annual report 2016 - Weill Cornell Medicine

ANNUAL
REPORT
2016
The Right Information
at the Right Time
Content
Message from the CIO
4
Organizational Structure
7
Leadership8
FY16 Score Card
10
FY17 Goals
16
Research Initiatives
18
Education Initiatives 26
Clinical Initiatives 32
Samuel J. Wood Library
36
New Services & Tools
42
System Enhancements
46
Infrastructure Improvements
52
Security & Identity
58
How We Support Services
62
Appendix: POIS Annual Report
Message from the CIO
Last year we promised a steady stream of new services and incremental improvements in all the areas we support. I’m proud to report
that through countless collaborations and plain old hard work, we
have delivered and continue to add more every month.
Research IT
also built numerous new custom
research repositories, expanded
The most talked-about change in
the NYC-CDRN, the Clinical Data
research was the launch of a new
Research Network, and helped
research administrative system,
support the successful Precision
the Weill Research Gateway. After
Medicine Initiative collaboration
building the backbone for all the
with Columbia. REDCap Plus is
modules, we delivered the first,
helping many researchers build
small module this year to manage
case report forms that pull data
Conflict of Interest. Most of the
directly from the EMR, and the
effort has been behind the scenes
new Qualtrics system provides a
preparing for the all new grants
best-in-class self-service survey
and human subjects modules that
tool. The ARCH program also built
will come next year.
a new eConsent tool currently in
Our direct support to research
got a major boost this year
with the rapid expansion of our
ARCH program. Hundreds of
researchers have signed up for
4
pilot, and wrote an RFP for a new
institutional biobanking system we
hope to launch in 2017.
Clinical IT
our free i2b2 service so they
Working closely with POIS, we
can query de-identified data
launched an all new weillcornell.
from the EMR. This is especially
org with new patient engagement
useful when preparing grants
tools. We connected five new
to count the number of patients
remote offices for our PO
with different diseases or their
Network. We supported a major
various treatments. This year,
upgrade of the EpicCare EMR
we are adding inpatient data. We
and continued incremental build
ANNUAL REPORT 2016
of our new disaster recovery site in Ithaca. We also
pick Epic but we are committed to helping them
added 2,200 users to our IP telephony system with
implement whatever system they choose to ensure
advanced services to improve patient access.
optimal patient care.
Additionally, ITS, POIS, and the Institute for Precision
Educational IT
Medicine started a new Clinical Genomics program
and have successfully transmitted a whole exome
The MD students started Year 3 of the new
from sequencer to analysis to report to the EMR.
curriculum and continued refinements to the
This is still in testing, but we hope to be the first in
technologies we started in Year 1. We added a
the nation to do this live in the coming year.
new Financial Aid and Student Accounting system,
redesigned the LEARN and Canvas portals, and
Next year, ITS and POIS will work closely with
built a new service to support the NBME onsite
NYP to help them make there next generation EHR
exam for the clinical clerkships. A number of
selection. It is no secret that we hope they will
new forms, reports, and other tools were built
out for the graduate school, as well as the new
UNICAS admission system. We continued the
ongoing upgrades to classrooms and study spaces
with improved AV and new iMacs. This year will
bring even larger renovations and a number of
new systems to support LCME and Jenzabar
improvements for all programs.
A Vibrant Library
The Wood Library continues its drive to be the
Clinical Genomic Program
country’s most dynamic medical library with new
services and constant reexamination of old ones.
This year, we launched a grant editing service to
In FY17, WCM hopes to be the first institute in the
nudge more applications over the funding line. The
nation to transmit a whole exome from sequencer to
technical team continues to enhance our bibliometric
analysis to report to the EMR - live.
services and the clinical librarian program rapidly
grows, peaking at almost 100 clinical and consumer
rounds in a month compared to just over 40 last year.
5
ITS.WEILL.CORNELL.EDU
Supporting the New Brand
Our Wi-Fi expansion project is now complete
covering the campus to better support mobile
ITS continues to update more than 100 web
devices. Come January, we expect a lot more mobile
properties to the new WCM brand. Built on our own
users when we will drop tag fees for smartphones!
upgraded Drupal distribution, we have completed
31% of the sites with a goal of 90% by March 2018.
Last, but not least, we are very proud to report
We also launched a version of Drupal that allows
major improvements in support services. Two of
labs to build their own sites, fully compliant with the
the biggest complaints we have had is phone hold
new brand, in weeks for minimal cost.
times and delays in installing new desktops. Both are
dramatically better this year with more improvement
Administrative Systems
ITS continues to exploit our new HANA in-memory
database system, as well as develop a new face to
the aging user interface of SAP with the new Fiore
tool set. The first major application we developed
coming soon. We have new support desk procedures
and some expanded staff that should continue
the positive trends at the helpdesk. And we are
switching desktop vendors from HP to Dell, which will
significantly reduce delivery times.
was an all-new time management system, which
Our highest priority for the coming year will be
went into pilot this fall. We have also started the build
improving the customer experience across the board.
for a new employee evaluation system, a new HR
With help from the Business Process Solutions
recruitment portal, and new learning management
group and scores of helpful focus group and survey
system from market-leading SuccessFactors. Later,
participants, we have already identified the key areas
we will kick off implementation of a new Budget
for improvement that will guide our priorities in 2017.
system and some key services for Qatar.
New Software, Better Security & More Support
All staff can now benefit from new software contracts
such as Adobe Creative Cloud, Office 365 web
applications, and LastPass. Our security team
launched a powerful and easy to use dual-factor
authentication system, an improved anti-spam
system, and a new anti-phishing tool. This year, we
will update our desktop anti-malware application and
Curtis L. Cole, MD, FACP
Chief Information Officer
expand our security analytic tools.
6
ANNUAL REPORT 2016
Organizational Structure
Office of the CIO
Research
Informatics
Sr. Technology
Officer
Enterprise
Services
Educational
Technologies
Operations &
Infrastructure
Privacy
Samuel J. Wood
Library
Application
Development
Administrative
Computing
Scientific
Computing
Medical Archives
Research
Administrative
Computing
Server
Management
Patient Resource
Center
Project
Management
Operations
Web
Communications
Service Strategy
& Systems Arch.
Network &
Communications
Security, Identity
& Compliance
Client Services
Disaster
Recovery
7
ITS.WEILL.CORNELL.EDU
ITS Senior Leadership
CURTIS COLE
VIPIN KAMATH
JOSHUA GLUCK
CIO
Deputy CIO, Enterprise Services
Deputy CIO, Operations
TERRIE WHEELER
VINAY VARUGHESE
SUSANNA PARTRICK
Director, Library
Sr. Technology Officer
Privacy Officer
DANIEL SPLITGERBER
HARISH CHAVA
THOMAS CAMPION
Department Administrator
Director, Administrative Computing
Director, Research Informatics
DOUGLAS COHEN
Director, Educational Computing
8
ANNUAL REPORT 2016
Associate Directors
Assistant Directors
9
VANESSA BLAU
EUGENE CHEN
DIANA DELGADO
Research Administration
Network & Communications
Library User Support & Education
DAN DICKINSON
RICHARD HU
CHRISTINE O’CONNOR
Web Communications
Service Strategy & System Architecture
Client Services
PETER OXLEY
JOHN RUFFING
RAMON SEGARRA
Library Research
Advanced Tech Integration
Server Management
VICTOR FARRELL
MEGHANA FUTNANI
MOHAMMAD MANSOUR
Project Management Office
Business Intelligence
Application Development
PHILIPPE ORTANEZ
BRIAN TSCHINKEL
JOHN YOUNG
Educational Technology
Security, Identity, Business Continuity
Unified Communications
ITS.WEILL.CORNELL.EDU
FY2016 Score Card
Every year, we lay out a series of goals for the coming year. Below, we review how well we did against
these goals, then update them for the coming fiscal year. A ümeans the goal was completed, a ♦ means
it was partially completed, and a û means it was not completed in FY16.
Complete infrastructure
Launch new core research
upgrades outside of BRB
administrative systems
management system (iLab)
•
•
üü iLab now in use for 19 central
Close old data center and open
Go live with new Conflicts (COI)
•
Complete rollout of core
new network services for 575
module and start new Human
cores and all new cores as
Lexington
Subjects (eIRB) and Grant
they go live
üü 575 Data Center closed on
time with build out of new
network closet
Proposal modules
üü Launched COI in WRG and
completed system upgrade.
üü Proof of concept for eBinder
of regulatory study binders
and subject binders
Grant Proposal modules in
•
Enable first critical disaster
progress; Human Subjects
recovery services in Ithaca and
module to start summer 2017
enhanced backup and recovery
service in NY
üü Initial disaster recovery
infrastructure set up in Ithaca
•
Expand the Wi-Fi coverage
throughout main campus and
convert core SSID to eduroam
üü Wi-Fi coverage expanded
throughout main campus
tt eduroam launched, but not
yet converted to core SSID
eduroam Coverage
eduroam allows all WCM users to connect to any
eduroam institution’s Wi-Fi with your credentials. A full list
of participating institutions is available at eduroam.org.
10
ANNUAL REPORT 2016
New core research
administrative systems (cont.)
•
Develop new orders and results
data flows for Precision Medicine
üü First clinical genomics results
successfully sent to EMR in
test environment
Expand scientific computing
services
•
Expand user-dedicated support
Lumira
services customized for
researchers
üü Expanded research liaison
program
•
Lumira transforms spreadsheets into graphs and
other visualizations to illustrate the trends and
meanings of your data.
üü i2b2 now has 250+ active
•
Launch free and subsidized
Create tiered network with
users with three times the
services, including WebEx,
dedicated research domains
amount of data available
Adobe Creative Cloud, and
since last fall
shared scientific applications
tt Research network and
üü HPR Data Core pilot
zoning in development, but
behind schedule
•
completed and moving to
Lumira, and LastPass
rollout department wide
deployed
Activate three new ARCH
research repositories, double the
Improve IT services through
de-identified data types available
expanded cloud-based services
in i2b2, and implement Data Core
for HPR
üü RDRs live for CADC,
•
Deploy Office 365 OneDrive,
SharePoint, mobile and
cloud-based productivity apps
Anesthesia and in
development for Myeloid
Biology, and Ophthalmology
11
üü WebEx, Creative Cloud,
ûû
O365 extensions are
significantly behind schedule
•
Implement new WBG features
using new HANA in-memory
architecture
tt SuccessFactors and
Computable Org Structure
projects underway with
revised timelines
ITS.WEILL.CORNELL.EDU
Simplify end-user experience
when accessing IT services
•
Reduce PMO chartering time by
a third, new install time by a half,
and support services backlog by
three quarters
üü PMO charter time improved
by 30%, desktop installs
down from a month to less
than 2 days (95% success
rate), and backlog down from
eTime
742 in FY15 to 377 in FY16.
•
Expand personalized 1:1
The new eTime system will allow users to clock in
orientation to IT services by
and out, request leave, and submit their time sheets
offering to 100% of new faculty
online in lieu of paper time sheets.
and high-level staff, plus 50% of
tt myHelpdesk service requests
existing faculty
üü 1:1 orientation expanded to
•
Implement new Financial Aid and
live for first internal IT
Graduate School admissions
services
systems
Knowledgebase is
tt New Financial Aid system
existing faculty and accepted
ûû
by >250
significantly behind schedule
•
scheduled for go live this
summer
Expand self-service with more
SAP eForms, eTime replacement,
Consolidate impact of existing
myHelpdesk service requests and
educational technologies
knowledgebase, and an improved
across all programs
ûû
system went live, but users
disliked it
shopping experience in SAP
üü eForms for travel and
payment requisition live in
•
Create a new Educational
Technology Steering Committee
to set priorities across programs
üü ETSC relaunched and
and in pre-pilot testing
12
•
Complete core AV upgrades and
establish a sustainable annual
upgrade program
July
tt etime replacement developed
New Grad School admissions
working well, chaired by Yoon
Kang and David Christini
üü AV upgrades completed and
upgrade plan established
ANNUAL REPORT 2016
üü A new service to support
Expand library services
•
Create regular bibliometric
departmental conference
with strategic support for
reporting services for key users,
rooms was launched
institutional missions
with self-service options, and new
VIVO Dashboard
Overhaul web properties with
new WCM brand
•
Develop grant application editing
tt VIVO Dashboard
service and clinical librarian
development advanced
internship programs
•
Relaunch weill.cornell.edu and
weillcornell.org with new brand
üü New weillcornell.org
significantly, but release is
üü Grant editing service
designed and launched for
year-long pilot
launched months ahead of
schedule with expanded
behind schedule
•
Complete paper back-file review
and de-accessioning/digitization
üü Received grants to support
scope, including several new
NLM 2nd Year Associate
patient engagement features
Fellow, as well as NIH funded
to prepare for stacks renovation
tt >70,000 volumes
de-accessioned and replaced
Informationist
•
Update 90% of existing websites
with digital backfiles
with new brand standards through
Drupal conversion over the next
two years
üü Multi-year effort to rebrand
weill.cornell.edu and upgrade
~100 web properties is on
schedule
•
Launch new self-service site
management for research labs
üü Low-cost, self-service lab
distribution released and
successfully used by multiple
labs
Grant Editing
The library offers editing for researchers who
need assistance polishing up their grants. More
information is available at library.weill.cornell.edu.
13
ITS.WEILL.CORNELL.EDU
Improve internal ITS operating
Support key Physician
policies & procedures
Organization priorities &
infrastructure tools to enhance
initiatives
security, virtualization, system
•
Pilot new service management,
project cost accounting, divisional
•
and regulatory requirements
with security infrastructure
accounting, expanded
training programs, and
