UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION"

Transcription

1 UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION

2 Richard Rosenthal, MD Associate Chief of Staff Ambulatory Services Associate Professor of Medicine Department of Medicine Endocrinology

3 Agenda About UAB Health System EHR Vision and Guiding Principles Project Scope and Approach Benefits and Measures Keys to Provider Adoption Page 3

4 UAB Health System University Hospital As the cornerstone of UAB Health System, University Hospital is a Teaching Medical Center and Alabama s First Nursing Magnet Hospital Alabama s only Level 1 Trauma Center 1,157 Beds 72,000 Admissions 77,500 ED Visits 1,141 Active Medical Staff Ambulatory Clinics Over 1.1 million ambulatory visits and procedures performed each year in 135 Ambulatory Clinics The Kirklin Clinic houses over 33 specialties under one roof Page 4

5 Vision One Clinical Chart Standardize on a single system as the source of truth Enter data once, use many times, avoid data duplication between systems Consistent, system-wide decision support and alerting Redesign processes and workflow to maximize information system use Page 5

6 Cerner Implementation began in 2003 Surgery UED Radiology Pathology Background Inpatient EHR went live in 2008 CPOE and Results Reporting Nursing and Physician Documentation Pharmacy with Pyxis Integration PowerChart Maternity and Fetalink BMDI with positive patient ID Device integration rollout for: Physiologic monitors for ICUs Ventilator integration for ICUs Page 6

7 Improve Quality and Safety Improve Communication Ensure Continuity of Care Facilitate Research Extract Data Improve Efficiency Meet Regulations Ambulatory EHR Project Objectives Page 7

8 Project Scope Ambulatory EHR roll-out to multiple clinic locations to replace manual systems: Schedule View Orders with ABN Alerts Documentation Message Center E-Prescribe MPages Single Document Scanning Page 8

9 Implementation Approach Practice Similarity / Location Proximity Wave 1 May 16, 2011 Wave 2 Aug 2, 2011 Wave 3 Jan 27, 2012 Wave 4 April 30, 2012 Wave 5 July 30, 2012 Primary Care, OB/GYN Ancillary Areas Medical Services Cardiology Oncology Surgical Services Specialized Clinics Specialization / Content Practice Similarity Workflow Content Location Proximity Reception/Pods Shared Staff Specialization Unique focus of care Content Varying coverage per specialty Volume Balanced across Waves Page 9

10 Standardization vs. Customization Balance Documentation and Orders Existing vs. New Hospital vs. Clinic Dictation, Dragon, Structured Data Access Standard devices to support Access from variety of devices and places Page 10

11 Project Structure Regular updates to: HSF Executive Committee HSIS Executive Committee Physician Faculty Meetings Clinical Practice Committees Executive Administrators TKC Nurse Council TKC Directors MSO Parallel Projects PowerInsight isite/pacs Replacement Board Executive Sponsors Clinical Advisory Group/Surgery Committee Project Management Office - PMO Parallel Projects: Transition Team Project Teams (~25 teams aligned with functionality) Page 11

12 Physician Participation High level physician and staff participation throughout all project phases: Design, Build, Testing, Training, Rollout Physician Leadership support and input for: Standardization in process and system design Timely decisions to stay on target and on budget Physician Champions Facilitate overall change management for the clinic Page 12

13 Physician Participation Physician Content Leads Drive development and standardization of system content with input from colleagues Contribute to clinical process improvement and content development in conjunction with colleagues and administrators Test and approve design and build Be an advocate for change during Go-Live Page 13

14 Keys to Physician Acceptance of the EHR Education Organization Assistance Implementation Optimization Page 14

15 Mission: Clinical Advisory Group Lead Clinical Process Redesign Help Define High-Level Policies/Procedures Forum for feedback and peer review, liaisons to other committees Review and approve variances from standardized content Address and resolve clinical implementation issues in a timely manner Learn the IMPACT system s workflows and limitations Page 15

16 Clinical Adoption Approach Feet on the ground in every clinic to understand current workflows Introductory workshops to familiarize clinics with a generic future state In depth follow up sessions to prepare clinics individually for implementation Customize documentation to bolster adoption Simulation Center to review device options in a clinic setting Provider driven pre-load decisions Administrators and providers involved in transition planning Coordinated workflow practice sessions with individual clinics prior to go-live Page 16

