Rural Virginia E-health Collaborative Rural Virginia E-health Collaborative (RVEC) Rappahannock General Hospital Kilmarnock, VA Michael Matthews, Project.

Rural Virginia E-health Collaborative

Rural Virginia E-health Collaborative (RVEC)

Rappahannock General Hospital

Kilmarnock, VA

Michael Matthews, Project Director


Overview

• The Applicant

• The Project

• The Process

• The Results

• The Lessons


The Community

• RGH: 76 beds• 60,000 residents• MUA / HMSA• Aging• Health indicators• Poverty rate• Retirement community• Medical staff


The Project

Goals

EfficiencyQualitySafety

Focus

E-prescribingDisease registry

CCR


The Process


Structure


RVEC begins

Dec 04

Jan 05 Mar 05

Apr 05Oct 04

Stakeholder phone surveys

Implementation application

Timeline

Planning Meeting #1

Med staff retreat.

Planning Meeting #2

Physician

survey

Hosp IT assessment

Interim Planning Report


Pre-Implementation

• Communication• Partnership

engagement• RHIO development in

Richmond• E-prescribing review


Planning Meeting #1:Revised Priorities

1. E-prescribing– Pharmacy connectivity

– Physician buy-in

– Internet

– Demographic data capture

– Medication history

– Support (pre- / post)

2. E-results– Physician buy-in

– Hospital results

– Internet

– Support (pre- / post)

3. E-referrals

RHIO


Medical Staff Retreat

Rappahannock General Hospital Medical Staff Retreat Agenda

March 15, 2005

Erica Drazen & Keith MacDonald

Overview of e-Health7:00 – 7:15pm

Wellogic & Michael Matthews

Social Hour / Product Demonstrations

5:00 – 6:00pm

8:25 - 8:30pm

8:00 – 8:25pm

7:15 – 8:00pm

6:45 – 7:00pm

6:00 – 6:45pm

Richard Carpenter, MD & Michael Matthews

Closing Comments

GroupDiscussion of Next Steps


Product Demonstrations

Michael Matthews

Richard Carpenter, MD

Project Status & Objectives

Dinner / Welcome, Introductions & Opening Remarks

Rappahannock General Hospital Medical Staff Retreat Agenda

March 15, 2005

Erica Drazen & Keith MacDonald

Overview of e-Health7:00 – 7:15pm


Social Hour / Product Demonstrations

5:00 – 6:00pm

8:25 - 8:30pm

8:00 – 8:25pm

7:15 – 8:00pm

6:45 – 7:00pm

6:00 – 6:45pm

Richard Carpenter, MD & Michael Matthews

Closing Comments

GroupDiscussion of Next Steps


Product Demonstrations

Michael Matthews

Richard Carpenter, MD

Project Status & Objectives

Dinner / Welcome, Introductions & Opening Remarks


Physician Survey• Internet

– High speed 71%– Dial-up 29%

• PCs in office 71%• Elec test results 18%• EMR 4%• E-mail

– Within practice 39%– With colleagues 36%– With patients 18%


Physician Survey

• Prescriptions

• Tertiary hospitals

• Referrals (SCPs and PCPs)

• Test results from RGH

• Chronic disease mgmt.


Physician Survey

• Costs

• Lack of other resources in practices

• Difficult to choose vendor

• Lack of IT, computers in office

• Practice disruption


Planning Meeting #2• Confirm priorities

– E-prescribing– E-results– E-referrals

• Implementation grant• Confirm RHIO partnership

– MedVirginia / Wellogic

• E-RX market review• Measures of success


MedVirginia Organizational Purpose

- Collaboration in HIT

- Clinical data exchange

- Practice automation

Vision: “…the most electronically integrated

medical community in the U.S.”


RVEC Priorities

E- results

E-referrals

Rural Virginia E-health CollaborativeConfidential and Proprietary - Copyright © 2004 Method Factory Inc. d/b/a Wellogic All Rights Reserved, Worldwide.

E- chart

E-prescribing

RVEC Priorities


New Practice Options:“Stepping Stones” to HIT Adoption

HIE - view onlyHIE w/ PM interface Integrated transcriptions Integrated e-RX Integrated electronic chart

HIE feed to other EMR


Measures of Success

• Project Level• By technology (e-RX, e-

results, e-referrals)– Structure

– Process

– Outcome

• UVA Health Evaluation Sciences


Next Steps

• E-RX review

• Medication history data

capture pilot

• Final planning report

• Implementation funding


The Lessons…So Far

• Leverage relationships• Leverage partnerships• Leverage technology• “Hit the ground

running”– Early findings

• Listen– Compelling business

case for physicians

Rural Virginia E-health Collaborative Rural Virginia E-health Collaborative (RVEC) Rappahannock General Hospital Kilmarnock, VA Michael Matthews, Project.

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