Research Town MeetingSeptember 9, 2013

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Research Town Meeting - 10/09/2013

• Announcements (Rauch)

• Fundraising Update and McLean’s Comprehensive Campaign (Cook)

• A Discussion about Partners Data Used to Support Research: Data Types, Data Sources, ICD-10, DSM-5 & EPIC (Christine Raine)

• Anne M. Cataldo Excellence in Mentoring Award

•  Retirement Reception for Peter Paskevich

* Reception from 1:15 pm – 2:00 pm will follow

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Announcements

• Government Shutdown– Updates by email– Grant submissions for RFA’s; reviews delayed

• Research Highlights– Favorable fiscal performance for research (>$44M)– New NIH “Brain Bank” contract

• Organizational Changes– Dr. Joe Coyle appointed McLean CSO– Chris Coburn recruited to lead Partners Research Ventures & Licensing– McLean IRB administrative functions migrated to Partners IRB oversight

Fundraising Update and McLean’s Comprehensive Campaign

October 9, 2013

Research Town Meeting

Cathie CookSenior Vice President and Chief Development Officer

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Agenda

1. What does the Development Office do?

2. Who are McLean’s donors?

3. For what do donors give?

4. What is the scale of philanthropy to McLean?

5. What is McLean’s Comprehensive Campaign?

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What Does the Development Office Do?

• Raise Philanthropic support from:• Individuals• Foundations

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Who Are Our Donors?

• 90%: grateful families of patients or former patients themselves

• Others: trustees, National Council members – even staff

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Why Do People Give?

• Gratitude• Desire to have an impact• Hope• Affiliation with a prestigious institution• Belief in McLean’s mission

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For What Do Donors Give?

• Research• Clinical Programs• Education and Training• Capital Projects• Annual Fund (unrestricted gifts)

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What is the Scale of Philanthropy to McLean?

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Gifts to McLean: 2004-2013

$100 Million

The Campaign For McLean

$75 MillionOver 5 Years

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Why A Campaign Now?

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The Campaign Will Help Fund:

• McLean Divisions Research Clinical Care Education

• The expansion of our services• The strengthening of our infrastructure

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The Timing of the Campaign

• Leadership (Quiet) Phase: April 2012 to March 2015

• Public Phase: April 2015 to March 2017

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The Timing of the Campaign

• Leadership (Quiet) Phase: April 2012 to March 2015

• Public Phase: April 2015 to March 2017

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The Campaign for McLean

Goal through Sept. 30, 2013 = $15 million

Results = $27.8 million

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The Campaign for McLean FY 2012 FY 2013 FY 2014 FY 2015 FY 2016 FY 2017

$0

$10,000,000

$20,000,000

$30,000,000

$40,000,000

$50,000,000

$60,000,000

$70,000,000

$80,000,000

$5,000,000

$7,500,000 $12,500,000

$18,125,000

$24,375,000

$31,750,000

$35,000,000 $38,750,000

$42,500,000 $46,375,000

$50,250,000 $54,125,000

$58,000,000

$62,250,000

$66,500,000

$70,750,000

$75,000,000

$7,561,640

$12,000,000

$17,173,703 $19,613,124

$27,820,862

$- $- $- $- $- $- $- $- $- $- $- $- $- $- $- $- $-

Goal

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The Campaign for McLean

How Can You Help?

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McLean Development Staff

EvangelineBermas

Kristin Kilbourne

Cathie Cook

Lori Etringer

Jeanne Armocida

Ronna Woodward

JenniferLondon

SueDeMarco

ErinCollins-Moore

JenniferSteeves

MichellePontbriand

Julia Wills

PatrickCollins

Sarah Belschner

AlexisNodiff

A Discussion about Partners Data Used to Support Research:Data Types, Data Sources, ICD-10, DSM-5 & EPIC

McLean Research Town MeetingOctober 9, 2013

Christine RainePartners eCare Senior Integration Coordinator for Research craine@partners.org; 617-909-1781

Data Types & Data Sources :What’s changing?

ICD-9 to ICD-10

Procedures &Diagnoses

Oct 1, 2014Across USA!

DSM-iv to DSM-5

Diagnoses

Oct 1, 2014Across USA!

Multi-SystemMigration

Patient, Billing & Clinical Data

Begins Feb 1, 2014

Across Partners!

Partners ICD-10 Project & Research

ICD-10: When & What?

When? ICD-9 will move to ICD-10 on October 1, 2014

What is ICD-9?

International Classification of Disease & Health Related Problems Clinical Modifications Version 9: ICD-CM-9

Clinicians assign to every procedure & medical diagnoses that impact human health Used in analysis for quality metrics, hospital operations or in human studies research.

e.g. for research use: identifying patient cohorts or control groups

data requests in the RPDR for clinical trialsanalysis & storage of diagnoses/procedures by icd-9

What’s changing? Format, specificity, code selection grows: 24,000 icd-9 to 140,000 icd-10 Information System remediation across Partners RPDR & CRIMSON: metadata, systems and data Contract/reimbursement/reporting implications, code set crosswalks needed Do you have local requirements? departmental databases? study

spreadsheets? data storage?

ICD-10: Training

WHO? Research: ICD-9 codes?

