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The University of Chicago Medical Center (UCMC) is a not-for-profit corporation based in Hyde Park on the campus of the University of Chicago. The Medical Center offers the full range of specialty and primary care services for adults and children, as well as serving as the training center for the Pritzker School of Medicine, a private professional school within the University's academic division of the Biological Sciences that is one of the nation's premier medical schools. UCMC physicians are not only members of the University of Chicago Physicians Group (UCPG), which includes more than 700 physicians and covers the full array of medical and surgical specialties, but also faculty members of the Pritzker School of Medicine. The Biomedical IT group at UCMC provides traditional IT services (including database services, Web development, integration and Web services/SOA implementations, among others) for both the Hospital-based clinical faculty and University-based research faculty. They were tasked with finding a way to improve the efficiency of the hospitals outpatient services, as well as the delivery of the results of those services to researchers.
staff, the XVC automatically negotiated policy with the SecureSpan Gateway, eliminating the need to code security, compliance and SLA requirements into UCMCs client applications.
The Solution
With the Layer 7 SecureSpan Gateway in place to ensure HIPAA compliance by properly authorizing and authenticating users of the system, physicians can log on and order mammography tests for their patients. Once the tests have been run, the HL7 data feed from the radiology clinic is normalized to a standard SOAP-based XML data stream and input into the mammography service. This conversion process has the added benefit of making it easier to trigger workflow to ensure results are streamlined through the system and passed back to the requesting physician, and a follow-up notification is sent in a timely manner to the patient. For the university researchers, UCMC built an Honest Broker application that strips out specific patient details (for HIPAA compliance) to ensure patient data remains confidential. Once a researcher registers with Honest Broker they can obtain pathology results using the same services that generate results for the requesting doctor. Here, the Layer 7 Gateway ensures QoS by rejecting bad queries, and/or throttling datasets by enforcing limitations on data query size to prevent the system from being overwhelmed.
The Results
Overall, the quality of clinic care has measurably improved, while the time to process patient records and make them available for research has dramatically decreased. By automating their mammography service, the clinic is now able to process more patients in the same amount of time, increasing patient satisfaction by decreasing wait times. Automating the input of patient and radiology data has reduced error rates by 30-40%, providing researchers with far more accurate data. Finally, UCMC was able to deliver the project on time and within budget by reusing the same IT infrastructure for both their clinical and research divisions.
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