Fast and Furious: Modernizing Clinical Application
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Twice, Mednax has attempted to modernize its legacy clinical app. After the most recent 6-year project was canceled prior to deployment, Mednax turned to OutSystems. In just five months, the company rolled out an MVP and in eight months the new Clinical Application went live. Hear this amazing success story that is helping to reduce the burden on providers and deliver better patient care where it matters most.
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Fast and Furious: Modernizing Clinical Application
- 1. | Fast and Furious: Modernizing Clinical Application Fast and Furious: Modernizing Clinical Application
- 2. | Fast and Furious: Modernizing Clinical ApplicationFast and Furious: Modernizing Clinical Application Mari_Pantoja-Smith@MEDNAX.com Mari Pantoja_Smith, MSN-RN, CCSS, LSSBB Product Owner| MEDNAX David_Leung@MEDNAX.com David Leung Tech Lead| MEDNAX Cari_Lewis@MEDNAX.com Cari Lewis, MBA Portfolio Lead| MEDNAX
- 5. Our History: MEDNAX Solutions LEADING THE WAY FOR OVER 40 YEARS Pediatrix Medical Group founded Newborn hearing screen program launched Maternal-fetal medicine and formalized Center for Research, Education, Quality and Safety launched Continuous quality improvement program introduced Patient Safety Organization formed Quantum Clinical Navigation System introduced as a quality initiative tool for implementation at our anesthesiology practices MedData revenue cycle management and Surgical Directions specialized health care consulting service organizations acquired Pediatric cardiology and pediatric intensive care introduced EHR module and clinical data collection capabilities introduced to bolster research, education, quality and safety initiatives Online CME and CNE for maternal-fetal newborn community launched American Anesthesiology founded MEDNAX parent company founded; 100,000 Babies large scale neonatal quality improvement campaign launched Online CME and CNE for anesthesiology community launched vRad radiology, teleradiology and telemedicine organization acquired 1979 1991 1994 1996 1998 2000 2001 2007 2008 2009 2012 2013 2014 2015 2016 100,000 Babies Published in Pediatrics, showing improved outcomes and cost savings; Center for Research, Education and Safety receives 3rd accreditation from ACCME; 2017 MEDNAX acquires it’s first Radiology Private Practice
- 6. Today, Every Day at MEDNAX The Nation’s Leading Provider of Neonatal, Maternal-Fetal, Anesthesia, Pediatric and Radiology Subspecialty Services 2,360 Hearing Screens > 5,160 Anesthesia Cases 2,200 Newborns in the Nursery 550 Pediatric Cardiology Patients >400 Attended Deliveries 5,350 NICU Babies > 4,350 Hospital Partners 1,900 MFM Visits 640 PICU and Pediatric Floor Patients 20,000 Radiology Studies
- 7. WHAT IS OUR GOAL?
- 8. Fast and Furious: Modernizing Clinical Application The goal is to provide a specialty agnostic platform that delivers a more efficient and dynamic means to capture clinical documentation and metrics that support billing processes, clinical quality initiatives and contractual obligations.
- 9. BRIEF HISTORY OF BABYSTEPS APPLICATION >200 Sites w/ Interfaces MVP 5 MONTHS >500 Unique Interfaces >1M NICU Babies >350 SITES LIVE @ 3 SITES
- 10. | Fast and Furious: Modernizing Clinical Application Fast and Furious: Modernizing Clinical Application
- 12. Fast and Furious: Modernizing Clinical Application
- 14. HOW?
- 16. | Fast and Furious: Modernizing Clinical ApplicationFast and Furious: Modernizing Clinical Application Taking a leap to low code, no code platform
- 17. | Fast and Furious: Modernizing Clinical Application New to OutSystems, Agile, API, Microservices, Cloud… Who is freaking out?!?
- 18. Fast and Furious: Modernizing Clinical Application MVP?!? Done… What’s next?
- 20. WHY?
- 21. Todd_West@MEDNAX.com Todd West, MD Corporate Medical Director| MEDNAX
- 22. MIRACLE BABY
- 23. Take great care of the patient, every day and in every way.™
- 25. Fast and Furious: Modernizing Clinical Application
Editor's Notes
- Brief History of BabySteps. Introduce what is BBS. Include some stats on our footprint. Currently live @… here is what it's looks like today.….
- ATTEMPT #1 Under the perception VB6 is the issue and .NET is everything. Goal is to create the same look & feel of the application in C#.NET. Contractors ported the source code from VB6 to C# using online converter tool instead of rewrite. Database optimization was never considered even when told it is an concern. Putting a Ferrari body kit on a Yugo chassis, which leads to AICU (Application Intensive Care Unit) - pun intended. Rollout to pilot site in September but have to rollback immediately due to performance issue. Spend another 6+ months trying to root cause.
- The point before we blow it up.
- SECOND ATTEMPT (continuation of failed first attempt) Started April 2014 Dive deep into the application, database, server, network and etc. Memory Leak of 2.1 GB memory usage for single user session Function to create patient calls 80+ cascading stored procedures Viewing patient record for edit requires another 65+ stored procedures call No referential integrity Defects continue to be discovered in both front-end and back-end Finally cord was cut in January 2017.
- Journey through product delivery
- MEDNAX’s founding principle which is still true today is “Taking Great Care of the Patient”