Robert E. Murphy, MD
2203 Drake Falls DrivePearland, TX77584
Home: (713) 436-0474
Mobile: (713) 806-9629
E-mail: / Memorial Hermann Healthcare System
9401 Southwest Fwy, Ste 1022
Houston, TX77074
Work: (713) 448-6339
E-mail:
PROFESSIONAL EXPERIENCE
MEMORIAL HERMANN HEALTHCARE SYSTEM, Houston, TXJanuary 2005-present
Memorial Hermann is the largest not-for-profit healthcare system in Texas, with nine acute care hospitals in the Houston and Southeast Texas region. The system has 19,012 employees and5,508 physicians, including active medical staff and physicians-in-training.
Medical Director,Information Systems Division [ISD]January 2005-present
Charged with developing enterprise-wide strategies for adoption of electronic medical records and clinical information technologies. Leading specific efforts on computerized physician order entry, clinical decision support and online physician documentation.
- Facilitated multi-disciplinary system-wide joint application design sessions for the Advanced Care4 e-Ordering project (computerized provider order entry using Cerner Millennium).
- Supervised creation of 150+ evidenced-based order sets using Zynx Author Space to support the e-Ordering project.
- Chaired System Medical Informatics Committee [SMIC], meeting monthly with 35+ physician members from across the system. The SMIC provides the highest level physician involvement with recommendations on ISD strategy and capital priorities, design, process and functional requirements for the Advanced Care4 system, and oversight of all major systems affecting physician workflow.
- Co-chaired Clinical Decision Support Oversight Committee, with responsibility for development of rules & alerts in clinical systems to support organizational quality goals.
- Served on Clinical Information Systems Coordinating Council, System Quality andPatient Safety Council, Chief Medical Officer Roundtable and the Advanced Care4 Executive Committee.
- Developed Medical Informatics Committees at each acute care hospital in the system. Sponsored three medical informatics chairs to attend the AMIA 10 x 10 program.
- Supported projects on physician documentation in the neonatal intensive care unit (Cerner PowerNotes), radiology voice recognition (Dictaphone PowerScribe), and cardiology structured documentation (Heartlabs CVIS).
NORTON HEALTHCARE, Louisville, KYJanuary 1997-January 2005
In 2004, Norton Healthcare was the largest healthcare system in Kentucky, with six acute care hospitals in the Louisville region. The system had9,300 employees and a medical staff of 2,000.
Associate Vice President & Chief Medical Informatics OfficerJune 2004-January 2005
Director, Medical InformaticsJanuary 2002-May 2004
Appointed as the organization’s first full-time physician executive in charge of medical information systems strategic planning, implementation, integration, operations and benefit realization.
- Served on NortonLINK Executive Steering Committee, with oversight of $32 million in capital I.T. projects, including implementation of a system-wide clinical information system, Norton CareLINK (MEDITECH Client/Server), from 2003-2005.
- Directly responsible for achieving patient safety goals with clinical decision support tools of Norton CareLINK, projecting a $21 million reduction in adverse drug events over a 7 year period. Chaired NortonLINK Physician Advisory Committee and Clinical Decision Support Operations Group, in addition to serving on the Patient Safety Committee and the Quality Committee of the Board of Governors.
- Implemented Norton CareLINK at Kosair Children’s and NortonHospitals on June 1, 2003, in all major hospital operational areas, including:
- Online medication administration record on all inpatient units
- Online nurse documentation in 42 of 44 inpatient units
- Electronic signature for all dictated reports and verbal orders
- Adoption of electronic EMR, with no spooled printing of reports or labs on unit
- Consulted with MEDITECH and LSS Data Systems in development of Medical Practice Management/Electronic Ambulatory Record, Physician Care Manager (“Physician Desktop”), Emergency Department Management and Critical Care EMR applications.
- Recruited and managed 4 physician consultants in Medical Informatics, responsible for projects in physician education in NortonLINK, implementation of Norton CareLINK, development of Norton PracticeLINK (ambulatory systems) and Norton DataLINK (Data Repository).
Physician Consultant, Medical InformaticsJune 2001-January 2002
- Served as lead physician in planning and initial implementation phases of MEDITECH Client/Server. Worked with Norton executives to develop NortonLINK Strategic Plan.
- Developed models for physician involvement in NortonLINK governance.
- Co-created database for project issue tracking, with over 1,000 software and process issues for Norton CareLINK.
Member/Member ex officio, System Medical Executive Committee January 2000-January 2005
In January 2000, the medical staffs of the five metropolitan Louisville Norton Healthcare hospitals merged into a single medical staff.
- Appointed as one of three members by Divisional MEC to represent over 700 physicians of NortonHospital, 2000-2002.
- Approved new Medical Staff Bylaws, Credentials Manual, and Divisional Rules and Regulations governing five hospitals.
Co-Chair, Clinical Information System Selection CommitteeFebruary-August 2000
Co-chaired with Chief Nursing Officer to make recommendation to the Board on the purchase of a single clinical information system for Norton Healthcare.
