The Time is Now for Stronger EHR Interoperability and Usage in Healthcare

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1 The Time is Now for Stronger EHR Interoperability and Usage in Healthcare Sponsored by

2 Table of Contents 03 Stdy: Large Nmber of EHRs Do Not Meet Usability Standards 05 Black Book: EHR Satisfaction Growing Among Large Physician Practices 10 Srvey: Doc EHR Usage Varies Significantly by State 11 Considerations for Sccessfl Clinical Data Abstraction 15 Abot Panasonic

3 Stdy: Large Nmber of EHRs Do Not Meet Usability Standards Heather Landi A significant percentage of electronic health record (EHR) vendors failed to meet federally mandated ser-centered design reqirements and did not conform to sability testing standards for their EHRs, according to a new report. The report, from the National Center for Hman Factors in Healthcare at the Washington, D.C.-based MedStar Health, fond that this lack of adherence to sability testing standards by EHR vendors cold reslt in poor sability of EHRs. Researchers at MedStar Health analyzed data from 50 EHR vendors serving the highest nmber of providers, specifically hospitals and small private practices. The stdy sed data reported by EHR vendors to the U.S. Department of Health and Hman Services Office of the National Coordinator for Health Information Technology (ONC) to determine whether sability certification reqirements and testing standards were met. ONC has established certification reqirements to promote sability practices by EHR vendors as part of a meaningfl se program. To develop a certified EHR, vendors are reqired to attest to sing sercentered design and condct formal sability testing. 3

4 The lack of adherence to testing standards cold reslt in EHR prodcts with poor sability, which leads to ser frstration and safety risks, according to the stdy. Reslts of the stdy indicated that ot of the 50 EHR vendors, 34 percent had not met the ONC certification reqirement of stating their ser-centered design process. In addition, 63 percent of vendors sed less than the standard of 15 participants dring the sability tests of their EHRs and only 22 percent sed at least 15 participants with clinical backgronds. Frther, 17 percent of vendors sed no physician participants and 5 percent sed their own employees when condcting sability tests. Enforcement of existing standards, specific sability gidelines, and greater scrtiny of vendor UCD (ser-centered design) processes may be necessary to achieve the fnctional and safety goals for the next generation of EHRs, the stdy athors conclded. 4

5 Black Book: EHR Satisfaction Growing Among Large Physician Practices Rajiv Leventhal There appears to be a shift pward in physician experience across the large practice and clinic sector when it comes to electronic health record (EHR) satisfaction, according to an annal srvey by Black Book Market Research. Black Book first began measring EHR satisfaction among providers six years ago. In 2013, 92 percent of mltispecialty grops sing electronic records were very dissatisfied with the ability of their systems to improve clinical workload, docmentation and ser fnctionalities. In 2015, comparably, 71 percent of all large practice clinicians stated their optimization expectations of top ranked Black Book EHR vendors were being met or exceeded according to physician and clinician experience. Eighty-two percent of administrative and spport staff declared pgraded operational and financial developments, as well. For this srvey, more than 27,000 EHR sers participated in the 2015 polls of client experience in a sweeping five month stdy. 92% of grops are dissatisfied with the ability of their systems to improve clinical workload. Interestingly enogh, a recent physician-based srvey from online resorce organization AmericanEHR Partners and the American Medical Association (AMA) fond that compared to five years ago, more physicians are reporting being dissatisfied or very dissatisfied with their EHR system. 5

6 What s more, the Black Book srvey fond that Allscripts, Greenway, McKesson and athenahealth recorded the largest increases in client satisfaction over the past year among the large grop practice sector of medical care delivery. According to the srvey reslts of 1,304 large practices, overall satisfaction improved as follows: Physician experience satisfaction, from 8 percent (2013), to 31 percent (2014) to 67 percent in Q Physician docmentation improvements, from 10 percent (2013), to 28 percent (2014) to 63 percent in Q Practice prodctivity enhancements, from 7 percent (2013), to 17 percent (2014) to 68 percent in Q Users of the top for ranked EHR systems agreed that vendor investments in 2014 and 2015 have attribted pdate and releases (34 percent), practice assessments (44 percent), clinical workflow enhancements (60 percent), revene cycle management and analytics vale adds (89 percent), poplation health capabilities (33 percent) and solicited physician feedback (90 percent) have contribted the most to their rise in overall system satisfaction. Significant decreases in satisfaction were also noted by sers of several clinic-oriented EHR sers that failed in regional connectivity attempts (76 percent), implementation and training (77 percent), and cstomer spport (85 percent). 6 >

