From com­puter geek to IT guru

Modern Healthcare - - INFORMATION TECHNOLOGY -

Dr. Davis Lee, un­like many physi­cian in­for­mati­cists, was a bit of a com­puter geek be­fore be­com­ing a doc. Lee at­tended Stan­ford Univer­sity as an un­der­grad­u­ate, hung out with the bits and bytes crowd there and took “a bunch” of com­puter classes be­fore de­cid­ing on a ca­reer in medicine.

Af­ter med­i­cal school and spe­cialty train­ing as a pe­di­atric hos­pi­tal­ist, Lee ar­rived at Pres­by­te­rian In­tercom­mu­nity Hos­pi­tal in Whit­tier, Calif., in 2006, just as it was plan­ning the switch to an elec­tronic health-record sys­tem. He jumped at the chance to com­bine his ca­reer choice with his old dig­i­tal love and vol­un­teered for com­mit­tee work.

In 2008, he was named the 444-bed hos­pi­tal’s first di­rec­tor of med­i­cal in­for­mat­ics. That same year, the hos­pi­tal be­gan “a rapid, rapid” health im­ple­men­ta­tion cy­cle, “from CPOE to in­te­grat­ing the phar­macy sys­tem, nurs­ing and physi­cian doc­u­men­ta­tion,” the works, Lee says.

In 2010, the af­fil­i­ated physi­cian group joined the hos­pi­tal to cre­ate an in­te­grated de­liv­ery sys­tem. In 2012, Lee, since el­e­vated to chief med­i­cal in­for­ma­tion of­fi­cer, and the re­named sys­tem PIH Health, be­gan ex­tend­ing an am­bu­la­tory EHR to them, re­plac­ing an old “legacy” EHR some used with a new one.

The hos­pi­tal, be­gin­ning in 2011, and con­tin­u­ing in 2012, as well as ev­ery am­bu­la­tory-care physi­cian who had ac­cess to an EHR—58 providers in 16 of­fices—at­tested to meet­ing the Stage 1 mean­ing­ful-use cri­te­ria.

Much work re­mains, says the 35-year-old, who’s a 2013 re­cip­i­ent of an AMDIS Award from the As­so­ci­a­tion of Med­i­cal Di­rec­tors of In­for­ma­tion Sys­tems. In am­bu­la­tory care, “We still have an­other year to go to get the re­main­ing 15 of­fices and 80 providers” up and run­ning on EHRs, he says.

At the hos­pi­tal, plans are to im­ple­ment a bar code med­i­ca­tion ad­min­is­tra­tion sys­tem and set up a data ware­house, Lee says. Those two projects stand be­tween PIH and its goal of at­tain­ing Stage 7, the high­est level in the health IT cer­ti­fi­ca­tion process de­vel­oped by HIMSS An­a­lyt­ics, a unit of the Health­care In­for­ma­tion and Man­age­ment Sys­tems So­ci­ety.

The hos­pi­tal also plans to add a pa­tient por­tal. “It’s re­ally about pa­tient en­gage­ment,” Lee says. “With our or­ga­ni­za­tion grow­ing as big as it is, we want them to go to one place to look up their records and in­for­ma­tion, whether they’re in am­bu­la­tory, in­pa­tient or home health.”


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