continuity
Support new clinical workflows
programs
management, project cost
Deploy advanced Epic
operations, and business
training, and employee mentoring
üü Trials of service
•
üü Continued hardening of
for e-prescribing of controlled
Epic infrastructure and
substances and PCI 3.0
preparations for hot site in
compliance
Ithaca
üü Dual factor and other
•
Continue supporting growth of
targeting mentoring
security tools launched for
PO Physician Network through
completed
e-prescribing and PCI 3.0
infrastructure, application, and
support services
üü Department-wide cost
üü Added 9 new remote sites for
accounting also implemented,
though additional refinement
PO Network (49 sites total)
is still needed
•
Upgrade ITS and Library
websites with more user-oriented
data, services, and reporting
üü Both sites have launched
at its.weill.cornell.edu and
library.weill.cornell.edu
•
Implement efficiency metrics for
all divisions
üü Improvement in use of
management metrics in
e-Prescribe
several divisions
In March 2016, New York mandated electronic
prescriptions, requiring ITS to make updates to our
current system with Duo to ensure security.
14
ANNUAL REPORT 2016
Support other critical
departments priorities &
initiatives
•
Launch multi-year project to
implement SAP Budget module
tt SAP Budget module
launched, but behind
schedule
•
Deliver key SAP features for
Qatar supporting Foreign Service
Benefits, new hires, and open
Device Encryption
enrollment
üü Multiple new services for
WCMC-Q delivered, including
FSB and open enrollment
•
ITS encrypted more than 17,000 devices this fiscal
year, safeguarding data created and transmitted at
WCM.
Expand ServiceNow ticket
e-prescribing and remote
Access Control (NAC), updated
access to core services
penetration test, improved
security training and access
tracking system to Human
tt LastPass released,
Resources and Environmental
though adoption has been
Health and Safety
disappointing
üü ServiceNow user portals
launched for POIS, HR, and
•
encryption programs
EHS
üü Desktop and laptop
Implement improved security/
encryption program
access policies & procedures
•
Implement dual factor
authentication and LastPass
password management systems
üü Dual Factor launched for
15
Complete laptop and desktop
completed
•
request processes
üü Web Application Firewall
implemented, expanded DLP,
repeated penetration testing
tt NAC, security training, and
revised access request
process still in progress
Implement web application
firewall, expanded Data Loss
Protection (DLP) malware
protections, user friendly Network
ITS.WEILL.CORNELL.EDU
FY2017 Goals
New core research administrative systems
•
Go live with the InfoEd Human Subjects (eIRB) and
Grant Proposal modules.
•
Define new clinical trials systems strategy
•
Pilot mobile research consent capture and begin
biobank system implementation
•
Pilot implementation of eBinder for clinical trials
regulatory data
•
Continue to expand the use of iLab along with the
growth of the Core Laboratory Center (CLC)
Continue rolling out new WCM brand with
overhaul of web properties
•
•
Expand service portal for researchers
•
Expand i2b2 commons to include inpatient data and
activate three new ARCH research repositories
•
Move HPR Data Core from pilot to production
•
Support expansion of CDRN
Deliver new & improved productivity
applications
•
•
advertising campaigns
•
Rebuild main weill.cornell.edu site
•
Review and plan alternative strategy for site-search
Implement SuccessFactors recruitment and
onboarding software, as well as learning management
software, replacing WTMS
Upgrade core infrastructure to deliver faster,
more resilient services
•
•
Survey faculty regarding scientific software needs for
free or subsidized purchase
by implementing additional digital health services,
and collaborating with Marketing to support future
Deploy Office 365 OneDrive, SharePoint, and mobile
and cloud-based productivity applications
Enhance patient engagement on weillcornell.org
enhancing the breadth and depth of available content,
Go live with new Genome Information System to send
clinical genomic results to EHR
Publish “Standards and Technical Requirements” for
departments using external vendors for services
•
•
Bring 60% of existing WCM websites up to new
branding and technical standards
•
Enable basic & translational scientific
computing
Update business continuity plan for New York campus
with expanded DR capability in Ithaca
•
Convert core SSID to eduroam and create new
network security zones
infrastructure with exit of Google Search Appliance
•
Complete “computable” organization structure in SAP
and expanded directory services, like “yellow pages”
16
ANNUAL REPORT 2016
Expand Library services with strategic support
Support key Physician Organization initiatives
•
Complete and evaluate grant application editing pilot
•
Assist NYP with new EMR selection/program planning
•
Go live with Reciter and VIVO Dashboard; write up for
•
Define staged Ithaca-based DR program and compare
academic publication
•
Develop collection review program with Ithaca & Qatar
to Epic remote hosting
•
efficiencies in the PO Physician Network through
to improve user targeting while controlling costs
infrastructure, application, and support optimization
Improve user experience with IT services
•
•
Create customer experience/service management
Support other critical department initiatives
improvement strategy
•
Begin work on Budget module
Upgrade Departmental Liaison program with stronger
•
Deliver key SAP features for Qatar – Recruitment
communications, tracking, and 1:1 outreach
•
Work with POIS to define cost savings and revenue
& Onboarding, eTime, Foreign Service Benefits,
Research Visibility Dashboard
Expand self-service with more eForms, improved
eTime, online W2 forms, myHelpdesk service requests
•
and knowledgebase, and better shopping experience
Enhance Reporting in WBG, including All-funds
Reports and extending Research Visibility Dashboard
in WBG
Consolidate impact of existing educational
technologies across all programs
•
•
administrative “311” portal
Implement improved security & access policies
•
Expand dual factor authentication to other services
School admissions systems
•
Launch laptop tracking and deep encryption programs
Partner with educational administration to “reinstall”
•
Implement web application firewall, expanded Data
Implement new student accounting and Graduate
Jenzabar, clean data, re-train staff, and develop audit
Loss Protection (DLP) malware protections, user
tools to measure best practices
friendly Network Access Control (NAC), updated
Improve internal operating policies &
procedures
•
Expand ServiceNow ticket tracking system to
additional departments and build foundation for unified
Implement new technologies to support LCME
evaluation and priorities
•
•
penetration test, improved security training and access
request processes
Integrate PMO with Client Services to improve
user-facing services and internal project management
•
Systematically update Knowledgebase and Problem
Management capabilities
•
Cut service case backlog by more than half in all
divisions
17
ITS.WEILL.CORNELL.EDU
Research Initiatives
ITS launched the Weill Research Gateway (WRG) in November 2015, in collaboration with
WCM’s research administrative offices. This system is based on InfoEd, the leading software of
its kind among peer institutions nationally.
Ultimately, this new portal will consolidate 12 systems
a self-service tool for cohort discovery using
that researchers currently use for administrative
de-identified electronic health record data. More
processes, starting with Conflicts of Interest. All
users continue to sign up for this service as we have
users can now submit potential conflicts of interest
dramatically expanded the amount and types of data
for review by the Conflicts office online, as well as
available. This fiscal year, we tripled the number of
travel disclosures and study specific reports (SSRs).
de-identified facts from 500,000 to 1.7 billion. As
of May 2016, any WCM investigator can search -
Next year, ITS plans to implement a new Sponsored
without programming knowledge - using diagnoses,
Programs module in WRG where Principal
lab results, medications, allergies, demographics,
Investigators can submit proposals in an easy online
encounters, social and family history, procedures,
format. More modules will be added to WRG well into
and tumor registry annotations.
2018, including a replacement of the existing eIRB
with an all new Human Subjects Protection module.
ITS has also implemented and supported a
number of other tools and enhancements to assist
Additionally, ITS continued to promote Informatics
researchers with their work, including SUPER
for Integrating Biology and the Bedside (i2b2),
REDCap and Qualtrics survey tools. SUPER
The New WRG
WRG (wrg.weill.cornell.edu)
provides a streamlined, convenient
portal to conduct administrative
aspects of research. Currently,
Conflicts of Interest resides as
a module within WRG; other
administrative systems will soon
become a part of this portal.
18
ANNUAL REPORT 2016
i2b2 User Growth
The number of i2b2 users continues to grow each
month. Email i2b2-support@med.cornell.edu to
request access.
REDCap can now pull data directly from the EHR
to populate research case report forms, saving
investigators hours of time, while Qualtrics provides
access to the industry-standard survey platform with
the ability to store protected health information (PHI).
Furthermore, we are testing bleeding edge
technology to support electronic consents. This
year, we tested a new commercial system that
uses an iPad and are currently comparing this to a
homegrown system based on REDCap.
custom research data repositories (RDRs). One of
our proudest efforts is supporting the New York City
Clinical Data Research Network (NYC-CDRN), now
open for business and accepting queries of electronic
patient data from all the major medical centers in
NYC.
Finally, ITS built a clinical grade pipeline to support
the EXaCT-1 whole exome sequencing test now
available for precision-guided care of patients at
WCM. With POIS, ITS has begun implementing
the first ever Genome Information System from a
partner company, Standard Molecular. In our test
environment, we have successfully transmitted whole
exome data into Epic as structured results. Next year,
we hope to become the first center in the nation to
accomplish this in a live EHR.
To support research using biofluids and tissues,
we have written a request for proposal (RFP) for
a new biobanking system. Additionally, we have
continued supporting specific disease areas with
19
ITS.WEILL.CORNELL.EDU
PMKB
The PMKB (pmkb.weill.cornell.edu) site
developed by the Institute of Precision
Medicine allows for collaborative editing,
maintenance, and sharing of structured
clinical-grade cancer mutation interpretations.
It provides structured information of variants
and interpretations for oncology, and was
designed in collaboration with pathologists for
accurate and standardized terminology and
workflows compatible with clinical use.
Key Accomplishments
•
Established monthly updates of i2b2 data and
features
Research Informatics
•
•
i2b2
•
pharmaceutical contract through integration of
inpatient and outpatient electronic health record
Increased the number of users by 10 times to
data as part of a custom research data repository
well over 300
•
Tripled the number of de-identified patient
•
tobacco status—for more than 2 million patients
the addition of allergies, laboratory results,
•
and other clinical data elements 
•
20
Supported three multi-site, investigator-initiated,
electronic health record-based studies as part of
NYC-CDRN 
Piloted a process for researchers with
Institutional Review Board (IRB) approval
Contributed clinical data to NYC-CDRN—
including allergies, laboratory results, and
facts from 500,000 to 1.7 billion through
problem list diagnoses, billed procedures,
Supported an investigator-initiated
•
Implemented FreezerPro, an electronic
to request patient identifiers based on
biospecimen management system, for the
de-identified i2b2 queries, resulting in
Leukemia Program, improving chain of custody
support for 13 studies 
records 
ANNUAL REPORT 2016
•
Supported institutional biobank core efforts
through start of a request for proposal (RFP)
process as well as a pilot for inventorying existing
biospecimens 
•
Piloted electronic patient consent using REDCap
on iPads for two studies 
•
Participated in successful Precision Medicine
Initiative federal grant application to collect
•
•
consent, specimens, and clinical data 
Clinical Trials
Trained more than 200 faculty, staff, and students
ITS created a new central repository for advertising
on i2b2, REDCap, and other tools through weekly
clinical trials to study volunteers, in conjunction with
CTSC ARCH Workshops  
the Joint Clinical Trials Office. Open clinical trials are
Deployed Healthcare Policy & Research (HPR)
NYC-CDRN
Structure
listed at jcto.weill.cornell.edu.
Data Core, a secure computing environment for
investigators to perform statistical analysis of
sensitive data 
•
Enabled automated sharing of clinical trial
enrollment data with NewYork-Presbyterian
Research Administrative Computing
•
Central Database
of 7m Patients
Current Data:
EHR: 60M clinical encounters
Claims: Medicare, Medicaid, 1199
Social Determinant data
Future Data:
Other private claims data
Bio specimen data,
Registry,
Patient reported outcomes
Launched the Weill Research Gateway
(WRG), a toolset for researchers and research
administrators to unify and streamline processes
for research funding, compliance, and integrity;
Conflicts of Interest was the first module
introduced to users
nyccdrn.org
NYC-CDRN Structure
The NYC-CDRN will bring together a total of 22
organizations across seven systems to pursue data
sharing and patient-centered clinical research.
21
ITS.WEILL.CORNELL.EDU
•
Delivered hundreds of scheduled and ad
Research Infrastructure
hoc reports including reporting to assist with
multiple National Institutes of Health (NIH) grant
•
Deployed scalable analytical data pipeline
applications including the Clinical Translational
and clinical reporting support for the Institute
Science Award (CTSA), several training (T32)
for Precision Medicine. The ICB Pipeline
grant applications, and the preliminary work
infrastructure, recreated in the BRB data center,
toward the National Cancer Institute (NCI)
consists of one head node and three computing
Designation for the Meyer Cancer Center
nodes, each running on a respective physical
server with 48 CPU cores, 512GB or RAM
•
Began piloting the eConsent process via
and 3TB or local disk space. There is also an
REDCap, an iPad-based method for collecting
analytical server with 73TB of network storage.
Informed Consent for two clinical trial registries in
the Hematology & Medical Oncology group and
•
local Docker Trusted Registry (DTR).
in the Center for Advanced Digestive Care
•
Began configuration and user acceptance testing