7 Meaningfl se deadlines, total integration and reliable delivery may have inflenced large grop practice byers to prchase initial EHRs from 2010 throgh 2013, bt replacement byers soght better EHR tools in 2014 that inclde patient engagement, tre interoperability, enhanced sability and prodctivity gains, Dog Brown, managing partner of Black Book, said in a statement. There was also a measreable shift in loyalty to vendors that offered a robst, core EHR to accommodate evolving reforms. Among those srveyed, Black Book revealed jst 18 percent of implemented large practices and clinics are in the discssion or exection stages of replacing their original EHR by 2016 year end. Opportnities for prodct penetration among crrent client bases of the top ranked EHR vendors were also recorded in the 2015 srvey. According to large practice exectives and physicians, the primary reasons for top vendors scceeding in prodct penetration into their crrent client bases in the second half of 2015 inclde: client edcation (42 percent); prodct bndling (31 percent) and marketing (26 percent). EHR firms with a wide offering of prodcts inclding health information exchange, poplation health tools, revene cycle management services, patient portals, dashboards and analytics are emerging as the next wave of healthcare technology leaders. Dog Brown 7 >

8 EHR firms with a wide offering of prodcts inclding health information exchange, poplation health tools, revene cycle management services, patient portals, dashboards and analytics are emerging as the next wave of healthcare technology leaders, said Brown. These leading vendors are assisting their clients in assessing crrent practice operations to meet the demands of ICD-10, payment reform, connectivity beyond closed networks, revene cycle management gaps, and poplation health tools, and recommending effective options within the same vendor site. 8 >

9 UNSTOPPABLE OUTSCAN. OUTPERFORM. OUTLAST. Panasonic docment scanners are bilt for the non-stop demands of healthcare docment management. They se image technology that can create images as sharp as the original docment and are bilt for nbeatable reliability. * Over the past nine years, fewer than 1 in 100 of or leading scanners have needed any rotine maintenance. Several models have logged near zero failres of any kind. Unstoppable Performance for Healthcare ISIS and TWAIN compliant EHR ready Rock solid warranties protect yo for p to 3 years Talk to Panasonic We ll show yo how higher reliability and better workflows can improve otcomes and lower yor total cost of docment imaging. CALL NOW: VISIT: info.panasonic.com/healthcare-scanners.html * Based on service records from

10 Srvey: Doc EHR Usage Varies Significantly by State Heather Landi Jst over half of the physicians in the U.S. sed a basic electronic health record (EHR) system in 2014, according to the Centers for Disease Control and Prevention (CDC); however, there is significant disparity in sage rates among some states. According to data from the CDC s National Electronic Health Records Srvey, 2014, eight states showed significantly higher rates of EHR sage among office-based physicians Iowa, Minnesota, Montana, North Carolina, California, North Dakota, Soth Dakota, Utah and Wisconsin. These higher than average rates ranged from 64.7 percent in Iowa to 79.1 percent in North Dakota. Physician sage of EHRs were significantly lower in six states, namely, Florida, Loisiana, Nevada, New Jersey, Tennessee and Rhode Island. In Tennessee, 38.5 percent of physicians sed EHRs in 2014 and New Jersey had the lowest sage rate with 29.2 percent of physicians sing EHRs last year. The remaining 36 states were not significantly different from the national average. 10 >

11 Considerations for Sccessfl Clinical Data Abstraction The healthcare marketplace is in the midst of a remarkably active period of consolidations, acqisitions and mergers. The healthcare systems that are joining forces mst plan for and manage the process of consolidating different clinical docmentation systems. Electronic conversion of electronic health record (EHR) data from a legacy system to a target system and legacy data archiving are sally high priority considerations dring the planned merging of systems. While the electronic conversion of clinical data is helpfl, it has limitations, inclding the technical inability to convert certain kinds of data from a legacy system to a new EHR. Also, conversion efforts are often costly, and many healthcare organizations have to balance clinical needs with bdgetary constraints. The Case for Manal Data Abstraction Chart abstraction is the process of collecting important information from a patient s medical record and transcribing that information into discrete fields or locations within the new EHR. Chart abstraction is a manal data entry effort where organizationally-defined, clinically relevant data elements that are not being electronically converted, are collected from the legacy system and manally entered into the new target system. 11 >

