Michael Piette is an experienced project manager and analyst with experience implementing clinical and laboratory IS tools.  He is currently certified in Beaker (EpicLab), Ambulatory, Inpatient (both orders and ClinDoc) and Bridges (interfaces).



Yakima Valley Farm Workers Clinic (YVFWC), Toppenish, WA

Interface Consultant

June 2011 to 2013

  • Managed, implemented, documented and developed training for Meaningful Use interfaces
    • Continuity of Care Document (CCD) exchange interface to Washington’s Information Health Exchange (IHE).  Applied the Axway document exchange engine.  Worked with unique encryption protocols
    • Vaccination interface #1: From YVFWC to Washington Immunization Information System (WaIIS)
    • Vaccination interface #2: From YVFWC to Oregon Alert
    • Surescripts prescription interfaces: this involved new orders (primarily outbound) and refills (primarily inbound).  For inbound refills, the Med3000 EHR system uses RxHub as an intermediary.
  • Configured Corepoint Health’s Corepoint Integration Engine to address IHE XML communication protocols.
  • Med3000’s “InteGreat EHR” (“InteGreat EHR” is formerly known as “IC-Chart”.  Also, Med3000 was bought by McKesson in fall 2012.)
  • Laboratory orders interface update to prevent duplicate orders and cancel orders cleanly.


U of California – Davis Medical Center contracted through Technisource

Project Manager and Analyst

January 2010 to March 2013

  • Care Everywhere: Community of Care Document (CCD) exchange among HIEs.  Analysis and project planning for a rollout of Epic’s “Care Everywhere” product.
  • Architect for Outreach laboratory orders, registration, and web portal
    • Overview:
      • Currently, UC-Davis takes external laboratory orders by paper and is migrating to a web portal.  UC-Davis hopes to compete with the bigger reference laboratories such as ARUP in the northern California market.
      • Registration is accomplished using a home-grown registration system based on Siemens Invision.  Clients will use a web-based portal from Atlas to facilitate orders from outside UC-Davis.  The laboratory LIS is Meditech.
    • Directed a team of three programmers to get healthcare data exchanged via HL7 messages, SOAP queries, and web services.
    • Wrote specifications documents to direct programmers and guide support
    • Documented current and future lab workflows for patient registration, external lab orders, shipment, receiving, workup, results routing and billing.
  • Managed implementation of
    • outpatient prescription eligibility queries, which help physicians determine which prescription benefits their patients may have
    • mail orders were electronically interfaced to mail order warehouses
    • medication history queries, in which clinicians learn which medications the pharmacy has dispensed to their patients, verifying compliance and helping patients when they can’t remember which dose they’re taking.
    • Formulary information, which helps clinicians prescribe the least expensive medications.  The formulary databases tell the clinicians which drugs are 1st, 2nd, or 3rd tiers (in order of increasing expense) in the patient’s formulary
  • Led meetings with clinical teams to customize navigators
  • Built new navigators in Epic
  • Documented build in Epic and interface engines
  • Developed test plans
  • Guided training with clinical and technical teams
  • Billing interface: analyzed workflow to develop options to implement an interface to send Level of Service (LOS) billing information from the billing system to the Electronic Medical Record (EMR)
  • MOSAIQ.  (MOSAIQ is an EMR commonly used in radiation oncology specialties.)  Implemented scheduling and ordering interfaces from Epic to MOSAIQ.  Applied using the Intersystems Ensemble interface engine system.
  • Certified in Ensemble.  (Ensemble is an interface engine published by Intersystems.)
  • Used Microsoft Project, MS Visio and Lotus Notes


Stanford Hospitals and Clinics, Palo Alto, CA

Senior Analyst

April 2009 to November 2009 (the project completed and the entire team disbanded after 4 weeks of Go-Live support)

  • Care Everywhere: tested the CCD protocol for Epic’s “Care Everywhere” HIE product.
  • Built medication Preference Lists for Rehabilitation departments
  • Built content-based tools such as NoteWriter, SmartLinks and SmartPhrases, Navigators, Letters and Flowsheets.  Departments included Physical Therapy, Hand Therapy, Neurology Rehabilitation, Orthopedics and Sports Medicine.
  • Led implementation meetings with clinicians.
  • Built on the ambulatory administrative “text” side.  Areas of build included Profiles, Security, Print Groups and Reports and Templates
  • Used MS Visio to document workflows
  • Communicated all changes to trainers and staff


