Frances J. Turisco
Director, Emerging Practices
Summary of Qualifications
Fran has twenty three years experience in health information technology, including significant experience in planning, designing and implementing clinical, financial and administrative applications running on large enterprise networks. She specializes in enterprise architectures, mobile computing, emerging technologies, and IT Value Management, with extensive knowledge of the interrelationships among processes, applications, data and other technologies.
Academic Background
B.A. Mathematical Engineering, The Johns Hopkins University
M.B.A. Healthcare Administration and Finance, University of Chicago Graduate School of Business
Professional Affiliations
Healthcare Information and Management Systems Society (HIMSS)
American Medical Informatics Association (AMIA)
Health Level 7 (HL7)
Mobile Healthcare Alliance (MoHCA)
Synopsis of Experience
Emerging Practices Research and Publications
¡ Technical lead and co-authored report for the Massachusetts Technology Collaborative on Advanced Technologies that Lower Healthcare Costs and Improve Quality.
¡ Authored white paper for the Patient Safety Institute on the Economic Value of a Community Clinical Information Sharing Network.
¡ Authored internal publication on Next Generation Healthcare: Technology Cornerstones
¡ Co-authored external research report on the use of information and medical equipment technologies to support rural care delivery.
¡ Researched and published both internal on Wireless Technologies and Mobile Computing. Presented educational sessions.
¡ Co-authored internal publication on Clinical Decision Support: Finding the Right Path.
¡ Published and presented IT Value Management primer, service offering, case studies, tools and sample documents. Led collaborative study for Scottsdale Institute collaborative study on IT Value and Cost Management.
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¡ Researched and compiled information and reviewed major enterprise system vendors (SMS, McKesson, Eclipsys, etc.) to clarify current approaches to integration and clinical support.
¡ Co-authored external primer on Computer-based Physician Order Entry (CPOE).
¡ Co-authored external primer on Wireless Technologies and Mobile Computing.
¡ Published comprehensive study on the approaches and techniques for selecting and implementing Enterprise-wide Master Patient Index (EMPI) systems in large integrated delivery systems. Research focused on technical, operational, and organizational considerations as well as a review of leading vendor products. Presented internal, client, and conference workshops on EMPI strategies and approaches.
¡ Published and presented introductory Enterprise Architecture (EA) and Web to Legacy integration research papers and educational sessions for internal development and external workshops.
¡ Coordinate all internal research projects related to advance technology, technology trends, integration, IT Value and benchmarking.
Strategic Planning
¡ Led a product and market planning analysis for a leading medical device vendor.
¡ Technical lead on a strategic market and product analysis for one of the largest medical device, medical supplies and information technology vendor.
¡ Led an analysis of the organizational models and services for integrating clinical research and clinical care delivery information.
¡ Participated in multiple strategic systems plans for integrated delivery systems and community hospitals.
¡ Led multiple IS strategic plans for hospitals with ambulatory centers.
¡ Participated in a strategic business plan that led to the creation of a clinical software company.
Advanced Technology/Information Architecture/Integration
¡ Completed value and benefits study for leading edge VoIP solution used by inpatient caregivers.
¡ Wrote data, logic and reporting specifications for implementing outpatient quality measures for diabetes, heart failure, CAD, hypertension, osteoarthritis, preventive care and major depressive disorder, sponsored by CMS and AMA.
¡ Managed the selection of an object oriented programming tool set for the advanced technologies program at a large academic medical center.
¡ Led the integration strategy for a nation wide enrollment system.
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¡ Served as Integration Director for a large metropolitan IDN.
¡ Served as project manager for the implementation of an Integration Engine at a large IDN.
Clinical System/CPOE
¡ Participated in a number of different projects related to Computer-Based Physician Order Entry (CPOE), Clinical Decision Support (CDS) and medication management as it relates to CPOE and patient safety. In April 2001, FCG was funded by the California Healthcare Foundation and the Robert Wood Johnson Foundation to develop a new framework for clinical decision support in CPOE and evaluated the readiness of the vendor marketplace to provide software with the necessary features.
