2021
YEARBOOK
Foreword It is with utmost pleasure that we share with you our very first Innovation Technology yearbook. This year we rebranded IT to “Innovation Technology,” created 6 centers of excellence (COE) to support our enterprise and strengthened our collaboration with campus as well as other UCs. In this yearbook, we are introducing you to each center of excellence, their leadership, their goals, key initiatives in 2021, their roadmap for the future as well as group fun activities to nurture the special bond we have with each other. Despite the disruption and increased work caused by COVID pandemic, IT has successfully supported more than 400+ applications and 388 active projects in the year 2021. This includes self-scheduling for vaccines in Epic, Telehealth and Express care initiatives, security protection that have enabled our clinical teams to continue to provide excellent care in-person or virtually, every day. We also had many first this year! IT Project management office (PMO) to help us better measure what all we do and execute in standardized manner across all IT, Digital CoLab to bring design thinking, app development and outside innovation through collaboration, Help Make us Better Portal to get ideas and feedback from anyone and everyone in UCDH, quarterly IT townhalls, biweekly Ask the CIO chats, Digital Davis Forum, Congressional hearing, Digital health internship program, grants and partnership with Amazon/AWS to launch the very first cloud innovation center in an academic medical center, across the globe. The awards and recognition IT have received in national and global stage this year is a testimony to the hard work and passion that each of the IT personnel brings to the table. We also realize this transformation is just a beginning for us to become a “digital and data first” organization and achieve the vision of delivering “Tomorrow’s healthcare today” that is grounded in equity. We are grateful for the opportunity to support UC and UCDH’s mission and strive every day to better serve our wonderful clinicians, researchers, educators, workforce and above all patients and caregivers. In health, Ashish
Ashish Atreja, MD, MPH CIO and Chief Digital Health Officer Professor of Medicine, Gastroenterology UC Davis Health Email: aatreja@ucdavis.edu 24/7 IT Request Portal: https://ucdh.service-now.com/itss
INNOVATION TECHNOLOGY
Leadership through Collaboration Digital Davis Vision: Leading nationally as a “Digital and Data First” organization
Epic & Applications Infrastructure & Cloud
Operations Digital Davis Experience
CoLab Innovation
Telemedicine
Data
INNOVATION TECHNOLOGY
Awards
CHIME Digital Health Most Wired: Level 10 – Ambulatory
CHIME Digital Health Most Wired: Level 9 – Acute
Epic Honor Roll – Cum Laude
Epic Gold Stars: Level 9
Epic MyChart Diamonds: Level 4
Epic Financial & Automation Pulse: Bronze Trophy
University of California Larry L. Sautter Award Program: Golden Award
2021 PANDAS: Healthcare Compliance Analytics Advocacy Leader Award
SEARCH 2021 1st Place Research Award
Award details are included in the appendix
HEALTH AND TECHNOLOGY | November 29, 2021
New initiative to make UC Davis Health a leader in digital medicine Launch of world’s first Cloud Innovation Center based at an academic medical center (SACRAMENTO) UC Davis Health has launched a Cloud Innovation Center (CIC), powered by Amazon Web Services, making the renowned academic medical center one of America’s leaders in digital medicine. UC Davis Health is the first academic medical center in the world to launch a CIC with Amazon Web Services. Focused on digital health equity, the UC Davis Health CIC will allow clinicians, patients, developers, and students to exchange ideas, as well as design and prototype solutions focused on making digital health more equitable and accessible worldwide. “Digital health equity has become a front-and-center issue, particularly during the COVID-19 pandemic,” said David Lubarsky, CEO of UC Davis Health. “Many of our underserved communities have struggled even more to receive the care they need, and the digital divide has only widened. We are committed to finding innovative ways to make healthcare more accessible to every patient, no matter who they are or where they live.” UC Davis Health and Amazon Web Services will each commit staff to work with clinicians, students, organizations, and the community to define real world challenges around digital health equity through the CIC. The challenges will explore difficult issues around providing equitable care to a diverse patient population. They may address issues around remote patient care, discrepancies in technology used for healthcare, transportation, or mental health that could be improved to better serve a diversity of patients. Projects will be driven by clinicians, patients, and the community-at-large who will submit their challenge ideas. The challenge findings will be published as open source for other community members to access, build upon, and implement. “Many clinicians and patients are mandated to use certain products and services, but they’re often left out of the decision-making process,” said Ashish Atreja, chief information officer and chief digital officer at UC Davis Health. “Our goal with the UC Davis Health CIC powered by Amazon Web Services is to create a global collaborative community with a mission to leave no patient, clinician, or researcher behind in the digital transformation of healthcare.”
The CIC is the latest initiative from UC Davis Health to advance digital medicine through its Digital CoLab (Digital Collaborative for Innovation and Validation). Digital CoLab will serve as the liaison between clinicians, researchers, students, and the community to co-ideate, co-create, co-validate, and co-transform digital health solutions. The program is the digital health innovation hub for UC Davis Health and is focused on accelerating digital health technologies to make healthcare more accessible, equitable, and inclusive for everyone. “We are committed to advancing digital-first and datadriven models of care to continue to provide exceptional patient care and experiences,” said Keisuke Nakagawa, executive director of the UC Davis Health Cloud Innovation Center and director of innovation for the Digital CoLab. “Our collaboration with Amazon Web Services will provide us with a tool to unlock the intrapreneurial spirit of our clinicians, patients, and developers in the region to provide a one-of-a-kind space where people who’ve never had a voice in healthcare will be the ones driving the thinking and innovation.” The UC Davis Health CIC is part of the Amazon Web Services global CIC Program, which brings together nonprofit, education, and government organizations. The goal is to collaborate on solutions to address challenges and real-world problems that matter most to communities related to healthcare, smart cities, sustainability, and cybersecurity. Organizations bring their expertise, while Amazon provides resources, to work through challenges to find new ways to innovate. “For a number of years, Amazon Web Services has been accelerating innovation throughout the global healthcare industry—from powering vaccine production, to advancing academic medical research, and creating a variety of solutions that drive the development of lifesaving therapies,” said Kim Majerus, vice president of education, state and local government at Amazon Web Services. “Our collaboration with UC Davis Health, a vast and diverse health system, brings together our commitment to improve health outcomes with an organization that is deeply invested in addressing health disparities and providing the best care to communities.” Learn more about UC Davis Health’s Cloud Innovation Center at: https://health.ucdavis.edu/CoLab/
EPIC & APPLICATIONS
Center of Excellence
JENNIFER BURGER
Vice President of Applications
DATA | Center of Excellence
By the Numbers
305
175 MILLION INTERFACE MESSAGES
FULL-TIME EMPLOYEES
19,000+
STAFF & CLINICIANS SERVED
164
ACTIVE
PROJECTS
1,006
84
AVERAGE MONTHLY REQUESTS
REQUESTED PROJECTS
450+ APPLICATIONS SUPPORTED:
105 272 75
EPIC APPLICATIONS/ MODULES CLINICAL APPLICATIONS
FINANCIAL & ADMINISTRATIVE SYSTEMS
EPIC & APPLICATIONS | Center of Excellence
Highlights Epic Secure Chat
HealthPROMISE Digital Therapeutic
Secure Chat allows physicians, nurses, ancillary departments, and hospital services to send secure, patient-centric text messages to a single recipient or a group of colleagues. IT Epic Applications
UC Davis Health, Chief Information and Digital Health Officer of Innovation Technology, Ashish Atreja envisions the future of healthcare built upon the idea of “healthcare at home”: using technology to monitor patient data through applications and leveraging digital devices to proactively monitor patients’ symptoms in real-time.
Problem Statement
Team Name
Team Name
Need for improved, streamlined communication strategy.
UC Davis Health
Problem Statement
All Epic users
There was a need for GI patients to track symptoms and provide educational content.
Technology Implemented
Business Unit/s Impacted
Success Outcomes/Metrics
Technology Implemented
Business Unit/s Impacted
Epic Secure Chat
Secure Chat leverages Epic information such as treatment team, department, and patient location to deliver messages to the correct staff. Beginning in November, Secure Chat will be available on mobile devices via Haiku and Canto, as well as Epic Hyperspace on workstations.
Gastroenterology (GI), Patient Access A mobile application called HealthPROMISE for IBD (inflammatory bowel disease) that can be “prescribed” within Electronic Health Record with data from patient reported outcomes coming back in dashboard.
Success Outcomes/Metrics
• Leverages digital devices to proactively monitor patients’ symptoms in real-time.
• This at-home care approach allows medical staff to
follow up with patients and engage in necessary intervention practices to control symptoms and close the loop on how patients are doing on a dayto-day basis.
EPIC & APPLICATIONS | Center of Excellence
Highlights (continued) Patient Flow The Patient Flow Program exists to optimize Epic build, leverage system data and make operational processes more efficient with the goal of improving the UC Davis Health experience for both patients and staff.
