined that we can realize a significant cost savings if we moved to an internally hosted system.

From a stability/flexibility perspective, we have reduced our unplanned system outages and performance degradation instances significantly. We are also able to address them more quickly if/when they occur, and implement system and application enhancements quicker and with less impact (less downtime) to users.

From a cost perspective, after an investment of $175,000 for the project, we were able to realize an immediate annual savings of $500,000. Additionally, by absorbing one upgrade costs of about $200,000 and reducing and phasing out our reliance on secondary vendor application support, we reduced our annual costs an additional $300,000 in year two and an additional $500,000 year five and beyond.

The project ran parallel with another project (CCH Integration of Lawson) from December 2013 to June 2015.

WEB FILTER TOOL ENHANCES WEB MONITORING FOR CONTENT SAFETY Security is an initiative that our organization invests in significantly. One component of our security program is routinely preventing access to malicious content from our website by implementing a new web filter tool.

Using a new web filter tool allows us to have better technology to manage the business and security elements of the web. We installed and configured the application servers and software to support Penn Medicine’s multiple networks. Previous website rules were updated and placed into the new software. Extensive testing was required to mimic the previous web filter tool, to the extent of excluding “True” blacklisted sites. New entities like CCH and LGH were added to the service as well.

The new web filter opened the internet to Penn Medicine making useful tools available through the web that had previously been blocked. The new tool allows for access to these resources while blocking specific content from the web site that has been deemed malicious.

CALL CENTER TECHNOLOGY MOVES TO THE CLOUD Penn Medicine’s call center received an upgrade of the phone application environment for more than 30 physician referral service agents. The upgrade enabled agents to use point and click dial technology for physician referrals which is integrated into the VOIP environment for the Health System.

The operator staff now uses a softphone with telephony features from this new software displaying pop up contact data, and click-to-dial phone numbers displayed in a physician database. The call center agent logson to the softphone with automatic call distribution (ACD) credentials and selects the desired ACD state to answer the call and direct the user to the best database entry for the caller’s need. The operator is able to use the system to access requested information such as new specialist information, or connect the caller to another department for scheduling or billing issues if needed. The information is then delivered quickly and directly to the caller from the physician referral agent. By establishing this new VOIP based telecommunications environment our patients are more efficiently serviced as quickly as possible.

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ENABLING THE BUSINESS

Multiple benefits included: • Strategic pricing initiatives and CDM audits are accomplished in an organized and more efficient manner as the number of number of charge codes is reduced from the larger numbers maintained in legacy systems due to lack of standardization; • Capability to streamline the maintenance and on-going updates, including updates to charge codes based on regulatory changes and pricing adjustments, improving overall regulatory compliance; • Decreased denials & rejections; • Standard approach for managing CDM change control under the Information Systems change control process, decreasing the amount of time spent on changes; • Simplified modifications to system rules and work queues for charging activities; • Reduced charging variability; • Improved collections and standardization of the billing and denials management process.

CCH INTEGRATION OF LAWSON Lawson is the application UPHS uses to manage its main business functions (Finance, Purchasing, AP, Payroll, and HR). Chester County Hospital (CCH) also used Lawson. The project kicked off in December 2013 and went live in June 2015.

From a business perspective, having multiple instances of an application at different entities is inefficient and makes it harder to centralize, manage, and support the business functionality across the entire enterprise.

By merging the two Lawson applications, UPHS was able to save almost $1million in annual labor costs, consolidate financial and compliance reporting, leverage the combined enterprise for better pricing across all entities, and provide deeper and broader functional and technical support enterprise wide.

