More Than OK Innovation in Care Transistions

More Than OK InnovationIn Care TransitionsNorman Regional Health SystemYeaman and AssociatiesBrian Yeaman, MD & CMIO

Taking action in Oklahoma

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The Tug-of-Data-War

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The “Global Medical Record”

Largest member of the oldest and most established privately sustained HIE in the nationDisparate connections to all major EHR platforms(36 interfaces)

State wide HIE / “Global Medical Record”• >150 million data elements• > 4 million patient encounters• 2.7 million lives

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Oklahoma Health Information Exchange

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You Don’t Know What You Don’t Know

70% crossover databetween major health systems for all patients

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You Don’t Know What You Don’t Know

What is your use case?ED Visit/New Admission Discharge Coordination Specialist ReferralMedication ReconciliationNew or Return Patient to Clinic

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Oklahoma: HIE 2.0

Aggregates data in the Global Medical RecordManages care transitionsIntegrates with all major EHR platformsSingle click from EHR to the Global Medical RecordSupports innovative environment beyond HIE

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Redefining the Delivery and Business Case for HIE

Why Information Exchange?

Why Information Exchange?

Improving Care TransitionsImproving Care Transitions

Aging Population

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Population Health & Healthcare Reform

80% of healthcare costs are related to highly manageable chronic conditions, yet the US spends less than 2% on prevention management

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Oklahoma Challenge Grant

Long Term Care Challenge Grant

Add on to the State HIE Cooperatives

Care Transition FocusAcute Care to Long Term Care Patient Transitions

One of Four in the NationOK, MA, MD, and CO

Final Year of Funding Year 2 of 2

17

ADL Documentation

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Relevant Data Exchanged Regarding the Transition or Visit

Initiate

Accept

Financial/

Eligibility

Schedule

Patient Seen

Complete

Close

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Challenge Grant Outcomes

98% compliance with Daily Assessments in EHR by Nursing Aides30% reduction of 30-day readmissions overall in all five facilities 40% reduction in 30-day return to ED post-

acute care discharge97% patient satisfaction50% reductions in readmissions in one year(Cedar Creek Living Center)

Prescription Drug Monitoring ProgramPrescription Drug Monitoring Program

OBNDD

Center for Disease Control (CDC)

Prescription drug abuse death is one of the fastest growing public health epidemics, outpacing deaths from traffic fatalities – and outnumbering deaths from heroine and cocaine combined.

Meditech eCW Cerner

EHR

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Technology and Healthcare Reform

Culture change: the five “E’s”Evidence-Based MedicineElectronic Conversion of Health RecordsEnd of Episodic CareExchange of Records Across the Care ContinuumEnterprising Care Delivery

“If you don’t like change, you’re going to like irrelevance even less.”

“If you don’t like change, you’re going to like irrelevance even less.”

Eric Shineski U.S. Army General

Eric Shineski U.S. Army General