Team Name
Epic Patient Flow, Grand Central/Prelude/Case Management
Problem Statement
Three years ago, UC Davis Health started at Level 1 in the Patient Flow category for Epic Gold Stars. Previously manual reporting workflows were used by nursing supervisors, bed planning, the emergency department, perioperative services, transfer center, case management, and more. nursing supervisors used manual phone calls and data entry for twice daily Epic updates.
Business Unit/s Impacted
Nursing supervisors, bed planning, the emergency department, perioperative services, transfer center, case management, and more.
Technology Implemented
• Epic Daily Huddle Dashboard • Patient Flow Daily AM/PM email • Patient cohorting • Discharge reception area enhancements • EVS Mobile application and Transport Mobile application
Success Outcomes/Metrics
• Patient Flow maintained 9/10 Gold Stars based
on the 2021 Patient Flow category criteria. As of August 2021, Patient Flow achieved a 10/10 Epic Gold Stars rating and over 20 Patient Flow Gold Stars items.
• More than 40 components and 110 dashboard
badges have removed manual reporting workflows
• Replaced manual phone calls and data entry for
nursing supervisors, resulting in a time savings of 60-90 minutes per shift. That is a total average time savings of 912.5 hours per year. In addition, replaced the use of manual spreadsheets for Patient Flow.
• 75.2% increase in Hospital Medicine Service
cohorting in several pilot units, including East 8 Med/Surg
• 55% volume increase in patients utilizing the discharge reception area.
EPIC & APPLICATIONS | Center of Excellence
Thoughts & Testimonials
“
Ninety-nine percent of life is spent outside of the hospital, and that’s where physicians have minimal visibility. Inflammatory bowel disease (IBD) patients suffer from diarrhea and bleeding requiring surgery multiple times in their life. However, with proactive communication from home through apps, physicians and patients can proactively manage the disease, control the symptoms, and decrease the need for disabling surgery. That’s the promise of electronic patient reported outcomes and home monitoring. We are hoping this multi-site collaborative will lead to home monitoring as a standard of care for patients with Inflammatory bowel disease (IBD) and serve as a model for managing other chronic diseases at UCDH.” – Dr Atreja, M.D., M.P.H., F.A.C.P., A.G.A.F.
“
Chief Information and Digital Health Officer
The EPIC generated dashboard can generate a snapshot in time to distribute to our operational leadership team. The new dashboard provides a streamlined standard process to support organizational communication.” – Joleen Lonigan, RN, MSN, NE-BC, FACHE Executive Director of Patient Care Services
“
Having real time and trending data available in the 7 Capacity Management Dashboards gives us the capability for constant decisionmaking and the optimization of patient movement workflows, which overall improves efficiency and creates capacity.” – Christine Williams, RN, MS, CNS
“
Executive Director of Patient Care Services
While in-person interpreting service is the gold standard, its drawback is the mismatch in schedules. Providers and/or patients often run early or late; interpreters are reassigned to a different location; and patient visits end up being canceled or rescheduled or proceed without interpreting services. With on-demand video interpreting, language support is available at the time that is convenient for providers and patients.” – Elena Morrow MIS Manager
INFRASTRUCTURE & CYBERSECURITY Center of Excellence
SCOTT HARRISON
Chief Technology Officer; Vice President of Infrastructure
INFRASTRUCTURE & CYBERSECURITY | Center of Excellence
Goals
Creating opportunities to optimize infrastructure and accomplish better service while simultaneously improving efficiency and managing risk to the organization.
Driving high-level project execution and coordinating with other stakeholders for IT Infrastructure Modernization Initiatives.
Functioning as an in-house consultancy to develop technology and infrastructure standards, to facilitate other IT partners’ technology and application modernization efforts.
Engaging with enterprise partners and innovators to leverage Infrastructure technologies and expertise to meet their needs.
Securing Infrastructure and Applications by driving and incorporating enterprise security principles of confidentiality and privacy, collaborating with UC Davis IET Security and disseminating staff awareness with frequent educational events.
Providing innovative solutions not only for patient care, but also providing the best infrastructure (back-bone) related solutions for the staff so they can improve efficiency and provide excellent day-to-day services.
INFRASTRUCTURE & CYBERSECURITY | Center of Excellence
Highlights Tabletop Exercises Innovation Technology led or took part in four different disaster preparedness exercises this year. All were collaborations across multiple teams, both inside and outside of IT, and both inside and outside of the Health System. All were successful and provided many valuable lessons about where our collective strengths and weaknesses existed in both IT and clinical operations, providing many actionable tasks to shore up our preparedness posture for the future.
Single Sign-On IT Client Services deployed a Single Sign-On (SSO) technology called Imprivata OneSign. This technology reduces the time a user takes to input their username and password into a computer. It also decreases the amount of password lock outs and improves overall security. With SSO, staff can tap their ID badge on the badgereader connected to the computer to log in. The SSO technology also allows an authorized user to log into various approved applications (e.g. Epic, Ecotime, etc.) without having to enter their credentials multiple times a day. Tap the badge again to secure or lock the computer from any unauthorized use. IT Client Services has already deployed this technology in the main hospital and ambulatory sites.
One million badge-taps is equivalent to saving 4 years of manually entering credentials for UC Davis Health!
Single Sign-On (Imprivata) Badge Tap Count for various applications from May to Oct 2021 LIST OF APPLICATIONS Application Name Total
The team has installed badge readers and software on approximately 8300 computers. Approximately 9000 staff are enrolled and trained to use this technology and more staff members are being added. Within UCDH, we have captured over 16 million badge taps this year including EMR and other applications (see table below). In other words, each tap is a record that a physician or nurse used SSO technology during their normal business day without having to manually enter their credentials. The time saved by those millions of SSO badge-taps is the valuable clinician’s time spent for patient care.
Epic Hyperspace
The chart (right) shows the actual number of logins going back to May, assuming that each tap saves an estimated 20 seconds of the users time that equates to 89,650 hours of saved time in the first 6 months of this project being live.
Ecotime - IE CAS IE
Application Login 16,136,938 15,412,632 648,051 46,568
Ecotime-Chrome
12,801
CAS - Chrome
11,459
OWA/ADFS - IE
2,006
OneSign Administrator
782
OWA/ADFS - CHROME
688
EPIC - Willow
626
BD Pyxis TEST
373
Project Team Members:
Gurpreet Bains, April Baird, Craig Salyer, Mark Divine, Clayton Martin, Fred Hawley, Fran Swaim, Lawrence Howard, Umar Hay, Augustine Antwi, Abe Mamaradlo, Hafiz Ahmed and Shawn Mayhew.
INFRASTRUCTURE & CYBERSECURITY | Center of Excellence
Highlights (continued) MyChart (TVs) IT Infrastructure was asked to provide a TV and Tablet solution to assist the EPIC team with EPIC My Chart and aid patients and families during their hospital stays. MyUCDavisHealth Bedside (Bedside) is a tablet-based application that is integrated with EPIC MYChart, and provides hospitalized patients and families with more information about their care during hospital stays. Bedside is designed to engage patients in their care, empower them with education and clinical data, and help them build a personal connection with the care team. Auxiliary Services has deployed 459 of 582 TVs throughout the hospital landscape and are 79% complete with their deployment. Locations yet be deployed are Davis Tower 10, 7 Pavillion 3 CTICU & NICU, Tower 2, 6.
New Buildings & Clinic Implementations Innovation Technology in partnership with FP&D delivered three major clinics this year.
• Point West Clinic was to relocate PM&R Therapies clinic will make way for the upcoming Ambulatory Care Center Eye Center Expansion Project.
• Roseville Clinic project would provide UC Davis
Health with the capacity to serve its established and growing ambulatory care network in Placer County in high traffic area in Roseville.
• Patient Contact Center underwent a complete
tenant improvement (with the exception of the generator and all building elevators. This is the first centralized call center that houses all IT delivered 2,600 pieces of technology.
Vaccination Site/Clinics Innovation Technology partnered with Ambulatory group and Employee Health to support UC Davis Health key initiatives for Covid-19 vaccination clinics. The initial clinics included those that served the employees and patients of UC Davis Health.
• North Addition building, Mind Institute building, Cypress building, CTSC Tent
In addition, external pop-up clinics were established to serve the local communities at the following locations.
• Scottish Rite Temple, St. Paul’s Church, City Church, La Familia
Innovation Technology deployed the appropriate cabling, wired and wireless networking, PCs, Laptops, iPads, label and laser printers, and Wow carts in a secure environment. This infrastructure essentially provides a complete clinic setup.
Technology Deployed:
• Network/VPN (8) • Wireless Access Points (14) • Firewalls (4) • Network Switches (5) • WOW Carts (70) • Laptop Computers (24) • Desktop Computers (42) • Label Printers (19) • Laster Printers (12) • iPads (10)
INFRASTRUCTURE & CYBERSECURITY | Center of Excellence
Epic Advance DR The Epic Disaster Recovery Advanced Capability project successfully completed with all milestones met. The project team successfully failed over the Epic core infrastructure from the primary datacenter in Quincy, WA to the secondary datacenter in McClellan, CA on March 8, 2021. The failover was achieved in 42 minutes, which falls well below the 60-minute window recommended by Epic Systems Inc. The failback was achieved in 32 minutes. The milestones achieved during this test are as follows:
• Achieved Cache mirroring “data synchronization” from the primary datacenter to the secondary datacenter and vice versa.
