Intermountain Medical Center – Homer Warner Center for Informatics Research



most people recognize dr. Homer Warner as an accomplished researcher and a pioneer in medical informatics but he has also been a devoted husband and father and an accomplished athlete to understand Homer consider something that might otherwise just be a footnote in his biography saline Homer by his first sale would in 1975 within seven years he had mastered the sport he completed the trans-pacific race from Vancouver to Hawaii using celestial navigation and with family as crew think of it a landlocked sailor finishing a major international race ask anyone who is known dr. Warner he has a passion for his goals and he has a vision he he started so many things that were visionary he was way ahead of everybody else I mean the very basis of how our information systems work and how we use data at Intermountain Healthcare is based on the vision of Homer Warner Homer not only changed medicine here in Utah and Intermountain but he changed medicine worldwide literally he pioneered in medical informatics back when Homer started this field people were using computers but they were doing it for patient administration for tracking patients for billing but in medicine it wasn't being used at all and so one of the first articles we were asked to publish was the description of how you use this tool in medicine so we were the first ones to do that that's why we were so excited about it the computers that Homer Reid Gardner al prior and their colleagues were developing and using were mainframe computers there were no many computers or personal computers Homer had this huge analog computer room of course he took us around and showed us everything and was he excited he was so excited you thought he had a brand-new Lionel Train we decided to to model an intellectual process of making a diagnosis and it raised quite a stir some of the old cardiologists were really quite insulted to think that the computer could make a diagnosis and so he had a method that we could use you see to follow up patients and the whole idea of intensive care for the first time had the computer as a central component and that already got us a good deal of notoriety we had visitors from all over the world that was the beginning of the help system the beginning idea tried to build a system but not only would record what was going on but helped with the interpretation of that the help system put us on the map there's no question that Intermountain Healthcare has build its reputation on quality but that quality that we're able to achieve that no one else can is because of the clinical data that we have within our health system he developed I believe the first medical informatics program in the country and perhaps in the world and he established a program at LDS Hospital who better to choose to represent the center Center in title than Homer Warner it all started with an idea a vision some hard work we explored reality we refined the idea we drew it expanded it it became real systems today it becomes a formal science and a team of people on a much better foundation to advance at science that's so Homer Warner Center we've always had the skill set of medical informatics but we've never really been able to organize them and focus on them the way that the Homer Warner Center allows us to do it the magic happens in the sense because you have medical informatics next to each other and and that Spurs innovation and creativity that we don't otherwise get our developers are the ones that say let's learn something new today let's create something that's never been done now let's make something we already have really great and they take a lot of initiative so that's really exciting the homeland Warner Center is on the campus of Intermountain Medical Center it's a short walk from the offices of our informatics is to the bedside of clinicians treating patients and that walk will be made thousands of times both ways quite appropriately you have to understand what a nurse does you have to understand what an anesthesiologist does and really the best way to do that is to get involved and be in the clinical situation with collaborators who treat you as an equal we count our successes in lives and within Intermountain we can point literally to thousands of lives not just improve but literally saved I think it all comes back to the information that underlies medical science I'm from Palos Verdes California I love at teaching third grade and I love being out here in Utah I love the outdoors snowboarding hiking running Jill moved to Salt Lake at the end of May after getting her master's degree in education and was planning to spend the summer in our condo in Park City after three weeks of being in the condo I started noticing just shortness of breath and I developed a fever somehow drove myself to the park City Hospital she was then transferred down to LDS Hospital she was diagnosed with a kind of an unusual pneumonia for this age group it was called it's called Legionnaires disease she did not look herself at that point she was now on oxygen with a mask and she was very friend that's what we this was a very life-threatening mode she was very critically ill was on 100% oxygen and high pressures on the ventilator for the first few days and it could have easily died from this at one point I did talk to dr. Kleber at the worst of it he said she had a 50-50 chance and to hear that as a parent is just devastating I think it was probably four days later that I started kind of coming out of out of things and started feeling better and it was soon thereafter that they came to us and said she is improving and she will get better I mean to hear 100 percent recovery after hearing a 50-50 chance was and it was the 100% recovery when she recovered in every way well this is a wonderful example of how the information system in Intermountain Healthcare is so valuable to us the first thing it does is it gives us instant information that we can look at that's available anywhere within Intermountain Healthcare the second thing it does is it gives us a longitudinal medical record we don't have to repeat any tests but probably the most important thing that the information system does is it helps us make decisions I was the attending and I don't think I would have diagnosed Legionella rapidly if it hadn't have been for the prompts from the computer I'm not sure if I would have gettin the correct tidal volume on her ventilator if it wasn't for the defaults in the protocols within the computer yes I think it made a huge difference in Morocco the home reward center they're probably at least four things that that we're hoping to accomplish the first is the use of computer systems to improve patient care a second mission or vision if you will for the center we need to use the center to discover better ways to build computer systems a third aspect of what we're doing is education in the tradition that homework created and then a fourth aspect of what we're doing is really national and international collaboration clearly over the years Intermountain Healthcare information system has become renowned and we do some things that are very unique and especially in what we call decision support and that is one of the reasons that General Electric for example has partnered with Intermountain in order to build a new system a system that will expand on what has been created here we have the opportunity to dramatically improve outcomes increase life expectancy improve health and do so at a lower overall cost to the communities we serve and I'm not aware of any other technology that can do that oh very excited I'm very excited about the future I think that people who work in the home Warner Center will have a marvelous opportunity to shape the direction of medical care and of how we use information in medical care the industry is ready there are skilled people now being trained around the world that I think we can bring together and I think you're gonna see great things personally Homa Warner is a remarkable man he was an aviator during World War Two was a sailor a very kind and thoughtful person he created an environment where we could be creative and innovative I don't remember him ever discouraging us from even doing a stupid thing he just said oh well yatta go try it it might work I would just say thank you very much you have inspired us and guidance and give us a vision of the future thank you so sincerely personally and from Intermountain Healthcare for what you've done Homer I would say to you that you have saved a life our daughter's life you've probably saved many lives thank you thanks for laying the initial path we hope to do your proud we hope to extend that path into a superhighway that will fundamentally redefine not just informatics but healthcare it's on track the vision was sound thanks for your leadership you

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