How To Use A Health Record On A Computer Or Cell Phone

Transcription

1 Electronic Records Please provide the contact information for the person completing the survey: How many inmates were in your system on April 1, 2014? Does your agency use electronic health records? Agency: Name and Title: Phone: Open- Ended Alabama Arizona Alabama Arizona Laura Ferrell, Administrator III ,384 Yes Richard Pratt, Interim Asst Dir, HEalth Contract 41,326 Yes Monitoring Bureau Arkansas Arkansas Correction Tiffanye Compton, Research & Planning Administrator ,367 Yes Colorado Colorado Liz Mestas, Clinical As of March 31, 2014, the total inmate jurisdictional population was 20,621. Yes Connecticut CT Correction Kathleen Maurer, Medical Director ,500 No ASCA Survey: Electronic Records 1 May 15, 2014

2 Electronic Records Please provide the contact information for the person completing the survey: How many inmates were in your system on April 1, 2014? Does your agency use electronic health records? Agency: Name and Title: Phone: Open- Ended Delaware Delaware Correction Phil Winder, Chief of Information Technology ,837 Yes District of Columbia DC Judy Poole ,202 Yes FBOP Federal Bureau of Prisons Judith Sutcliffe, National HSA ,954 Yes Florida Florida Department of Tom Reimers, Director of Administration ,756 No Georgia Georgia Jack Williams, Deputy Director of ,020 No ASCA Survey: Electronic Records 2 May 15, 2014

3 Electronic Records Please provide the contact information for the person completing the survey: How many inmates were in your system on April 1, 2014? Does your agency use electronic health records? Agency: Name and Title: Phone: Open- Ended Hawaii Hawaii Department of Public Safety Deborah Stampfle ,531 No Indiana Indiana Department of Correction Rose Vaisvilas, Director, ,632 Yes Iowa iowa john baldwin ,200 Yes Kansas Kansas Department of Viola Riggin, care Director ,640 Yes Kentucky Kentucky Stephen W. Castle, Director of administrative ,400 Yes Los Angeles Co. Los Angeles County Sheriff's Department Kevin Kuykendall, Captain ,909 Yes Louisiana Louisiana Raman Singh, MD, Medical/ ,000 No Director ASCA Survey: Electronic Records 3 May 15, 2014

4 Electronic Records Please provide the contact information for the person completing the survey: How many inmates were in your system on April 1, 2014? Does your agency use electronic health records? Agency: Name and Title: Phone: Open- Ended Maryland Michigan Mississippi Missouri Maryland Public Safety and Correctional Michigan Mississippi Dept of Missouri Steve Bass ,000 Yes Janice Frelitz, Information Compliance Coordinator Dr. Gloria Perry, Chief Medical Officer Deloise Williams, Asst Div Director/ ,115 Yes ,688 in MDOC facilities. Total 21,493 also includes state inmates housed in contracted facilities approximately 31,000 Yes Yes Nevada Nevada Chuck Schardin, Medical Administrator ,766 No New Jersey New York New Jersey New York State & Community Supervision Mark Farsi, Deputy Commissioner Dr. Carl Koenigsmann, Deputy Commissioner/Chief Medical Officer ,269 Yes ,040 No ASCA Survey: Electronic Records 4 May 15, 2014

5 Electronic Records Please provide the contact information for the person completing the survey: How many inmates were in your system on April 1, 2014? Does your agency use electronic health records? Agency: Name and Title: Phone: Open- Ended North Carolina North Carolina Public Safety Terri Catlett, Deputy Director , 400 Yes North Dakota ND DOCR Leann Bertsch, Director ,580 Yes North Dakota Ohio Oregon Rhode Island South Carolina South Dakota Texas Utah Virginia NDDOCR Ohio Rehabilitation and Correction Oregon Dept. of RI Dept of South Carolina South Dakota Dept Texas Department of Criminal Justice - Clinical Va Leann Bertsch, Director Stuart Hudson Deputy Director Kassandra Williams, Administrative Specialist Pauline Marcussen, Project Manager/Medical Records Charles Bradberry, Director of Research and Statistics Kayla Tinker - Adm. Correctional Michelle Medlock, Annette Hansen, Medical Rec. Mngr Elizabeth Rafferty, Project Manager lebertsc@nd.gov 1,580 Yes Stuart.hudson@odrc.state.oh.us 50,000 Yes kassandra.m.williams@doc.state.or.us 14,624 No pauline.marcussen@doc.ri.gov 3,147 Yes bradberry.charles@doc.sc.gov 21,840 Yes kayla.tinker@state.sd.us 3,600 No michelle.medlock@tdcj.state.tx.us 150,573 as of March 31, annettehansen@utah.gov Yes elizabeth.rafferty@vadoc.virginia.gov 30,091 No Yes ASCA Survey: Electronic Records 5 May 15, 2014