• Redirected all Epic Client Systems, Citrix
Presentation layer, and AIX compute resources from the primary datacenter to the secondary datacenter.
• Leveraged advanced network technologies
(Global Server Load Balancing) to provide a fast and seamless failover of all Epic Client System components.
• Ran Epic production in the secondary datacenter for over 1-hour to validate critical application functionality.
New infrastructure was designed and implemented at the secondary datacenter to address deficiencies in the Epic DR environment. The project replaced the Epic Island Mode failover configuration with the current standard Cache Mirror failover configuration for UC Davis Health. In addition to building out the new Epic DR environment, the project team also implemented advanced Global Server Load Balancing (GSLB) technology to facilitate the Epic Client System environment failover process which provides for a streamlined and accelerated failover.
Project Team Members:
Arabella M Handy, Jim Marchetti, Eric J Dahler, Akinola Adedoyin, Lopaka Gaspar, Prasad V Kosuru, Marie L Houston, Nicholas Boka, Salvador Cruz Jr, Holly Neilson, Krista Hardwick, Kathleen M Schroyer, Kevin M Bickerton, Scott Chiara, Doua Moua, Dmitriy Subbotin, Aejazuddin Farooqui, Kurt J Broadbent, David B Vaillancourt Jr, Gurpreet Bains
Teams/OneDrive Communications and Training Project Purpose:
The purpose of these projects is to educate the UCDH enterprise on the benefits of using Teams and OneDrive and provide training resources on how to use these tools.
Goals:
• Improved collaboration and communication throughout the enterprise
• Provide informative training materials to instruct on how to use tools
• Potential long-term costs savings
Highlights:
• IT Education developed webpage for information on MS Collaboration Tools
• IT Education developing communication campaign • Radiology Department is the first target group for communication campaign by end of year
• The IT department has achieved 100% adoption of Microsoft Teams
INFRASTRUCTURE & CYBERSECURITY | Center of Excellence
Thoughts & Testimonials
“
Single Sign On has lowered my risk of finger osteoarthritis because I hardly ever have to type my password any more when I’m in clinic. I don’t know how this could be any easier.” – Scott MacDonald MD FACP, FAMIA EMR Medical Director Clinical Informatics – Internal Medicine
“
One of our core goals in IT has always been to use technology that helps improve operational efficiencies for our staff. Single Sign On has been an outstanding success and example of how we are achieving this goal.” – John Cook
Associate CIO and Senior Vice President of Information Technology
“
I am very pleased with the Imprivata application and how it is utilized at UC Davis Health. It allows staff and providers to easily log in and out of a workstation without having to manually enter our credentials every time.” – Danielle Gutterez, MHA
Ambulatory Care Admin. Manager Healthy Aging Clinic at UC Davis Health
“
[Imprivata OneSign] is a great feature as we work back and forth constantly between these multiple applications.” – Davetta Vickers
MOSC V Supervisor, Department of Radiology
DATA
Center of Excellence
KENT ANDERSON, MS
Director, Data Center of Excellence (Data CoE), UC Davis Health Innovation Technology (IT); Associate Director, Biomedical Informatics, Clinical and Translational Science Center
JASON ADAMS, MD, MS
Medical Director, UC Davis Health IT Data Center of Excellence (Data CoE); Associate Professor, Division of Pulmonary, Critical Care, and Sleep Medicine, UC Davis School of Medicine; Director of Data and Analytics Strategy, UC Davis Health Innovation Technology (IT)
DATA | Center of Excellence
Vision The Data COE supports UC Davis Health’s goal to become a world leader in the use of data and analytics to achieve clinical, operational, research, and academic excellence.
Mission The mission of the Data COE includes three foundational areas of excellence:
• Ensure delivery of the right data to the right people, at the right time, to
the right place, and in the right format for computation, presentation, and analysis (Data Provisioning Core) in a highly efficient manner to create a world-class experience for all customers
• Provide sophisticated, secure, and easy-to-use computing environments
with which to store and compute upon data (Health Computing Core HC2)
• Develop and implement mission-critical analytics solutions for strategic enterprise initiatives (Health Analytics Core)
DATA | Center of Excellence
Goals
• Expanded self-service data
• Development of Databricks
• Provide data science and
improve trust and reusability
• Expand self-service compute
• Establish AI/ML development and
lake/data warehouse
• Develop security protocols to
• Partner with UC Davis/AWS CIC to
access (Epic and non-Epic tools)
• Expand data asset catalogue to
• Data integration into unified data
enterprise cloud analytics platform
access to on-prem cloud (ACE) enable access for academic and industry partners
biostatistics support for strategic health system projects testing playbook
drive innovative analytics
DATA | Center of Excellence
By the Numbers
851
FULFILLED REQUESTS FOR REPORTS, DATA, VISUALIZATIONS (~71 SERVICE TICKETS/MONTH)
132
45
55
RESOLVED REQUESTS FOR COGITO SECURITY
INITIATIVES COMPLETED
DATA REQUESTS FULFILLED WITH
SELF SERVICE TOOLS
RATHER THAN CUSTOM DEVELOPMENT
DATA | Center of Excellence
Highlights COVID-19 Data Acquisition and Analytics The Data CoE has been the hub for data curation, validation, and reporting in support of UCDH clinical, operational, and research goals for COVID-19. Collaborations with other reporting departments across the enterprise ensured standard definitions and a single source of information for accurate and reliable data including projects such as:
• COVID-19 Inpatient Dashboard • UC Davis Health COVID-19 Survivors Dashboard • Admission Prediction AI Model Development • Vaccination Dashboard, including statistics by Healthy Places Index, Race, and Ethnicity
• UCOP Employee Vaccination Dashboard • 30-40 additional ad hoc, operational requests fulfilled
Efforts included the acquisition of non-EMR data sources related to employee vaccine coverage including:
• Agility — Employee Vaccination Data • California Immunization Registry Data • Qualtrics — Survey Data • Point & Click — Employee Vaccination Schedule • Badge Access Data • UCPath — Employee Records • IAM — Identity & Access Management
PROJECT TEAMS
Data Provisioning Core: Data Acquisition and Architecture, Data Curation and Data Access and Delivery
Larry L. Sautter Gold Award for cBioPortal Project In collaboration with the Cancer Center, the Cancer Center Data Informatics Integration Initiative (CCDI3) Data Team launched a UC-wide cBioPortal to enable consolidation of genotypic and phenotypic data on cancer patients.
• Open-source tool developed by Memorial Sloan Kettering for exploration of multi-dimensional, oncologyfocused genomics data
• Provides researchers access to molecular profiles and clinical phenotypes across various cancer studies • Create a central, standard platform to support precision medicine and population health efforts in oncology PROJECT TEAM
Cy Huynh, M.S., MPH; Matthew Renquist; Jared Cobabe; Joseph Cawood, MHSA; Albert William Riedl, M.S.; Christopher Lambertus
DATA | Center of Excellence
Health Equity and Social Determinants of Health Complete and accurate sociodemographic data are key to reducing health disparities across our service areas. The Data CoE led two important initiatives in this area: Patient Address Geocoding: The Area Deprivation Index (ADI) and the California Healthy Places Indexes (HPI) are indices developed to measure social determinants of health. Patient addresses must be geocoded to the census tract level to make use of social inequality indices, something currently not possible with zip code data in EMR.
• Selection of ArcGIS as an enterprise software solution for GIS mapping
• Geocoding of patient addresses to census blocks and tracts
• Mapping of census blocks and tracts to their respective HPI and ADI scores
This effort provided the ability to evaluate the effectiveness in vaccine distribution of our patient population as well as aid in identifying health disparities in Population Health efforts.
PROJECT TEAM
Data provisioning Core: Data Acquisition and Architecture, Data curation, and Data Access and Delivery REAL 2.0: Data quality issues with race and ethnicity were brought to the forefront during COVID vaccine equity and UCD Davis Health’s focus on health disparities in general. Along with EPIC Applications and the Centers for Reducing Health Disparities, we are leading the effort to improve race ethnicity and language (REAL) data for routine assessments of clinical outcomes, patient experience, access, and other health system performance indicators.
• Update Epic Best Practice Alerts to improve data quality
• Create Epic Smart Forms for data collection consistency and usability
• Re-train staff in use of new forms; create “helper” text for patients
• Create standard tools (groupers) in Epic and Clarity for consistent reporting and analysis
PROJECT TEAM
Sharon Myers, PhD, MPH; Scott MacDonald, MD; Hendry Ton, MD, MS; Jason Adams, MD, MS; Hannah Lytle, Diane Placencia, Nancy Lee
Self-Service Analytics Access to data and availability of tools is critical to empower non-technical users to easily find answers they need. This year brought a number of enhancements to our suite of tools and request fulfillment process.