Advanced virtualization platform: Docker via a
•
Deployed analytical platform for the Department
for the Sponsored Programs modules within
of Healthcare Policy and Research (HPR). The
WRG to replace several Grants & Contracts
platform consists of ten virtual machines, each
related workflows, including the Electronic
offering a rich statistical software stack: SAS,
Routing Form (ERF), submission of Grants.gov
Stata MP, R, Rstudio, QSR Nvivo, Atlas.ti, and
Adobe packages, and Coeus – WCM’s internal
others.
tracking database for Grants & Contracts
Lab Websites
ITS implemented a Research Lab Website Service
that provides researchers with a quick, easy, and
affordable solution for creating professional-looking
websites for their WCM team. Seven lab websites
have launched on the service since the fall of 2016,
with another 17 in development.
22
ANNUAL REPORT 2016
•
Developed tools to internally monitor sequencing
tasks on ITS-managed services
•
Provisioned research software, including Qiagen
IPA (Ingenuity Pathway Analysis), Schrodinger,
LaserGene (DNAStar), Prism (Graphpad), Pymol,
eMolecules database, GeneSpring (Agilent)
•
Hosted training for IPA, Schrodinger, and Pymol
•
Provisioned local private cloud provisioning for
the Genomics Core automated analytical pipeline
•
Provisioned large-scale storage for SleepCenter,
Sponsored Programs Testing
Users test and provide feedback on what will become
the new Sponsored Programs module in WRG. This
module, set to launch in late spring of 2017, will
replace Electronic Routing Form (ERF), submission
of Grants.gov Adobe packages, CIA, and Coeus
– WCM’s internal tracking database for Grants &
Contracts.
Weill Business Gateway
•
for faculty
Dalio Institute, Citigroup Biomedical Imaging
Center, Genomics Core
Updated Research Visibility Dashboard in WBG
•
Extended Research Visibility Dashboard to Qatar
Research Sites
•
Successfully setup more than 40 researchers into
new office space at the Belfer Research Building
23
ITS.WEILL.CORNELL.EDU
ARCH Workshops
ITS holds workshops every Thursday on various
research tools, including REDCAP, i2b2, EHR
reporting, and additional approaches on acquiring
patient data. The schedule is available on the Events
Calendar at events.weill.cornell.edu.
Upcoming Projects for FY17
•
Launch a proof of concept the eBinder software
to test the feasibility of electronic study binders to
•
•
Expand inpatient data from Allscripts/Eclipsys
replace research “shadow” and regulatory charts
available in i2b2
for clinical trials with ten clinical trials in the
Lymphoma service within Hematology & Medical
Add next generation sequence data from the
Oncology
Englander IPM to i2b2 for researchers to query
•
Enable investigators to query tumor registry data
•
Center (CLC) to rebrand, merge services, expand
in i2b2
•
laboratory offerings, and launch new Cores in the
iLab Solutions tool
Implement three new custom research data
repositories, which integrate data from
disparate source systems for specific groups of
•
Clinical Trial Management System (CTMS) to
replace the current Clinical Research Enrollment
Expand SUPER REDCap to include inpatient
& Study Tracking (CREST) system
data from Allscripts/Eclipsys
•
Pilot natural language processing (NLP) of
•
Launch the Sponsored Programs modules of
WRG (Spring 2017)
unstructured clinical notes from electronic health
record systems
Conduct functionality demonstrations and
technical reviews to assess the most suitable
investigators
•
Continue to work with the Core Laboratory
•
Begin work to replace the CSEC tool and eIRB
with the Human Subjects module of WRG
24
ANNUAL REPORT 2016
•
Update features and reports in the Weill Business
Gateway:
•
Single WBS for Grants
•
Conflicts of Interest Reporting and Data
Warehousing
25
•
InfoEd Sponsored Programs Reports
•
JCTO Leadership Reports
•
Qatar Research Reporting
Research Website
The research.weill.cornell.edu site shows activities
of the research mission. It provides guidance on
research administration topics and a calendar of
research community events.
ITS.WEILL.CORNELL.EDU
Education Initiatives
ITS had three major groups of activity this year supporting education; continuing support for the
new curriculum, continued improvements to our Student Information System (SIS), also known
as Jenzabar, and the usual handful of new systems and services.
Students can now pay for their tuition online in
demos, attracted almost 500 attendees this fiscal
our new Student Billing Portal, as well as request
year. Additionally, our learning specialists trained
financial aid through the PowerFaids module in SIS.
almost 1,500 users on how to use various services
We made improvements to our Canvas learning
we offer. Lynda.com adoption has grown since its
management interface to make it more user friendly
launch in April 2015, with users watching more
and consistent as students access course content.
than 3,000 hours of training videos this year. The
We also rolled out the EvaluationKit system to our
ITS training team has also launched a “Traveling
graduate students to provide feedback on their
Training” program, bringing their expertise on
professors and coursework.
widely-used applications and tools directly to
departments for customized, hands-on learning.
As a result of adding so much new technology over
the past few years, we ramped up our training for
faculty and staff. Tech Tuesdays, our weekly tech
Student
Information
Instructional
Technologies
Curriculum
Mgmt.
WCM
Interfaced
Systems
3rd Party
Interfaced
Systems
Student Systems
ITS supports a multitude of
Canvas(Q)
Learning
Repository
SAPLSO(Q)
AMCAS
Admissions
(Q)
Panopto(Q)
Faculty
Contact
HoursSystem
SAPStudent
Accounting
AAMCMed
Apps/CIR
Registration
(Q)
iTunesU(Q)
E*Value
VIVO
*PowerFAIDS
Advising(Q)
Response
Ware
EvaluationKit
PeopleDB
Perceptive
(Q)
Student Life
ExamSoft
(Q)
*Qualtrics
*Qualtrics
*Nelnet
Respondus
(Q)
TurnItIn
Jenzabar(Q)
*FinancialAid
*Student
Billing
Retention
Mgmt.(Q)
learning systems, as pictured
at left. Systems marked with an
asterisk were rolled out in FY16.
*ECSI
iBooks (Q)
26
ANNUAL REPORT 2016
Number of Active Courses
Fiscal Year
Canvas Usage FY13-FY16
Key Accomplishments
Jenzabar Enhancements
Canvas usage has jumped significantly since FY13.
Aside from student courses, Canvas is heavily
utilized for faculty and staff training within WTMS.
•
Financial Aid/PowerFaids module rollout
•
Student Billing/Accounts Receivable module
•
SAP Student Billing integration
•
Redesign of learn.weill.cornell.edu portal
•
Creation of a Student Administrative Systems
Educational assistance for MD, MD/PhD and
Graduate students
•
MD and Physician Assistant students
•
Customization of forms within Learn for direct
•
Online electives course catalog
Distributed iPads for incoming MD and Graduate
students
URL linking
•
Developed MD clerkship videos and course
templates
data governance workgroup
•
Provisioned Student Degree Progress Trees for
•
Built a compliant National Board of Medical
Examiners (NBME) Onsite Exam Center
•
Created promotional videos for MD Areas of
Concentration
27
ITS.WEILL.CORNELL.EDU
New Canvas Dashboard
The new Canvas (courses.med.cornell.edu)
dashboard includes a Course Navigation menu that
collapses on smaller screens, allowing for a more
content-focused and responsive layout. The site will
be optimized for viewing on mobile devices.
•
Developed a series of WCM Jenzabar SIS
•
Registrar’s and Admission offices via better
Advisory Forms & Reporting
•
their first year
•
feedback on their coursework
Implemented UNICAS online admissions system
for Graduate students
•
services
•
Introduced several new WCGS Jenzabar Forms:
Laboratory Rotation Agreement (LabRot)
an overhauled site for WCM alumni
•
Integrate E-Cornell rich media content into
Canvas
•
Deploy student directory reporting for Graduate
students
•
Implement MD/PhD student Individualized
Development Plan using Qualtrics
Agreement Form; WCGS LabRot Evaluation
Form; Annual Evaluation Form; Progression to
Launched new website for the Weill Cornell
Graduate School of Medical Sciences, as well as
Implemented a new online course evaluation
system for Graduate students to provide critical
•
coordination with our identity management
Helped implement a pre-matriculation orientation
course for incoming MD students to prepare for
Improved onboarding of students for the
•
Deploy new iMacs in the Education Center
Degree Form
•
Rolled out new, streamlined interface for Canvas
to enhance the user experience
28
ANNUAL REPORT 2016
480
1,100
1,451
Tech Tuesday Attendees
YouTube Views
Staff Trained
Number of attendees over 37
Number of views for new ITS
Number of people trained
sessions from May 2015 - June
YouTube news and tech tips
during FY16 in Weill Business
2016, averaging 13 people per
channel from launch date in
Gateway, WebEx, Lync,
session.
February 2016 - June 2016.
SharePoint, and other services.
Lynda.com Use
FY16 Q1
FY16 Q2
FY16 Q3
FY16 Q4
Total Users
582
557
566
698
New Users
188
147
134
180
12,987
8,508
8,279
8,388
Hours Viewed
893
560
738
819
Certificates of Completion
185
105
94
201
Videos Watched
Upcoming Projects for FY17
Jenzabar implementations and enhancements
Liaison Committee on Medical Education (LCME)
•
Data governance and standardization across all
programs
•
Deploy OASIS Academic Curricular
Administrative System
•
Server architecture redesign
•
Deploy Data Collection Instrument (DCI)
•
Advising module enhancements
•
Deploy iSeek Search Tool
•
Needs access data integration for Financial Aid
•
Student Life module analysis
29
ITS.WEILL.CORNELL.EDU
Social media
In FY16, ITS launched two new
social media channels to better
inform our users about initiatives
and news. Our YouTube channel
hosts a number of training and tip
videos, while our Twitter account
(@wcmits) provides quick tidbits
of news throughout the week.
Links to our social media sites are
available at the bottom of the ITS
website (its.weill.cornell.edu).
•
Alumni module analysis
•
Federated authentication for Online Learning
•
Deliver Traveling Training sessions onsite to
various departments to make it more convenient
for departments to learn ITS-supported tools
Portal
•
•
Continue promoting and enhancing social media
Integration with Official Transcript Request
System analysis
Upcoming Faculty & Staff Training
•
Begin implementation of new Success Factors
learning management system to replace current
WTMS
•
30
Record Tech Tuesdays to reach more users
ANNUAL REPORT 2016
Our Traveling Training
Program, which launched at
the end of FY16, was created
to replace our previous
Coaching Lab, held at a
fixed time in the library and
at 575 Lexington. In order
to reach even more users,
the Coaching Lab was
repurposed to bring training
to various WCM offices.
Traveling Training has seen
much success, with many
departments opting for regular
training sessions at their
locations.
Training can be requested at
its-training@med.cornell.edu.
31
ITS.WEILL.CORNELL.EDU
Clinical Initiatives
Our Epic EHR is constantly improving to support high-quality patient care, touching almost all
points in the outpatient workflows, including registration, scheduling, orders, documentation,
results review, and billing.
This year, we upgraded the infrastructure to improve
ITS also added secure solutions for using mobile
speed and add new features. We also implemented a
devices for clinical purposes, and expanded our Weill
real-time replication of our Epic databases at Cornell
Cornell Physicians network to new sites. We also
Ithaca. In the event of a major incident, such as a
created a Patient Engagement Team with POIS to
natural disaster, these databases can be enabled
focus specifically on patient care web services, such
in minutes and provide backup support in New York
as weillcornell.org and adjacent services that impact
City.
marketing and delivery of care to our patients over
the web.
WeillCornell.org
The weillcornell.org site was
overhauled to comply with
our new brand and provide
better information and
services to site visitors.
32
ANNUAL REPORT 2016
Patient Engagement
The Patient Engagement Team,
a joint initiative between ITS
and POIS, was created to focus
specifically on patient care web
services. The team analyzes how
we can best provide patients the
information they need to learn
about our services and seek
treatment.
Key Accomplishments
•
Total BLOB storage increased 29% from
16.6TB to 21.51TB. BLOB storage (aka object
•
•
•
Upgraded our Epic infrastructure and software to
storage) is a service that holds unstructured
Epic 2015
data, like images, outside the main database.
Improved system continuity by deploying
•
In conjunction with POIS, implemented the
real-time replication of Epic databases to our
ability for practitioners to electronically prescribe
co-location data center site at Cornell Ithaca
controlled substances within Epic
Supported additional Epic growth:
•
Citrix sessions increased 14% from 2,950 to
3,350
•
Peak Workflow increased 15% from 760,000
•
New clinical websites were launched for the Jill
Roberts Center for Inflammatory Bowel Disease,
the Division of Geriatrics and Palliative Care,
the Center for Male Reproductive Medicine &
Microsurgery, and the HeartHealth program
to 872,000
33
ITS.WEILL.CORNELL.EDU
Week-over-Week Prescriptions of Controlled Substances
by Providers Enrolled in Electronic Prescribing
100.0%
89.2%
876
80.0%
71.5%
70.0%
60.0%
703
645
54.4%
49.9%
50.0%
545
50.1%
40.0%
927
938
92.9%
949
93.7%
960
93.6%
93.8%
94.6%
94.3%
970
978
984
988
96.2%
95.4%
94.9%
1100
95.6%
999
1006
990
1015
992
880
821
72.5%
76.2%
696
53.7%
555 55.4%
44.6%
708
721
738
753
758
764
767
776
782
788
797
770
660
550
46.3%
45.6%
440
383
30.0%
20.0%
244
765
897
91.4%
431
414
354
28.5%
27.5%
425
371
330
23.8%
220
Count of Enrolled EPCS Providers
Percentage of Prescribed Controlled Substances
90.0%
91.5%
216
10.0%
10.8%
110
8.5%
8.6%
7.1%
6.4%
6.3%
6.2%
5.7%
5.4%
5.1%
4.6%
4.4%0
0.0%
3.8%
02/14/16 02/21/16 02/28/16 03/06/16 03/13/16 03/20/16 03/27/16 04/03/16 04/10/16 04/17/16 04/24/16 05/01/16 05/08/16 05/15/16 05/22/16 05/29/16 06/05/16 06/12/16 06/19/16 06/26/16
% Electronic
•
% Paper
Upgraded weillcornell.org throughout the year,
including:
•
An all-new site design using the new Weill
Cornell Medicine brand
•
Unique Prescribing Providers
e-Prescibe Use Growing
With the launch of e-prescribe in Epic, the number
of e-prescriptions given by WCM providers has
increased, while traditional paper prescriptions have
decreased significantly.
New data structures for the three core types
of site content (Providers, Practices, and
•
Clinical Services)
•
•
Added voluntary faculty profiles
•
Launch of digital “Second Opinion” services
through Grand Rounds
Expanded Weill Cornell Physicians network to
Introduced “locked” iPods for Department of
Dermatology, creating a secure solution to
capture patient images directly to Epic
Expanded online appointment scheduling to
new patients
•
Total Enrolled Providers
•
Implemented mobile device management VPN
iPad solution with NYP for students and faculty to