6 Electronic Records Please provide the contact information for the person completing the survey: How many inmates were in your system on April 1, 2014? Does your agency use electronic health records? Agency: Name and Title: Phone: Open- Ended Washington Washington State DOC Kevin Bovenkamp, Asst. Secretary ,000 No West Virginia Wisconsin West Virginia DOC WIDOC Debbie Hissom, Director Inmate close to 7,000 No Tony Streveler, Director Research and ,798 No Policy Wyoming Wyoming DOC Anne Cybulski- Sandlian, HSA Anne.Cybulski- 2,161 No Yes s No - 14 ASCA Survey: Electronic Records 6 May 15, 2014

7 Electronic Records For which does your agency use electronic health records? (please select all that apply) If your system uses electronic health records, is the software used a contracted service, purchased from a vendor or developed by the agency? (please specify) (please specify)/comment: Alabama Contracted Service Arizona Contracted Service Marquis / eomis / system, through Corizon (Contracted medical vendor) Arkansas Colorado Developed by agency Connecticut We are developing a systemwide scheduling system. In addition, our laboratory orders are ordered electronically. Not Applicable. Anything that we have (limited) has been developed in house. ASCA Survey: Electronic Records 7 May 15, 2014

8 Electronic Records For which does your agency use electronic health records? (please select all that apply) If your system uses electronic health records, is the software used a contracted service, purchased from a vendor or developed by the agency? (please specify) (please specify)/comment: Delaware District of Columbia FBOP Florida DOC is in the process of implementing an electronic health record system. This implementation has been divided into various phases. Each phase includes specific functions. Phase 1 and Phase 2 have been implemented. The team is currently working on Phase 3 functions. It is the intention of the Delaware DOC to have,, and as part of the integrated EHR. Physical Therapy, Dialysis, and Lab Corp The Department uses the CIPS pharmacy software to track presciptions that are dispensed to inmates, but CIPS does not interface with the mainframe OBIS system (see # 8 below). Developed by agency Customized solution. DOC has entered into an agreement with an EHR vendor to customize a solution for the needs of the DOC using an existing software platform. Georgia ASCA Survey: Electronic Records 8 May 15, 2014

9 Electronic Records For which does your agency use electronic health records? (please select all that apply) If your system uses electronic health records, is the software used a contracted service, purchased from a vendor or developed by the agency? (please specify) (please specify)/comment: Hawaii Indiana Iowa Kansas We have purchased an EMR that will address all the above elements and are in the processes of finalizing development and getting ready for implementation our system is a complete EHR with numerous other currently being used. forensic evaluations; clinical reports for sexual predator; substance abuse; sex offender treatment for juveniles Contracted Service the electronic health record is included in the contract for health the software was developed by a privates sector firm but is owned by the DOC The system was purchased from a vendor, NextGen, and the agency has developed templates to accomodate internal needs. Kentucky Contracted Service Los Angeles Co. We purchased the software, but also contract the remote hosting for the system from the vendor. Louisiana Electronic Medication Administration Record and Management System NA ASCA Survey: Electronic Records 9 May 15, 2014

10 Electronic Records For which does your agency use electronic health records? (please select all that apply) If your system uses electronic health records, is the software used a contracted service, purchased from a vendor or developed by the agency? (please specify) (please specify)/comment: Maryland Michigan Scheduling of prisoner appointments within our clinics Mississippi Missouri The current system was developed by our current medical vendor. We have developed an EHR and our planned "go- live" date is around the first of Nevada NDOC has a very basic EHR system that is difficult to use. It is only used to schedule and record encounters. New Jersey Centricity by General Electric New York ASCA Survey: Electronic Records 10 May 15, 2014

11 Electronic Records For which does your agency use electronic health records? (please select all that apply) If your system uses electronic health records, is the software used a contracted service, purchased from a vendor or developed by the agency? (please specify) (please specify)/comment: North Carolina North Dakota North Dakota Ohio Substance abuse, sex offender treatment, dietary. Oregon Rhode Island Substance Use Disorder Treatment Programs South Carolina Developed by agency South Dakota Texas Utah Not all of dental records are in the EHR Contracted Service Developed by agency Virginia ASCA Survey: Electronic Records 11 May 15, 2014

12 Electronic Records For which does your agency use electronic health records? (please select all that apply) If your system uses electronic health records, is the software used a contracted service, purchased from a vendor or developed by the agency? (please specify) (please specify)/comment: Washington West Virginia Wisconsin Wyoming EMR in development at this time and will be fully operational by 7/1/14 Developed in partnership with contracted medical provider Contracted Service - 5 Purchased from Vendor s Developed by Agency ASCA Survey: Electronic Records 12 May 15, 2014