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$562 HAITI RELIEF FOR HURRICANE MATTHEW $176 SCHUYLKILL CENTER WILDLIFE

$1,000 KICKING CANCER FOUNDATION $1,049 IS HEART WALK

$745 BACK TO SCHOOL PROGRAM

$2,752 HOLIDAY ADOPT A FAMILY PROGRAM $1,800 RONALD MCDONALD HOUSE $150 PAWS PHILADELPHIA ANIMAL WELFARE SOCIETY

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$16,736 &

$10,340

PHILABUNDANCE FOOD DRIVE

$1,800

825 TOY DRIVE

CHILDREN’S HOSPITAL OF PHILADELPHIA

$660

BACK TO SCHOOL PROGRAM COLLECTED 90 BACKPACKS AND SUPPLIES PROVIDED TO 3 CLASSROOMS

$550

COVENANT HOUSE PROVIDED GIFT CARDS

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WINNER 2017 & 2018

2017 WINNER

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INFORMATION SERVICES

A LOOK AHEAD TOWARD WHAT 2018 IS BRINGING FORBES AMERICA'S BEST EMPLOYERS

P.A.C.T. ENTERPRISE AWARD The Enterprise Awards remain the region's most prestigious business honors for technology and life sciences companies, leaders, and entrepreneurs. https://youtu.be/ydPRmpZh4Do

MEDIA

A testament to our organization – Forbes Best Employers List https://www.forbes.com/bestemployers/list/#tab:rank

THE HEALTHCARE SECTOR (B2C) | I.O.T. POWERING THE DIGITAL ECONOMY CNBC INVESTIGATES HOW DIGITAL INNOVATION IS RESHAPING INDUSTRIES BY DISRUPTING EXISTING BUSINESS AND OPERATING MODELS.

https://www.youtube.com/watch?reload=9&v=j_ok5wfScqg

PENN MEDICINE NEWS PENN MEDICINE LAUNCHES FIRST APPLE RESEARCHKIT APP FOR SARCOIDOSIS PATIENTS

https://www.pennmedicine.org/news/news-releases/2017/january/penn-medicine-launches-firstapple-researchkit-app-for-sarcoidosis-patients

ABRAMSON CANCER CENTER: FOCUS ON CANCER BLOG SHARON'S ADVICE TO FLEDGLING CANCER WARRIORS

https://www.pennmedicine.org/cancer/about/focus-on-cancer/2016/september/advice-tofledgling-cancer-warriors

HEALTHCARE IT NEWS A CIO'S GUIDE: BUILDING THE RIGHT IT TEAM FOR A SUCCESSFUL EHR GO-LIVE

https://www.healthcareitnews.com/blog/cios-guide-building-right-it-team-successful-ehr-go-live

HEALTHCARE IT NEWS A CIO'S TOP 3 TAKEAWAYS FROM 2016

https://www.healthcareitnews.com/blog/cios-top-3-takeaways-2016

HEALTHCARE IT NEWS CIO SPOTLIGHT: PENN MEDICINE ON BIG DATA

https://www.healthcareitnews.com/video/cio-spotlight-penn-medicine-big-data

HEALTHCARE IT NEWS PENN MEDICINE SECURITY EXEC: ADVANCED THREAT PROTECTION VENDORS AND HOSPITALS MUST JOIN FORCES TO FIGHT CYBERCRIMINALS

https://www.healthcareitnews.com/blog/penn-medicine-security-exec-advanced-threatprotection-vendors-and-hospitals-must-join-forces

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PENNCHART (EPIC SYSTEM MODULES) EMR Ambulatory (EpicCare Ambulatory Management) APM (Ambulatory Practice Management) • Registration (Prelude) • Scheduling (Cadence) • Professional Billing (Resolute Professional Billing) Cardiology (Cupid) ED Emergency Department /Trauma (ASAP) Oncology (Beacon) PeriOp Manager (OpTime) Anesthesia (OpTime) Transplant (Phoenix) Pharmacy (Willow) ADT / Access (Grand Central Station) HomeCare / Hospice (Home Health) Hospital Billing (Resolute HB) Health Information Management (HIM) Inpatient (EpicCare Inpatient) • Clinical Documentation (Clin Doc) • CPOE (Orders) • Obstetrics (Stork) • Clinical Decision Support (CDS) myPennMedicine Patient Portal (MyChart) Radiology (Radiant)

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HTTPS://WWW.PENNMEDICINE.ORG/INFORMATION-SERVICES