Store? Analyze? Qualify pts for clinical trials? RPDR?

Coders Finance

WHAT?

WHEN?Training plan will be developed : Material development Schedules/timeline Venue Identifying Audience

Marijane ‘MJ’ Welford, McLeanmwelford@partners.org

Christine Raine, Partners eCarecraine@partners.org

CONTACTS:

Roles-based e-learning

ICD-10: Information

 Do you need assistance figuring out if or how this change will impact you?

TRAINING QUESTIONS? EMR, LIS, & RPDR SYSTEM INFORMATION?

GENERAL PROJECT COMMUNICATION?

Christine Raine, Partners eCare Research Integration Coordinator craine@partners.org 617.909.1781

MariJane ‘MJ’ Welford, McLean ICD-10 Project Lead mwelford@partners.org  617.855.2272

DSM-5 Upgrade & McLean

DSM-5: When & What?

What is DSM-5? “Diagnostic and Statistical Manual of Mental Disorders” , published by APA  a listing of psychiatric disorders and their corresponding ICD diagnosis

codes standardize data collection and facilitate communication among clinicians

What’s changing? Major Changes include:

Elimination of GAF scoring Rolling the first three axes in DSM-IV into one in DSM-5

RPDR: DSM coded diagnoses will have DSM-5 terms as of Oct 1, 2014.

Do you have local requirements? departmental databases? study spreadsheets? data storage?

When? DSM-IV will move to DSM-5 on October 1, 2014

DSM-5: Training

WHO?Clinicians

WHAT?

WHEN?Training plan will be developed: Material development Schedules/timeline Venue Identifying Audience

Marijane ‘MJ’ Welford, McLeanmwelford@partners.org

Chris Tangren, MD, McLean Clinical Implementation

Leader

CONTACTS:

DSM-5 APA training tools are being explored, if any

Develop our own training material if necessary

Partners eCare & Research Useof Clinical & Billing Data

EPIC Changes: When & What?

When? EPIC revenue cycle & clinical system

implementations: 5 years

What’s the goal of Partners eCare?The Partners eCare (PeC) program will support Partners HealthCare in providing world class health care services, research, education and community service.

 One Patient, One Record, One Team, One Partners Statement.

What Systems are impacted?LMR, BICS, EMPI, Patcom, Scheduling, Revenue Cycle/Billing, TSI/EPSI, CDR, MEDITECH, more…

Partners eCare Timeline

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NWH

BWH, BWFH, SWR, DFCI, AMB Sites(* Clinicals Only)

NWH*, AMB Sites(* Clinicals Only)

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4Q3 Q4 Q1 Q2 Q3 Q4

2012 2013 2014 2016 20172015

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4Q3 Q4 Q1 Q2 Q3 Q4

2012 2013 2014 2016 20172015

MGH

NSMC, SNS, NSPG, AMB Sites

SNE, MEEI, MGH*, AMB Sites(* Clinicals Only)

Rehab Sites –SRH, SCC, SHC

McLean

SSH, AMB Sites, MVH, NCH

CDH, HHS, AMB Sites

Home Health

Enterprise Validation and Content Development

ICD10 & DSM5-Go Live

Legend

* = Clinicals Only

Revenue Cycle

Combined

Clinical

R

R

RC

RC

RC

RC

RC

C

RC

NWH/MGH Upgrade

R

as of 12/2012

Analysis, Content/Scope

& Strategy Development

evaluate current data usage from billing & EMR systems for the support of research.

PeC: A Few Research Opportunities

Desired Epic System Functionality: Clinical trial recruitment, POC Research order sets, patient flags, PI Alerts Potential support of tracking research consent Research notes in EMR: templates/structured data

Desired Non-Epic Functionality/Support:

Integration of ,or access to, Epic data along with other PHS/entity data to support Research (systems, site teams, RPDR)

Disease-specific registries Fully integrated sponsor billing

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Analysis, Content/Scope

& Strategy Development

Partners eCare Research Group Focus: Analysis, Content/Scope & Strategy Development

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Discovery : How

Researchers are using data from

current PHS systems

Strategy, Design &

Integration:

RPDR and Registries

Support Research Billing via

Epic – Billing, ADT, Scheduling

Exploring Epic

Features & Opportunitie

s

Even though McLean Clinical & Billing Implementation is 2017, decisions need to be made

now for Content, Functionality, Strategy and Implementations of EPIC across the PHS Enterprise

Uses Common IT Infrastructure, Systems & Data Structure

Data

Use

Surv

ey!

PeC Data Use Survey!

1. What is the name of your group/unit/program/research project?

2. What type of billing and clinical data do you use and where does the data come from? The more specific you can be, the better! (i.e., Radiology reports from CDR, ICD9 diagnoses from RPDR, charge detail as data files from IDX, etc.)

3. Do you have ideas about what can be done to reduce your concerns about how your data dependencies and environment will operate after Epic is implemented?

Handouts:ICD-10 Informational BrochurePartners eCare Data Use SurveyBusiness Cards for Key Contacts

Christine Raine 617-909-1781 craine@partners.org

Presentation materials & handouts will be posted on Brainwaves.

Thank you!

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Awards Ceremony