17 Clinic Workflow with ARRA and Regulatory Requirements MAJOR WORKFLOW STEPS PROCESS STEPS Scheduling & Registration Schedule appointments in IDX Collect/update demographic information including preferred language and ethnicity Pre-cert in IDX ARRA Requirements Joint Commission Regulations Patient Check in Arrive patient in IDX Confirm patient information Collect patient pharmacy information Collect patient selfassessment form, if applicable Receive external records day of visit Print encounter forms Print HIPAA Acknowledgement as needed Patient Intake Record vital signs Height Weight Blood pressure Record Medication History Record Past Medical History Record Procedure History Record Family History Record Social History Record Allergies Record Cultural/Spiritual needs Record pain assessment Record Immunization history, if applicable Perform Point of Care tests Provider Assessment Complete Review of Systems and physical exam Document via Power Note Can use Dragon in narrative portion of template Review Health Maintenance Review Chronic Condition Management Update Problem List Record Diagnoses Place Orders eprescribe only print schedule drugs or if requested Care Delivery Administer in clinic meds Perform Point of Care Tests Perform In-clinic labs, if applicable Collect In-clinic specimen for delivery to Lab Perform/Document patient education Complete clinical tasks and document via PowerForms Dictate in Horizon only when absolutely necessary Discontinue using forms in Horizon Check out Schedule appointments Print Depart Summary Give Patient printed prescriptions if applicable Print Requisitions for external orders or non-live clinics Process External referrals Between Visit Care Manage Rx refills Manage phone triage Pull charts - transitional Schedule appointments Scan documents postvisit such as consents, external records Manage Results Generate result patient letters if applicable Generate other patient letters Perform MRP/ROI Discontinue reviewing results in Horizon; use Message Center Chart Prep Scan external records/results Pull charts - transitional Load patient information as determined by clinic Track orders Review documents in Horizon for non live clinics Check Meds in Horizon for non live clinics ARRA METRICS Demographics: Must enter 1-time on more than 50% of patients. This data requirement met through IDX updates Vital Signs: Must enter 1-time on more than 50% of patients Meds and Allergies: more than 80% of patients must have 1 medication and 1 allergy or indication n/a Enter 1-time the smoking status of more than 50% of all patients >12 yrs old Problem List and Diagnosis: Must enter 1 or indicate N/A for more than 80% of patients CPOE: More than 30% of patients with 1 medication in Med List must have at least one medication order entered through CPOE eprescribe: More than 40% of all permissible prescriptions must be transmitted electronically Patient Education: More than 10% of all patients are provided patient specific education resources Clinical Summary ROI - Release of (Depart Summary): Information: More Provided to than 10% of patients for more patients are than 50% of all provided timely office visits within electronic access 3 business days. to parts of their EHR upon request Provide an electronic copy of parts of their EHR for more than 50% of patients who make the request Page 17

18 Training Training and Practice Sessions Required providers to attend two 3-hour training sessions Required providers to spend 2 nd half of the Provider II class building order favorites and pre-completed PowerNotes Offered providers additional open house sessions for help with PowerNote templates and building favorites Staff required to attend full day of training In-clinic workflow practice sessions conducted prior to go-live to allow providers and staff to: Simulate workflow who will do what, when Place clinic-specific orders and complete documentation on test patients Test equipment Page 18

19 End User Go-Live Support Model One expert assigned to each provider schedule One front desk/back desk support person Go-Live Support Team leads to manager go-live support personnel and channel issues/updates Scanning/MRP floaters Command Center Fast track go-live support calls from normal helpdesk calls to a command center Command Center comprised of phone support, analyst support in one area to quickly triage calls Page 19

20 Users Group Meetings every 2 weeks Ongoing Clinic Optimization Physician Clinical Advisory Group monthly Expert Team rounding in Clinics to: Identify issues with system design and track to resolution Assess processes and evaluate roles & responsibilities to recommend workflow refinement Identify gaps in knowledge and provide additional training Develop Ongoing Training Strategy Page 20

21 Evaluate, understand and redesign clinic workflow Identify opportunities to repurpose staff Provide a Simulation Center to evaluate device needs Lessons Learned Address preload plan early What will be preloaded? Who will do the preload prior to go-live? Who will assume chart prep responsibilities long term? Understand the impact of a foreign scheduling system on Referrals to other clinics Future visits and future order tracking Appropriately set expectations around creating outbound charges to an external billing system Avoid introducing new policy at go-live Page 21

22 Over 135 HSF Clinics LIVE on IMPACT Ambulatory Total Users 3466 Page 22

23 Physician to Patient Visit Ratios for Waves 1-4 Wave 1 Wave 2 Wave 3 Wave 4 Page 23

24 Wave 5 Provider to Visits Ratio thru 10 days Day1 Day2 Day3 Day4 Day5 Day6 Day7 Day9 Day9 Day10 Providers Providers Patients Arrived Baseline Arrived Arrived Pts. per Provider Baseline Arrived Pts per Provider % Provider Days in Clinic - Current to Prior Year 143.1% 156.0% 126.3% 139.5% 142.1% 152.2% 140.8% 125.0% 149.4% 130.5% % Pts. Arrived Current to Prior Year 95.2% 115.4% 117.3% 98.7% 105.6% 110.4% 102.2% 95.8% 112.8% 102.8% % Arrived Pts. per Provider to Previous Year 66.5% 74.0% 92.9% 70.8% 74.3% 72.5% 72.6% 76.6% 75.5% 78.8% Total arrived patients to provider ratio is 21% below previous year after 10 days Page 24

25 We chose quantitative measures for key objectives Improve quality and safety of care Comply with regulations Improve overall efficiency Qualify for ARRA incentives Improve patient and provider satisfaction Health maintenance screening Drug interaction and allergy checking % delinquent charts % signed orders Transcription costs (see projections in next slide) Forms costs Medical necessity write-offs Meet MU Stage 1 requirements Patient satisfaction with care experience Provider satisfaction Page 25

26 We chose qualitative measures for the rest Improve communication across the organization Satisfaction with Message Center Ensure continuity of care across settings Common clinical data repository Provide data extraction and reporting PowerInsight Facilitate research More data More reliable data Codified data Page 26

27 Electronic Documentation vs. Transcription 95.8% Savings 92.7% Savings 93.4% Savings 93.0 Savings 85.0% Savings 5.9 % Dictation Actual 1 st Year 7.3 % Dictation Actual; 1 st year 6.6 % Dictation Annualized 7.0 % Dictation Annualized 15.0% Dictation Annualized (Conservative Estimate) Average 92% Projected Annual Savings Page 27

28 1 Week Road to Productivity 6 Weeks 3 Months 6 Months 1 Year Page 28

29 Questions Page 29

Improving Safety, Quality & Efficiency with an Ambulatory EMR: Can it be done?