• Implemented new intake process to encourage self-service, and identify the best solution
• Closed 55 data requests using SlicerDicer instead of custom build
• Reduced wait time for Cogito based solutions by 67%
• Optimized Reporting Workbench security profiles for over 20,000 users
• Provided access to legally deidentified EHR data
(DataPATH) in secure computational environment for researchers to use without IRB approval
• Developed and made available the COVID
Research Data Set (CORDS), containing clicnical records from all UC Health patients that have been tested for COVID-19
TELEHEALTH
Center of Excellence
JAMES MARCIN, MD, MPH Director, Center for Health and Technology; Vice Chair, Pediatric Clinical Research; Professor, Department of Pediatrics
JANA KATZ-BELL, MPH
Senior Assistant Dean, Strategic Initiatives; UC Davis School of Medicine; Betty Irene Moore School of Nursing
TELEHEALTH | Center of Excellence
Vision Taking telehealth from ideation to operation, with continued quality improvement.
Mission The Telehealth Center of Excellence leverages telehealth and digital health technologies to deliver high quality, equitable and timely care. With a focus on making telehealth a competitive advantage for the organization, the center focuses on expanding clinical care, research and education impacts.
TELEHEALTH | Center of Excellence
Goals
TELEHEALTH LEADER:
Implement a governance structure and leverage assets to be leader in the market
INPATIENT SERVICES:
Enhance operational systems and infrastructure for expanding opportunities and services
CLINICAL, RESEARCH, EDUCATION:
OUTPATIENT SERVICES:
DIGITAL HEALTH EQUITY:
HEALTHY AGING IN A DIGITAL WORLD:
Foster a team that advances all mission areas
Implement system-level approaches to address inequities in digital health
DATA ANALYSIS:
Needed to support evidence-based program expansion
Strategic expansion of services, specific to children and adults
UC Davis Big Idea
TRANSITIONS OF CARE:
Advance evidence-based programs to improve transitions of care and community based care
TELEHEALTH | Center of Excellence
By the Numbers Clinical Telehealth Distance Education
OUTPATIENT SPECIALTY PROVIDER-TOPROVIDER TELEHEALTH:
CONNECT TO 80+
Additional Client Site Locations
unique sites each year to provide specialist consultations to hospitals and clinics (not including direct to patient video visits)
Oregon
Guam
Rhode Island
50,000+
1
1,500+
> Serving 21 counties > By 30 different specialties CONSULTATIONS PER YEAR > By 87 different physicians
500-800 DAILY
AMBULATORY VIDEO VISITS 50% INCREASE DURING PANDEMIC
300 PER MONTH E-CONSULTS LAUNCHED
OCTOBER 2020
Hawaii
Not shown to scale
CONSULTATIONS TO DATE
TELEHEALTH EXPRESS CARE
Colorado
Top Specialties: Dermatology, Infectious Disease and Endocrinology
8,700+
E-CONSULTS TO DATE
TELEHEALTH | Center of Excellence
Portfolio Outpatient Specialty Telehealth
30+ UC Davis Specialties
80+ External Sites
External Inpatient Specialty Telehealth
10+ UC Davis Specialties
35+ External Sites
Internal Inpatient Telehealth
Interpreting
FamilyLink
Team Care
Telehealth Research/QI/ Education
14+ Research Grants
16+ Faculty Collaborators 5 ECHO®
Clinical Trials
In collaboration with the Operations Center of Excellence: MyChart Video Visits (Scheduled)
Epic-Integrated
800+ Providers
E-Consults
Epic-Integrated
External Partners
Telehealth Express Care (Urgent)
Family Practice
Emergency Medicine
25+ UC Davis Specialties
Family Engagement
INNOVATION & DIGITAL COLAB Center of Excellence
KEISUKE NAKAGAWA
Director, Center for Health and Technology; Vice Chair, Pediatric Clinical Research; Professor, Department of Pediatrics
INNOVATION & DIGITAL COLAB | Center of Excellence
Vision Boldly drive digital health innovations that make healthcare more accessible, human-centered, and equitable.
Mission Grounded in the principles of human-centered design and digital health equity, our mission is to make healthcare more accessible, more inclusive, and more equitable through collaborations with faculty, researchers, industry, and our community-at-large. We aim to transform UC Davis and the Sacramento region into the world’s digital health capital where everyone can participate in the design, ideation, creation, and validation of bold, inclusive solutions that can improve the lives of people locally and around the world.
INNOVATION & DIGITAL COLAB | Center of Excellence
Goals CO-DESIGN & CO-IDEATE
Serve clinicians, researchers, and staff in designing digital experiences through human-centered design.
CO-DEVELOP DIGITAL TECHNOLOGIES:
CO-VALIDATE LEADING TECHNOLOGIES:
Build a full-stack development team to create new apps and integrations with EHR, CRM, and cloud services.
Partner with industry-leading companies and startups to help validate digital health technologies.
Create a digital-first, data-driven model of patient engagement that is equitable and inclusive.
STREAMLINE TECHNOLOGY INTAKE:
Create a unified front door for vendors, startups, and companies to engage with UC Davis Health.
STRATEGICALLY ALIGN TECHNOLOGIES WITH CSP:
DIGITAL MONITORING & NAVIGATION:
TRAIN NEXT GENERATION OF DIGITAL LEADERS:
BUILD NATIONAL LEADERSHIP IN DIGITAL HEALTH:
LAUNCH DIGITAL FRONT DOOR:
Guide patients through their digital care journey with apps, remote patient monitoring, and care pathways.
Develop digital health fellowships and training programs that prepare our students and clinicians for a digital health future.
Create value through strategic technologies for digital front door, digital navigation, digital monitoring, automation, and AI technologies.
Create a national brand in digital health through conferences, webinars, grants, and scholarly work.
INNOVATION & DIGITAL COLAB | Center of Excellence
Cloud Innovation Center What is a Cloud Innovation Center? The UC Davis Health Cloud Innovation Center for Digital Health Equity will serve as a global innovation hub designed to address the most pressing challenges in digital health equity by bringing together our community, AWS, and UCwide experts to ideate, design, and prototype solutions that can make healthcare more accessible, equitable, and inclusive.
INNOVATION & DIGITAL COLAB | Center of Excellence
Scaling Digital Health Equity through Open Innovation Serving one of the most diverse patient populations in the country, UC Davis Health and our UC system can offer unique resources and insights to tackle digital health equity. Our goal is to prototype solutions that can be used by any health system and community around the country, and the world. All of the prototypes developed through the Cloud Innovation Center will be open sourced for anybody to adopt, build upon, and scale to make a larger impact.
INNOVATION & DIGITAL COLAB | Center of Excellence
Highlights
Digital CoLab signs a strategic partnership with ARC Sheba Medical Center to exchange ideas, startups, and expand global innovation ecosystem.
The TRUST Project (Targeted Reach Using Sequentially Tailored health messages) address COVID-19 vaccine uncertainty by creating videos targeted to different communities, engaging with community partners around messaging, and partnering with a Pulitzer Prize winner to explore deep-seated barriers and beliefs around COVID-19 vaccine hesitancy.
UC Davis Health and Digital CoLab launched the world’s first Cloud Innovation Center focusing on digital health equity at AWS re:Invent in Las Vegas.
10 undergraduate and graduate students accepted to the inaugural Digital Health Innovation Program (DHIP).
ACADEMIC
Center of Excellence
DAN COTTON
Director Education Technology & Application Development
ACADEMIC | Center of Excellence
Vision Technology and the Digital World are very intertwined with the needs of education.
Mission In collaboration with educational leadership, the Academic COE aims to provide superior technology and support for staff, students and faculty for the Schools of Health, ensuring the integration of advanced audio/visual and information technology is meeting the optimal needs of teaching and the curriculum.
ACADEMIC | Center of Excellence
Goals School of Medicine and School of Nursing – Student Support
• Understand and be responsive to the support needs of the students
• Provide easy access to resources for the students
• MySOM and MySON portal • Access to “self-help” guides • Ability to schedule virtual technology support sessions
• Access to in-person technology support • Real-time access to their in-progress scores
Teaching Space Technology Support:
• Ensure teaching space technology is operating at optimal levels • 47 classrooms & 6 large lecture halls
• Ensure the technology is meeting the needs and expectations of the curriculum
• Respond timely to any Audio/Visual support
requests for curriculum and other live events
Web Application Development:
• Provide robust modern web application development
• Supporting Administrative needs for the Schools of Health
• Improving security of critical data • Improving business processes • Timely updates and easy channels for requesting enhancements
• Data collection for analytics Simulation Technology Support:
• Technology support for Simulation and Clinical Skills • 23 mock exam rooms
• 12+ high fidelity manikin simulation rooms • Ensure the technology is meeting the needs and expectations of the curriculum
• Respond timely to any support requests for curriculum and other events
ACADEMIC | Center of Excellence
Highlights LCME Preparation
• Launched updated MySOM Student Portal
• Increases engagement with the students
• Student Academic Dashboard
• Real time access to in-progress course scores
• Fully automated the Medical Student
Performance Evaluation (MSPE) letter creation for Residency Application
• Saving staff hundreds of hours of manual effort assembling letters
• Went live with two real-time evaluation dashboards • Department Course Evaluations Dashboard • Faculty Evaluations Dashboard
• LCME Site Visit – February 2022
LCME Improving Student Related IT Provided Services
• Created a multi-year strategy for improving student related IT provided services • Utilized Calendly for new appointment system for remote support for medical students.
