September, 2003 

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CLINIC UNDERGOES DIGITAL TRANSFORMATION

I think there is a world market for maybe five computers
—Thomas Watson, chairman, IBM, 1943

Over the summer, new personal computers were installed in all operatories of the second-floor clinic and are currently being installed in first-floor clinics. Complete with LCD monitors and network access, the computers will run axiUm, the school’s new patient management software.

To harness the potential of this robust software, clinical operations will change radically over the course of the year.

Beginning in September, doctoral dental students will schedule their own patient appointments, including assigning chairs, within axiUm. All new procedures and transactions will also be entered in the new system.“Initially, everyone is going to experience a bit of culture shock,” says Arnel Mendoza, director of information technology. “axiUm will force everyone, from the clinic floor to billing, to use the same language and be more accountable.”

Eventually, all aspects of clinical data management, from treatment planning to grading, will be done in the new system. The old system, Computer Age Dentistry, will be phased out entirely over the academic year. In the meantime, the clinic will operate with two systems, with all new patients and procedures being entered into axiUm.

Ultimately, the axiUm system will be installed at all USCSD clinics, including satellite locations such as the Union Rescue Mission, Children’s Dental Center in Inglewood and QueensCare/USC Mobile Clinic.

Other clinical improvements are being introduced to compliment the information technology upgrade. Plans are currently being developed to institute patient triaging in the first floor admitting area. The emergency and admitting clinics will be renovated to reflect and enhance this change as well.

The axiUm software and databases are housed in the Information Services Division building and their personnel serve as system administrators for the School of Dentistry. Mendoza says, despite constant attacks from viruses and worms, the server on which axiUm is housed has never been compromised.

As an added security feature, axiUm creates an instant copy of all information as it is entered. This “double redundancy” ensures the valuable information housed within the system will never be lost or corrupted.

Catherine Conti, Sue Adolphson and Mendoza are still in the process of training faculty, staff and students. Junior and senior doctoral dental students worked with the software prior to the semester break, and sophomore students will have their first look in September. Most of the full-time clinical faculty and staff have also begun training.

“There is really no formula for training, it’s always on-going. We are still changing and customizing the software to improve our clinical operations,” Mendoza says.

Some, such as part-time faculty members, will not need extensive training since they will not be asked to perform data entry in the immediate future. Their involvement will be limited to electronically signing-off on completed procedures by swiping a “digital signature” card.

Through his experience installing the software at the Oral Health Center, Mendoza knows the road ahead will not always be smooth. However, he does feel the faculty, staff and students of the School of Dentistry will be up to the task.

“We have a great model with the Oral Health Center deployment. At first it was chaotic, we were running around like chickens with our heads cut off for the first few weeks. If you look at them now, they’re like a well-oiled machine, comparatively speaking. Now, they don’t understand how they were able to work with the old system. In time, I know everyone here will feel the same,” says Mendoza.