Improving Safety, Quality & Efficiency with an Ambulatory EMR: Can it be done? Improving Safety, Quality & Efficiency with an Ambulatory EMR: Can it be done? Paula Spencer, PMP, CPHIMS Deborah Burgett, RN, MSHA DISCLAIMER: The views and opinions expressed in this presentation are

More information

Workflow Redesign Templates

Workflow Redesign Templates Workflow Redesign Templates Provided By: The National Learning Consortium (NLC) Developed By: Health Information Technology Research Center (HITRC) Practice and Workflow Redesign Community of Practice

More information

Where to Begin? Auditing the Current EHR System

Where to Begin? Auditing the Current EHR System Chapter 1 Where to Begin? Auditing the Current EHR System After implementation, allow for a period of stabilization, so physicians and employees can gain more comfort using the electronic health record

More information

Sample Assignment 1: Workflow Analysis Directions

Sample Assignment 1: Workflow Analysis Directions Sample Assignment 1: Workflow Analysis Directions Purpose The Purpose of this assignment is to: 1. Understand the benefits of nurse workflow analysis in improving clinical and administrative performance

More information

Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor

Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor 1 CPOE (Computerized Physician Order Entry) More than 30 percent of all unique patients with at least

More information

EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value

EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value Research White Paper EHRs vs. Paper-based Systems: 5 Key Criteria for Ascertaining Value Provided by: EHR, Practice Management & Billing In One www.omnimd.com Before evaluating the benefits of EHRs, one

More information

Interview patient Perform Physician; Nursing; Medical Assistant Take history Document 7.1(Document a progress note for each encounter)

Interview patient Perform Physician; Nursing; Medical Assistant Take history Document 7.1(Document a progress note for each encounter) Reference Workflow Taonomy Patient centric Outpatient encounter 1 Intake and Nurse assessment Clinician* assessment Check in Document 1.16 (Access patient demographic data), 7.6 (Document date of birth),

More information

Pediatric Physician. and Advanced Providers Handbook. for Inpatient Cerner Use

Pediatric Physician. and Advanced Providers Handbook. for Inpatient Cerner Use Pediatric Physician and Advanced Providers Handbook for Inpatient Cerner Use Section Last updated Page(s) Background Jan-13 2 Admission Process Nov-12 11 Codes Nov-12 17 Discharge Process Nov-12 13 Downtime

More information

Meaningful Use. Medicare and Medicaid EHR Incentive Programs

Meaningful Use. Medicare and Medicaid EHR Incentive Programs Meaningful Use Medicare and Medicaid Table of Contents What is Meaningful Use?... 1 Table 1: Patient Benefits... 2 What is an EP?... 4 How are Registration and Attestation Being Handled?... 5 What are

More information

Meaningful Use - The Basics

Meaningful Use - The Basics Meaningful Use - The Basics Presented by PaperFree Florida 1 Topics Meaningful Use Stage 1 Meaningful Use Barriers: Observations from the field Help and Questions 2 What is Meaningful Use Meaningful Use

More information

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use Stage 1 Focuses on Functional & Interoperability

More information

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review Special Topics in Vendor- Specific Systems Unit 4 EHR Functionality EHR functionality Results Review Outline Computerized Provider Order Entry (CPOE) Documentation Billing Messaging 2 Results Review Laboratory

More information

Practice Readiness Assessment

Practice Readiness Assessment Practice Demographics Practice Name: Tax ID Number: Practice Address: REC Implementation Agent: Practice Telephone Number: Practice Fax Number: Lead Physician: Project Primary Contact: Lead Physician Email

More information

Adopting an EHR & Meaningful Use

Adopting an EHR & Meaningful Use Adopting an EHR & Meaningful Use Learn how to qualify for the EHR Incentive Program The materials in this presentation, or prepared as part of this presentation, are provided for informational purposes

More information

CareTracker Electronic Health Record (EHR) Planning Your Conversion from Paper Charts to Electronic Health Records

CareTracker Electronic Health Record (EHR) Planning Your Conversion from Paper Charts to Electronic Health Records CareTracker Electronic Health Record (EHR) Planning Your Conversion from Paper Charts to Electronic Health Records Questions to Think About Who will convert the paper charts to electronic health records?

More information

Implementation of EMR

Implementation of EMR Implementation of EMR Paul Steven Collins MD FACS RPVI Assistant Clinical Professor of Surgery University of South Florida Bay Surgical Specialists St Petersburg, Fl No Magic Formula However, Fail to Plan,

More information

Standards for the Content of the Electronic Health Record 15

Standards for the Content of the Electronic Health Record 15 Standards for the Content of the Electronic Health Record 15 Appendix A Administrative Patient Data Elements That Should Be Added Multiple names/ids US citizenship Information related to custody of child

More information

Meaningful Use. Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC

Meaningful Use. Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC Meaningful Use Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC What is Meaningful Use? Meaningful use is a term defined by CMS and describes

More information

Big Time, Big Deal. Strategies for Creating a Successful Organization-wide EMR. Charles B Wang Community Health Center Laminasti (Ina) Elbaar

Big Time, Big Deal. Strategies for Creating a Successful Organization-wide EMR. Charles B Wang Community Health Center Laminasti (Ina) Elbaar Big Time, Big Deal Strategies for Creating a Successful Organization-wide EMR Charles B Wang Community Health Center Laminasti (Ina) Elbaar 5 th Annual Asian & Pacific Islander Community Health Center