• Added new Messaging Center and new UI and layout
• Created banner and poster boards for future in-person tabling events
• Setup future meetings with Student class
leaders to hear their inputs and answer any questions.
• Bringing more awareness to School of
Medicine IT and AV services to medical students
LCME Improving Student Related IT Provided Services
• Created a multi-year strategy for improving student related IT provided services • Utilized Calendly for new appointment system for remote support for medical students.
• Added new Messaging Center and new UI and layout
• Created banner and poster boards for future in-person tabling events
• Setup future meetings with Student class
leaders to hear their inputs and answer any questions.
• Bringing more awareness to School of
Medicine IT and AV services to medical students
Legacy Application Support – Incident Reporting
• Two-year project to create an “archive” viewer
web application for submitted events for Employee Exposure • Went live for UCDH November 13, 2021. Final site went live November 30, 2021
• Legal requirements stipulate information
must be kept and accessible for up to 10 years post the event
• Previous legacy application was 20+ years old running on very old code
• Also alleviates dependency on Sybase
database which is being retired 12/31/2021
• Application used by four others UC Systems • Total of 17 different “sites” used • RL Datix went live for new Employee Exposure events
• (sticks or splashes)
ACADEMIC | Center of Excellence
Legacy Application Support – Quick View
• Previous legacy application was 24+ years old. Not web based • Quickview is a legacy read-only EHR system used by UCDH prior to 2003
• UCDH has a legal obligation to maintain patient
records for 18 years plus up to 10 years for OB and Pediatrics.
• The historical data is being moved over to a vendor product – Legacy Data Access
• Same vendor used for the archival of the main frame data
• Expected Go-Live before the end of the year • Alleviates dependency on Sybase database which is being retired 12/31/2021
• Organization wide information coming soon! Maskfit - Respiratory Protection Tracking
• Application tracks respiratory fit testing for departments
• Urgent need for enhancements due to COVID-19 • Significant update to application to provide a broader range and level of detailed tracking
• Added the following additional tracked items:
• EHS medical clearance • LMS Training • Powered air-purifying respirator (PAPRs) training
• Broader range of N95 and Elastomeric mask fittings
Immunization Tracker
• Previous application was used only for annual Influenza vaccination tracking
• Provides departments comprehensive visibility into their overall compliance of vaccinations
• Added tracking for COVID-19 vaccinations and boosters
• Cost center and UCDH roll-up compliance reports for both Influenza and COVID vaccinations
Classroom Technology Support
• Removal of computers from 30 seat classrooms in the Education Building • Curriculum needs of those rooms has changed over the years
• In-room computers are no longer needed + age of computers
• Computer lab in 2106 will remain with 20 individual seats and computers
• 150 seat lecture halls have increased wireless
access point density • Power outlets and data ports at most seats
ACADEMIC | Center of Excellence
Highlights (continued) Audio/Visual Support
• CHT Camera Replacement
DevOps Support
• CHT Cameras are used primarily for
• SQL Server Upgrade from 2017 to 2019 • Stay in line with Microsoft Support Roadmap
• Urgent replacement needed due to potential
• Introduces new features (top 10):
our Lecture Capture System and Video Conferencing calls fire hazard
• Needs assessment produced unused areas to be eliminated
• Replacement eliminated the need for
separate power supply to be integrated into facility design
• Replacement is more energy efficient and easier to service.
• Replacement offers future proofing for any NETV2 upgrades that may include POE+
• Education Building Digital Signage Screen
Replacement • Digital Signage in the Education Building is used for marketing, donor recognition and room scheduling.
• Replaced the six donor panels and two
room scheduling screens due to age and yellowing screens
• Security & Enhancements Patches
• Behind the scenes improvements to the Query Optimizer.
• Lightweight query plan tracing and profiling. • Reduce wait time in database recovery • • • •
operations.
Query store enhancements. Additional encryption mechanisms available. Internal object and process optimization. More detailed error messages for troubleshooting.
• Pause/Resumable ONLINE database maintenance operations.
• Support for additional synchronous standby replicas.
• Data Discovery and Classification.
• Implemented a remote access solution to Novopath for Dermatology. • Cases can be assigned remotely.
• COVID friendly solution. • Shortens response time.
• Migrated CentOS Enterprise Linux 7 to Oracle
Linux 8 • Application and web servers were running on CentOS 7. End of life (EOL) on 2024-0630
• CentOS 8 will be discontinued (EOL) at the
end of 2021 making way for CentOS Stream
• CentOS Stream will be the upstream development platform for Red Hat.
• A downstream distribution would be more stable and more secure.
• Moving to Oracle Linux 8 (EOL: 2031)
will provide enterprise level security and stability.
ADDITIONAL HIGHLIGHTS | Top Things to Know
Additional Highlights & Top Things to Know 2021 was a busy year for our IT Facilities team with the opening of new and modernization of existing buildings. Below are highlights:
NEW DAVIS CAMPUS CLINIC (LOT 40)
MIDTOWN HEALTHY AGING CLINIC
PCC (PATIENT CONTACT CENTER) 10888 WHITE ROCK ROAD
NEW ROSEVILLE OUTPATIENT CLINIC
UT 2 OR REMODEL
POINT WEST CLINIC (RIVER PARK DRIVE)
INNOVATION TECHNOLOGY | 2022
What’s Coming in 2022 Future and Health: Invite-Only CEO Virtual Summit at JPM JANUARY 9, 2022 FROM 12 — 3:30 P.M. UC Davis Health, Digital Colab (w Finn Partners) is bringing together leaders to talk about the Future of Health and Digital Health equity. Presentation topics include: how brick and mortar health care organizations can partner with big tech and novel situations; sharing success from digital, data and device partnerships during the pandemic and beyond; ensuring digital health equity in the next wave of one-to-many digital care using platform approach; and more.
David Lubarsky CEO UC Davis Health
Ashish Atreja
Chief Information and Digital Health Officer UC Davis Health
Cheryl Cheng
Founder and CEO Vive Collective
Glen Tullman CEO Transcarent
Cheryl Pegus
Executive Vice President, Health & Wellness Walmart
Priya Abani CEO AliveCor
Data Forum A series of events throughout the year to unite and unify the UC Davis data strategy.
• Goals include: Understand what data resources/tools are available and where to get it. Examine opportunities for improvements, and set the foundation for long term success
• Events to include: Keynote speakers, Workshops, User stories, Brainstorming sessions and break out groups, a tour of the Data Lab, and more.
2022 Plans for AWS CIC START WORKING ON CIC CHALLENGE #2
JAN
MAR APR
AUG FRAME THE CHALLENGE STAKEHOLDERS EVENT
START WORKING ON CIC CHALLENGE #1
CIC CHALLENGE #1 PROTOTYPE REVEALED
SEP
CIC OFFICIAL LAUNCH EVENTS Showcase community partners, 2 prototypes from the CIC challenges, show off Digital CoLab-CIC space
INNOVATION TECHNOLOGY | 2022
Simplifying and standardizing IT request intake, project approvals, project management and resources across all centers of execution. IT Portfolio Management
•
• Integrate Resource
Consolidated IT- wide Project tracking and reporting to support Porfolio Management.
Q4 2021
• • •
Management Capability within Project Portfolio Management.
Q1 2022
IT Project & Program Delivery
•
Review PMO Impact
IT Resource Management
Enable standardized Demand Management and Project & Portfolio Management Processes and workflows.
Q2 2022
Assess PMO Impact Lessons Learned Enable Continuous Improvement practices
Q3 2022
IT Financial Management
•
Integrate Financial Management capability within Project Portfolio Management.
Q4 2022
INNOVATION TECHNOLOGY
Help Make Us Better to Achieve Tomorrow’s Healthcare Today
https://intranet.ucdmc.ucdavis.edu/hmub
Anyone can navigate through Leadership. Addresses:
• Unclear how to share novel ideas • Uclear how to provide feedback • Unclear priority • No transparency to what happened to ideas
INNOVATION TECHNOLOGY
Engage in IT This year we started a Teams channel encouraging our staff to connect, share hobbies, and engage in IT!
Golf lessons
Golf lessons
Golf lessons
INNOVATION TECHNOLOGY
Engage in IT (continued)
Sac Republic game
Bowling tournament
INNOVATION TECHNOLOGY
Sacramento Kings game
Sacramento Kings game
Lacey Gill — LEGO builder extraordinaire
Photography
INNOVATION TECHNOLOGY
Appendix Grants U01 TR002997-01A1 Atreja, A. (PI)
Translating Scientific Evidence into Practice using Digital Medicine and Electronic Patient Reported Outcomes Through creation of a Digital Transformation Network (DTN) for Inflammatory Bowel Disease (IBD), we plan to reduce digital disparities and scientifically test the impact of these technologies in a clinical trial in three CTSA sites catering to diverse populations and communities.
