BCIG SPEAKER EVENT: “10
Guiding Principles for Managing Data: How the Azyxxi Medical System was
developed at MedStar”
Clinical
Center (Building 10) Medical Board Room (Room 2C116)
- view the seminar archive
ABSTRACT: Azyxxi was developed by clinicians for clinicians and
researchers over a 10 year period at MedStar Health. There were many challenges
in pulling together all the data from hundreds of systems across seven hospitals
and then presenting that simply and effectively to improve quality and save
lives. To manage the continuous change that all of healthcare informatics faces
on a daily basis, Dr. Smith and his co-developers built a set of simplifying
guiding principles to manage data. By continuously honing these principles and
going back to them whenever new challenges were encountered they built a system
that was continuously adaptable to change, flexible to take on new data domains,
and simple to use. In this talk, Dr. Smith shares those insights and talks about
the value that Azyxxi has brought to MedStar Health.
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3:00 - 4:30 pm November 8, 2007
Dr. Mark Smith and Dr. Craig Feied co-developers of Azyxxi
Mark Smith, M.D., MedStar
MARK SMITH, MD, FACEP: Dr. Mark Smith is Chairman of the Department of
Emergency Medicine at Washington Hospital Center, Chairman and Professor of
Emergency Medicine at the Georgetown University School of Medicine, and Director
of the ER One Institute at MedStar Health. Dr. Smith graduated with highest
honors from Swarthmore College in 1968 and received a Masters degree in Computer
Science from Stanford University in 1971. He obtained his MD degree from Yale
University School of Medicine in 1977. He did his residency training in
emergency medicine at George Washington and Georgetown University Hospitals.
Prior to assuming his current position at Washington Hospital Center in 1995,
Dr. Smith served as Chairman of the Department of Emergency Medicine at The
George Washington University Medical Center for 11 years. Dr. Smith’s areas of
special interest are medical informatics, emergency preparedness and disaster
medicine, and emergency department design. He is the author/editor of two
textbooks on emergency medicine, numerous journal articles, and several
published multimedia teaching tools. He has served on the National Board of
Medical Examiners Computer Based Examination Committee and for ten years was the
American College of Emergency Physicians representative to the National Heart
Attack Alert Program of the National Heart, Lung, and Blood Institute. Dr. Smith
is one of the directors of Project ER One, a federally funded effort to develop
the design criteria for an all-risks ready emergency care facility, specifically
designed to cope with terrorist events and emerging diseases with capability
built-in for scalability, medical consequence management, and threat mitigation.
In 2002, Dr. Smith chaired the Joint Commission on Accreditation of Healthcare
Organizations Roundtable on Emergency Preparedness. Dr. Smith’s primary research
interest is in the application of information technology to clinical care. He is
the co-developer of the Azyxxi information system, which uses a datacentric
architecture to provide immediate access to comprehensive clinical data about a
patient and also enable cohort-based aggregation of the data. Dr. Smith is a
fellow of the American College of Emergency Physicians and a member of the
Society for Academic Emergency Medicine, American College of Physician
Executives, Association of Academic Chairs of Emergency Medicine, and American
Medical Informatics Association.
MORE ABOUT AZYXXI: Healthcare remains the most data-intensive industry
in the economy. Yet most hospitals do not have the tools to manage data
efficiently and cost-effectively. Data islands exist across many different
clinical and administrative departments. Physicians, researchers, nurses,
managers, and executives are diverse users with dynamic needs. Hospitals need a
way to integrate data in a flexible way that meets the constantly changing needs
of users across its constituencies. From an integration perspective, Azyxxi is a
modularly built data scaffolding system that exists as a superstructure around
hospital legacy systems. It collects data from existing sources and brings
everything together in one place for users. Laboratory results,
electrocardiogram tracings and readings, radiographic images and readings of all
types, dynamic angiograms, dynamic echocardiograms, electronic documentation and
scanned charts, financial data, vital signs, digital photographs, and triage and
registration data are among the thousands of diverse real-time data elements
available in less than a second from within this single system.
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