More information

Meaningful Use Objectives

Meaningful Use Objectives Meaningful Use Objectives The purpose of the electronic health records (EHR) incentive program is not so much the adoption of health information technology (HIT), but rather how HIT can further the goals

More information

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 $19.2B $17.2B Provider Incentives $2B HIT (HHS/ONC) Medicare & Medicaid Incentives

More information

Ambulatory EHR Update

Ambulatory EHR Update Ambulatory EHR Update Fred D. Archer III, MD Division of General Pediatrics December 19 th, 2008 farcher@upa.chob.edu EHR Ambulatory Update Goals To create an ambulatory EHR for the Kaleida Ambulatory

More information

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Health Information Technology and the National Quality Agenda Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Institute of Medicine Definition of Quality "The degree to which

More information

Agenda. Meaningful Use Budgets Questions. Phil Stravers

Agenda. Meaningful Use Budgets Questions. Phil Stravers Agenda This is a bit of a two for the price of one presentation What is EMRAM? Why should I care? How do I leverage this in my organization? Meaningful Use Gap Analysis Meaningful Use Human Resources Meaningful

More information

Kaiser Permanente HealthConnect The Substance, Strategy, and Impact of Kaiser Permanente s Electronic Health Record (EHR) System

Kaiser Permanente HealthConnect The Substance, Strategy, and Impact of Kaiser Permanente s Electronic Health Record (EHR) System Kaiser Permanente HealthConnect The Substance, Strategy, and Impact of Kaiser Permanente s Electronic Health Record (EHR) System Pamela Hudson, Vice President KP HealthConnect National Business Program

More information

Massachusetts Medicaid EHR Incentive Payment Program

Massachusetts Medicaid EHR Incentive Payment Program Massachusetts Medicaid EHR Incentive Payment Program Agenda Vision & Goals High-level overview where we are going Medicare vs. Medicaid EHR Incentive Programs Performance and Progress Eligibility Overview

More information

Joint Implementation of Epic Ambulatory in Two Academic Centers

Joint Implementation of Epic Ambulatory in Two Academic Centers Joint Implementation of Epic Ambulatory in Two Academic Centers Tara Coxon Director, Information Technology St. Joseph s Healthcare, Hamilton Rob Lloyd MD FRCPC Medical Director, Clinical Informatics Hamilton

More information

The value MIE delivers can be summed up in two words:

The value MIE delivers can be summed up in two words: The value MIE delivers can be summed up in two words: minimally TM invasive EHR WebChart EHR Portfolio minimally invasive TM Philosophy The MIE architecture was built to have a minimally invasive impact

More information

STAGE 2 of the EHR Incentive Programs

STAGE 2 of the EHR Incentive Programs EHR Incentive Programs A program administered by the Centers for Medicare & Medicaid Services (CMS) Eligible Professional s Guide to STAGE 2 of the EHR Incentive Programs September 2013 TABLE OF CONTENTS...

More information

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Medicaid EHR Incentive Program Focus on Stage 2 Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Understanding Participation Program Year Program Year January 1 st - December 31st. Year

More information

Meaningful Use Updates. HIT Summit September 19, 2015

Meaningful Use Updates. HIT Summit September 19, 2015 Meaningful Use Updates HIT Summit September 19, 2015 Meaningful Use Updates Nadine Owen, BS,CHTS-IS, CHTS-IM Health IT Analyst Hawaii Health Information Exchange No other relevant financial disclosures.

More information

Information Technology Report to Medical Executive Committee

Information Technology Report to Medical Executive Committee July 9, 2013 z Information Technology Report to Medical Executive Committee Contents 1 Physician Optimization Update 2 Direct Email Protocol Project 2 Patient Portal 2 Cerner PowerChart Ambulatory EHR/PM

More information

Glossary of Terms IHealth and the Electronic Health Record

Glossary of Terms IHealth and the Electronic Health Record Activation: The time that a specific site or region will start to use new information system functionality. See also: Go-live, Implementation. Ad-Hoc Charting Allows for entry of static, point-in-time

More information

Incentives to Accelerate EHR Adoption

Incentives to Accelerate EHR Adoption Incentives to Accelerate EHR Adoption The passage of the American Recovery and Reinvestment Act (ARRA) of 2009 provides incentives for eligible professionals (EPs) to adopt and use electronic health records

More information

Medicaid EHR Incentive Program Dentists as Eligible Professionals. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.

Medicaid EHR Incentive Program Dentists as Eligible Professionals. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida. Medicaid EHR Incentive Program Dentists as Eligible Professionals Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Considerations Must begin participation by Program Year 2016 Not required

More information

Cerner Ambulatory The Physician Perspective

Cerner Ambulatory The Physician Perspective Cerner Ambulatory The Physician Perspective Carlos Vigil, DO Internal Medicine Physician and CEO of United Hospitalist Group Company LOGO Agenda 1. Organization Overview 2. Why EMR 3. My Journey 4. Workflow

More information

2013 Meaningful Use Dashboard Calculation Guide

2013 Meaningful Use Dashboard Calculation Guide 2013 Meaningful Use Dashboard Calculation Guide Learn how to use Practice Fusion s Meaningful Use Dashboard to help you achieve Meaningful Use. For more information, visit the Meaningful Use Center. General

More information

Domain 3: Assessment, System Selection and Implementation. Module 3A: Purpose, Adoption and Use of Health Information Systems

Domain 3: Assessment, System Selection and Implementation. Module 3A: Purpose, Adoption and Use of Health Information Systems 1 Health Information Management Systems Technology and Analysis Domain 3: Assessment, System Selection and Implementation Module 3A: Purpose, Adoption and Use of Health Information Systems Lecture #2:

More information

NCQA Standards Workshop Patient-Centered Medical Home PCMH 2011. Part 1: Standards 1-3

NCQA Standards Workshop Patient-Centered Medical Home PCMH 2011. Part 1: Standards 1-3 NCQA Standards Workshop PCMH 2011 Part 1: Standards 1-3 Agenda: Part 1 Overview Content of PCMH 2011 Standards 1 3 Documentation examples* * Examples in the presentation only illustrate the element intent.