12 There are many benefits to manally abstracting clinical information, inclding: Makes discrete patient data readily available in the electronic chart, which allows providers and staff to care for the patient withot needing to reference a paper chart or a legacy EHR. Allows triggering of decision spport alerts related to the information entered dring abstraction. Allows for faster decommissioning of the legacy EHR since there is less need to reference the legacy system. Mitigates risk to patient safety. Which Data are Abstracted? Commonly abstracted data incldes schedled appointments, active or standing orders, allergies, medications, immnizations, problem lists and patient history (medical, srgical, social and family). The chart abstraction planning process may also inclde the identification of The chart abstraction planning process may key paper clinical docments that also inclde the identification of key paper need to be inclded in the new clinical docments that need to be inclded in EHR by scanning those records the new EHR by scanning those records into the into the electronic chart prior to electronic chart prior to bringing the new EHR bringing the new EHR live. live. 12 >

13 Keys to a Sccessfl Abstraction Process The keys to a sccessfl implementation are planning, preparation and effective governance. As healthcare exectives begin planning for a new implementation or a merger of EHR systems, abstraction shold be inclded in the planning and bdgeting efforts at the project s inception. Abstraction planning efforts shold always take into consideration and address the following areas: Start the planning efforts early in the process. This will help determine scope and bdgeting reqirements early in the project s lifecycle. Bdget for abstraction costs. Ensre that the bdget is realistic relative to the abstraction scope (and vice versa). Identify and empower key stakeholders to participate in the decisionmaking related to abstraction efforts. This shold inclde both practice managers and clinicians. Determine the scope of abstraction. What data will be abstracted, by whom and when? Are there any special abstraction needs for sbspecialties? Which patients will have their charts abstracted? Ask qestions sch as how does the abstraction scope affect sers access to the new EHR system, legacy systems and paper charts? or, When do project-related abstraction efforts (and costs) end? Define oversight/management who will manage the abstractors? How will they be trained? Will there be a qality review to ensre abstraction is accrate? 13 >

14 The process of consolidating different clinical docmentation systems, is complicated, resorce intensive, and time consming. To maximize the benefits of a consolidation effort it is imperative to devote adeqate time, planning and resorces to the conversion and abstraction efforts that spport a sccessfl consolidation process. Use the sggestions and recommendations discssed above to help gide yo throgh the abstraction portion of this complex process. 14

15 UNSTOPPABLE CUSTOM MEDIA Abot OUTSCAN. Panasonic OUTPERFORM. OUTLAST. Panasonic engineers reliable prodcts and soltions for bsiness and With imaging technology that can indstry. Their expertise spans nified bsiness commnications, create sharper scans than the original mobile docment compting, and nbeatable visal commnications reliability, (projectors, displays, digital signage), Panasonic secrity docment and srveillance, scanners are bilt office prodctivity, pls IT design, conslting for the and non-stop services. demands Panasonic of healthcare develops and manfactres specific docment management. soltions for healthcare, inclding: EHR-certified docment scanners and Over integrated the past nine commnication years, fewer than systems for patients; OR-certified cameras 1 in 100 and of or displays; leading scanners and remote have medical systems for doctors, needed any rotine maintenance. hospitals and assisted living facilities. Throgh long-term technology Several models have logged partnerships near zero with failres the of world s any kind. leading data extraction and docment management developers, Panasonic helps healthcare organizations of every size work smarter and more efficiently so they can focs on improving performance and patient otcomes. Unstoppable Performance for Healthcare Panasonic offers free consltations on yor docment management ISIS and TWAIN compliant workflow! EHR For ready more information contact Panasonic at: ToghFeed handles EKGs, ID Cards and mltiple paper thicknesses Rock solid warranties protect yo for p to 3 years Talk to Panasonic We ll show yo how higher reliability and better workflows can improve otcomes and lower yo total cost of docment imaging. CALL NOW: VISIT: info.panasonic.com/healthcare-scanners.html * * Based on service records from ** KV-S10XX/50XX series incldes a 3-year warranty, KV-S40XX/70XX series incldes a 90-day onsite warranty, and KV-S3105C incldes a 6-month warranty 2015 Panasonic Corporation of North America. All rights reserved. 15

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