Transcript MN Counties Computer Cooperative

History of the
Development of the Computer
System Known Today as
PH Doc
25TH Anniversary
This is dedicated to the spirit of the 14 Professional
Associates who took a risk to try something new, were
entrepreneurial and worked together to produce a
product that has been the foundation for the PH Doc
System we have today.
Here’s to the professional friendships that were formed
which brings us joy when we think about our shared
memories and experiences together.
Mary Ann Blade
History of the PH Doc System
• Prior to 1980, each county had to turn data into
the State to identify visits, clients, diagnoses, etc.
The State then produced aggregate reports for
each county.
• Between 1980 and 1982, the State Department
of Health announced the discontinuation of the
State entering the data to produce reports for
each county as well as the State.
• Each county had to figure a way to produce
these reports in their own counties. At this time
counties were just purchasing hardware
computer systems for their departments. At that
time the IBM 34 then IBM 36 were being
purchased.
• There was a state evaluation task force formed
and five pilot programs were initiated around the
State. None of those projects, except for the
manual data collection system, was anticipated
to be finished and ready to go. Stearns County
had a computerized pilot but they didn’t believe
anything would be available.
• Morrison County’s Public
Health Department, under the
leadership of Mary Ann
Blade, contracted with a
company out of St. Cloud
called CCSI, or Computer
Concepts to give guidance to
produce a software system
for Public Heath.
• Deb Castallanos was the
Chief Programmer. Mary Ann
Blade identified the
parameters for the General
Design and also wrote the
IISAC Grant for base funding
of $15,000
• Jim Benson was the
contract manager for
CCSI
• CCSI became BRC who
became ACS
Here is a list of the ACS (formerly CCSI, formerly BRC) people that have
worked on the project over the years: Jim Benson, Deb Castellanos, Mary
Thompson, Brian Prom, Tanya Ruth, Sonya Jacobs, Cindy Schmidt,
Richard Keyser, Carol Brandenburg, Deb Gretz, Shirley Nelson, Mike
Bauer, Jeromy Johnson, Keith Lindberg, and John Melville.
John Melville
Mike Bauer
Deb Gretz
L to R – Deb Castillanos, Tanya Ruth,
Brian Prom, John Melville, Mary
Thompson
Brian Prom, Mary Thompson
Mary
Thompson
• In April 1983, the general design was complete and a
letter was sent by Morrison County to all counties to
see who was interested in pooling our money to
complete the system
• Morrison County Public Health won an Achievement
Award from AMC for their pioneer work with
computers.
• Between April and October of 1983, thirteen counties
joined together to complete the development of the
System. Cass, Todd and Wadena Community Health
Services were the first to join.
Original Minnesota Counties
Beltrami County
Community Health
Service
Bemidji, Minnesota
Virginia Wickstrom, Director ~ currently
retired and lives north of Bemidji, Minnesota
Carver County
Community Health
Services
Waconia, Minnesota
Georgianne Lowrey, Director ~ currently
retired and moving to North Carolina
Cass County Public
Health Services
Walker, Minnesota
Dororthy Opheim, Director ~ currently
Director of Cass County Health & Human
Services
Chisago County Public
Health Nursing Services
Center City, Minnesota
Esther Tatley, Director ~ currently retired and
lives in Roseville, Minnesota
Freeborn County
Nursing Services
Albert Lea, Minnesota
Diane Peaslee, Director ~ currently retired
and lives in Omaha, Nebraska and has a
quilting business.
Goodhue - Wabasha
Community Health
Services
Red Wing, Minnesota
Elaine Timmer, Director
NO PHOTO AVAILABLE
Houston County Public
Health Services,
Caledonia, Minnesota
Donna Herman, Director ~ currently a school
nurse
Kandiyohi County
Community Health
Services
Wilmar, Minnesota
Ruth Myklebust, Director ~ currently retired
and lives in Sun City, Arizona
Morrison County Public
Health Services
Little Falls, Minnesota
Mary Ann Blade, Director ~ currently CEO of
the Minnesota Visiting Nurse Agency
Mower County Health
Services
Austin, Minnesota
Anna Agerbeck, Director ~ currently retired
and lives in Austin, Minnesota
Noble-Rock County
Public Health Services
Worthington, Minnesota
Bonnie Frederickson, Director
Currently: works on Specialty Public Health
Programs for Cottonwood/Jackson
Todd County Public
Health Nursing Services
Long Prairie, Minnesota
Guy Peterson, Director
Currently: Director of the St. Louis County
Health Department
Wadena County Public
Health Services
Wadena, Minnesota
Karen Nelson, Director
Currently: Director of Wadena County
Health Department
Winona County
Community Health
Services
Winona, Minnesota
Lynn Theurer, Director
Currently: Director of Winona County
Community Health Services
Memories From Directors
That Couldn’t Be Here
“I remember the rides from Wilmar to St. Cloud,
those icy roads. We met at least once a month.