- Negotiated decision making process for Selection Committee with senior management on Planning Committee.
- Formed Committee of six physicians, six nurses, and representatives from major ancillary departments (Information Systems, Medical Records, Lab, Pharmacy, Radiology, Surgery, Emergency Department and Quality & Care Management).
- Performed current state evaluation of Norton Information Systems, developed functional requirements and request for proposals, performed vendor evaluations and produced recommendation in August 2000.
Medical Director, Emergency ServicesSeptember 1999-January 2002
- Managed 4 hospital emergency departments with a total of 110,000 annual visits.
- Launched an expanded emergency department at NortonAudubonHospital, becoming the largest emergency department in the state of Kentucky.
- Grew volume at each emergency department in the first year of management by 10% across the system.
- Improved patient satisfaction scores for each emergency department, with most notable gains being in physician data.
- Implemented new documentation system for 4 hospital ED’s, resulting in projected $250,000 per year savings, while improving medical record turnaround from over 10 days to 1 day for the physician group.
Chief, Section of Emergency Medicine, NortonHospitalDecember 1997-January 2002
- Chaired EMTALA Task Force, which developed system policies and procedures for compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA).
- Served on Medical Executive Committee and named Secretary/Treasurer in 2000. Worked on subgroup to charter the Shirley Powers Nurse Education Fund at NortonHospital with $25,000.
- Reorganized and chaired Resuscitation Committee on Downtown campus. The Committee corrected a previous JCAHO deficiency in crash cart compliance, advocated ACLS for all critical care RN’s, and initiated quality improvement tools under American Heart Association guidelines.
- Served on Medical Care Appraisal Committee (1998-2000), Cardiac and Critical Care Committee (1998-2001), and Ethics Committee (2000-2002).
KENTUCKIANA EMERGENCY PHYSICIANS, PLLCFebruary 1999-January 2002
Regional Medical DirectorFebruary 1999-January 2002
- Produced winning proposal and negotiated contract for emergency services at 3 Norton Healthcare hospitals (Audubon, Southwest and Spring View).
- Recruited 3 Medical Directors, 13 full-time physicians and over 20 part-time physicians within a 90-day period.
- Capitalized group by negotiating a partnership with the University of Louisville Department of Emergency Medicine and Unity Physician Group, a leading emergency medicine group in Southern Indiana.
- Negotiated the addition of 6 physicians from Louisville Emergency Physicians, PSC, and began managing Norton Hospital Emergency Department in September 1999.
- Negotiated the addition of 4 physicians from Oldham Emergency Physicians, PSC, and began managing Tri-County Baptist Emergency Department in August 2000.
LOUISVILLE EMERGENCY PHYSICIANS, PSCJanuary 1997-September 1999
Served at Norton Hospital Emergency Department, a Level II facility with 28,500 visits in 1999. The hospital has Centers of Excellence in Neurosciences, Orthopedics and Women’s Services.
Medical DirectorDecember 1997-September 1999
- Negotiated contract with NortonHospital for Emergency Department management in May 1998.
- Improved revenues in 1999 by 15% with physician education on documentation and by outsourcing billing operations.
- Grew volume at NortonHospital 15% in a two-year period, while average length of stay decreased by 10%.
AUDUBONREGIONALMEDICALCENTERAugust 1993-December 1996
A full service hospital specializing in Cardiovascular Services with 48,000 E.D. visits in 1996.
- Chaired Code 300 Advisory Committee
FACULTY APPOINTMENTS
Adjunct Assistant ProfessorOctober 2005-present
University of Texas, School of Health Information Sciences
Assistant Clinical Professor of Emergency Medicine
University of LouisvilleOctober 1998-October 2006
PUBLICATIONS
“The First Day”
A Piece of My Mind, Journal of the American Medical Association 1989;261(10):1509
A Piece of My Mind, Journal of the American Medical Association--Japan Edition, June 1989(6):33-34
A Piece of My Mind, Journal of the American Medical Association--India Edition, July 1989;5(4):426
MAJOR PRESENTATIONS
“Rapid Development and Ongoing Maintenance of Order Sets for CPOE”
ZYNX Health Conference, St. Petersburg, FLMay 2007
“CIO Leaders Panel: Perspective on Care Delivery”
Scottsdale Institute Spring Conference, Scottsdale, AZApril 2007
“Transforming Care with Information Systems”
Memorial Hermann Board of Directors Retreat, Austin, TXApril 2007
“Transforming Care with Medical Informatics”
Memorial Hermann Health Network Providers Medical Executive Committee Retreat
Houston, TXFebruary, 2007
“Rapid Development of Order Sets for CPOE”