R34 AG059705-01 Atreja, A (Co-Investigator)
e-Motivacion: Developing and pilot testing an app to improve Latinos screening colonoscopy rates The primary goal of the proposed NIA R34 (PAR-16-085) is to develop and pilot test an app, called e- Motivación (e-Motivation), to improve Latinos’ screening colonoscopy uptake. A future randomized clinical trial (RCT) will formally test the app’s efficacy for improving screening colonoscopy uptake among Latinos.
R21 MH120789 Atreja, A (Co-Investigator)
Delineating proactive social behaviors in dynamic and multidimensional social space The goal of this study is to utilize a mobile application to develop detailed, objective, and implicit measurements of social functions that can be easily applied to patient populations as well as animal experiments.
Publications Waldman SE, Adams JY, Albertson TE, Juárez MM, Myers SL, Atreja A, Batra S, Foster EE, Huynh CV, Liu AY, Lubarsky DA, Ngo VT, Sandrock CE, Taylor SL, Tompkins AM, Cohen SH.Real-world impact of vaccination on coronavirus disease 2019 (COVID-19) incidence in healthcare personnel at an academic medical center. Infect Control Hosp Epidemiol. 2021 Jul 21:1-7. PMID: 34287111 Chang S, Hamilton M, Lees C, Atreja A.Mobile Health in IBD: Enhancing Care, One Phone at a Time. Inflamm Bowel Dis. 2020 Jan 6;26(2):163-166. PMID: 31675058 Kelly CR, Yen EF, Grinspan AM, Kahn SA, Atreja A, et al. Fecal Microbiota Transplantation Is Highly Effective in RealWorld Practice: Initial Results From the FMT National Registry. Gastroenterology. 2021 Jan;160(1):183-192.e3. PMID: 33011173 Krouss M, Bedell D, Solly T, Phillips G, Hermele J, Ojo A, Fasihuddin F, Atreja A, Dunn A, Cho HJ. Project TOPS: TeamBased Oversight of Patient Satisfaction Through Real-Time Interdisciplinary Feedback. Jt Comm J Qual Patient Saf. 2020 Jul;46(7):427-430.PMID: 32466977 Chan L, Jaladanki SK, Somani S, Paranjpe I, Kumar A; Mount Sinai COVID Informatics Center (MSCIC). Outcomes of Patients on Maintenance Dialysis Hospitalized with COVID-19. Clin J Am Soc Nephrol. 2021 Mar 8;16(3):452-455. PMID: 33127607 Nguyen NH, Martinez I, Atreja A, Sitapati AM, Sandborn WJ, Ohno-Machado L, Singh S. Digital Health Technologies for Remote Monitoring and Management of Inflammatory Bowel Disease: A Systematic Review. Am J Gastroenterol. 2021 Nov 9. PMID: 34751673 Bonavita S, Tedeschi G, Atreja A, Lavorgna L. Digital triage for people with multiple sclerosis in the age of COVID-19 pandemic. Neurol Sci. 2020 May;41(5):1007-1009. PMID: 32303856
INNOVATION TECHNOLOGY
Home vs Hospital Infusion of Biologic Agents for Patients With Inflammatory Bowel Diseases. Fenster M, Ungaro RC, Hirten R, Gallinger Z, Cohen L, Atreja A, Mehandru S, Colombel JF, Cohen BL. Clin Gastroenterol Hepatol. 2020 Jan;18(1):257-258. doi: 10.1016/j.cgh.2019.03.030. Epub 2019 Mar 22. PMID: 30910602 Free PMC article. Zhen J, Marshall JK, Nguyen GC, Atreja A, Narula N. Impact of Digital Health Monitoring in the Management of Inflammatory Bowel Disease. J Med Syst. 2021 Jan 15;45(2):23. PMID: 33449213 Bhaskar S, Bradley S, Chattu VK, Adisesh A, Nurtazina A, Kyrykbayeva S, Sakhamuri S, Yaya S, Sunil T, Thomas P, Mucci V, Moguilner S, Israel-Korn S, Alacapa J, Mishra A, Pandya S, Schroeder S, Atreja A, Banach M, Ray D. Telemedicine Across the Globe-Position Paper From the COVID-19 Pandemic Health System Resilience PROGRAM (REPROGRAM) International Consortium (Part 1). Front Public Health. 2020 Oct 16;8:556720. PMID: 33178656
Invited Lesctures & Workshops V. Ahumada-Newhart, and L. Riek, “Telerobots for informal learning,” in proceedings of ACM/IEE International Conference on Human- Robot Interaction, Workshop on Robots4Learning, March 2021. escholarship.org/uc/ item/4fd0v8gv https://doi.org/10.5281/zenodo.5214124 Transatlantic Telehealth Research Network, “Robot-mediated engagement for improved well-being,” Aalborg University, Copenhagen, Denmark, August 2021. The Society for Advancement of Chicanos/Hispanics and Native Americans in Science (SACNAS), “Diversity in STEM: Chicanos, Hispanics, and Native Americans in University of California Graduate Programs,” May 2021. La Plaza de Cultura y Artes, Los Angeles, “Building Better Robots,” April 2021. https://www.youtube.com/ watch?v=jrAOHmyvKnc Los Angeles World Affairs Council & Town Hall: Educational Technology Panel, “Telerobots for Learning and Inclusion,” February 2021. Jan 2021 Using Telemedicine For Underserved Populations” Lecture to the Knights Landing One Health Center (KLOHC) Class. January 11, 2021 (virtual). Feb 2021 How To Develop Your Professional Brand and Network To Build Your Career” Fellows College, UC Davis Health. February 8, 2021. Apr 2021 “Pediatric Tele-Critical Care: Virtually There” KeyNote Lecture: Pediatric Critical Care Regional Meeting. Gundersen Medical Foundation. April 20, 2021. Sep 2021 “Telehealth in Pediatric Emergency Management” Presentation at the California Hospital Association Annual Meeting. Virtual. September 14-15, 2021 Oct 2021 American Academy of Pediatrics’ National Conference & Exhibition; Philadelphia, PA October 8-12, 2021. Nov 2021 Telehealth for Children with Special Healthcare Needs” Family Voices of CA Health Summit (Virtual). November 3, 2021
INNOVATION TECHNOLOGY
Appendix (continued) Nov 2021 “Research Infrastructure in Academic Medical Centers” Panel Presentation at the National Telehealth Research Symposium; Virtual. November 8-10, 2021. Jan 2022 “Pediatric Telemedicine: Virtually There” Grand Rounds, University of California, San Francisco Fresno Department of Pediatrics. January 4, 2022. May 2022 Workshop: “Emerging Telepresence Technologies in Hybrid Learning Environments” Association of Computing Machinery (ACM) and Computer Human Interaction (CHI) Conference on Human Factors in Computing Systems; New Orleans, LA. April 30 – May 6, 2022
Awards CHIME Digital Health Most Wired: Level 10 – Ambulatory
For the first time ever, UC Davis Health was recognized as a Most Wired Level 10 organization in the ambulatory setting. This puts UC Davis Health in the top-15 of the more than 400 organizations that participated. The CHIME Digital Health Most Wired program is designed to elevate the health and care of communities around the world by encouraging the optimal use of information technology. The program does this by conducting an annual survey to identify, recognize, and certify the adoption, implementation, and use of information technology by healthcare provider organizations. Organizations in level 10 are leaders in healthcare technology who actively push the industry forward. Not only have many of them implemented advanced technologies, but they often leverage these technologies in innovative ways and have encouraged deep adoption across their entire organization. As a result, they are realizing meaningful outcomes, including improved quality of care, improved patient experience, reduced costs, and broader patient access to healthcare services. https://chimecentral.org/wp-content/uploads/2021/12/ AMBULATORY-v9.pdf
CHIME Digital Health Most Wired: Level 9 – Acute
For the third year in a row, UC Davis Health has been recognized as a Most Wired Level 9 organization for acute care. This puts UC Davis Health in the top 10% of the more than 400 organizations that participated. As a Level 9 organization, UC Davis health received a Performance Excellence award. Similar to level 10, organizations in level 9 are often leaders in healthcare technology who actively push the industry forward. They are realizing meaningful outcomes, including improved quality of care, improved patient experience, reduced costs, and broader patient access to healthcare services. Some of the advanced technologies used to achieve these outcomes include telehealth solutions, price-transparency and cost-analysis tools, access to data at the point of care, and tools to engage patients and their families throughout the care process. https://chimecentral.org/wp-content/ uploads/2021/12/ACUTE-v8-.pdf
Epic Honor Roll – Cum Laude (typo in “Laude” on the awards page)
The Epic Honor Roll Good Maintenance Grant Program is a recognition program based designed on strategies, lessons learned, and best practices distilled from Epic’s experience serving well-respected healthcare organizations. The requirements include computer hardware and business continuity, benchmarks in patient experience and population health, and ease of use in collaboration across all IT areas. This past year, UC Davis Health achieved six of the program components and was awarded the Cum Laude designation. By achieving Epic Honor Roll Cum Laude status, UC Davis Health also received a one-time financial savings of $325,000.