We had a wonderful fellowship, trying to set up
something new and we sort of winged it.”
Ruth Myklebust
Ruth always told me to remember “the computer
never makes a mistake, it’s the person putting
the input in that makes the mistake” and I never
forgot that one.
Kathy Marcus
What I remember the most was a two day session
on putting material together. It was 11:15 pm and
Mary Ann was still running the meeting. As she
looked up, all of us had our heads down and we
were so tired. I laugh about it now! We worked so
hard.
Anna Agerbeck
“I don’t have any photos or anything like that, just plenty of
memories. I was the Director in Todd County in 1981. We
were a 4-county CHS agency (Cass-Todd-WadenaMorrison) and I worked closely with Dorothy Ophiem (still
there) – Cass, Mary Ann Blade – Morrison, and Judy
Schultz – Wadena – before Karen. MDH notified everyone
that they were going to quit collecting data for us and that
we all needed to come up with our own system by January
1, 1983. There were no good systems out there, so the
move and shaker, Mary Ann Blade, took it upon herself to
contact a fledgling computer company (MCCC – an AMC
Computer Cooperative) to tell them what we needed.”
Guy Peterson
Other Public Health Staff
Other public health staff who worked hard on the project in the early
years included:
Beltrami: Lynn Lightfoot
Marian Stever
Carver:
Cass:
Goodhue-Wabasha: Mary Lindell
Kandiyohi:
Kathy Marcus
Arlene Hellekson
LuAnn Schliep
Luba Schultz
Todd:
Diane Goodwin
Julie Krause
Roxanne Andrews
Wadena:
Penny Hochler
Lynne Erickson
Wilken:
Shirley Larson
Winona:
Sue Steiner
Chisago: Susan Anderson
Clay:
Susie Sieling
Terri Overbach
Relationship with MCCC
• In October 1983, the Chair of MCCC, Tom
Reddick arranged and initiated a meeting with
the 14 counties to talk about a relationship with
MCCC.
• The recommendation was that the administrative
tasks of the CHS contract be handled by MCCC.
• Dick Cox was the attorney for MCCC who drew
up the contract.
• Joel Oliver was the Executive Director of MCCC.
• The first contract between CCSI & MCCC was
done on behalf of the CHS group.
Content of the Contract
• Intent of the Partnership between MCCC and the
CHS group
• The CCSI development schedule and delivery
date
• Budget of Costs
Where We Are Today?
• Today the partnership has grown as
MCCC and the CHS User Group has
developed
• Directors of the CHS Group have worked
with
– Joel Oliver
– Fred Logman
– Lisa Meredith
Staff at MCCC
Left Pic: Mike and Darci; Top Pic: Lisa Meredith; Right Pic Mark Anderson
Other Information of Early
Development
• Fee to buy in:
– $3,500, travel $0.21 per mile
– Instruction $25.00/hr, portal to portal
– CCSI rates: $40.00/hr – instruction; $25.00/hr
driving time; $0.22/mile and expenses
• In February 1984, Clay & Wilken were the first
agencies that joined after the original 14.
First Officers
• Mary Ann Blade was the first Chair of the User Group
• Elaine Timmer was the first Vice Chair
• Lynn Theurer was the first Recording Secretary
• Throughout 1984 all of the systems were
installed and training occurred in each county.
• All of the element definitions were completed
in 1984-1985 and used by all counties for
continuity. This was an extraordinary
accomplishment.
• In February 1985, the Rules & Regulations for
the CHS user group was written and approved.
• In June 1986, Phase II with Computer Concepts
for Automation of Accounts began.
Immunization
Y2K
1986
1994
1997
1998
HIPAA Outcomes
Scheduling
Day Care Billing
2001
2002
2003
2004
2007
PH Doc 2012
Medicare
2000
Follow Along
Jail Environmental
Health
Clinical Chart Doc.
1984
Billing
Stats
Changes that have taken place in the system:
2008
Agencies that have left Current Members – 22
the System
•Chisago
•Lincoln, Lyon, Murray,
Pipestone
•Lake County Home Health
•Isanti
•Nicollet
Beltrami
Carver
Cass
City of Bloomington
Clay
Freeborn
Goodhue
Houston
Kandiyohi
Morrison
Mower
MVNA
Nobles/Rock
Olmsted
Ottertail
Polk
Rice
Todd
Wabasha
Wadena
Wilkin
Winona