university of pittsburgh school of dental medicine dr heiko spallek center for dental informatics l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
University of Pittsburgh School of Dental Medicine Dr. Heiko Spallek Center for Dental Informatics PowerPoint Presentation
Download Presentation
University of Pittsburgh School of Dental Medicine Dr. Heiko Spallek Center for Dental Informatics

Loading in 2 Seconds...

play fullscreen
1 / 33

University of Pittsburgh School of Dental Medicine Dr. Heiko Spallek Center for Dental Informatics - PowerPoint PPT Presentation


  • 269 Views
  • Uploaded on

University of Pittsburgh School of Dental Medicine Dr. Heiko Spallek Center for Dental Informatics. Dental Informatics Strategic Plan . Comprehensive IT Infrastructure. Patient Care. Education. Research. Administration. $. For each area. Current Status Plan Level 1 Level 2

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'University of Pittsburgh School of Dental Medicine Dr. Heiko Spallek Center for Dental Informatics' - jacob


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide2

Dental Informatics Strategic Plan

Comprehensive IT Infrastructure

  • Patient Care
  • Education
  • Research
  • Administration
slide3

$

For each area

  • Current Status
  • Plan
    • Level 1
    • Level 2
    • Level 3

$$

$$$

slide4

Patient Care

  • 2000: Installation of QSI* Dental Systems (predoctoral clinics)
  • Main areas of a clinical management system:
    • Patient demographics & billing area: OK
    • Clinical record area: none
    • Student progress monitoring & grading area: none
  • Installation uses outdated technology:
  • CDA requirement 2-24: “Graduates should be competent in the use of information technology resources in contemporary dental practice.”
  • *Quality Systems, Inc., Irvine, CA

Status

slide5

Patient Care

Plan

  • The paperless school!
  • Comprehensive multi-year effort
  • Different levels of IT sophistication in the 3 areas of a clinical information system
slide6

Patient Care

  • Level 1:
  • Keep QSI Dental Systems, but upgrade; or
  • Implement new system
  • Level 2:
  • Integrate our system with the UPMC hospital system
  • Share demographic data across healthcare providers (LHII), e.g. medical and medication history
  • Optional Patient Portal Layer:
  • Electronic scheduling and confirmation for patients
  • Complete electronic submission of pre-registration information
  • Review of account history and payment by credit card

Patient Demographics and Billing

slide7

Patient Care

  • Level 1:
  • Complement QSI with QSI's Clinical Product Suite (CPS)
  • Limited diagnostic and treatment charting
    • 1 clinical computer workstation for 6 dental units
  • Level 2:
  • Chairside computing during patient care
  • Clinical findings, treatment plan, progress notes
    • 1 clinical computer workstation for 1 dental unit
  • Level 3:
  • More advanced clinical applications, such as imaging
  • Semi- or automatic recording of clinical findings
    • dental units with integrated computing capabilities

Clinical System

slide8

Patient Care

  • Optional CAD/CAM Layer
    • 1-2 CAD/CAM systems
  • Optional Imaging Layer
    • Only for levels 2 and 3:
    • Digital cameras
    • Intra-oral cameras
    • Digital radiography

Clinical System

slide9

Patient Care

  • Imaging:
  • Transition to digital to be implemented in phases
  • Competing technologies: selection based on diagnostic task and imaging volume for each area
  • Mostly centralized imaging for QA purposes

Radiology: Digital Imaging

slide10

Patient Care

Radiology: Digital Imaging

  • Capture technology to be implemented:
  • Radiology: combination of CCD/CMOS and SP (FMS, extra-oral): bulk of imagingSelected PAs/BWs only
  • Endodontics: CCD/CMOS – in each graduate cubicle
  • Implant clinic, urgent care, all graduate clinics, CCP clinics, pediatric dentistry, anesthesia, AEGD: CCD/CMOS
slide11

Patient Care

Radiology: Digital Imaging

  • Cone Beam CT Unit:
  • Implant surgical treatment planning
  • TMJ studies, evaluation of osseous pathology
  • Endodontic, and apical surgery treatment planning
  • Orthodontic treatment planning
  • Pre-surgery planning: orthognathic surgery, other corrective (clefts/defect repair/reconstruction) procedures
  • Localization of critical anatomy (removal of impacted teeth) OSA, tongue posture & volume, tonsils, mastoid area
  • Evaluate nasal septum, turbinates, maxillary sinuses, upper airway
slide12

Patient Care

Radiology: Digital Imaging

  • Phase 1:
  • Facilities modification: to continue through phase 4
  • Dedicated maxillofacial cone beam CT unit in radiology; networked with oral surgery
  • One digital extra-oral, and intra-oral imaging unit in radiology - for patients referred from OMS
  • Students rotated, exposed to technology, and trained
slide13

Patient Care

Radiology: Digital Imaging

  • Phase 2:
  • Orthodontics for extra-oral imaging only
  • Endodontic graduate clinic area to use intra-oral units
slide14

Patient Care

Radiology: Digital Imaging

  • Phase 3:
  • Full implementation of an EPR (Electronic Patient Record) as network ports, viewing stations in each operatory/cubicle
  • Other graduate student clinics to be included
slide15

Patient Care

Radiology: Digital Imaging

  • Phase 4:
  • Operators school-wide will have been trained in EPR use
  • Extensive training of first professional students, all remaining staff, faculty in digital radiology equipment and software
  • Most time-consuming and labor-intensive phase
slide16

Patient Care

  • Level 1:
  • Keep QSI Dental Systems, but augment with a customized version with grading module
  • Level 2:
  • Only for clinical system levels 2 and 3
  • Students enter completed procedures
  • All entries are approved and graded by instructors
  • Students accumulate credits and grades toward clinical progression

Students’ Progress and Grading

slide17

Patient Care

Implementation

slide18

Education

  • Limited educational technology
  • Some syllabi and course materials available through intranet
  • CDA requirement 2-10: “…school must have a curriculum management plan to avoid, for instance, unwarranted repetition...”