Epic Gold Stars: Level 9
Epic’s Gold Stars Program provides a scorecard of how effectively an organization is using the system, and provides a roadmap for improving clinical and financial outcomes, and a high level of value to clinicians, staff, and patients. In 2021, UC Davis Health achieved Gold Stars Level 9, which is based on our overall adoption percentage of the over 700 Gold Stars items. Only a few years ago, UC Davis Health was ranked at a Gold Stars Level 3. The success of our
INNOVATION TECHNOLOGY
Epic Refuel program and quarterly upgrades has helped UC Davis Health jump to the top 11% of Epic organizations in terms of system usage and feature deployment.
Epic MyChart Diamonds: Level 4
Epic has a new rating system called MyChart Diamonds that is designed to help organizations identify how to improve in the patient experience space. Earning a diamond is a significant achievement and reflects activated MyChart key features that are widely used by patients. UC Davis Health is one of only six organizations to achieve MyChart Diamonds Level 4. This is a testament to the emphasis we have placed on improving the patient experience through the MyChart application.
Epic Financial & Automation Pulse: Bronze Trophy
Epic provides a peer-based comparison of key revenue cycle measures that highlights areas of strength and opportunities to improve financial performance. Additionally, Epic measures how often key Revenue Cycle activities take place without anyone at the organization needing to lift a finger. UC Davis Health achieved the Bronze Trophy (best 25%) for excelling in these key measures.
University of California Larry L. Sautter Award: Golden Award
The annual Sautter Awards are sponsored by the UC Information Technology Leadership Council to recognize collaborative innovations in IT that advance the university’s missions of teaching, research, public service and patient care, or that improve the effectiveness of university processes. UC Davis Health received the top award for the launch of cBioPortal. In collaboration with the Cancer Center, the Cancer Center Data Informatics Integration Initiative (CCDI3) Data Team launched the UC-wide cBioPortal to enable consolidation of genotypic and phenotypic data on cancer patients. cBioPortal is an open-source tool developed by Memorial Sloan Kettering for exploration of multidimensional, oncology-focused genomics data. This also provides researchers access to molecular profiles and clinical phenotypes across various cancer studies. The UC cBioPortal project creates a central, standard platform to support precision medicine and population health efforts in oncology. https://cio.ucop.edu/uc-teams-receive-annualsautter-awards-for-it-innovation-2/
2021 PANDAS: Healthcare Compliance Analytics Advocacy Leader Award
UC Davis Health won a PANDAS (People and Analytics) award from Protenus for being a Healthcare Compliance Analytics Advocacy Leader. UC Davis Health first implemented Protenus for enhanced EHR Surveillance and Drug Diversion, and later expanded it to our Imaging and Lab Systems (OnBase, PACS, Beaker, WellSky HCLL). Protenus uses Artificial Intelligence and automation to develop a deep clinical understanding of health system workflows, allowing for the proactive detection of policy violations, illegal activity, and other abnormal behaviors that could expose us to risk. At its annual conference, the surveillance vendor, Protenus, recognized UC Davis Health with this award as a leader in Healthcare.
SEARCH 2021 1st Place Research Award
The Society for Education and the Advancement of Research in Connected Health (SEARCH) is a national society dedicated to research in digital and telehealth. The UC Davis Health research project, titled, “Implementing Telehealth and Image Exchange to Create a Virtual Pediatric Trauma Center” was awarded FIRST PLACE by the SEARCH 2021 Scientific and Planning team at the Annual Meeting in November 2021. This research involves the implementation of telehealth for pediatric trauma patients and the creation of a Virtual Pediatric Trauma Center – which is the first of its kind in the United States.
INNOVATION TECHNOLOGY
Appendix (continued) Research Publications V. Ahumada-Newhart, J.M. Hernandez, and K. Badillo-Urquiola.“A call for action: Conceptualizing assets-based inclusive design as a social movement to address systemic inequities. An assets-based inclusive design framework.” In proc. of CHI Conference on Human Factors in Computing Systems Extended Abstracts (CHI ’21 Extended Abstracts), May 08–13, 2021, Yokohama, Japan. escholarship.org/uc/item/9t80n285 https://doi.org/ 10.5281/ zenodo.5214196 F. Wolff, V. Ahumada-Newhart, J. Eccles, J. Moeller, “Telepresence robots outperform traditional videoconferences in higher education: A longitudinal study,” In proceedings of American Educational Research Association (AERA) 2021. Haynes SC, Tancredi DJ, Tong K, Hoch JS, Ong MK, Ganiats TG, Evangelista LS, Black JT, Auerbach A, Romano PS. Association of Adherence to Weight Telemonitoring With Health Care Use and Death: A Secondary Analysis of a Randomized Clinical Trial. JAMA Network Open. 2020, 3(7):e2010174. Haynes SC, Tancredi DJ, Tong K, Hoch JS, Ong MK, Ganiats TG, Evangelista LS, Black JT, Auerbach A, Romano PS. The Effect of Rehospitalization and Emergency Department Visits on Subsequent Adherence to Weight Telemonitoring. Journal of Cardiovascular Nursing. 2021, 36(5): 482-488. Rosenthal JL, Sigal IS, Kamerman-Kretzmer R, Say DS, Castellanos B, Nguyen S, Nakra NA, Restrepo B, Crossen SS. Increasing Use of Ambulatory Video Visits for Pediatric Patients by Using Quality Improvement Methods. Pediatr Quality Safety. 2021;6(4):e424; DOI: 10.1097/pq9.0000000000000424. PMCID: PMC8225361. Rosenthal J, O’Neal C, Sanders A, Fernandez y Garcia E. Differential use of pediatric video visits by a diverse population during COVID-19: a mixed-methods study. Front Pediatr. 2021;9:645236. doi: 10.3389/fped.2021.645236. PMCID: PMC8311026. Haynes SC, Kompala T, Neinstein A, Rosenthal JL, Crossen SS. Disparities in Telemedicine Use for Subspecialty Diabetes Care During COVID-19 Shelter-In-Place Orders. J of Diabetes Sci Technol. 2021;15(5):986-992; DOI: 10.1177/1932296821997851. Rosenthal JL, Sauers-Ford HS, Williams J, Ranu J, Tancredi DJ, Hoffman KR. Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit: A Randomized Controlled Pilot Trial. Acad Pediatr. 2021;21(7):1244-1252; DOI: 10.1016/j. acap.2021.03.007. NIHMSID: NIHMS1685516. Sauers-Ford HS, Aboagye J, Henderson S, Marcin JP, Rosenthal JL. Disconnection in Information Exchange During Pediatric Trauma Transfers: A Qualitative Study. J of Patient Experience. [in press]. Parish MB, Gonzalez A, Hilty D, Chan S, Xiong G, Scher L, Liu D, Sciolla A, Shore J, McCarron R, Kahn D, Iosif AM, Yellowlees P. Asynchronous Telepsychiatry Interviewer Training Recommendations: A Model for Interdisciplinary, Integrated Behavioral Health Care. Telemed J E Health. 2021 Jan 12. doi: 10.1089/tmj.2020.0076. Kinoshita S, Cortright K, Crawford A, Mizuno Y, Yoshida K, Hilty D, Guinart D, Torous J, Correll CU, Castle DJ, Rocha D, Yang Y, Xiang YT, Kølbæk P, Dines D, ElShami M, Jain P, Kallivayalil R, Solmi M, Favaro A, Veronese N, Seedat S, Shin S, Salazar de Pablo G, Chang CH, Su KP, Karas H, Kane JM, Yellowlees P, Kishimoto T. Changes in telepsychiatry regulations during the COVID-19 pandemic: 17 countries and regions’ approaches to an evolving healthcare landscape. Psychol Med. 2020 Nov 27:1-8. doi: 10.1017/S003329172000458 Nakagawa K, Yellowlees P. Inter-generational Effects of Technology: Why Millennial Physicians May Be Less at Risk for Burnout Than Baby Boomers. Curr Psychiatry Rep. 2020 Jul 13;22(9):45. doi: 10.1007/s11920-020-01171-2
INNOVATION TECHNOLOGY
