Cerner Ambulatory The Physician Perspective

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1 Cerner Ambulatory The Physician Perspective Carlos Vigil, DO Internal Medicine Physician and CEO of United Hospitalist Group Company LOGO

2 Agenda 1. Organization Overview 2. Why EMR 3. My Journey 4. Workflow & Benefits 5. Q & A

3 Organization Overview Synopsis 6 internal medicine physicians, who spend 50% seeing patients at the hospital and 50% seeing patients in the clinic Clinic demographics Approximately patients per day per provider Typical day: My Staff 15 patients in the morning at the hospital 20 patients in the afternoon in my clinic 1 medical assistant 1 front desk/biller Cerner Ambulatory solutions Specialty Practice Management - November, 2008 EMR November, 2008 Hub Summer, 2010

4 Key Drivers to My Decision Connect with hospital & community physicians through interoperability Experienced, proven EMR company Affordable solution ASP Model and mobility

5 My Journey : I had 2 previous EMRs August 2008: Selected Cerner November 2008: Go-live for practice management and EMR July 2010 Cerner Hub live

6 My Daily Work Flow minutes before I start my day, over coffee eprescribing, labs, daily scheduling management Mornings Manage things as they come in (i.e. prescription refills, msg from staff) Clinic in the afternoons Patient is roomed by staff (vitals, med reconciliation, etc) I Review vitals with patient, do the exam Document in the EMR involve the patient some documentation in 30 sec! Go over health maintenance, send erx Patient check out, reschedule next appt. End of Clinic last 30 minutes Ensure all charts are signed-sent to billing

7 EMR Benefits Interoperability Accuracy Efficiency & Time Savings Better Communication Cost Saving Patient Satisfaction

8 Efficiency & Time Savings No more hunting for paper charts Everything s at your finger-tips Better schedule management Reminders Reduced pharmacy calls Pre-Completed Notes for documentation Face-time with Patients increase

9 EMR Benefits Interoperability Accuracy Efficiency & Time Savings Cost Saving Patient Satisfaction Better Communication

10 Better Communication Inter-office communications - Message Center Fewer physician calls Communications are attached to patient chart

11 EMR Benefits Interoperability Accuracy Efficiency & Time Savings Better Communication Cost Saving Patient Satisfaction

12 Improved Patient Satisfaction eprescribing & Formulary checking Health Maintenance Involving patients in their healthcare They love the technology!

13 EMR Benefits Interoperability Accuracy Efficiency & Time Savings Better Communication Cost Saving Patient Satisfaction

14 Cost Savings Reduction in Staff by 1.5 Little to no Dictation costs Significant Reduction in Paper costs No cost for EMR upgrades No cost for Server due to the ASP model

15 EMR Benefits Interoperability Accuracy Efficiency & Time Savings Better Communication Cost Saving Patient Satisfaction

16 Interoperability Results from the hospital in real-time No paper involved straight to my inbox Review the results in EMR, automatically stored in the patient s chart

17 EMR Benefits Interoperability Accuracy Efficiency & Time Savings Better Communication Cost Saving Patient Satisfaction

18 Accuracy Better level of coding No more reading my handwriting Health Maintenance Chronic Condition Management

19 Looking Back Pleasant Surprises Improved level of Coding Clinical Summary Efficiency & improved communications no more sticky notes! What we Learned Might have considered a phased approach, Practice Mgmt and then EMR vs. big-bang

20 Looking Ahead Patient Portal - IQHealth Cerner Hub more results Lab Discrete Data Community Strategy Planning with Cerner Interoperability with other clinics --- Connecting the Community

21 QUESTIONS?

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