007 20130313 EHRADP1PRE (v1).pptx [Read-Only] · 3/13/2013  · Continuing Medical Education Disclaimer This is to certify that Don Sargent has disclosed no relevant financial relationships

3/13/2013

1

Back to Basics with EHR Back to Basics with EHR

Adoption Adoption -- PREWORKPREWORK

March 13, 2013 | 12:30 March 13, 2013 | 12:30 –– 1:00 p.m., EST1:00 p.m., EST

Don Sargent, Project ManagerDon Sargent, Project Manager

Continuing Medical Education Disclaimer

This is to certify that Don Sargent has disclosed no

relevant financial relationships to this presentation.

Back to Basics with EHR Back to Basics with EHR

Adoption Adoption -- PREWORKPREWORK

March 13, 2013 | 12:30 March 13, 2013 | 12:30 –– 1:00 p.m., EST1:00 p.m., EST

Don Sargent, Project ManagerDon Sargent, Project Manager

3/13/2013

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Six Steps of EHR Adoption

• Pre-work

• Assessment

• Planning

• System Selection

• Implementation

• Post Live

Back to Basics with EHR Adoption Series

• Pre-work (3/13/2013)

• Assessment (4/10/2013)

• Planning (5/8/2013)

• System Selection (6/12/2013)

• Implementation (7/17/2013)

• Post Live (8/14/2013)

www.CCMEConsulting.org

Why CCME Promotes EHR Adoption

Effective EHR Implementation will:

• Improve patient quality of care

• Prevent medical errors

• Reduce health care costs

• Increase administrative efficiencies

• Engage patients and families in their health care

• Expand access to affordable care

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Objectives

1. Learn the basics of Return on Investment (ROI)

2. Identify senior-level responsibilities

3. Understand role of a physician champion

4. Build an effective EHR implementation team

5. Review effective meeting techniques

6. Identify key EHR technology terms/definitions

7. Distinguish recommended EHR functionalities

Perform Financial Assessment

ROI Calculation -

Return On Investment (ROI)

analysis is one way to build a

business case for implementing

an EHR.

When practices are using ROI

analysis it is important to agree

on the formula.

Perform Financial Assessment

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Cost Savings -

• Reduced transcription costs

• Malpractice insurance savings

• Fewer paper charts means less:

– Storage & recall

– Pulling & filing

– Paper chart supplies

Perform Financial Assessment

CoverMD: http://www.covermd.com/resources/Electronic-Medical-Records-MedMal-Insurance.aspx

Revenue Growth -

• Improve health maintenance

• Increase preventative services

• Improve coding / up-coding

• Reallocation of office space

• Meaningful Use incentives

Perform Financial Assessment

Increased Efficiency -

• Fewer pharmacy call-backs

• Better inter-office communication

• Electronic Health Records means:

– Universal access to charts

– Concurrent chart use

– Elimination of “chart pulls”

Perform Financial Assessment

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Improved Quality -

• More complete clinical record

• Easier compliance with chart

requests and chart audits

• Improved medication management

• Built-in protocols and clinical

decision support

Perform Financial Assessment

EHR Hard Costs -

• Software license, upgrade, and

support fees

• Hardware expenses,

maintenance, and support

• Implementation and training fees

• Interface fees

• Network/networking expenses

Perform Financial Assessment

EHR Soft Costs -

• Scanning and back-loading chart

documents into the EHR

• Employee overtime and/or temps

needed during implementation

• Temporary loss of revenue during

Go-Live due to a reduced patient

schedule

• Additional IT staff expense

Perform Financial Assessment

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Senior Level Commitment

• Create a Project Charter

• Assign a Project Manager

• Role of Project Sponsor

• Select a Physician Champion

• Identify Stakeholders

• Build an Implementation Team

• Introduce project to staff

• Identify EHR Budget

Senior Level Commitment

The Role of the Physician Champion

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The Role of the Physician Champion

Assign a Physician Champion –

• They’re critical to the success of

the project

• Extreme changes to clinical

workflow

• Physicians respond to other

physicians

• Enthusiastic about EHR

The Role of the Physician Champion

Roles and Responsibilities –

• Project Advocate

• Role model and facilitator

• Involved throughout planning and

implementation process

• Continually communicating the

value of the EHR

Build the Implementation Team

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Build the Implementation Team

Members need to be –

• Enthusiastic

• Positive

• Well-respected

• Forward thinking

• Very knowledgeable of

their department’s internal

processes

This is a critical step

for a successful

implementation!

Build the Implementation Team

Roles within the team –

• Physician Champion

• Project Manager

• Work flow Coordinator

• Application Administrator

• Application Trainer

(super user)

• Technical support staff

Build the Implementation Team

Staff members from –

• Physician Assistants, Nurse

Practitioners, Nursing, Medical

Assistants…

• Ancillary Staff –

– Lab, X-Ray, EKG, etc…

• Administration –

– Registration, Billing, Medical

Records…

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Effective Meeting Techniques

Effective Meeting Techniques

Meeting Essentials –

• Recurring (place/time/day)

• Prepare agenda

• Stated purpose and objectives

• Encourage discussion

• Appreciation and recognition

Effective Meeting Techniques

Making the Most of Your Meetings –

• Record minutes and distribute

• Assign owners for take-aways

and deliverables

• Communicate progress

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Key EHR Technology Terms

EHR Hardware and Software Terms -

• Assess the Implementation

Team’s knowledge of general

technology terms and acronyms

• Provide basic education –

glossary of hardware / software

terms and acronyms

Key EHR Technology Terms

Common Terms / Acronyms -

• ASP/Cloud

• Host

• Web Portal

• Client/Server

• GUI

• HL7

• CPOE

Key EHR Technology Terms

• CHPL

• Digital vs. Digitized

Signature

• Voice Capture vs.

Recognition

• Interfaced vs.

Integrated

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Additional Resources -

• Webopedia –

– www.webopedia.com

• TechWeb -

– www.techweb.com/encyclopedia

• WhatIs –

– www.whatis.techtarget.com

• NetLingo –

– www.netlingo.com

Key EHR Technology Terms

EHR Functionality

Data Entry Options -

• Keyboard, mouse (laptop)

• Touch screen (tablet)

• Templates

• Handwriting / voice recognition

• Import / scan documents

• Structured vs. non-structured

data

EHR Functionality

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Medical Records -

• Problem List (Dx)

• Medication list

• Allergy list

• Immunization record

• Advance directives

• Prescriptions (eRx)

• Progress notes (SOAP)

EHR Functionality

Medications/Prescriptions -

• ePrescribing (eRx)

– Formulary checking

– Formulary management

– Medication history

• Weight- and age-based dosing

• Drug Interaction Alerts

– Drug, allergy, food

– Geriatric, pediatric, pregnancy

EHR Functionality

Other Key Features -

• CPOE (Orders/Results)

• Referral order management

• Preventive health maintenance

• Reminders – orders, meds

• Flow sheets

• Charts/graphs and trend data

• Reporting

EHR Functionality

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Thank you for joining us today!

Don Sargent

CCME Project Manager, EHR Consultant

919.461.5661

[email protected]

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Back to Basics with EHR Adoption: AssessmentWednesday, April 10, 2013 | 12:30 – 1:00 p.m., EST

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