access services while off campus
•
Integrated ITS liaisons into six departmental
meetings to provide better communication and
support for our users
five new sites
34
ANNUAL REPORT 2016
Upcoming Projects for FY17
•
Assist key leaders at NYP with the selection of a
new EMR and program planning
•
Continue to expand business-defined resiliency
of Epic by offering full access and functionality
from Ithaca data center for better system
WCM Second Opinion
Available at weillcornell.org, the OnDemand Second
Opinion service allows patients to request and
receive an informed opinion on a recent diagnosis
from WCM experts, in collaboration with NYP. All of
this can be done online for the patient’s convenience.
reliability
•
Assist in Identifying cost savings and revenue
efficiencies in the PO Physician Network
35
ITS.WEILL.CORNELL.EDU
Samuel J. Wood Library
The Samuel J. Wood Library made great strides this year in its mission of promoting excellence
in health though access to information. We kicked off a year-long pilot grant editing program
focused on supporting junior faculty applying for government and private foundation grants.
We also launched a new Clinical and Translational
Key Accomplishments
Science Center (CTSC) Information Service
comprised of a Research Impact and Evaluation
•
Expanded Clinical Medical Librarianship program
Informationist, who is dedicated to supporting
at NYP. Clinical Librarians attend morning reports
researchers in data management. The 3rd Annual
to provide evidence-based literature relevant
SMARTFest, WCM’s keystone event for showcasing
to current clinical cases, and help physicians
library and ITS services, was a tremendous success.
integrate mobile information tools into their
The event attracted over a thousand visitors, nearly
clinical workflows.
doubling last year’s attendance, saw a two-fold
increase in the number of vendors, and drew $13,500
in sponsorship funds, up from under $2,000 in FY15.
•
New Library and Archives website launched in
the fall of 2016
Event Statistics
2016
2015
Number of Vendors
16
7
Number of Visitors
1,118
610
21
16
$13,500
<$2,000
Number of
SMARTFest
Exhibition Booths
SMARTFest attendees visit the ARCH booth to learn
about services available for research computing
assistance.
36
Sponsorship Dollars
ANNUAL REPORT 2016
•
22 systematic review requests (increased by
57% in FY16). Supported in the publication of
four articles:
•
Brenner SK, Kaushal R, Grinspan Z,
Joyce C, Kim I, Allard RJ, Delgado
D, Abramson El. Effects of health
47,438
e-Books
information technology on patient
This number increased from 18,272
outcomes: a systematic review. J AM Med
in FY13. Our e-Journals also grew
Inform Assoc. 2015 Nov 13. [Epub ahead
to 17,266 from over 12,000 in FY13,
of print]PMID: 2656807.
thanks to the purchase of SpringerLink
archives.
•
Gupta A, Giambrone AE, Gialdini G,
Finn C, Delgado D, Gutierrez J, Wright
C, Beiser AS, Seshadri S, Pandya A,
Kamel H. Silent Brain Infarction and
Risk of Future Stroke: A Systematic
Review and Meta-Analysis. Stroke. 2016
Mar;47(3):719-25. PMID:26888534.
•
Levine MV, Cuendet MA, Khelashvili G,
3,679
Patron Transactions
Reference or education transactions
take an average of 23 minutes; 929 of
these transactions were electronic.
Weinstein H, Allosteric. Mechanisms of
Molecular Machines at the Membrane:
Transport by Sodium-Coupled
Symporters. Chem Rev.2016
85
Jun;8116(11):6552-87. PMID: 26892914.
Education Sessions
Terrie Wheeler acknowledged.
Thirty-six of these sessions were part
•
Riddle MS, DuPont HL, Connor BA. ACG
of the student curriculum, and 19 were
Clinical Guideline: Diagnosis,Treatment,
evidence-based medicine-related.
and Prevention of Acute Diarrheal
Infections in Adults. Am J Gastroenterol.
2016 Apr 12. [Epub ahead of print] PMID:
27068718. Kevin Pain acknowledged.
37
ITS.WEILL.CORNELL.EDU
Myra Mahon
Patient Resource Center
The Myra Mahon Patient Resource Center hosted
7,664 visitors to provide accurate, science-based
health information so patients can make informed
decisions about their care. The PRC also
answered 695 consumer health questions (up
from 239 two years ago), assisted 106 patients
with WeillConnect, hosted four National Library
of Medicine traveling exhibitions, and received
9,149 hits on its YouTube channel, which archives
medical talks. More info at prc.weill.cornell.edu.
•
With a generous donation from the Weill Cornell
•
Medical Center Alumni Council (CAC), we
Initiated alpha testing of ReCiter, a new author
disambiguation tool
procured an 84” Surface Hub in the Library
Commons. The touchscreen will be used for Tech
•
•
Tuesday demos and to showcase interactive
service, which supports junior faculty applying for
web-based medical programs.
government and private foundation grants
New Research Impact and Evaluation
Informationist is a member of the CTSC
Navigator Team dedicated to supporting
Collections
•
to eliminate within current license agreements
and use, raising awareness of institutional data
policies, and providing guidance in creating data
management plans
Collaborated with Ithaca to evaluate electronic
journal and database collections for low-use titles
researchers in data curation, storage, retrieval
•
Edited 14 applications for pilot grant editing
•
Obtained quotes for future purchase of backfiles
for electronic journals
Organized a new Data Curation Service to
support the Department of Healthcare Policy and
Research’s (HPR) Data Core
38
ANNUAL REPORT 2016
Medical Center Archives
Medical Center Archives
•
Assisted 447 patrons with 437 reference
The Medical Center Archives collect, organize and
questions
preserve the records of NewYork-Presbyterian
Hospital and Weill Cornell Medicine, as well as
•
Led 5 tours/presentations for 124 attendees
•
52 medical librarians from mid-Atlantic region
materials are available to students, faculty, staff
attended a “Boost Box” learning session
and the public. Images, like this photo of CPR
presented by Lisa Mix
training in 1972 from the Division of Cardiology,
affiliated and predecessor institutions. These
are available in an online archive available at
•
39
Hosted 3 Heberden Society lectures
library.weill.cornell.edu.
ITS.WEILL.CORNELL.EDU
Successful Grant Applications
VIVO
•
$2,400 from METRO for Consumer Health
•
•
$5,950 for Medical Information Services Program
•
$7,400 for collection development
•
$25,000 from National Institutes of Health to
Completed alpha testing for VIVO Dashboard,
including Citation Lookup and Research Impact
extension
•
Set up a regular feed from the WCM Directory
that imports headshot, email, preferred name,
phone, location, and preferred title
support data informationist
•
Drafted a workflow for creating VIVO profiles for
PhD students
Surface Hub
The Library’s new 84” Surface
Hub, installed in the Commons
area, will be utilized for various
presentations. Its touch screen
capabilities make it an ideal
tool for interactive web-based
medical programs, as well as
Tech Tuesday demonstrations.
Additionally, when not in use, the
Hub will be used for important
Library and ITS announcements.
40
ANNUAL REPORT 2016
Graduate Medical Education
The Library designs and curates specialized content
geared towards the needs of resident education.
Our Clinical Medical Library Internship Program is
preparing a new generation of librarians to meet the
needs of clinicians and healthcare consumers.
Duplicating
•
Produced over 1 million black and white
•
software and database resource needs
photocopies and 500,000+ color copies; printed
832 posters
•
•
Survey research faculty regarding scientific
•
Provide assistance with scholarly publishing,
Bound over 4,000 books and reports for college
such as case reports and medical student
departments
publications
Delivered a revenue surplus of $95,000
Upcoming Projects for FY17
•
Implement bioinformatics support service
•
Implement consumer health information to
hospital bedsides for Pediatrics and Burn Center
•
Implement content review and evaluation service
•
Introduce EZproxy service simplifying users’
•
access to library resources from off campus
Citation Impact Tool
Launch production version of ReCiter
This tool assesses individual and departmental
research impact. This interactive web application
•
Complete grant editing pilot and evaluation
graphs percentile rank of citations relative to
comparable peer publications.
41
ITS.WEILL.CORNELL.EDU
New Services & Tools
ITS launched dozens of new services and tools this year to assist users with their work at WCM.
Among our most requested new services was Adobe Creative Cloud, a suite of tools for graphic
design, video editing, animation, web development, and photography.
Users attended our Tech Tuesdays on Creative
address increasing security needs, we are providing
Cloud applications in record numbers, learning how
LastPass, a password management tool, for free, and
to utilize Adobe applications to do everything from
launched Duo authentication to speed up required
publish professional-looking research papers to
dual-factor logins from off campus.
manipulate medical images in 3D. Since its launch,
we have provisioned Creative Cloud access to
Our largest new system is the Weill Research
approximately 560 users, with requests coming in
Gateway (WRG), which will host major new features
almost daily.
in the years to come, including our first-ever protocol
development system, a new Human Subjects
Other notable tools and services we introduced
Protection system (eIRB), and a grant management
this past year include the Qualtrics and SUPER
system (more in the “Research Initiatives” section).
REDCap survey tools for researchers. Additionally, to
New ITS website
The new ITS website includes
improved search capabilities, a
dashboard displaying the status
of major services, a directory to
search for services by your role
at WCM, and more. The site is
accessible at its.weill.cornell.edu.
42
ANNUAL REPORT 2016
The Wood Library began offering a grant editing
In the upcoming year, ITS is looking forward to
service which has already proved very popular. This
releasing more new services, including Box for
program is funded for one year and will be evaluated
unlimited online storage, RedCloud Secure for
when funding concludes to determine if it should
storing and processing large amounts of research
continue.
data, and our Research Informationist service, which
provides one-on-one consulting on data collection
ITS continues to add support for the latest devices
and management.
and operating systems after rigorous testing from our
Quality Assurance team. Information on our services
ITS is also replacing our current time management
is readily available on our new website, where it
solution. The current vendor eTime system has been
is now easier to find audience-specific service
completely rewritten by ITS to be more user-friendly
information, how-to guides, and much more.
and offer better features for supervisors and their
staff to clock in and out electronically, submit time
sheets online, and request and manage leave. The
system is piloting in select departments now, and will
eventually be introduced to the entire college.
Finally, an all-new Weill Training Management
System (WTMS) is also planned. The current
system will be replaced by a new product from
SuccessFactors, which will also replace the Taleo
recruitment system and the EZEval staff evaluation
system. This software is considered best in class and
Qualtrics
should help dramatically improve the experience of
hiring and onboarding new employees.
Our new Qualtrics (survey.med.cornell.edu) survey
tool has been used for over 750 surveys and has
collected over 17,000 responses to date.
43
ITS.WEILL.CORNELL.EDU
HR Solution Center
The HR Solution Center (hrsc.weill.cornell.edu)
allows WCM users to submit HR cases online, track
them, and download important forms. ITS also
created the myEHS portal (myehs.weill.cornell.edu)
to submit issues to Environmental Health & Safety.
you use – and you can keep it if you ever leave
Cornell.
Key Accomplishments
•
Introduced the new HR Solution Center, an online
portal to submit HR-related issues similar to
•
Launched new ITS website at its.weill.cornell.edu
•
Launched the Weill Research Gateway (WRG) for
•
•
and Windows operating systems for quicker
Initiatives” section)
onboarding upon completion of testing and
approval
Distributed licenses for Adobe Creative Cloud
•
devices and central distribution of iOS
applications for residency programs and
(more at survey.med.cornell.edu)
Introduced Duo Dual-Factor Authentication to
meet rising security requirements
•
Rolled out LastPass for free to all ITS users.
LastPass is a secure cloud-based password
manager that makes it easier to maintain
different, strong passwords for every service
44
Implemented new Apple device enrollment
methods to streamline setup of Apple iOS
Launched Qualtrics and SUPER REDCap for
creating and administering surveys for research
•
Developed new process for testing latest Mac
research administration (more in the “Research
and Acrobat Pro to eligible users
•
myHelpdesk and the myEHS service portal
Education Center computing
•
Improved process for provisioning of new
passwords
•
Implemented Twitter and YouTube for broader
communication and outreach to users to
supplement email (more in “Education Initiatives”
section)
ANNUAL REPORT 2016
Upcoming Projects for FY17
•
Launch Windows 10 as the standard operating
system for Windows machines
•
•
New InfoEd Grant Management and Human
Subjects systems (eIRB)
•
Introduce Box cloud storage
New SuccessFactors replacement for EZEval
•
Introduce RedCloud Secure for storing large
amounts of data for research
staff evaluation system, Taleo recruitment
system, and WTMS Learning Management
System
•
•
•
Introduce Research Informationist service, a
consultation service for researchers who require
New UNICAS graduate school admissions
assistance developing data collection and
system (see “Education Initiatives” section)
management plans
New OASIS education reporting system (see
“Education Initiatives” section)
•
New SAP Budget module
•
New ITS developed eTime system replacing old
•
New research software services to be
determined by a faculty survey
Kronos system
Box Cloud Storage
Box will provide all faculty, staff,
and students free storage for their
important documents and files in a
secure cloud environment. Users
will have access to unlimited
space and will be able to share
and collaborate online with their
WCM colleagues.
45
ITS.WEILL.CORNELL.EDU
System Enhancements
ITS continually analyzes and evaluates our existing systems to determine the best ways to
improve performance and optimize end-user experience. Our teams release myriad updates
throughout the year across a spectrum of systems.
These updates can include any enhancements,
– were converted to electronic forms in the Weill
from adding reports, to simplifying user interfaces,
Business Gateway, which interfaces directly with
to adding new or better automated workflows, or
our finance systems. The eForms application