Status

slide19

Education

  • Level 1:
  • Presentation of learning material
    • Exploit new intranet
  • Electronic curriculum management tool
    • Automatic matching between lectures to find repetition and opportunities for integration
  • Level 2:
  • Development of educational software
    • Innovative and effective teaching tools

Plan

slide20

Research

  • Rapidly growing area
  • Use of IT and informatics: often a core review criterion
  • Funding for required computing support through individual projects
  • Overburdened research staff: grant submission process and post-award administration
  • Limited involvement of students

Status

slide21

Research

  • Level 1:
  • Integration of research into clinic
  • Implementation of a clinical information system
  • Researchers query patient data for epidemiology studies, identification of study subjects
  • Level 2:
  • Integration of the research process into the workflow of the clinical operation
  • Upon patient enrollment: alerts about study eligibility
  • Facilitate the enforcement of research protocols

Clinical Research

slide22

Research

  • Level 1:
  • NIH: electronic grant submission
  • Centrally maintained information store for NIH biosketches
  • Reduction of overhead for the research staff
  • Level 2:
  • Easy access to the salary and benefit information
  • Efficient development of budget overviews
  • Use of intranet to
    • Identify researchers with matching research interests
    • Facilitate student involvement in faculty research

Grant Submissions

slide23

Research

  • Level 1:
  • State-of-the-art collaborative work environment, e.g. Groove*
  • More research projects: group effort
  • Integration into office environment and research-specific workflow
  • Facilitates real-time data sharing, common scheduling, seamless project management
  • Level 2:
  • Site license for collaborative work environment, e.g. Groove University Department Kit
  • *Groove Networks, Inc., Beverly, MA

Collaborative Research

slide24

Research

  • Level 1:
  • Centralized post-award management process
  • Deployment of electronic means to manage this process

Post-award Administration

slide25

Research

  • Application Development/Database Support:
  • Point to existing expertise and resources
  • Maintain central personnel and infrastructure resources
  • Designate 1 FTE for research projects: 50% funded through school
  • Informational/PR Needs:
  • Distribution of time-sensitive information
  • Research opportunities
  • Newly funded awards
  • New NIH regulations and policies

Personnel and PR

slide26

Research

  • Research Funding:
  • Since inception: $777,485
  • Submitted: $3,042,511
  • Plan:
  • Maintain leadership in the field
  • Add 2 additional faculty positions (1½ financed through soft money)
  • Add 1 applied informatician (for clinical information system)
  • Add 1 full-time administrative assistant financed through school

Dental Informatics

slide27

Five members of the Executive Committee (EC) are in favor of implemeting a laptop program in the school, requiring all students to purchase a laptop upon admission. Five other members of the EC are in favor of deploying computer workstations throughout the building instead of requiring students to purchase laptops.

Collect 5 strong pro and 5 con arguments for each proposal (total of 20 arguments).

Be prepared to defend your arguments!

In-class assignment

slide28

Administration

  • Intranet not yet utilized to fulfill its potential
  • Web site missing some functionality
  • Common problems affecting productivity
  • Servers hardware and facility upgrades
  • Resolution and response time improved through streamlining IT requests
  • No software asset inventory

Status

slide29

Administration

  • Software upgrades and maintenance
  • Hardware upgrades and new systems
  • Server room climate control and status monitoring
  • Network ports and security
  • Multiple databases and excel documents will continue to be consolidated into database server to eliminate redundant data

Core Components

slide30

Administration

  • Intranet deployment and development
    • Improve current utilization
    • Improve the functionality of current features
    • Develop new features
  • User identification and authentication
    • Biometric finger print authentication
  • Establish an enterprise-level spyware protection

Productivity Enhancements

slide31

Administration

  • Delegate 10% effort of dental informatics faculty to manage a comprehensive training plan
  • Identify IT competencies necessary for each job
  • Provide qualified trainers, facilities, and courses
  • Encourage one-to-one training through a mentoring program
  • Utilize University resources

Training

slide32

Administration

  • Enhancing the site through improving the look and functionality
  • Continuing education online registration
    • Online registration integrated with student and course administration

Web Site

slide33

Administration

  • New administrative/junior technical phone support position that will:
    • Provide administrative functions, such as purchasing
    • Provide full-time phone service
    • Maintain software and hardware asset inventory
    • Track the status of purchase and help requests
  • Locate IT service to the 3rd floor of Salk Hall
  • Establish regular customer service surveys
  • Provide periodic analysis to measure affectivity
  • Establish a system for feedback from users
  • Continue to utilize the POC group feedback

Support Infrastructure