Be the Practice of the Future: Hand Your Patients an ipad esignature Capture for Centricity

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Gordon Anthony
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1 Be the Practice of the Future: Hand Your Patients an ipad esignature Capture for Centricity Carl Lindgren, MD President Healthy Future Pediatrics, Olympia, WA Jill Arena Managing Partner Health e Practice Solutions, Portland, OR

President Healthy Future Pediatrics, Olympia, WA Jill

2 Healthy Future Pediatrics Mission The mission of Healthy Future Pediatrics is to improve the wellbeing of our patients. We offer high quality medical care to all patients in a friendly, safe and welcoming medical home.

3 Our History Founded October 3, 2005 by Dr. Carl Lindgren Expanded to our new location in 2009 First LEED-Certified, privately owned medical facility in Washington Providers include 3 Pediatric Nurse Practitioners Dedicated to providing quality health care to children of all ages

LEED-Certified, privately owned medical facility in Washington

4 Demographics Bustling pediatric practice in Olympia, WA We are currently on CPM 2005 (upgrade to 9.5 scheduled for Summer 2011) 3 people (wo)manning the front desk 3 ipads have moved in at the front desk Over 80 patients/day at the clinic

5 scheduled for Summer 2011) 3 people (wo)manning the front

5 Our IT GE Centricity EHR GE Centricity PM Rosetta Stone interface for EHR-PM Kryptiq s Document Management scanning Kryptiq s Secure Messaging Kryptiq s Patient Portal Kryptiq s appointment reminders Kryptiq s on-line bill pay in installation process escript Messenger for e-prescribing Lost Creek Consulting s Child Profile interface in installation process Hospital interface for lab, x-ray, ED / discharge documents Brentwood ECG PC-based and integrated Midmark Spirometer PC-based and integrated CCC encounter forms Monthly e-newsletter for patients Knowledge sources: Epocrates, UpToDate, PubMed Remote access to hospital IS Remote access to practice IS Networking hardware & software Network security software, backup, antiviral, & antispam Telecommunications phone system, cell phones esignature

6 Current Office Workflow 1. Check in patient 2. Determine which forms require signatures 3. Pull the forms 4. Explain the forms to patient 5. Retrieve and review the forms 6. Document the forms in PM 7. Scan the forms 8. Bandage the paper cuts 9. Index the forms into Centricity Document Management 10. Smile and apologize for the wait

Explain the forms to patient 5. Retrieve and review the forms 6.

7 Workflow with Your PM System Choose a schedule Select form(s) and send to ipad. Have patient review and sign forms on ipad with the touch of a finger. Review and accept forms. ipad Patient Forms are automatically indexed to Centricity Document Management or EMR and are queued for next signature!

8 Implementation challenges Case vs. countertop mount for the ipads Explaining the new technology to patients parents Finding the right stylus!

9 A New Wave of Office Efficiency Integrated with our PM system, esignature automatically manages our front office forms and reduces front office time and expense.

10 Return on investment Cut front office paper printing and scanning dramatically Save $718 per month Positive ROI within 6 months on all costs

11 Steps to Implement 1 Install on Server 2 Install on ipad 3 Train Staff Create forms Set up ipad devices Import schedules Download esignature from the Apple App Store Enter static IP address on ipad Simple to learn Train the trainer model Easy to train new staff

esignature from the Apple App Store Enter static IP address on

12 What Our Patients Experience We honor their time. No more clipboards! (This is our clinic s Paperwork Reduction Act.) Modern, fast and simple High Gee Whiz factor some patients equate high tech with high quality care. Green workflow

13 Other Benefits We Found Recapture staff time Prevent printing, scanning and indexing. Allow staff to perform other value-add functions. Streamline compliance tasks Insure signed forms stay current. Reduce office supply expense Paper, toner, useful life on printers and scanners. Lower our Band-Aid and aspirin expense!

Streamline compliance tasks Insure signed forms stay current.

14 What We Needed to Get Started ipad (1 per receptionist) Wi-Fi set up in the clinic Web Browser Internet Explorer, Firefox, Safari and Google Chrome all work Index finger for signing (not included)

15 Automated tracking of signature freshness dating 1. Set simple rules for frequency. Financial Responsibility Form signed once a year No Show Policy HIPAA Privacy Policy 2. System automatically updates the date when the signature is captured and only cues it up again when due.

Financial Responsibility Form signed once a year No Show Policy

16 Customizable forms Branded with our company logo Unlimited number Can be imported from Word or existing Centricity form Can be translated into foreign languages

17 Plans for the future Integration into the EMR for clinical consent forms Vaccines ABN s Informed consent Use the ipad 2 to take patient photos Fillable forms for new patient registration and registration changes

18 Questions?

EHR Implementation: What you need to know to have a successful project: Part 2. Bruce Kleaveland President Kleaveland Consulting, Inc.

EHR Implementation: What you need to know to have a successful project: Part 2. Bruce Kleaveland President Kleaveland Consulting, Inc. Learning Objectives: Recognize key EHR hardware & network components