whole new modules – all with the common goal
allows users to track whether their requests are
of transforming tedious manual work into efficient
approved or rejected, as well as the status of their
automated online processes. Changes are made bit
reimbursements from the cashier’s office. Additional
by bit, leading to improved systems over time.
eForms will be launched in the coming year.
Earlier this year, we launched eForms in
We also continued to test the resiliency of our
conjunction with Finance to further reduce the use
systems with disaster recovery checks, ensuring
of paper forms. Two financial forms – Payment
that our major systems remain up and running in the
Requisitions and Travel & Expense Reimbursement
event of a major unplanned outage.
eForms
eForms allow you to submit
your receipts, invoices, and
expenditures electronically in
the Weill Business Gateway,
where they are reviewed by
supervisors and Finance. Once
approved, Finance will issue a
check to the location you select
online. Currently, eForms are
available for Payment Requisitions
and Travel & Expense
Reimbursements, with more
categories on the way.
46
ANNUAL REPORT 2016
Designing more intuitive interfaces for our business
interface. SuccessFactors will replace and enhance
applications to improve usability was another priority.
multiple services, including recruitment, new
Projects this year included the Weill Research
employee onboarding, and training.
Gateway, replacing eTime, SuccessFactors, and an
updated myApps application.
eTime is currently in pilot and will eventually replace
all paper timesheets at the college with an online
99.5%
7,000
65,000
WBG Uptime
ESS Users
Purchase Orders
Percentage of time WBG was
Approximate number of
Approximate number of
available this year without
Employee Self-Service users
purchase orders created in
unplanned downtime.
who access paystubs, benefits,
WBG for various supplies and
and other employee info.
items available in the system.
Transactions
WBG automates
hundreds of thousands
of transactions a year.
47
ITS.WEILL.CORNELL.EDU
Key Accomplishments
•
Upgraded eFax Application
Weill Business Gateway
•
Cleaned up Human Capital Management (HCM)
data, standardizing employee names and work
•
Launched eForms for AP Payment Requisition
addresses
and Travel & Expense Reimbursement
•
•
Upgraded to SciQuest version 16.1
•
Rolled out Medical Service Agreement (MSA)
Allocation
•
Billing Module to the departments
•
Upgraded to POIS Business Objects 4.1
•
Supported Annual Open Enrollment in Employee
Self-Service (ESS) in NYC and Qatar
•
IRS Report - Employer Health Coverage
Information
•
Rolled out WCMC-Q Foreign Service Benefits
Implemented Weill Training Management System
(WTMS) for Environmental Health & Safety,
allowing users to enroll into online and classroom
training on subjects such as fire safety
•
Developed registration and authentication
solution for non-employees to log into WTMS
•
Optimized SAP Business Warehouse post-HANA
migration
Qatar ESS-New Hire
Avoiding Outages
Even with careful planning, unexpected events,
like the crane collapse at left, are inevitable. Our
Disaster Recovery team has put systems in place
to recover services as quickly as possible when
outages do occur. Currently, 14 major components
of our infrastructure are self-healing, and 26
business services can be recovered in less than
one day.
48
ANNUAL REPORT 2016
•
Performed in-depth analysis and definition of
organizational structure for 22 departments
•
Executed yearly upgrade of SAP
System Reliability
•
Successfully performed disaster recovery tests
confirming reliability of our Epic, email, and SAP
(used to run Weill Business Gateway) systems in
the event of a major impact
Websites
•
Expanded project services, formalized content
eTime
writing and editing services, and enhanced the
•
user research phases of our standard site build
The new eTime system will allow employees to
process
manage their time and leave requests, and managers
Continued deploying usability services to
enhance business applications
Upcoming Projects for FY17
Weill Business Gateway
•
Develop new BI Report Level III training
•
Create Faculty Salary Funding Report for Budget
and HR Offices
•
the ability to review requests and team calendars.
Currently in pilot, eTime will eliminate the need
for paper time sheets once released to the entire
college.
•
Enhance Affordable Care Act functionality
•
Enable W4 functionality in ESS
•
Enable Commuter Tax Benefit outsourcing
•
Upgrade eTime for pilot users, incorporating their
requests and feedback
Make enhancements to BI Reporting, including
Supplier Relationship Management (SRM) and
Labor reports
•
Implement SuccessFactors Program with new
learning management system, and onboarding
and recruitment-management modules
49
ITS.WEILL.CORNELL.EDU
myApps
A streamlined myApps now allows you to designate
favorite apps that you use frequently, and search for
specific applications easily. myApps, which allows
you to access various WCM applications, is available
at myapps.weill.cornell.edu.
•
•
Introduce Repatriation to WCMC-Q Foreign
•
Make updates to Organizational Structure,
Service Benefits
including:
Complete open enrollment for WCM community
•
Departmental Organizational Structures in
SAP for 17 departments
•
Complete automation for AP Purchase Order
Invoices
•
Attributes Reporting in SAP
•
Create and implement Journal Voucher eForm
•
Structure for WCM-Qatar
•
Enable Life Events functionality in ESS
•
Simplify the project management process
•
Implement Document Management for Pcards
•
Major optimization effort to improve Jenzabar
student information system
•
Complete FI Calendar Year End Activities
•
Pro-Lease Update for Capital Planning
over-budget expenses
•
Fall 2016 WBG Year-End Upgrade
•
Improve WCM Bank Claim Process
•
Enable W2 Functionality in ESS
•
Implement a new interface for Shopping Cart
•
Complete HR Calendar Year End Activities
•
Implement systems controls to prevent posting of
Creation
System Reliability
•
Implement Foreign National Taxes
•
•
50
WCMC-Q NPRP Itemization
Test all SAP components in Disaster Recovery
site
ANNUAL REPORT 2016
•
Expand recovery capabilities of new email
Websites
features
•
•
Begin redesign of weill.cornell.edu site
Perform Business Impact Analysis (BIA) with
select business representatives to determine
critical systems/services and drive more
aggressive recovery times
•
Integrate people, process and technology into
comprehensive, departmental continuity plans
Emergency Info
ITS has worked hand-in-hand
with Environmental Health &
Safety to ensure that everyone
on campus has easy access
to safety information through
our emergency app on every
tagged device, and that users
can be contacted in the event of
an emergency. All faculty, staff,
and students are encouraged to
update their contact information
at directory.weill.cornell.edu to
be connected to our Weill Cornell
Alert system.
51
ITS.WEILL.CORNELL.EDU
Infrastructure Improvements
Our IT infrastructure is comprised of a complex collection of hardware, software, networks, data
centers, and other facilities that support most of the computing services throughout the college.
This year, ITS added additional core technologies
adding almost 500 more wireless Internet access
to improve performance and security, such as
points expanding service to almost the entire
Microsoft SQL Server 2016 and Docker. Our server
campus. We also upgraded over 1,500 phones to our
infrastructure also grew by 197 servers this past
new Avaya IP telephony system.
year. Overall, our operational “uptime” on critical
services – such as file share, email, and Epic servers
On the web infrastructure front, ITS began executing
– remained close to 100 percent year-round.
a Web Modernization Initiative in February 2016. This
initiative will refresh the visual design of many sites,
ITS also made its network more accessible,
and move all publicly-facing WCM websites to our
connecting 10 additional remote office locations
Drupal content management platform. This will help
throughout the New York City area, adding multiple
keep our web properties consistent going forward.
10gb Internet connections throughout campus, and
File Storage
52
Disk Storage
220 million
3 petabytes
Number of files stored on ITS servers.
Users connect to storage 100,000 times
a day.
One petabyte is enough space to store
13.3 years worth of HD video.
Database Transactions
Domain Name System Requests
35.9 million
95 million
Users connect to our many databases this often every
day, making system uptime a top priority for all of our
services.
Every day, our systems handle this many requests to
access various web-based services from devices on
and off campus.
ANNUAL REPORT 2016
Key Accomplishments
Server Management
•
Added support for Microsoft SQL Server 2016
and Docker
•
Added 197 more servers to meet user demands
•
Added Microsoft’s Azure cloud support for “IAAS”
Infrastructure As A Service to protect calendar
and email services in the event of a disaster
•
Maintained 100% uptime on our block storage
services used for mission critical applications
and services, like Epic, email, calendar, Listserv,
database service, virtual server services, and the
new EXaCT-1 whole exome pipeline
•
Expanded block storage service by nearly 50%
compared to the previous fiscal year
•
The chart above shows the
percentage of operating systems
and devices on campus that connect
wirelessly to our services. iPhones
Expanded our virtual servers service by 33%,
are among the most used wireless
adding approximately 200 additional servers
devices on campus while Windows
operating systems dominate our
•
Added 6 more departments to ITS-managed
wired connections.
services, including CRMI, Neurology, Dalio
Institute and Citigroup Biomedical Imaging
Center
53
ITS.WEILL.CORNELL.EDU
Faster Internet
In the last five years, our Internet bandwidth - or
speed - has increased significantly, from about 500
megabits per second (Mbps) to over 3,500 Mbps,
helping you get to web-based resources faster.
•
Decommissioned old data center
•
Completed buildouts for Belfer Research Building
for data networking, wireless, and IP telephony
services throughout 6th, 7th, and 9th floors
•
Simplified patching schedule to weekend hours
once a month to reduce service interruptions
•
solution (WCMC)
•
Central file share upgrade to improve
main campus
•
•
Expanded support for 10 additional remote
offices in NYC area
•
Introduced multiple 10gb internet connections for
improved resiliency and throughput performance
performance and stability
Networking & Communications
Added 486 new Wi-Fi access points, expanding
coverage, speed, and reliability throughout the
Released new version of myApps with improved
stability and new customization feature
•
Retired legacy wireless network (WMC Secure)
and moved onto new enhanced wireless service
Reduced the deployment time of new Virtual
Servers through automation by 50%
•
•
•
Migrated over 1,500 phones from legacy Nortel
System onto the new Avaya system
•
Added over 700 new phones for a total of more
than 4,500. New sites include External Affairs at
Built all-new network at 575 Lexington Avenue’s
850 3rd Avenue, additional floors within Belfer,
data center
new 575 Lexington Avenue floors, and 425 61st
Street expansions on floors 8 and 9.
54
ANNUAL REPORT 2016
•
Completed upgrades on data network supporting
Websites
Library, C-200 and A-950 Auditoriums
•
•
Implemented three major releases of WCM
Completed network infrastructure upgrade
Drupal, our web content management platform,
supporting Oxford building
which included a new universal design using the
Weill Cornell Medicine brand, enhancements to
•
Completed upgrade on core data network
the emergency notification infrastructure, and
supporting all Weill Cornell supported
syndication of Clinical Trials content
metro-Ethernet remote office locations
•
•
to refresh the visual design of many sites, and
infrastructure and affiliated backend components
move all publicly-facing WCM sites to the Drupal
content management platform
System Reliability
•
Replaced three aging data backup systems with
•
Dramatically improved data recovery capabilities
by migrating from backup tape to disk replication
All WCM sites receive centrally-authenticated
security certificates as part of our hosting
one new unified solution with off-site co-location
•
Executed the “Web Modernization Initiative”
Completed upgrades to core wireless
services.
•
Upgraded Nexus Wiki software and hardware,
introducing new features, quicker user
provisioning, and significant performance gains
Always On
Uptime, or the percentage of
time a particular system is online
without unplanned outages, has
been stellar this year. Three of our
major services - file share, virtual
servers, and Office 365 email were available 100% of the time
in FY16, better than our target of
99.5%.
55
ITS.WEILL.CORNELL.EDU
Upcoming Projects for FY17
•
Continue network infrastructure upgrades
throughout campus environment
•
New Windows 10 Virtual Desktops (VDI)
•
•
Deployment of the Box Collaboration Suite
•
Improvement of remote access services
•
Deployment of Microsoft Office Apps for mobile
Automate phone requests and asset
management
•
Rightsize legacy telephone infrastructure with
completion of SIP transition
devices
•
Operationalize VoIP-related incidents
•
Migration from Lync to O365 Skype for Business
•
Add departmental and institutional conference
•
Pilot of Slack group messaging system
•
Migration to O365 version of SharePoint
•
Complete IP phone migration to Avaya system
rooms AV service
•
improved service level agreements (SLAs) with
businesses to reflect new and improved service
capability
and decommission legacy Nortel system
•
Translate operational improvements into
•
Complete wireless access point expansion
Continue transitioning all public-facing WCM
websites to Drupal platform
throughout campus
Website Visits
300,000
250,000
The chart at left shows the
average number of visits per
Number of visits
200,000
fiscal year for our two main
150,000
websites. Weillcornell.org visits
continue to climb; .edu numbers
100,000
have declined as previously
housed functions (such as
50,000
News, Careers, Alumni, and
0
FY13
FY15
FY14
weill.cornell.edu
56
weillcornell.org
FY16
Ways to Give) were moved to
separate websites.
ANNUAL REPORT 2016
Number of visits
Visits to weill.cornell.edu by Browser
Number of visits
Visits to weillcornell.org by Browser
The charts above demonstrate how, over time, Chrome has surpassed Internet Explorer as the
preferred browser for both of our main websites.
57
ITS.WEILL.CORNELL.EDU
Security & Identity
Every month, WCM deals with more than 5 million cyber attacks. Every day, WCM users create
and transfer large amounts of data, much of which is sensitive or confidential. Reducing the risk
of a data breach remains a top priority for our department.
Our newest protection mechanism is the Duo
two months of implementing Proofpoint, we realized
Two-Factor Authentication system required while off