¡ Served as the delivery services executive on a project for the Child Health Corporation of America to define the pediatric-specific requirements for closed loop medication management and evaluated 17 vendor products. The results were presented at the CHCA Patient Safety Summit.
¡ Led effort to analyze different electronic medical records (EMR) models and progress of hospitals towards attaining their EMR goals. Results were presented to CHCA members at a CIO conference.
System Selection
¡ Served as technical lead for the selection of an enterprise wide master patient index application at a large metropolitan academic IDN.
¡ Served as overall project lead for the selection of a comprehensive clinical information system for a rural IDN.
¡ Supervised the selection of numerous clinical, financial and administrative applications for large and medium size medical centers.
System Implementation
¡ Served as project manager for the implementation of an ambulatory medical record system at a rural IDN.
¡ Served as technical lead for the implementation of an EMPI at a large IDN.
¡ Served as project manager for the implementation of a care management system at an academic medical center.
¡ Served as program manager for multiple custom developed clinical and financial systems for IDNs and academic medical centers.
¡ Coordinated the implementation of several telemedicine applications.
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Awards
Feature Article of the Year, Healthcare Financial Management, March 2000
Publications
Wireless Technology Improves Nursing Workflow and Communications, CIN: Computers, Informatics, Nursing, September/October 2004.
Pay-for-Performance Initiatives. With Jane Metzger, Healthcare Informatics Extra, May 2004
Turisco F., D. Dimond, R. Burgess, R. Faix, and B. Peska, Effective Management of Healthcare Information: Leadership Roles, Challenges, and Solutions, HIMSS Publication, 2003.
Chapter 9: Emerging Technologies that Enable Clinician Mobility
Use of Technology in Rural Healthcare Practices: California Statewide Survey Results. With Tania Shahid and Lauri Paoli, California Healthcare Foundation, April 2003
Rural Health Care Delivery: Connecting Communities through Technology. With Jane Metzger, California Healthcare Foundation, December 2002.
Computerized Physician Order Entry: A Look at the Vendor Marketplace and Getting Started. With Jane Metzger, Report by First Consulting Group to The Leapfrog Group, December 2001
Mobile Computing and Wireless Technologies in Healthcare. With J. Case, California Healthcare Foundation, September 2001
Mobile Computing is Next Technology Frontier for Healthcare Providers. Healthcare Financial Management, November 2000
A Primer on Physician Order Entry. With E. Drazen, P. Kilbridge and J. Metzger, California Healthcare Foundation, September 2000
Evaluating ASP Pricing Models and Contract Terms. Healthcare Financial Management, August 2000
Building a Value- Added Web Site. With P. Kilbridge, MD, Healthcare Financial Management, March 2000
How to Justify the Investment: Principles for Effective IT Value Management. Health Management Technology, March 2000
Planning a Value-Added Web Site. Healthcare Financial Management, November 1999
Save Money and Increase Efficiency through Intranet-based Physician Paging. Healthcare Financial Management, August 1999
Using Internet Technology to Extend Access to Legacy Systems. Healthcare Financial Management, May 1999
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Presentations
Choosing and Working with a CPOE Vendor. Innovative Informatics for Reducing Medication Errors, April 2003
Point of Care Applications. Massachusetts Health Data Consortium e-Prescribing and Mobile Computing Conference, Key Note Speaker, February 2003
Demystifying the Hype of Wireless Usage in Clinical Care. National Managed Health Care Congress, April 2002
Understanding Mobile Computing in Healthcare. HIMSS Conference January 2002
Enterprise Information Architecture and Clinical Process Redesign: Creating the Framework for Clinical Integration. AMIA Annual Symposium 1998
Introduction of an Automated Medical Record (AMR) Case Study: Bassett Healthcare. New England Healthcare Assembly 1997
Enterprise Wide Master Patient Index Strategies Workshop. AMIA Annual Symposium 1997