More information

MD-REPORTS. Comprehensive, specialty specific one stop solution for Office, Ambulatory and Hospital electronic document requirements

MD-REPORTS. Comprehensive, specialty specific one stop solution for Office, Ambulatory and Hospital electronic document requirements MD-REPORTS COMPLETE SOFTWARE SOLUTION FOR OFFICE, SURGERY CENTER AND HOSPITAL Comprehensive, specialty specific one stop solution for Office, Ambulatory and Hospital electronic document requirements ONC-ATCB

More information

Workflow Analysis and Redesign for Electronic Health Records (EHRs) Tools, Examples, and Discussion for RHITND Grantees

Workflow Analysis and Redesign for Electronic Health Records (EHRs) Tools, Examples, and Discussion for RHITND Grantees 600 East Superior Street, Suite 404 I Duluth, MN 55802 I Ph. 800.997.6685 or 218.727.9390 I www.ruralcenter.org Workflow Analysis and Redesign for Electronic Health Records (EHRs) Tools, Examples, and

More information

Meaningful Use Stage 1:

Meaningful Use Stage 1: Whitepaper Meaningful Use Stage 1: EHR Incentive Program Information -------------------------------------------------------------- Daw Systems, Inc. UPDATED: November 2012 This document is designed to

More information

InteliChart. Putting the Meaningful in Meaningful Use. Meeting current criteria while preparing for the future

InteliChart. Putting the Meaningful in Meaningful Use. Meeting current criteria while preparing for the future Putting the Meaningful in Meaningful Use Meeting current criteria while preparing for the future The Centers for Medicare & Medicaid Services designed Meaningful Use (MU) requirements to encourage healthcare

More information

Agenda. Government s Role in Promoting EMR Technology. EMR Trends in Health Care. What We Hear as Reasons to Not Implement and EMR

Agenda. Government s Role in Promoting EMR Technology. EMR Trends in Health Care. What We Hear as Reasons to Not Implement and EMR Agenda A 360-Degree Approach to EMR Implementation Environmental Overview Information on the HITECH Stimulus Opportunities Hospitals, Physicians and Interoperability Preparing for an EMR Implementation

More information

Attesting for Meaningful Use Stage 2 in 2014 Customer Help Guide

Attesting for Meaningful Use Stage 2 in 2014 Customer Help Guide Attesting for Meaningful Use Stage 2 in 2014 Customer Help Guide Table of Contents PURPOSE OF THIS DOCUMENT 4 MEANINGFUL USE STAGE 2 OVERVIEW 4 ATTESTING FOR CORE OBJECTIVES 5 CORE OBJECTIVE #1: CPOE 7

More information

Dr. Peters has declared no conflicts of interest related to the content of his presentation.

Dr. Peters has declared no conflicts of interest related to the content of his presentation. Dr. Peters has declared no conflicts of interest related to the content of his presentation. Steve G. Peters MD NAMDRC 2013 No financial conflicts No off-label usages If specific vendors are named, will

More information

Going beyond Meaningful Use with EMR solutions from the Centricity portfolio

Going beyond Meaningful Use with EMR solutions from the Centricity portfolio Going beyond Meaningful Use with EMR solutions from the Centricity portfolio The IT tools and services you need now. The support you need for the future. GE Healthcare is focused on providing customers

More information

Demonstrating Meaningful Use of EHRs: The top 10 compliance challenges for Stage 1 and what s new with 2

Demonstrating Meaningful Use of EHRs: The top 10 compliance challenges for Stage 1 and what s new with 2 Demonstrating Meaningful Use of EHRs: The top 10 compliance challenges for Stage 1 and what s new with 2 Today s discussion A three-stage approach to achieving Meaningful Use Top 10 compliance challenges

More information

OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative

OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative Introductions Disclosures Successful completion of training

More information

Meaningful Use 2014: Stage 2 MU Overview. Scott A. Jens, OD, FAAO October 16, 2013

Meaningful Use 2014: Stage 2 MU Overview. Scott A. Jens, OD, FAAO October 16, 2013 Meaningful Use 2014: Stage 2 MU Overview Scott A. Jens, OD, FAAO October 16, 2013 Overview General Overview of Stage 2 MU in 2014 Core Objectives for Stage 2 Menu Objectives for Stage 2 Complete summary

More information

Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK

Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK Electronic Medical Record Adoption Model (EMRAM) John Rayner Director of Professional Development HIMSS-UK HIMSS UK HIMSS Vision Improve health through the better use of technology and information. Do

More information

Improving Revenue Cycle Through Clinical Documentation Excellence

Improving Revenue Cycle Through Clinical Documentation Excellence Improving Revenue Cycle Through Clinical Documentation Excellence John Showalter, MD, MSIS Leigh Williams, MHIIM, RHIA, CPC, CPHIMS Today s Agenda Clinical Documentation Excellence (CDE) Program Program