a 70% reduction in the number of compromised
campus (more information on this in “New Services &
accounts.
Tools”). However, security tests and implementations
are a part of every project we initiate.
Additionally, ITS has joined with key leaders in the
creation of a new Security and Privacy Incident
This fiscal year, ITS has touched over 18,500 devices
Response Team (SPIRT), charged with responding
in an effort to encrypt all devices across campus.
to incidents that impact our high-risk data. The
Thus far, we’ve managed to achieve a compliance
team consists of core members from ITS, University
rate of 92%. This is remarkable, especially
Counsel, External Affairs, and the Privacy Office,
considering we only began encrypting desktops in
with a virtual team of 10 primary contacts from
2015. This encryption effort will significantly prevent
representative areas of the institution.
our data becoming compromised in the event a
device is lost or stolen. We have also enhanced our
In the coming year, ITS plans to further promote
email security with Proofpoint, a state-of-the-art
security awareness and remain vigilant about
system that helps limit the amount of spam, phishing,
keeping our systems secure.
and malware sent to users’ inboxes. In just the first
Duo
The Duo Two-Factor
Authentication system makes it
much harder for criminals to break
into your account, even if they
guess your password. You can
register at duo.weill.cornell.edu.
58
ANNUAL REPORT 2016
Key Encryption Statistics
2014
2015
2016
Laptops Encrypted
54% (1,581)
68% (3,234)
94% (3,140)
Tablets Encrypted
75% (1,114)
98% (1,604)
99% (1,758)
Smartphones Encrypted
60% (1,526)
99% (3,202)
99% (4,046)
Desktops Encrypted
--
54% (5,085)
87% (8,396)
Total Devices Encrypted
--
69% (13,125)
92% (17,340)
Key Accomplishments
•
IPM Knowledge Base
•
•
Qualtrics
•
Weill Research Gateway
•
Everbridge Administrators
Encrypted 92% of devices on campus (see table
above)
•
Enhanced email security with Proofpoint,
effectively limiting the amount of malicious email
sent to users with WCM email accounts
•
•
Team (SPIRT) to respond to incidents that impact
Expanded Central Web Logon services to several
WCM’s high-risk data
applications, allowing users to seamlessly log
into an application or website with their WCM
credentials. Applications enabled were:
•
Box
•
VIVO Dashboard
•
Drupal Website Administrators
•
Proofpoint
•
Duo Enrollment
•
LastPass Enrollment
Created Security & Privacy Incident Response
•
Created and updated security-related IT policies,
specifically 11.03 – Data Classification, 11.05 –
SPIRT, 11.13 – Directory, 11.14 – Email Security,
and 12.5 – PCI Policy
•
Obtained Payment Card Industry (PCI) Data
Security Standard version 3.0 Compliance. This
was necessary for WCM to accept credit card
59
payments for various transactions.
•
Engaged a third-party vendor to conduct a
penetration test of our environment; including our
patient portal, Weill Cornell Connect
ITS.WEILL.CORNELL.EDU
Proofpoint
During its first six months of use, Proofpoint blocked
75% of over 69,000 emails containing malicious
links, and delivered 13% of those emails with
added protection. Additionally, the system blocked
99% of about 365,000 emails containing malicious
attachments.You can manage your spam and
senders by visiting antispam.med.cornell.edu.
Upcoming Projects for FY17
•
Upgraded FairWarning system, which provides
alerting and reporting of anomalous activity in
Epic
•
Worked with the Center for Reproductive
•
Security Awareness campaign
•
Epic Breach Detection Alerting Improvements
•
NIST Cybersecurity Framework Assessment
•
Enhance login experience for many WCM
applications
Medicine to monitor their electronic medical
record audit logs similar to Epic
•
•
•
Replacement of antivirus software with
next-generation technology
Improved security software patching updates to
address major vulnerabilities more quickly
•
Improve disaster recovery response capabilities
Issued new domain name policy through the
•
Separate network for researchers
•
Simplification of WCM wireless networks
•
Increase security for access to WCM applications
Web Governance Committee, which will help
institutional websites consolidate around a more
standard URL structure
with network access control and two-factor
authentication
60
ANNUAL REPORT 2016
Responding to
attackers
In May, ITS led a table-top exercise
with Verizon Enterprise Services to
test the effectiveness of our response
plan. The exercise included a mock
incident where law enforcement
contacted ITS about suspicious
traffic on the WCM network. The
exercise, which walked through
the entire lifecycle from reporting,
detecting, remediating, and closing,
involved a contractor’s laptop which
was compromised and contained
sensitive data from a researcher’s
database. The exercise was a great
success with high participation, and
the plan has proven effective in actual
incidents since this exercise.
61
ITS.WEILL.CORNELL.EDU
How We Support Services
Our Project Management Office (PMO) and Client Services team work hand-in-hand to launch
and support hundreds of projects and services a year. Each year, we press to improve these
services to help faculty and staff work faster and more efficiently.
Average Number of Days to Charter a Project
60
52
50
45
35
40
26
30
20
New Projects in FY16
449
The number of projects ITS handles continues
to increase over time, with 339 projects on our
plate just two years ago. In FY16, 250 of these
10
0
FY13
FY14
FY15
FY16
The average amount of time to charter a project from
projects were launched, with the rest still in
progress.
the day it is submitted has been reduced by a quarter,
which expedites the overall service launch.
Gartner PPM Maturity Model
Planned vs. Actual Project Duration in Days
People
300
250
3.1
Relationships
Technology
2.8
3.8
196
200
150
158
111
115
100
3.3
Process
3.1
Finance
50
0
The Gartner Project & Portfolio Management Maturity
Model has five levels of increasing maturity on a scale
of 1-5, with 5 being the most innovative. Our PMO
62
FY15
Planned Project
Duration
FY16
Actual Project
Duration
improved its rating since last year, which is now an
Within a year, the PMO increased its planning and
overall score of 3.1 from 2.9.
execution efficiency by 50% on large projects.
ANNUAL REPORT 2016
The work doesn’t end once a new service is launched. Our Service Desk works day in and
day out to help you when you have questions about how to use a service, or when you need a
technician to troubleshoot an issue.
Call Abandonment Rate
An abandoned call is one where the caller hangs up before connecting with a Service Desk technician. Call abandonment
rate is the number of abandoned calls divided by all calls received by the Service Desk. Since 2013, ITS has significantly
improved this rate, surpassing our benchmark of 5%.
Abandonment Rate
16%
15%
Call Abandonment %
14%
12%
10%
8%
8%
6%
4.90%
5% Benchmark
4.40%
4%
2%
0%
2013
2014
2015
2016
5,274
2.7
Average Calls
Days to Connect
The Service Desk takes in more than
A technician can connect your device,
5,200 calls every month on all of our
such as a computer or phone, within
supported services.
3 days, a huge improvement from 12
days two years ago.
63
ITS.WEILL.CORNELL.EDU
2016
Physician Organization Information Services
Adam D. Cheriff, MD
Weill Cornell Physician Organization
8/23/2016
Table of Contents
Contents
From the Chief Medical Information Officer ________________________________________ 1
Executive Summary __________________________________________________________ 2
POIS: Structure and Administration ______________________________________________ 4
Ambulatory EHR and Practice Management _______________________________________ 6
System Integration ___________________________________________________________ 8
Web Presence and Portal _____________________________________________________ 11
Analytics, Quality, and Decision Support _________________________________________ 13
Academic Productivity ________________________________________________________ 16
From the Chief Medical Information Officer
Pg. 01
From the Chief Medical Information Officer
Health information technology is foundational to the success of Weill Cornell Medicine. The
Physician Organization Information Services Division (POIS) provides sophisticated health
information systems and services to support the clinical operations of the Weill Cornell
Physician Organization. Technologies are implemented to improve the quality and safety of
care, enhance both the patient and caregiver experience, and achieve greater efficiency and
cost effectiveness.
“Health
Information
Technology
should be a
foundational
element to
support the
missions of
Weill Cornell
Medicine.”
Clinician-led, POIS strives to continually optimize work-flow via its implementation of the
Electronic Health Record and Practice Management System. Our IT systems are deployed to
facilitate growth and improve patient access. We strive to minimize complexity and achieve
tighter integration with our partners and affiliates.
This annual report summarizes the activities of POIS in Fiscal 2016. It serves as an inventory
of key accomplishments and provides statistics that depict the scope and scale of our
activities.
Moving forward, our emphasis will continue to be on technologies that transform the way that
care is delivered. We will focus on analytic tools that help us more cost effectively manage
patient populations and support new scientific discovery. Enhancements will be made to the
Electronic Health Record that allow our clinicians to make use of increasing amounts of
genetic data in order to improve treatment precision. A broader suite of patient self-service
tools will be implemented to improve patient engagement and access to our services.
Adam D. Cheriff, MD
Chief Medical Information Officer
Associate Professor of Clinical Medicine and Health Policy and Research
Weill Cornell Medicine
Executive Summary: FY2016
Pg. 02
Executive Summary: FY2016
Each year, POIS executes on hundreds of projects to support the goals and objectives of the
Weill Cornell Physician Organization. The following executive summary highlights the key
accomplishments for each objective.
Objective 1: Use Information technology to promote PO growth
and optimize point-of-care operations
The primary activity of POIS in the past fiscal year was EHR and practice
management deployments and system optimizations to increase efficiency and staff
and faculty satisfaction.
•
•
•
•
4 new WCM practices and 10 new WCPN practices were implemented on the
Epic EHR and practice management system
109 practice-specific EHR optimizations were completed, focused on clinical
care
110 revenue cycle enhancement projects were completed to improve billing and
collections
41 practice management optimizations were completed to improve front desk
efficiency and/or patient access
Objective 2: Enhance tools to support population health and
value-based care
The shift to value-based reimbursement continued this past fiscal year, with the
support of several critical IT projects.
•
•
•
•
Created payer-specific registries for Aetna, Cigna, Empire, United, Emblem,
and Medicare with 230 quality metrics to support pay-pay-for-performance and
shared savings programs
Deployed two predictive models within EHR for use by clinicians and care
management: risk of hospital utilization and Charlson co-morbidity index
ACO quality metric performance was enhanced via the implementation of
several new decision support rules and custom documentation tools
Implemented a new e-COMPetency reporting tool to monitor adherence to EHR
usage standards that promote high quality, collaborative care
Objective 3: Improve care quality via increased system
interoperability
System interoperability and decision support tools continued to mature in the past
fiscal year, giving providers robust point-of-care tools to facilitate patient care.
•
•
•
Widespread adoption of Epic’s native health-information exchange platform
(Care Everywhere) resulted in the exchange of over 200,000 WCM patient
records across 49 states
A proof of concept was completed for integration of sequencing data from the
Genomic Information System to the Epic EHR
Several clinical and revenue cycle interfaces were implemented between Epic
and radiation oncology
Executive Summary: FY2016
Pg. 03
Objective 4: Improve the patient experience by implementing
patient engagement and self-service tools
Improving the patient experience was a major focus of FY2016. Several technologies
were implemented aimed at enhancing patient satisfaction.
•
•
•
•
WeillCornell.org underwent a major re-design with improved provider and
practice profiles
Weill Cornell Connect patient enrollment exceeded over 170,000 active patients
Online scheduling functions were implemented for over 200 WCM physicians
(including integration with ZocDoc) resulting in over 16,000 online appointments
A new online second opinion platform was implemented on WeillCornell.org
Objective 5: Use information technology to support compliance
with regulatory mandates
In FY2016, several challenging regulatory requirements were met via information
technology projects.
•
•
•
The ICD-10 conversion was implemented with minimal disruption to provider
productivity and revenue cycle operations
Electronic prescribing of controlled substances (EPCS) was successfully
implemented
435 providers successfully attested for 2015 Meaningful Use, earning
approximately $1.2M in incentives
POIS: Structure and Administration
Pg. 04
POIS: Structure and Administration
The information services team that supports the PO is a dynamic group of individuals that
combine deep technical expertise with significant domain and institutional knowledge. POIS
collaborates closely with other administrative and clinical business units within the Medical
College.
Summary of Table of Organization:
Office of the CMIO
Informatics
Ambulatory
Systems
Data
General
Systems
Integration
Warehouse
Admin.
Operations
Projects
Revenue
Cycle
Data
Dictionary
Projects
Develop.
POIS: Structure and Administration
Pg. 05
Key Personnel:
Travis Gossey, MD
Medical Director
Aurelio Gracia
Director,
Amb. Systems
Mark Israel
Director,
System Integration
Key Statistical Snapshot:
Metric
FY 2016
Total ’15-’16 allocated budget:
$27M
Totally revenue and recoveries (expected):
$6.0M
Total POIS staff:
104
Total current vacancies:
6
New Hires:
9
Departed Staff:
10
Annual staff attrition rate:
9.6%
Total ITS FTEs funded by Physician
Organization:
23
Maggie Qiu
Assoc. Director,
Data Warehouses
Ambulatory EHR and Practice Management
Pg. 06
Ambulatory EHR and Practice Management
The Ambulatory Electronic Health Record and Practice Management System (Epic) are the key
work-flow engines for all of our ambulatory practices. These systems automate virtually every
aspect of the patient-provider interaction including patient registration and scheduling, visit
documentation, order and review of diagnostic tests and procedures, referrals and provider
communication, and revenue cycle management.
Accomplishments:

