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Leveraging IT to improve outcomes
His passion for analytics & data warehousing
“Innovation is part of our DNA”
Pillars for the future
“I think we’ll be optimizing forever.”
Looking back at his first year as CIO
Physician leadership — “We have very engaged chief medical officers”
From 130 systems to 1
Data exchange with Care Everywhere
“Seamless communication of health information is where the future is”
Patient portal access through mobile devices
The “natural transition” from CMIO to CIO
Art Glasgow as his mentor
About Duke Medicine
Epic in ambulatory & hospitals
Applying lessons learned to subsequent rollouts
Challenges with access privileges — “People didn’t have all the security rights they needed.”
Post go-live support “when the shiny newness wears off”
Rapid cycle improvement
Drilling down on data analytics
Health information exchange
Shoring up the infrastructure
Embarking on an organizational redesign
Dealing with the HIT workforce shortage
Working hard, having fun
Key lesson learned: “be utterly transparent”
Building strong clinical partnerships, staffing the CMIO role
WK Provation for order sets
M*Modal for speech recognition
Balancing the desire for data with the burden on front-line clinicians
Meeting MU is “not in the top 3 things we’re focused on here at Duke”
Thoughts on ICD-10