Clarian-Arnett Healthcare, Lafayette/Indianapolis, Indiana

Project Manager

April 2008 to November 2008 (through Go-Live and completion of the project)

  • Implementation of electronic prescriptions with RxHub/SureScripts including orders and eligibility
  • Built and maintained outpatient laboratory procedures and billing codes.
  • Managed outpatient laboratory implementation at Arnett.
  • Implemented new pharmacy printouts through order transmittal
  • Troubleshot communication among EpicBridges, SyBase Enterprise, Cloverleaf and Cerner.
  • Clearly communicated all changes to clinicians and staff.
  • Managed procedure testing between Cerner and Epic.
  • Professionally navigated the project amidst the merger of two large organizations (Clarian from Indianapolis and Arnett from Lafayette)


Epic Systems, Inc.

Project Manager (Implementation Services)

March 2005 to December 2007

  • Built all inpatient and outpatient laboratory procedures for Epic’s new Model System, an off-the-shelf set of content to speed hospital implementations.
  • Installed Computer Physician Order Entry (CPOE) and Laboratory Information System) LIS systems for
    • Mercy Health Systems (Janesville, WI) –  ePrescribing functions interfacing with RxHub and SureScripts (electronic prescription and formulary verification), ambulatory clinical documentation, and obstetrics documentation
    • Sanford Health (formerly SiouxValley, Sioux FallsSD) – LIS
    • Dean Health (Madison, WI) – LIS
    • StoughtonHospital (Stoughton, WI) – LIS
  • Epic’s expert on Results Review and approaches for implementing it.  Results Review is a tree-like structure for displaying laboratory and imaging results in a pattern reflecting clinical relevance
  • Assigned CCIDs for Care Everywhere implementation.
  • Assisted with Care Everywhere (now Care Epic) implementation for laboratory data
  • Created Project Plans in Microsoft Project and Microsoft Excel for implementation.
  • Wrote documentation to support future generations of implementers
  • Guided trainers at customer sites to help polish their lessons
  • Supported clinical documentation rollouts at Neonatal Intensive Care Units (NICUs) at University of California – DavisHospital (Sacramento, CA), Texas Health Resources – PresbyterianHospital (Dallas, TX) and SwedishMedicalCenter (Seattle, WA—better known as the basis for the Grey’s Anatomy hospital)
  • Certified in EpicCare Inpatient (CPOE, Clinical Documentation and medications), EpicCare Ambulatory, and EpicLab LIS.


University of Wisconsin-Madison Medical School, Dept. of Endocrinology

Associate Research Specialist

July 2001 March 2005

  • Earned my MBA in marketing while working here.  GPA 3.9/4.0.
  • High-throughput genotyping of mice using laboratory automation of PCR.
  • Trained technicians on laboratory automation techniques
  • Left to apply my new MBA



Franco GE, Litscher SJ, O’Neil TK, Piette M, Demant P, Blank RD.  “Dual Energy X Ray Absorptiometry of ex vivo HcB/Dem Mouse Long Bones: Left Are Denser Than Right”  Calcif Tissue Int. 2004 Oct 7.

Lopez Franco GE, O’Neil TK, Litscher SJ, Urban-Piette M, Blank RD.  “Accuracy and precision of PIXImus densitometry for ex vivo mouse long bones: comparison of technique and software version”  J Clin Densitom. 2004 Fall;7(3):326-33.



High-throughput PCR optimization, DNA purification, Micro CT (Imtek MicroCT), Biomechanics, Packard MultiProbe II, Visual BASIC Programming, Microsoft Access, Microsoft Office, SigmaScan, Waters HPLC, Waters Millenium Software, Method development using Gentra PUREGENE DNA purification kits



  • MBA, Marketing emphasis.  University of Wisconsin-Whitewater, completed August 2002.  GPA 3.9/4.0
  • Molecular biology and genetics coursework at NorthwesternUniversity, Chicago, Illinois.  GPA, 3.5/4.0
  • Bachelor of Science, Chemistry.  Biochemistry emphasis.  WheatonCollege, WheatonIllinois.  August 1994.  GPA, 3.2/4.0
  •  “Installing, networking and troubleshooting Microsoft NT” course, May 2000
  • Entrepreneurial Certificate, UW-Madison School of Business, 2000



  • Wisconsin Business Plan Contest, 2nd-round winner.
  • Plays classical and jazz piano
  • Reads and speaks German and some Spanish