A total of 324 projects were completed (↑ 40.9% over last year)
o
14 New Epic Implementations (10 WCPN and 4 WCM)

o
110 Revenue Cycle Projects

o
Chemotherapy & Office Administered Medication Workflow Optimization
for Hematology/Oncology, Documenting Medication Waste for the IBD
Practice, DSRIP Program for NYP Pediatrics, Asthma Action Plan for
WCM Pediatrics, 42 Epic Department Level Moves/Splits to Account for
Expansion, Activated 10 Departments on the NYP Lab Orders Interface
29 Operational (System Enhancement) Projects


New patient visits via WeillCornell.org, Glucometer Integration, Configured
the Haiku and MyChart Epic Applications for the Apple Watch
109 Practice Optimization Projects

o
VA Onboarding for Care Everywhere, Stage 1 & 2 providers registered
and attested, MU compliance reporting (Year 1, 2, 3 and 4), Care
Everywhere Auto Query, MU compliance audits
7 Portal Projects

o
20 online scheduling related department initiatives, Automated Patient
Alerts (Televox/West) for Emergencies at WCM Locations, Patient Wait
Time Tracking, Standardization for Canceling Appointments, Automated
Faxing Solution for WCPN Departments
14 Meaningful Use Projects

o
ICD-10 Implementation, Implementation of “Global Credit Solutions
Collections Agency” for International Collections, Optimized Workflows
Around Experian Return Mail Process, Provider Audit Workflow (MD Audit)
Optimization, Appointment Interval Logic Optimization to Reduce Denials
41 Practice Management Projects

o
Radiation Oncology at Stich Radiation Center & 21 West Broadway,
Integrative Health at East 80th Street, Lung Center at Starr Pavilion,
OB/GYN at Lower Manhattan (LoMa), Horizon Medical, Cardiology at 186
Joralemon Street (Dr. Niki Kantrowiz), Cardiology at Sunrise Medical (Dr.
Gina Day), Gastroenterology at 5 Station Square, Forest Hills (Dr. Patrick
Basu), Gynecology at 186 Joralemon Street (Dr. Jaquelline Perlman),
Urology at 186 Joralemon Street (Dr. Alfred Winkler), Urology at 108-28
68th Drive, Forest Hills (Dr. Edward Moss),
EPCS compliance with NYS mandate to electronically prescribe controlled
and non-controlled medications, User Security Update to Reflect the
Scope of Practice Standardization, Configured Epic’s ‘Lot Manager’
Activity to Improve Immunization Documentation, Facility Administered
Medication Workflow Optimization, Training Playground Implementation
91 system maintenance updates/patches (↑ 54.2% over last year, mainly due to a major
system upgrade)
Pg. 07
Ambulatory EHR and Practice Management
Key Statistical Snapshot:
Metric
FY 2016
Annual Trend
Support tickets closed:
57,811
↑ 8.9%
Cases resolved within one business day:
62.5%
(goal of 70%)
Epic development/configuration items
migrated to production:
5,733
↑ 14.3%
Quality assurance testing/audit hours:
3,991
↑ 39.0%
Epic Ambulatory users trained:
2,563
↓ 9.9%
Epic PM users trained:
1,429
↑ 5.6%
1,224
858
7,657
↑ 10.2%
Active Epic users :
Attendings:
House-officers:
Total:
System Integration
Pg. 08
System Integration
Our systems only achieve their maximum potential when they are connected via seamless
information flow. The Integration Team implements and supports hundreds of interfaces
between a myriad of institutional systems. The EHR must send and receive a wide variety of
clinical and administrative data in order to support work-flow. As health information exchange
standards have matured, we have achieved more sophisticated integration with our partners.
The latest integration projects have begun to make use of new modern APIs and web services
for data exchange.
Accomplishments:
Interfaces
The Epic EHR
interfaces with
dozens of
clinical and
administrative
systems.

9 Newly Implemented Clinical Interfaces:
o Genetic results interface (Counsyl) to Epic EHR
o Radiation oncology procedure notes (Mosaiq) interface to Epic EHR
o Pulmonary function testing result interface (Vmax) to Epic EHR
o EKG (Westchester campus) result interface to Epic EHR
o Epic care management visit notes interface to iNYP data repository
o Facility Identifier for 340B Drug Pricing Program interface to SureScripts
o Electronic prescriptions for controlled substances interface to Surescripts
o Citywide Immunization Registry interface to Epic EHR
o Epic EHR orders to radiology scheduling management system (Medicalis)

7 Newly Implemented Practice Management Interfaces
o ZocDoc online provider availability and scheduling to Epic PM
o Mosaiq appointment interface to Epic PM
o Mosaiq (Lower Manhattan) charge interface to Epic PM
o Registration interface for EKGs (Westchester campus) to Epic PM
o Charge interface for EKGs (Westchester campus) to Epic PM
o Laboratory (Helix) charge interface to Epic PM
o 4 registration conversions to support WCPN initiative

111 Operational/Development Enhancements:
o Upgrade of Corepoint Integration Engine
o Transition of all interfaces from ICD-9 to ICD-10
o Migration from Sharepoint to ServiceNow for Project Management
o Implementation of Epic mobile application for interface monitoring
o 107 projects/tasks related to general operations including ongoing roll-out of
electronic lab orders interface, conversion and new implementation of inpatient
charge-capture super-bills

825 Interface-related support tickets closed
System Integration
Pg. 09
Health Data Exchange

Care Everywhere
o Expanded use of Care Everywhere to inpatient setting to allow for clinical record
exchange in Epic for hospitalized patients

Direct Messaging
o Direct messaging protocol being used to replace faxed pharmacy benefit
management patient safety notifications

Healthix
o Collaborated with Healthix to create a prospective authorization consent form that
will allow patients to authorize sharing of Weill Cornell data
Data Dictionaries, Data Quality, and Content Management

TruData:
o Maintained and sustained mappings and data dynamics for 20+ entities with
additional content added:
 Added 5,520 new procedures, committed 2,531 new local mappings.
 Added 14,887 new result components, 8,019 committed LOINC
assignments
 Added 310,077 local laboratory, radiology, clinical attributes.
 Added new concepts, synonyms, and transformations/relationships.
 Captured/audited 151,442 changes
 Maintained most recent controlled vocabularies – LOINC, SNOMED,
CPT/HCPSC, RXNORM, NDC
 Maintained and sustained vaccine and manufacturer codes and related
mappings
o Enhanced data dictionary functions to improve information management within
EHR:
 Developed and launched electronic search capability for CMS, AMA, and
CDT vocabulary contents
 Added/fixed Athena, Esoterix, Enzo and Mayo reference labs to web
crawler engine
 Expanded gene marker disease-based classification in results hierarchy,
covering ~1,200 gene/LOINC concepts
 Expanded results hierarchy to 62,300 conceptual nodes, covering 71,000
local result components
 Expanded SNOMED assignments to ~8500 for local organisms
 Tumor Type/Site/Gene SNOMED and LOINC assignments for Precision
Medicine

Master Provider Index:
o Added ~62,000 new NPI provider records.
o ~28,000 providers exported and incorporated into Epic
o Developed and implemented framework for incorporation of taxonomy contents
o Enhanced efficiency in MPI discrepancy detection, data processing, and reporting
o Enhanced insurance participation web application to include search by department
System Integration
Pg. 10