Yellowlees P, Nakagawa K, Pakyurek M, Hanson A, Elder J, Kales HC. Rapid Conversion of an Outpatient Psychiatric Clinic to a 100% Virtual Telepsychiatry Clinic in Response to COVID-19. Psychiatr Serv. 2020 Jul 1;71(7):749-752. doi: 10.1176/appi.ps.202000230. Epub 2020 May 28 Hilty DM, Torous J, Parish MB, Chan SR, Xiong G, Scher L, Yellowlees PM. A Literature Review Comparing Clinicians’ Approaches and Skills to In-Person, Synchronous, and Asynchronous Care: Moving Toward Competencies to Ensure Quality Care. Telemed J E Health. 2021 Apr;27(4):356-373. doi: 10.1089/tmj.2020.0054. Epub 2020 May 15 Yellowlees P. Commentary on Avalone et al.: “Reimbursement for Telepsychiatry: Permanent Changes Are Needed”. Psychiatr Serv. 2021 Jun;72(6):724-725. doi: 10.1176/appi.ps.202000890.PMID: 34110251 Yellowlees PM, Parish MB, Gonzalez AD, Chan SR, Hilty DM, Yoo BK, Leigh JP, McCarron RM, Scher LM, Sciolla AF, Shore J, Xiong G, Soltero KM, Fisher A, Fine JR, Bannister J, Iosif AM Clinical Outcomes of Asynchronous Versus Synchronous Telepsychiatry in Primary Care: Randomized Controlled Trial J Med Internet Res 2021;23(7):e24047 Galpin K, Sikka N, King SL, Horvath KA, Shipman SA, and the AAMC Telehealth Advisory Committee: Expert Consensus: Telehealth Skills for Health Care Professionals. Telemed E Health. 2020 Nov 25; PMID: 33236964 Haynes SC, Marcin JP, Dayal P, Tancredi DJ, Crossen S: Impact of telemedicine on visit attendance for paediatric patients receiving endocrinology specialty care. J Telemed Telecare https://doi.org/10.1177/1357633X20972911 PMID: 33226895 Tully L, Case L, Arthurs N, Sorensen J, Marcin JP, O’Malley G: Barriers and facilitators for implementing paediatric telemedicine: rapid review of user perspectives. Front Pediatr. 2021. PMID: 33816401 Lieng M, Marcin JP, Sigal I, Haynes S, Dayal P, Tancredi D, Gausche-Hill M, Mouzoon J, Romano PS, Rosenthal J: Association Between Emergency Department Pediatric Readiness and Transfer of Non-Injured Children in Small Rural Hospitals. J Rural Health. 2021. PMID: 33734494 Gustavo Goroso D, Fraga A, Macedo M, Fernanda de Miranda Rodrigues C, Mendes de Oliveira Silva B, Watanabe WT, Pereira da Silva D, Rodrigues da Silva R, Luis Puglisi J, Marcin J, Dharmar M: Automatic segmentation to characterize anthropometric parameters and cardiovascular indicators in children. WIREs Data Mining and Knowledge Discovery; May 3, 2021 https://doi.org/10.1002/widm.1411 Lieng MK, Marcin JP, Dayal P, Tancredi DJ, Swanson MB, Haynes SC, Romano PS, Sigal IS, Rosenthal JL: Emergency Department Pediatric Readiness and Potentially Avoidable Transfers. J Pediatr 2021 PMID: 34000284 Curfman A, McSwain SD, Chuo J, Yeager-McSwain B, Schinasi DA, Marcin J, Herendeen N, Chung SL, Rheuban K, Olson CA. Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond. Pediatrics 2021 PMID: 34215677 Dana A. Schinasi DA, Atabaki SM, Lo MD, Marcin JP, Macy M: Telehealth in Pediatric Emergency Medicine. Curr Probl Pediatr Adolesc Health Care. 2021 Feb 4; 100953. PMID: 33551336 Curfman A, McSwain SD, Chuo J, Yeager-McSwain B, Schinasi DA, Marcin JP, Herendeen N, Chung SL, Rheuban K, Olson CA: Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond. Pediatrics. 2021 Jul 2. PMID: 34215677 Curfman A, Hackell JM, Herendeen NE, Alexander J, Marcin JP, Moskowitz WB, Bodnar CEF, Simon HK, McSwain SD, and the Section on Telehealth Care, the Committee on Practice and Ambulatory Medicine, and the Committee on Pediatric Workforce: POLICY STATEMENT from the American Academy of Pediatrics (AAP): Telehealth: Improving Access to and Quality of Pediatric Healthcare. Pediatrics. 2021
INNOVATION TECHNOLOGY
Appendix (continued) Abstract Presentations
(oral presentation) Western Medical Research Conference [virtual conference], 2021. “Virtual Family Centered Rounds in the Neonatal Intensive Care Unit: A Pilot Study.” Ranu J, Hoffman K, Sauers-Ford H, Williams J, Rosenthal J. (oral presentation) UC Davis Health Quality Forum [virtual conference], 2021. “Virtual Family Centered Rounds in the Neonatal Intensive Care Unit: A Randomized Controlled Pilot Trial.” Williams J, Hoffman K, Sauers-Ford H, Ranu J, Rosenthal J. (platform) Pediatric Academic Societies’ Conference [virtual conference], 2021. “Parent and Provider Perspectives on Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit.” Ranu J, Sauers-Ford H, Williams J, Hoffman K, Rosenthal J. (platform) Pediatric Academic Societies’ Conference [virtual conference], 2021. “Virtual Family-Centered Rounds in the Neonatal Intensive Care Unit: A Randomized Controlled Pilot Trial.” Rosenthal J, Sauers-Ford H, Ranu J, Williams J, Tancredi D, Hoffman K. (platform) Pediatric Academic Societies’ Conference [virtual conference], 2021. “Differential use of pediatric video visits by a diverse population during COVID-19: a mixed-methods study.” Rosenthal J, O’Neal C, Sanders A, Fernandez y Garcia E. (poster) Pediatric Academic Societies’ Conference [virtual conference], 2021. “The Impact of Videoconferencing with the Premature Infant on Breast Milk Expression.” Hoyt-Austin A, Miller I, Kuhn-Riordon K, Hoffman K, Rosenthal J, Kair L. (invited speaker, lecture and discussion) American Academy of Pediatrics SPROUT (Supporting Pediatric Research on Outcomes and Utilization of Telehealth) Tele-Research ECHO (Extension for Community Healthcare Outcomes) Series, 2020. “Study Designs Well-Suited for Telehealth Research.” Rosenthal, J. (invited speaker, lecture) California Telehealth Resource Center Virtual Summit, 2021. “Promises and Pitfalls of Telehealth to Address Health Inequities.” Rosenthal J, Marcin J. (invited speaker, lecture and session moderator) UC Telehealth Virtual Summit, 2021. “Health Equity Initiatives and Innovations.” Rosenthal J. Dorwart E, Su F, Wen A, Hedlin H, Lieng MK, Marcin JP: The Association Between PICU to ED Telemedicine Consultations on Changes in Severity of Illness. Presented at the 50th Society of Critical Care Medicine 50th Critical Care Congress. January 31 – February 12, 2021 (Virtual Meeting). Marcin JP, Jafare M, Chanis M, Newton C: Telehealth in Pediatric Emergency Management: WRAP-EM” California Hospital Association 2021 Disaster Preparation Conference. Sacramento, CA. September 14, 2021 Marcin JP, Galante J, Rosenthal JL, Rinderknecht T, Grether-Jones K, Hamline M, Zwienenberg M, Haus BM, Matthews K, Rominger K, Sanders A, Garrison S, Dizon R, Sauers-Ford H, Kuppermann N: Implementing Telehealth and Image Exchange to Create a Virtual Pediatric Trauma Center. Oral Presentation at the National Telehealth Research Symposium; November 8-10, 2021 Haynes SC, Garrison S, Favila-Meza A, Hoch J, Tancredi DJ, Dizon R, Marcin JP, Davidson L: Parent and therapist experience with a novel tele-physiatry program for children living in rural and underserved communities. Poster Presentation at the National Telehealth Research Symposium; November 8-10, 2021
INNOVATION TECHNOLOGY
Yang S, Haynes S, Marcin JP, Pakyurek M, Restrepo B, Hoch JS, Yellowlees, PM. “Improving Access to Behavioral Health Services Using Telemedicine in Rural American Indian Communities.” Oral Presentation at the National Telehealth Research Symposium; November 8-10, 2021. Burns RD, Davidson L, Garrison S, Favila-Meza A, Dizon R, Marcin JP, Haynes SC: “The impact of direct-to-home telemedicine visits on parent, physician, and therapist experience for children with special healthcare needs.” Oral presentation at the Western Medical Research Conference; Carmel, CA January 20-22, 2022 Garrison S, Marcin JP, Galante J, Rosenthal J, Rinderknecht T, Grether-HJones K, Hamline M, Zwienenberg M, Haus BM, Matthews, Rominger K, Sanders A, Dizon R, Kuppermann N: “Implementing Telehealth into Pediatric Trauma Consultations.” Poster presentation at the Western Medical Research Conference; Carmel, CA January 20-22, 2022
Book Chapters Rosenthal JL, Mouzoon JL, Marcin JP (2021). ‘Telehealth in Pediatric Care,’ in Latifi R et al. (eds.) Telemedicine, Telehealth and Telepresence. Switzerland: Springer Nature, pp. 333-346. V. Ahumada-Newhart and M. Warschauer, ‘Mobile Computing: The Role of Autonomous Features in Robot-Mediated Virtual Learning’, in Human- Automation Interaction, New York: Springer, 2021, in publication. escholarship.org/uc/ item/2qd3v1hs
INNOVATION TECHNOLOGY: Leadership Through Collaboration
It has been a great year for UC Davis Health Innovation Technology. We are proud of our staff for their hard work and contributions to the organization, and their charitable donations to our community and those in need.