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Minutes: February 20, 2008


3 p.m., Wednesday, February 20, 2008
School of Medicine Administration, Board Room 103

PRESENT: Drs. Armstrong, Bluemke, Brayton, Cooke, Cromwell, Dagnelie, Honeycutt, Huang, McCarthy, Mears, Mooney, Schramm, Stivers, Yaster, Zellars, Mr. Skelley, Mss. Fairman, and Foy.

ABSENT: Drs. Allaf, Argani, Bergles, Bhatti, Chan, Choi, Cormack, DeLeon, Efron, Flynn, Geller, Goldstein, Halushka, Jia, Kravet, Leahy, Li, MacDonald, Magaziner, Maragakis, Peters, Pidcock, Pomerantz, Robinson, Siberry, Sterni, Tompkins, Tufaro, Whitmore, Woolf, Yehia, Mr. Pirruccello, Mss. Nguyen, Oliver, and Warner.

GUESTS: Dr. Ford, Mss. Heiser and Reel

I.  Minutes

The minutes of the January 23, 2008 meeting were approved. 

II.  Update on Clinical Systems Strategy, Hopkins One, and E-mail - Stephanie Reel, Chief Information Officer, Vice Provost for Information Technology JHU, Vice President for Information Services JH Medicine

Ms. Reel outlined challenges and accomplishments in the IT arena.

                Clinical Systems: The new clinical buildings will open in Spring 2011.  A major challenge is planning for technology that doesn’t exist yet.  IT improvements in the new Harriet Lane clinics were cited as a successful collaboration of IT staff and pediatrics faculty working together.

                Ms. Reel provided an overview of various Johns Hopkins Medicine Clinical systems.  The Johns Hopkins Hospital uses Eclipsys Sunrise Clinical Manager; Johns Hopkins Bayview Medical Center and Howard County General Hospital use a Meditech product; Johns Hopkins Community Physicians use the GE Centricity product.  Across Johns Hopkins Medicine an Enterprise Longitudinal Repository will be created using a Microsoft product.  The Microsoft product will aggregate information from the various systems for purposes of patient care and clinical research.  Ms. Reel reviewed the functionality of the Eclipsys system noting it will become the primary system in related outpatient center locations.  The Meditech system continues to be enhanced to provide additional functionality.  Departmental systems will continued to be supported and modified as needed to provide data to other systems.  Current systems will be routinely evaluated to determine if they can be replaced with products offered by Eclipsys or Microsoft.

                Hopkins One: Ms. Reel’s operation recently inherited support of the Hopkins One system.  She addressed three strategic areas; training, reporting, and communications, and outlined efforts to address problems in each area.  In the training arena new on-line courses are being developed, instructor led courses are being enhanced, “Fast Facts” seminars are offered weekly, and “Day in the Life” sessions with faculty are held regularly.

                Reporting issues are being addressed with a full self-service with analytical capability goal.  Many of the problems with the roll-out have been identified and an action plan and timeline have been established.  Communication has been addressed and a monthly newsletter is being produced with news and tips for using the system.  The Fast Facts program, broadcast emails, Hopkins One website, and splash page updates have all contributed to better communication.  An enhanced governance structure has been put in place to provide faculty and staff input and to identify and address issues.

                A number of operational issues, research administration, research accounting, salary distributions, human resource/payroll, security/workflow, supply chain/purchasing/accounts payable, were identified as areas being addressed.  Supply chain problems have generated the largest number of complaints from users.

                Ms. Reel identified database growth, systems performance, and planning for a SAP upgrade as three major technology issues for the IT support team.

                Other topics discussed were the planned migration from GroupWise to Microsoft Exchange, informatics, IT support for research, and high performance computing.

                In response to questions regarding the difficulty of using the POE system, Ms Reel noted all decisions on POE design were made with faculty input.  A group of interested faculty continue to meet monthly to address system issues.  It was noted that housestaff who rotate to Johns Hopkins Bayview Medical Center find it difficult to transition to Meditech.  Ms. Reel reported working with Microsoft to have an integrated system across Johns Hopkins Medicine.

                Ms. Reel invited interested faculty to join the user group.

                Dr. Honeycutt thanked Ms. Reel for her presentation.

     III. New Clinical Research Initiatives – Dr. Daniel Ford, Vice Dean for Clinical Investigation

Dr. Ford opened his presentation reporting the IRB process was recently reviewed and received a good report.

Johns Hopkins has recently been awarded a Clinical and Translational Science Award.  A Johns Hopkins Institute for Clinical and Translation Research (ICTR) has been established with Dr. Dan Ford as Director.  The goals of the institute will be to provide an academic home for clinical and translational researchers, coordinate translational research activities, support training of clinical and translational research faculty and staff, provide centralized support for research where efficient, and measure and track efficiency of research to address barriers.  Four schools: Medicine, Engineering, Public Health, and Nursing, participate in the institute.

                Dr. Ford outlined the administration structure and leadership of the institute which includes the following components:

-          Research education, training, and career development

-          Clinical science translational forums

-          Clinical research units

-          Translational research navigators

-          Biostatistical support

-          Advanced translation incubator program

-          Clinical research management system

-          Biomedical informatics

-          Research participant retention and recruitment office

-          Data and safety monitoring board

-          Research ethics achievement program

-          Research subject advocate

-          Community engagement office

-          Innovative methodology workgroups

-          Drug/device/vaccine development

-          Proteomics/biomarker core

-          Genetics translational technology core

-          Imaging core

                Dr. Ford addressed ICTR challenges as follows:

-          Enhancing communication across multiple programs

-          Finding best ways to leverage the research infrastructure

-          Having the discipline to evaluate programs and reallocate resources

-          Creating an academic home for translational researchers without a physical location

-          Measuring output on translation research success

-          Identifying most productive approaches to working with other academic institutions within Clinical and Translational Science Award

                Dr. Ford described the goals of a national Clinical and Translational Science Award consortium of 24 academic medical centers who have received CTSA awards.

                Dr. Ford responded to questions regarding pharma conflicts of interest.

                Dr. Honeycutt thanked Dr. Ford for his presentation.  Presentation slides will be posted on the Medical School Council website with today’s minutes.

Dr. Ford's slide presentation

 V. Other Business

          The Joint Oversight Committee (JOC) would like to ask Department Directors to share their departmental compensation plans with the JOC.  The JOC would like this to be a joint request with the Medical School Council.   A function of the JOC is to review the annual salary survey to ensure equity.  Department compensation plans would be helpful to the JOC in this effort. Dr. Honeycutt asked the MSC membership to e-mail her if there were objections to the MSC participation in the request.

A proposal has been put forth to consider a change in the Medical School Council By-laws that would permit a first term member who wished to remain for a second term to do so without an election.  Any change in the By-laws requires a vote by the entire faculty.  Members were asked to think about the ramifications of such a change and to be prepared to discuss at the next meeting.

There being no further business this meeting was adjourned at 4:40 p.m.

Respectfully submitted,
Mary E. Foy

Future Medical School Council meetings:

All meetings will be held in the School of Medicine Board Room (SOM 103), 3:00 to 5:00 p.m.

March 19, 2008

April 16, 2008

May 14, 2008

June 18, 2008