Master Files/Dictionary Support and Maintenance:
o Quarterly/annual RVU, CPT/HCPSC, SNOMED updates
o Monthly/annual Meds/Medispan/RxNorm updates
o Diagnosis code 2015-2016 upgrades (IMO, ICD-10, and ICD-9)
o Implemented Intelligent Problem List groupers
o Conversion of immunization/vaccination model aligning with CDC codesets
o Maintained NDC and HCPCS/CPT crosstalk mappings for billing
o Developed comprehensive summaries pertaining to patient data quality/identity,
and related activities by departments, users, and interfaces

Managed-Care/Enrollment:
o Upgraded Intellicred/Webview to version 14.238, addressed bugs and fixes.
o Upgraded webserver Coldfusion to version 2016
o Added and tracked new facilities: Oxford Metro/Core/Charter, Amida Care, and
WellCare Health Plans
o Converted all relevant reports from Cognos to Crystal, conforming to WMC
reporting infrastructure
o Established process and interface to enumerate provider insurance participation
for Pagoda/POPS
Key Statistical Snapshot:
Metric
FY2016
FY2015
Prescriptions transmitted electronically:
1,027,815
821,633
Electronic pharmacy benefit queries:
1,484,043
1,629,984
Electronic lab orders:
1,354,529
1,137,521
Electronic radiology orders:
150,987
135,326
Web Presence and Portal
Pg. 11
Web Presence and Portal
As is the case with most other sectors, consumers look to the web to access health information
and services. POIS maintains our web-based directory of clinical services and physician
profile system. Over 178,000 patients have enrolled in Weill Cornell Connect and are
accessing personalized clinical information and self-service tools that allow for appointment
scheduling, secure messaging, referral and prescription requests, and bill payment.
Accomplishments:
WeillCornell.org

Institutional Portal:
o Redesigned the web site, the first Weill Cornell site to implement the new Weill
Cornell Medicine brand. The new site includes:
 A responsive design that is mobile and tablet friendly
 Newly designed home page, physician and practice profiles, and
clinical services pages
 Integration of patient-focused events with the institutional events
calendar system
 Creation of news pages and a news archive
 Inclusion of patient stories produced by External Affairs
 Links to official WCM social media outlets
o Launched integration of Epic’s Open Scheduling in physician profiles
o Created physician profiles for Voluntary Faculty
o Integrated the Second Opinion platform by Grand Rounds
o Completed web site updates in support of the new digital marketing campaigns

POPS:
o Expanded the profiles to include new features, including:
 Embedded video links and additional photography for physicians and
practices
 Frequently asked questions
 Downloadable files and PDFs for brochures, patient forms, and similar
content
 Patient testimonials for practice profiles
 Re-introduced practice hours
o Expanded our data interface with Faculty Affairs to autonomously manage
voluntary faculty data for those physician profiles in WeillCornell.org
WeillCornell.org Visit Statistics, Fiscal Year 2015/2016 Comparison
FY 2016
FY 2015
Visit Category
(Google Analytics)
(Google Analytics)
Total Sessions
3,277,871
3,094,394
Unique Visitors
Return Visitors
Average Visits per Day
Average Visit Duration
International Visits
Visits of Unknown Origin
Visits from Your Country: United States
1,566,466
1,773,390
8,981
00:02:07
3.96%
0%
96.04%
1,504,405
1,589,989
8,478
0:01:43
4.35%
0.05%
95.60%
Web Presence and Portal
Pg. 12
Top 7 Traffic Sources by Channel
Source
Sessions
% Sessions
1
Organic Search
1,879,789
57.35%
2
Direct site access
857,511
26.16%
3
Referral (linked sites)
532,676
16.25%
4
Social
7,575
0.23%
5
(Other)
180
0.01%
6
Paid Search
100
0.00%
7
Email
40
0.00%
Weill Cornell Connect



Optimized online scheduling for pediatrics and various other adult specialties
Implemented services for the Apple Watch
Implemented on-line scheduling from Smart Phone Applications
Key Statistical Snapshot:
Metric
FY 2016
FY 2015
FY
Total active physician on-line profiles:
2,477
1333
126
Total active practice on-line profiles:
327
296
320
Total patients enrolled in Weill Cornell Connect:
178,000
130,000
85,0
Average monthly enrollment of new WCC patients:
5,330
3,538
2,48
Activation rate (percentage of patients who use
system access code):
69.9%
59.0%
53.3
Unique providers offering online scheduling:
Direct (existing patients via WCC):
Open (new patients):
Total online appointments made:
All
206
116
16,004
-
Analytics, Quality, and Decision Support
Pg. 13
Analytics, Quality, and Decision Support
The majority of our core IT systems have been implemented and are being used effectively to
capture vast amounts of data. We now need to effectively use our data to deliver the highest
quality care in the most cost effective manner. Clinical data from the EHR is a critical resource
for ongoing scientific discovery. The Reporting Team manages our data warehouses and
business intelligence tools.
Accomplishments:
Data Warehousing




















Installed “Epic Slicer Dicer” reporting tool for end-user ad-hoc reporting within Epic
Piloted United Health Care Epic data extraction for quality metrics
Upgraded SAP Business Objects environments to version 4.1
Imported ACO claims data into Epic Cogito Data warehouse
Implemented Epic predictive risk model for unplanned hospitalizations and ED visits
Implemented data extraction from Epic to NYP’s Humedica data warehouse
Extracted Epic data into ITS research data environment
Extracted Epic data into i2b2 (cohort identification) environment
Implemented Physician Practice Dashboard in Epic
Implemented ACO Registry within Epic
Implemented 5 custom Payer Registries within Epic to track quality metrics
Extracted Epic data into Health Endeavors for ACO reporting
Created tool set to facilitate bulk patient communication via Weill Cornell Connect
Upgraded Epic Clarity environment to 2015 version
Upgraded Epic Data Warehouse environment to version 12
Established Epic Clarity disaster recovery plan
Completed ICD 10 related report conversion
Implemented data transfer from Epic Clarity to Department of Anesthesiology for billing
reconciliation
Implemented Pediatric DSRIP registry
Updated Patient Access data extractions from new phone system and Press Ganey
Analytics and Reporting

Institutional Quality, Operations, and Regulatory Reporting:
o eCompetency report
o ACO Physician Score Card Report
o Meaningful use stage I & II reports
o ePrescribe Control Substance Exception Report to NY State
o Online scheduling frequency report
o Scope of practice order monitoring reports
o ACO Care manager productivity reports
o Emblem Diagnose report
o AMGA hypertension management report
o Aetna bulk release of information reports
Analytics, Quality, and Decision Support
Pg. 14
o
o

Pay-for-performance reports for Aetna, Emblem, and Empire
Patient-Centered Specialty practice reporting for Department of Ophthalmology
Department/Division Reporting:
o Created 86 + departmental/divisional clinical and practice operations reports

Academic Departments/Divisions Serviced: Radiology, Primary Care,
Medicine, Marketing, Cardiology, Ophthalmology, Neurology and
Neuroscience, NYP – CAN, ENT, WCIMA, Pediatrics, Surgery, WCCC,
Dermatology, CT Surgery, NYP Emergency Medicine, WCPN, NYP
Finance, Center for Advanced Digestive Care, Pediatrics
Hematology/Oncology, Cardiothoracic Surgery, Psychiatry, Neurological
Surgery, Adult CSS, NYP Team Graphite, OBGYN, Rehabilitation
Medicine, Public Health, Geriatrics

Research Reporting:
o NIH Precision Medicine Grant reports
o Medicine – Infectious Disease – ACTG A5332; Infectious disease – CCTU Monthly
Visit report; Infectious Diseases - MCA-0866 Study Screening Report; Infectious
Disease - HABIT One Time Screening Report; B1481022 Cholesterol Study;
Infectious Diseases - HIV screening study; Marfan Registry; Heart Failure Report;
Endocrinology - Exlard Study Report; Pulmonary – COPD; Gastroenterology Outpatients Diagnosed with Cholecystitis or Cholelithiasis; Cardiology - EP
Syncope; Adult IBD Patients Seen at WCMC/NYP
o Radiology – Bypass patients who have coronary CTA
o Neurology –Neuroscience - ICD9 and ICD10 Codes;
o Ophthalmology – CHAN EUA Visits from 2002 thru 2010;
o NYP - Stimulating Factor (GCSF) for Febrile Neutropenia
o WCIMA - Readmissions Study November 2015
o Otorhinolaryngology - Methicillin Resistant Staphylococcus Aureus Abscesses of
the Head and Neck
o Urology - Klinefelter Syndrome Patients
o Pediatric – Neurology - Headache Disorder Cohort; Nephrology - Nephrotic
Syndrome; Infectious Disease - CMV Infants with Congenital Infection; Neurology Concussion Report; Endocrinology - Vitamin D 25-OH Levels in Pediatric
Endocrine Patients
o Public Health - Metformin Persistence Study
o Dermatology - AKs in Organ Transplantation

Practice Management Analytics:
o Training and Support
 Trained 80 new Cognos users (351 active Cognos users)
 Trained over 40 end users on Epic reporting workbench
 Conducted 9 training webinars with 210 participants
o Cognos development
 Developed 2 new cubes with an additional 30 Practice Management
metrics
 Developed 4 new metrics in existing cubes
Analytics, Quality, and Decision Support
Pg. 15



o
Developed a new dimension for regional and locational reporting in all
cubes with over 80 practice management metrics
2,268 active patient access or revenue cycle based reports are live
 967 automated reports are scheduled and automated
33,000 dashboards and report files are generated for the clinical
departments and the PO via 10 dashboards/snapshots templates
Reporting
 40 new Epic Reporting Workbench reports were developed and published
for the Clinical departments and the PO
 1 New Epic Radar dashboard published for Epic practice management
 Over 600 reoccurring and/or ad-hoc SQL and miscellaneous reports were
developed for the Clinical departments and PO that generated over 4,000
data files
Clinical Decision Support (CDS) and Population Management Tools








Created payer-specific registries for Aetna, United, Empire, Cigna, Emblem and Medicare
with 230 quality metrics to support pay-for-performance and shared savings programs
Created new decision support rules and customized documentation tools to support ACO
quality metrics of falls screening, depression screening, and body mass index screening
Updated ACO registry to track performance for updated 2016 ACO quality measures
Enhanced suite of Epic documentation tools for care management
Deployed two predictive models for use by clinicians and care management: risk of
hospital utilization in the coming year and Charlson co-morbidity index
An updated version of the imaging decision support tool has been implemented in
collaboration with Epic, Medicalis and Department of Radiology. Pilot deployments will start
in September 2016
Completed a major overhaul of our immunization setup, enabling use of more accurate
decision support for projecting vaccinates schedules
Added HCC coding designation to diagnosis search feature in Epic to assist with risk
adjusted coding
Key Statistical Snapshot:
Metric
FY 2016
FY 2015
Supported ACO quality measures via Epic
15
15
Empire shared savings:
$2.3M
$1.1M
Meaningful User attestations:
435
422
Meaningful User incentive dollars:
$1.2M*
$2.1M
*Per-provider incentives fall every year of program
Academic Productivity
Pg. 16
Academic Productivity
At Weill Cornell, we do not make a distinction between information technology and informatics.
Five physician informaticians lead the information services division. In addition to rendering
clinical care, the physicians contribute to the research and education missions of the Medical
College.
Accomplishments:
 POIS Faculty Co-authorships:
o McEvoy DS et al [Malhotra S, 24 authors]. Variation in High Priority Drug-Drug
Interaction Alerts Across Institutions and Electronic Health Records. Accepted
JAMIA 2016
o Ip IK, Lacson R, Hentel K, Malhotra S, Darer J, Langlotz C, Weiss A and
Khorasani R. Predictors of Provider Response to Clinical Decision Support:
Lessons Learned from the Medicare Imaging Demonstration. 16-16373R1.
Accepted in American Journal of Roentgenology
o Malhotra S, Cheriff AD, Gossey JT, Cole CL, Kaushal R, Ancker JS.. Effects of an
e-Prescribing interface redesign on rates of generic drug prescribing: exploiting
default options. J Am Med Inform Assoc. 2016 Feb 17

Ongoing POIS Faculty Research Projects:
o Key Personnel for grant application and study design of Precision Medicine Cohort
Initiative
o Deployment of risk scores based on big data in electronic medical record systems
o Imaging Decision Support research- multi-institutional analysis and reporting of
data related to MID. 1) Validation of Physician order entry veracity 2) Rate of nonactionable alerts with CDS 3) Effect of local practices that may conflict with
national guidelines

Education/Teaching:
o One of our faculty members is the Course Director for the “Healthcare Quality and
Informatics” course being taught as part of the Masters in Health Informatics
program
o Faculty and staff participated in Weill Cornell HIT Certificate Program and Masters
program curriculum
o Our faculty members are mentoring students for Masters level theses on clinical
informatics projects
o Medicine residents rotate at POIS as part of an elective rotation and are instructed
in applied informatics methods and theory
o Faculty mentorship of Department of Medicine residents for research projects