More information

Meaningful Use and Lab Related Requirements

Meaningful Use and Lab Related Requirements Meaningful Use and Lab Related Requirements ONC State HIE / NILA Workgroup August 20, 2013 What is an EHR? Electronic Health Record Information system used by healthcare providers to store and manage patient

More information

E Z BIS ELECTRONIC HEALTH RECORDS

E Z BIS ELECTRONIC HEALTH RECORDS E Z BIS ELECTRONIC HEALTH RECORDS CERTIFICATION AND THE HITECH INCENTIVE PROGRAM The Incentives On July 13, 2010, the U.S. Department of Health and Human Services finalized the Electronic Health Record

More information

A Guide to Understanding and Qualifying for Meaningful Use Incentives

A Guide to Understanding and Qualifying for Meaningful Use Incentives A Guide to Understanding and Qualifying for Meaningful Use Incentives A White Paper by DrFirst Copyright 2000-2012 DrFirst All Rights Reserved. 1 Table of Contents Understanding and Qualifying for Meaningful

More information

Ambulatory EMR Implementation at Texas Children s Hospital. GE Healthcare User Summit September 23, 2004

Ambulatory EMR Implementation at Texas Children s Hospital. GE Healthcare User Summit September 23, 2004 Ambulatory EMR Implementation at Texas Children s Hospital GE Healthcare User Summit September 23, 2004 1 About TCH Texas Children s Hospital (TCH) is the largest pediatric hospital in the U.S., with licensing

More information

EMR Technology Checklist

EMR Technology Checklist Patient Accessibility/Scheduling/Account Maintenance: Able to interact with schedule through an online portal pre register VIP status to move patient to the front of the line Access and pre registration

More information

Epic Training Ambulatory and Inpatient Course Catalog

Epic Training Ambulatory and Inpatient Course Catalog Epic Training Ambulatory and Inpatient Course Catalog One team. One record. One focus: Our patients. Table of Contents page About Training... 3 Courses Required Ambulatory Courses by Role... 4 Ambulatory

More information

Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012

Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 CORE OBJECTIVES (16 total) Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 Stage 1 Objective Use CPOE for medication orders directly entered by any licensed

More information

10/21/2014. Improving EHR Navigation with the Use of Scribes. Charles H. Mann, MD FACS. Improving EHR Navigation with the Use of Scribes

10/21/2014. Improving EHR Navigation with the Use of Scribes. Charles H. Mann, MD FACS. Improving EHR Navigation with the Use of Scribes Improving EHR Navigation with the Use of Scribes October 22, 2014 12:30 1:30 p.m., EDT Charles H. Mann, MD, FACS 2014 The Carolinas Center for Medical Excellence Charles H. Mann, MD FACS Practicing otolaryngology

More information

3/13/2013. Continuing Medical Education Disclaimer

3/13/2013. Continuing Medical Education Disclaimer Back to Basics with EHR Adoption - PREWORK March 13, 2013 12:30 1:00 p.m., EST Don Sargent, Project Manager Continuing Medical Education Disclaimer This is to certify that Don Sargent has disclosed no

More information

CAPITAL PROJECT PLAN CLINICAL AND SYSTEMS TRANSFORMATION PROJECT AUGUST 14, 2013

CAPITAL PROJECT PLAN CLINICAL AND SYSTEMS TRANSFORMATION PROJECT AUGUST 14, 2013 CAPITAL PROJECT PLAN CLINICAL AND SYSTEMS TRANSFORMATION PROJECT AUGUST 14, 2013 1. Project Background The primary purpose of the Clinical and Systems Transformation (CST) Project is to establish a common

More information

case study Denver Health & Hospital Authority IT as a Change Agent in the Transformation of Healthcare Summary Introductory Overview ORGANIZATION:

case study Denver Health & Hospital Authority IT as a Change Agent in the Transformation of Healthcare Summary Introductory Overview ORGANIZATION: The Computerworld Honors Program Denver, Colorado, United States Summary For the past nine years, has partnered with Siemens Medical Solutions to further its mission as a safety net city-wide hospital

More information

Mastering emeasures - Charting a Course To Align Quality And Payment

Mastering emeasures - Charting a Course To Align Quality And Payment Mastering emeasures - Charting a Course To Align Quality And Payment a complimentary webinar from healthsystemcio.com, sponsored by Encore Health Resources Housekeeping To ensure you enjoy all the functionality

More information

EMR Name/ Model. Cerner PowerChart Ambulatory (PowerWorks ASP)

EMR Name/ Model. Cerner PowerChart Ambulatory (PowerWorks ASP) EMR Name/ Model EMR Vendor Cerner PowerChart Ambulatory (PowerWorks ASP) Cerner Corporation Core Set of Measures 1 Use CPOE for medication orders directly entered by any licensed healthcare professional

More information

Meaningful Use and PCC EHR

Meaningful Use and PCC EHR Meaningful Use and PCC EHR (tim@pcc.com) Users Conference 2015 Agenda MU basics and eligibility How to participate in MU Stage 1 and Stage 2 MU requirements Using PCC EHR to meet stage 1 and stage 2 MU

More information

Electronic Medical Records: Implementation and Beyond

Electronic Medical Records: Implementation and Beyond Electronic Medical Records: Implementation and Beyond William M. Keane, MD Chief Medical Officer, Jefferson University Physicians Bruce A. Metz, PhD Chief Information Officer, Thomas Jefferson University

