DOQ-IT Project

DOQ-IT Project The EHR Roadmap

Tony Linares, MDMedical Director, Quality Improvement

DOQ-IT Strategies

2 Intervention ApproachesStatewide Collaborative Consulting

6 Phases to QIO ImplementationPractice AssessmentPractice PlanningEHR SelectionEHR ImplementationOffice Data & Process EvaluationProcess Improvement

Current State

EHR Journey – DOQ-IT

Physician Offices Have:Multiple Entry Points to the ProjectVariety of Resources Available DOQ-IT Staff Peer-to-Peer Networking National Expert Consultation

Access to Vendors through new ChannelsAdditional Focus on Quality

Time Frame to EHR Adoption

1. Assess 2 Months

2. Plan 2 Months

3. Select 2 - 8 Months*

4. Implement 4 + Months**

5. Evaluate Ongoing

6. Improvemen

t

Ongoing

*Dependant upon duration for EHR selection by Physician Office

** EHR Implementation dependant upon installation complexity

ADOPTION

IMPLEMENTATION

CARE MANAGEMENT

Process for EHR Adoption

Stage 1 - AssessUnderstand the Purpose of DOQ-ITComplete EHR Readiness AssessmentComplete Additional Office AssessmentsAnalyze Current Office ProcessesPractice to Hold Regular Staff Meetings

Process for EHR Adoption

Stage 2 - PlanAssessment FeedbackIdentify Practice Improvement AreasDefine EHR GoalsPrioritize Practice Needs & OpportunitiesInitiate and Facilitate Practice ChangesBuild Business Case

Process for EHR Adoption

Stage 3 - SelectUnderstand Requirements for EHR SystemEHR System Selection GuidancePrepare Staff for Change

Process for EHR Adoption

Stage 4 - ImplementWork with Vendors and Practices to Minimize EHR Installation DisruptionPrepare for Medicare Pay-for-Performance Demonstration ProjectProvide Opportunities for Best Practice Information Sharing to Improve OutcomesCreate Time Table for ImplementationVendor & Practice Installs and Configures System

Process for EHR Adoption

Stage 5 - EvaluationCapture Data Elements for ReportingSubmit Data SetsIdentify Areas for EHR Systems UseReview Patient Data to Improve Outcomes

Process for EHR Adoption

Stage 6 - ImproveQuality Reporting AnalysisPractice Evidence Based MedicineTarget and Improve Office Processes

Practice Performance Improvement

May J une J uly AugustSeptember October NovemberDecemberJ anuary February March April May J une

Collaborative Meeting

Learning Session

One

Learning Session

Two

Learning Session Three

FinalCongress

Topic Pre-Work

Practice Redesign &

Culture Change

Select & ImplementE

HR

Care Mgmt

EHR SystemsSuccess

WebinarsOne Two Three Four Five Six Seven Eight Nine

TopicPractice Redesign & Culture Change

EHR Selection & Implementation

Care Management

2004 2005

Notes

Learning Sessions are an opportunity to both learn from the experts and share ideas with other practices.

WebEx Sessions are convened via the internet and are used to focus new information on a particular issue.

Collaborative Time Line

DOQ-IT Expert Review

Topics for Expert Presentation Include:Preparing for Change in Physician OfficesUnderstanding Efficiencies and PrioritiesLeadership, Planning and ImplementationEHR Systems and FunctionalitySystems Integration and ConnectivityDeveloping the Business Case for EHRImplementation Barriers & SolutionsGuidelines for EHR Contracting

Incentive Programs

MCMP Demonstration ProjectPay for Performance InitiativeDetails Currently UnavailableMay be tied to the 4 DOQ-IT Pilot States

Other InitiativesBridges to Excellence

Lumetra Contacts

Tony Linares, MDMedical DirectorE-mail: [email protected]: (415) 677-2121

John Weir Sr. Project Manager DOQ-ITE-mail: [email protected]: (415) 677-2083