Cerner Health Conference, Orlando, FLOctober 2006
“Success Techniques for Leading Clinical I.T. Projects”
RiceUniversity Physician Executive Course, Houston, TXSeptember 2006
“Advanced Care4: The Major I.T. Initiative to Support the Memorial Hermann Vision”
RiceUniversity Physician Executive Course, Houston, TXSeptember 2006
“The Art and Science of Clinical Systems Implementations”
University of TexasSchool of Health Information Sciences Research Seminar
Houston, TXJune 2006
“The Physician Executive Team: Roles and Responsibilities in I.T. Adoption”
Scottsdale Institute Spring Conference, Scottsdale, AZApril 2006
“Evidence-Based Medicine and the Role of Hospital Medical Staff”
Memorial Hermann Health Network ProvidersMedical Executive Committee Retreat
Houston, TXJanuary 2006
“Success Techniques for Leading Clinical I.T. Projects”
RiceUniversity Physician Executive Course
Houston, TXJanuary 2006
“Towards the Patient-Centric Records”
RiceUniversity Physician Executive Course, Houston, TXJanuary 2006
“Breakthroughs Every Day: Creating the Best Possible Clinical Outcomes with Information Technology”
Memorial Hermann Health Network Providers PIVOT Conference
Houston, TXOctober 2005
“Benefit Realization—Hard, Soft, Tangible and Intangible”
National Alliance for Healthcare Information Technology (NAHIT) Annual Meeting
Chicago, ILJune 2004
“Norton Healthcare’s EMR Journey”
NAHIT Innovators Workshop, Chicago, ILJanuary 2004
“Critical Care: The Norton CareLINK HCIS Transplant”
MEDITECH MIX Road Forum, Louisville, KYDecember 2003
MEDITECH Physician Informatics Workshop, Boston, MAOctober 2003
“Update in Resuscitation”
Quarterly Medical Staff Meeting, NortonHospital, Louisville, KYJanuary 2001
“EMTALA: What You Need to Know”
Emergency Medicine Grand Rounds, University of Louisville, Louisville, KYFebruary 2000
OTHER PROFESSIONAL ACTIVITIES
HARRISCOUNTY PUBLIC HEALTH TASK FORCEFebruary-May 2005
Information Technology Subcommittee
Served on subcommittee that analyzed potential impact of regional health information data sharing to improve access and efficiency of care in the greater Houston region.
NATIONAL ALLIANCE FOR HEALTHCARE INFORMATION TECHNOLOGY2003-2006
Interoperability Task ForceSeptember 2003-Februrary 2004
Served on Task Force that provided draft definition of “interoperability” to the Technology Leadership Council for submission to the Department of Health and Human Services Commission on Systemic Interoperability.
Kentucky Chapter
AmericanCollege of Emergency PhysiciansAugust 1993-January 2005
Secretary/TreasurerJanuary-September 1999
- Appointed after discovery of two-year budget deficits. Worked to eliminate deficit by increasing revenues with sales of educational materials, sponsorship of CME activities and decreasing expenses by seeking administrative assistance from the Kentucky Medical Association.
- Developed procedures to meet standard accounting practices for non-profit corporations.
- Hired new Executive Director and Director of Educational Services
EDUCATION
Residency in Emergency Medicine, HenryFordHospital, Detroit, MI, 1990-1993
University of KentuckyCollege of Medicine, Lexington, KY, M.D., 1985-1990
RiceUniversity, Houston, TX, B.A. (History), 1982-1985
TulaneUniversity, New Orleans, LA, 1981-9182
CERTIFICATION
Fellow, AmericanCollege of Emergency Physicians, 1996-2005
Diplomate, American Board of Emergency Medicine, 1994, 2003
Diplomate, National Board of Medical Examiners, 1990
Licensure: Kentucky
PROFESSIONAL ASSOCIATIONS
National Alliance for Healthcare Information Technology
American Medical Informatics Association
Scottsdale Institute
American Health Information Management Association
Healthcare Information Management Systems Society
PROFESSIONAL COURSES
Medical Informatics MBL/NLM Course Fellow - Marine Biological Laboratory, Woods Hole, MA. Sponsored by the National Library of Medicine. Certificate, FALL Course, 2004.
COMMUNITY AND PERSONAL ACTIVITES
KENTUCKY TOURNAMENT OF CHAMPIONS, INC.October 1995-2002
Founder and President
Founded The Persimmon Ridge Invitational golf tournament in 1996, inviting top men, women, senior and junior golfers across Kentucky.
- Chartered a 501(c) 3 corporation to administer tournament activities in 1997.
- Donated over $50,000 to the WHAS Crusade for Children in five years.
KENTUCKY GOLF ASSOCIATIONJanuary 1995-January 2005
Board of Directors
- Served on Tournament Committee since 1996. Chaired Senior/Amateur Four-Ball Championship in 1998 & 1999.
- Served as Rules Official for multiple KGA and USGA championship qualifying events. Scored 97 on USGA/PGA Rules Examination in 1998.
AMERICA BY BICYCLEJune-July 1996
Completed 3,720-mile cross-country bicycle journey from San Francisco (CA) to Portsmouth (NH) in 51 days.
REFERENCES
Available upon request.
Robert E. Murphy, MDPage 1 of 7