More information

Electronic Medical Records

Electronic Medical Records Electronic Medical Records Milisa K Rizer, MD, MPH Clinical Director, Integrated Healthcare Information System Associate Professor, Clinical Family Medicine The Ohio State University Medical Center 2011

More information

Harris CareTracker Training Tasks Workbook Clinical Today eprescribing Clinical Tool Bar Health History Panes Progress Notes

Harris CareTracker Training Tasks Workbook Clinical Today eprescribing Clinical Tool Bar Health History Panes Progress Notes Harris CareTracker Training Tasks Workbook Clinical Today eprescribing Clinical Tool Bar Health History Panes Progress Notes Practice Name: Name: / Date Started: Date : Clinical Implementation Specialist:

More information

Achieving Meaningful Use Training Manual

Achieving Meaningful Use Training Manual Achieving Meaningful Use Training Manual Terms EP Eligible Professional Medicare Eligible Professional o Doctor of Medicine or Osteopathy o Doctor of Dental Surgery or Dental Medicine o Doctor of Podiatric

More information

Practice Partner Product Mappings to the ARRA/HITECH Stage 1 Meaningful Use Requirements for Eligible Providers

Practice Partner Product Mappings to the ARRA/HITECH Stage 1 Meaningful Use Requirements for Eligible Providers Product Mappings to the ARRA/HITECH Stage 1 Requirements for Eligible Providers Number CORE SET (These objectives are to be achieved by all eligible professionals in order to qualify for incentive payments.)

More information

Overview of MU Stage 2 Joel White, Health IT Now

Overview of MU Stage 2 Joel White, Health IT Now Overview of MU Stage 2 Joel White, Health IT Now 1 Agenda 1. Introduction 2. Context 3. Adoption Rates of HIT 4. Overview of Stage 2 Rules 5. Overview of Issues 6. Trend in Standards: Recommendations v.

More information

Meaningful Use 2015 and beyond. Presented by: Anna Mrvelj EMR Training Specialist

Meaningful Use 2015 and beyond. Presented by: Anna Mrvelj EMR Training Specialist Meaningful Use 2015 and beyond Presented by: Anna Mrvelj EMR Training Specialist 1 Agenda A look at the CMS Website Finding your EMR version Certification Number Proposed Rule by the Centers for Medicare

More information

Extending HIS to Support Meaningful Use. October 21, 2010

Extending HIS to Support Meaningful Use. October 21, 2010 Extending to Support Meaningful Use October 21, 2010 Stage 1 Meaningful Use Requirements 15 Core Stage 1 Requirements 10 Requirements (5 can be deferred until Stage 2) Stage 1 Meaningful Use Criteria for

More information

Patient Centered Medical Home (PCMH): Communication and Care Coordination

Patient Centered Medical Home (PCMH): Communication and Care Coordination Patient Centered Medical Home (PCMH): Communication and Care Coordination Phillip Roemer, MD Assistant Professor of Medicine General Internal Medicine Feinberg School of Medicine Northwestern University

More information

Menu Item: Dashboards and Analytics/Business Informatics

Menu Item: Dashboards and Analytics/Business Informatics Cover Page Menu Item: Dashboards and Analytics/Business Informatics Name of Applicant Organization: Fremont Family Care Organization s Address: 2540 N Healthy Way, Fremont, NE 68025 Submitter s Name: Elizabeth

More information

Andrew C. Bledsoe, MBA, CHPA, PCMH CCE Executive Director. Northeast KY Regional Health Information Organization. www.nekyrhio.org

Andrew C. Bledsoe, MBA, CHPA, PCMH CCE Executive Director. Northeast KY Regional Health Information Organization. www.nekyrhio.org Andrew C. Bledsoe, MBA, CHPA, PCMH CCE Executive Director Northeast KY Regional Health Information Organization www.nekyrhio.org NCQA Program Setup Standards Six Standards Outline Program Elements Six

More information

HIE heritage. Founded in 1995

HIE heritage. Founded in 1995 HIE heritage Founded in 1995 Market: 2 nd largest city, 107 Nielsen DMA 3 competitive large (500+ bed hospitals) 15 hospitals in 11 surrounding counties 1300 practicing independent physicians Low/No Managed

More information

Stage 2 Meaningful Use What the Future Holds. Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality

Stage 2 Meaningful Use What the Future Holds. Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality Stage 2 Meaningful Use What the Future Holds Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123.

More information

Information Technology Report to Medical Executive Committee

Information Technology Report to Medical Executive Committee February 11, 2013 z Information Technology Report to Medical Executive Committee Contents 1 McKesson Cardiology Echo PACS 2 Financial Number Allocation Change 2 Patient Portal 3 Direct Email Protocol Project

More information

Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method

Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method Use Computerized Provider Order Entry (CPOE) for medication orders directly entered by

More information

Computerized Provider Order Entry Workflows

Computerized Provider Order Entry Workflows Computerized provider order entry (CPOE) is a process that allows clinicians to enter patient orders into an Electronic Health Record (EHR). CPOE uses structured fields to allow timely and efficient tracking

More information

14.606 Abstraction and Scanning Paper Medical Records to Electronic Health Records

14.606 Abstraction and Scanning Paper Medical Records to Electronic Health Records Policies of the University of North Texas Health Science Center 14.606 Abstraction and Scanning Paper Medical Records to Electronic Health Records Chapter 14 UNT Health Policy Statement. This policy establishes

More information

Electronic Records / Clinical Information Systems (CIS) and Global Markets. November 2014

