War i. In november of 1918 the people of combat nation felt relief that the years of warfare and death were over. Yet another threat to life was reaching across the nations into homes and schools and hospitals, the flu. Influenza pin democrat 1918 killed more people worldwide then killed in combat in the war. Many records housed in the National Archives here in the Washington Area and many other field locations, documents this effort break in the United States and writers reports, books, telegrams show the reach of the 1918 influenza epidemic to all parts of the nation. These records opena a window oo the world of 101 years ago and show us the human and societal cost of the pandemic. They allow us not only to look back at times but perhaps also to look ahead. As thepa information may help guide present inquiries and increase our understanding of the disease. Doctor jeremy brown is an emergency physician and was a Research Director in the department of emergency medicine at the George W
Centennial of world war i. In 1918, the people of combatant were relieved the fear of war was over. Yet another threat to life was reaching across the nation into homes and schools and hospitals, the flu. The influenza pandemic of 1918 killed more people worldwide than killed during combat during the war. Many records housed in the National Archives in the Washington Area and other many field locations document this outbreak in the United States, letters,reports, patient records, books, telegrams show the reach of the 1918 influenza epidemic to all parts of the nation. These records open a window to the world 100 years ago and show the human and societal cost of the pandemic. They not only allow us to look back in time, but look ahead to the information they contain may help guide present day inquiries and increase our understanding of the disease. Dr. Jeremy brown is an emergency physician and was the Research Director in the department of emergency medicine at the George Washington u
Starters. I maybe lead you to the fourth ring, next to the last on the right, and that 21 systems were consolidated that bring wave one of epic to life. Thats important because thats a really large number of systems. Its also important because it speaks to our readiness in the coming year to decommission those systems, which has been part of our financing plan. So what did we implement . I think you have all sat through several briefings. Across the top row of items is our traditional electronic charting infrastructure, the support systems like lab, pharmacy, radiology, how we handle the revenue cycle, as well as scheduling. The first one on the bottom is Health Information exchange which may not have come to mind. Thats the bidirectional sharing from and to our organizations and others. As a result of epic, we are now part of an Industry Consortium of two or three dozen other organizations that make Electronic Health records. We all agree we are able to share information with one anot
Did i answer all your questions . Im curious to know more about the data you plan to gather, when you feel you might have some results. And again, whether you feel there will be barriers in terms of staffing and actually physical placement that might slow down your progress. So i think what youre getting at with the whole person care funding ending in 2020 and our target date to open the Homeless Health resource center, which will be the clinical home or hub of whole person integrated care, that will be in late 2021, so within the next year. I mean, what this really does is it i dont want to overuse the word foundational, but it lays the foundation for us to be working together across Clinical Services to determine what the need is for people showing up to urgent care repeatedly, but they might have one of the Street Team Members or the hot case manager working with them. What it does is brings people together to develop a care model so that theyre actually coordinating care for these
Of the Civil Service roles as you do with the normal the ones that take 253 days. When you do that, that one youve got to get the approvals, post it, then theres an appeal period, then you have an exam, then theres an appeal period and all of that with the exam. You can speed all of that up. To do that we would have to get approval of the d. H. R. And the union. I think they would understand. I would say the other possibility is what is called a Civil Service exemption 12, which is an expert. So we did that with i. T. We now hire some of our i. T. Staff under the Civil Service exemption which is a 12. We hired the project manager in h. R. Hired on average everybody in six weeks using the epic hire using category 12s and category 18s. I would say if you want the speed of hiring for Something Like this, i would go with Civil Service exempt positions, work it out with d. H. R. And the union. The lean process improvement, thats going to take a while. We dont control a lot of whats going to