Electronic Records / Clinical Information Systems (CIS) and Global Markets. November 2014 Electronic Records / Clinical Information Systems (CIS) and Global Markets November 2014 What is a Clinical Information System (CIS)? A Clinical Information System supports the integrated delivery and

More information

Sanford Improvement Making Lean Work in Healthcare

Sanford Improvement Making Lean Work in Healthcare Sanford Improvement Making Lean Work in Healthcare David Peterson Enterprise Director of Continuous Improvement Outline/Agenda Office of Continuous Improvement Who are we and what do we do? History/Journey

More information

Qualifying for Medicare Incentive Payments with Crystal Practice Management. Version 4.1.25

Qualifying for Medicare Incentive Payments with Crystal Practice Management. Version 4.1.25 Qualifying for Medicare Incentive Payments with Crystal Practice Management Version 4.1.25 01/01/ Table of Contents Qualifying for Medicare Incentive Payments with... 1 General Information... 3 Links to

More information

2 nd Floor CS&E Building A current UMHS identification badge is required to obtain medical records

2 nd Floor CS&E Building A current UMHS identification badge is required to obtain medical records Location Hours 2 nd Floor CS&E Building A current UMHS identification badge is required to obtain medical records The Health Information Services Department is open to the public Monday through Friday,

More information

MEANINGFUL USE. Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) CONTENTS:

MEANINGFUL USE. Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) CONTENTS: Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) MEANINGFUL USE HITECH s goal is not adoption alone but meaningful use of EHRs that is, their

More information

EHR Implementation Overview

EHR Implementation Overview EHR Implementation Overview CareTracker EHR Implementation Promote non-stressful implementation Mindful of physician loss of productivity Best practice recommendation for a new EHR practice is to implement

More information

The EHR Incentive Program

The EHR Incentive Program The EHR Incentive Program Summary of the Centers for Medicare and Medicaid Services (CMS) Final Rule on Meaningful Use On July 13th, the Centers for Medicare and Medicaid Services (CMS) released its final

More information

Intégration de la Télémédecine dans le Dossier Médical Hospitalier

Intégration de la Télémédecine dans le Dossier Médical Hospitalier Intégration de la Télémédecine dans le Dossier Médical Hospitalier Joshua L. Cohen, M.D. Professor of Medicine Division of Endocrinology & Metabolism Director, Medical Faculty Associates Diabetes Center

More information

Eligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals.

Eligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals. s Preparing for Meaningful Use in 2014 MEDITECH (Updated December 2013) Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Professionals. Congratulations to our

More information

EHR Meaningful Use Guide

EHR Meaningful Use Guide EHR Meaningful Use Guide for Stage I (2011) HITECH Attestation Version 2.0 Updated May/June 2014 in partnership with 1-866-866-6778 platinum@medicfusion.com www.medicfusion.com/platinum Medicfusion EMR

More information

EHR Incentive Program Focus on Stage One Meaningful Use. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com October 16, 2014

EHR Incentive Program Focus on Stage One Meaningful Use. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com October 16, 2014 EHR Incentive Program Focus on Stage One Meaningful Use Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com October 16, 2014 Checklist Participation Explanation Program Updates Stage One

More information

Certified Electronic Health Record Scheduling Billing eprescribing. The ABEL Meaningful Use Criteria Guarantee

Certified Electronic Health Record Scheduling Billing eprescribing. The ABEL Meaningful Use Criteria Guarantee Med EHR - EMR / PM Certified Electronic Health Record Scheduling Billing eprescribing ABELMed EHR-EMR/PM v11 CC-1112-621996-1 ABELMed EHR-EMR/PM is one of the first products to achieve ONC-ATCB 2011/2012

More information

Agenda. What is Meaningful Use? Stage 2 - Meaningful Use Core Set. Stage 2 - Menu Set. Clinical Quality Measures (CQM) Clinical Considerations

Agenda. What is Meaningful Use? Stage 2 - Meaningful Use Core Set. Stage 2 - Menu Set. Clinical Quality Measures (CQM) Clinical Considerations AQAF Health Information Technology Forum Meaningful Use Stage 2 Clinical Considerations Marla Clinkscales & Mike Bice Alabama Regional Extension Center (ALREC) August 13, 2013 0 Agenda What is Meaningful

More information

Meaningful Use. Stage 1

Meaningful Use. Stage 1 Meaningful Use Stage 1 Core Objectives Must Meet all 13 Objectives 1. CPOE for Medication Orders 2. Drug Interaction Checks 3. Up-To-Date Problem List 4. E-Prescribing (erx) 5. Active Medication List 6.

More information

How To Qualify For EHR Stimulus Funds Under

How To Qualify For EHR Stimulus Funds Under BEST PRACTICES: How To Qualify For EHR Stimulus Funds Under Meaningful Use & Certified EHR Technology The American Recovery and Reinvestment Act (ARRA) set aside early $20 billion in incentive payments

More information

Transforming Healthcare in Emerging Markets with EMR adoption

Transforming Healthcare in Emerging Markets with EMR adoption Transforming Healthcare in Emerging Markets with EMR adoption Author Ann Geo Thekkel User Experience. Accenture, India Ann.geothekkel@accenture.com Abstract Compromising 24 countries, 35 percent of the

More information

Hillside Medical Office

Hillside Medical Office EHR Case Study Hillside Medical Office Hillside Medical Partners with Pulse to Quickly Achieve Meaningful Use pulseinc.com Pulse Complete EHR 8 board-certified physicians. 40 employees. Over 65 years of

More information