13 Electronic Records If your agency is charged for use of electronic health records, how often is your agency charged? If your agency is charged for use of electronic health records, on what basis is the charge determined? Please provide any other information about your agency's use of electronic health records and/or how the EHR is funded: (please specify) (please specify) Open- Ended Alabama n/a n/a Arizona Arkansas Colorado Connecticut All costs are rolled into the contracted CPI under the vendor's contract (Corizon) There was an initial cost, then annual maintenance cost and adhoc cost. Flat Rate Annually N/A N/A Not Applicable. Not Applicable. All costs are rolled into the contracted CPI under the vendor's contract (Corizon) ADC has just started implementation of a scheduled rollout of the EHR, which began April 15, 2014, and will continue through calendar year 2014 at various sites throughout the state. Funded by State Appropriation through Budge Process; the EHR is a component of a much larger Inmate Information System which provides all of the necessary information in regards to an Inmate. The electronic system used by the Department was developed internally. Currently, the Department utilizes multiple information systems to capture, retain, and access health information, including paper charting. As the information needs have grown, the system has become antiquated requiring users to access multiple systems to gather needed information. The home grown system lacks integration with all portions of the patient s health record, ad hoc report capability, and internal and external interfaces with supporting information systems making it difficult to obtain certain aspects of information for patient care. The Department was recently funded to purchase a new Offender Management System which in part includes an Electronic Record (EHR). For fiscal year 2014/15, $5,796,000 was funded over a three year phase. Phase one is designed for the foundation of the Offender Management System and the EHR. We are in the process of implementing a comprehensive electronic health record and information exchange in Connecticut. This is funded through the Governor's IT infrastructure modernization fund. The source of this money is through the state bonding authority. ASCA Survey: Electronic Records 13 May 15, 2014

14 Electronic Records If your agency is charged for use of electronic health records, how often is your agency charged? If your agency is charged for use of electronic health records, on what basis is the charge determined? Please provide any other information about your agency's use of electronic health records and/or how the EHR is funded: (please specify) (please specify) Open- Ended Delaware Not applicable. DOC is paying a fixed fee for software development and customization. Support and maintenance cost will be on a yearly basis after implementation of all phases have been completed. Not applicable. The implementation of the EHR functions has been phased out over a period of 2 years as follows: Segment 1 - Implemented Sick Call, Nursing Protocols, Scheduling, Physicals Segment 2 - Implemented Admission, Intake Screening, Medical Inquiries, Medical Administration, Transfers Segment 3 - In progress for Discharge, Chronic Disease Care, Observation, Lab Test/Xray Results, Interface Segment 4 - Future implementation of Substance Abuse, Consults, Infirmary Stay, Medical Emergency, OBGYN, Routine Medical Checkup,, Court Ordered Medical/ Notification, functions Segment 5 - Future implementation of Medical Service Compliance, Medical Governance, Surgery, Vision functions District of Columbia Annually Flat Rate DC Correction's Annual Report FBOP The EHR is funded through BOP operational budget appropriated by the U.S. Congress. Florida The Department has a mainframe system (OBIS) that captures some inmate health information, but it is not a true electronic health record,. We have been unsuccessful in obtaining funding to purchase and install an electronic health record. Georgia ASCA Survey: Electronic Records 14 May 15, 2014

15 Electronic Records If your agency is charged for use of electronic health records, how often is your agency charged? If your agency is charged for use of electronic health records, on what basis is the charge determined? Please provide any other information about your agency's use of electronic health records and/or how the EHR is funded: (please specify) (please specify) Open- Ended Hawaii Quarterly Based on the number of providers accessing the system We obtained intital funding through the the legislature and then incorporated the costs into our biannual expenditure plan Indiana Monthly the cost is included in the per diem for health Cost per inmate Iowa Monthly A flat development rate and then a Our system is exceptional and has saved this state money monthly maintenance for our entire system but more importantly improved our health care delivery which includes other offender system. management modules Kansas Annually Cost per user The cost is related to the number of practitioners. There is a requirement to buy a license for all practitioners. The EHR is part of the agency's healthcare contract and the overall vendor is responsible for running and maintaining the system. Kentucky Monthly Flat Rate Los Angeles Co. 5 year contract, including upgrades. Payment is by schedule in contract, with both specific tasks triggering payments (upgrades and additional service modules) as well as monthly (hosting, other vendor- provided ) 5 year contract for program upgrades as well as hosting for current and past inmate health records (millions of records) EHR is funded via inmate welfare funds (monies collected from inmates for phone calls and commissary purchases). Louisiana NA NA NA ASCA Survey: Electronic Records 15 May 15, 2014

16 Electronic Records If your agency is charged for use of electronic health records, how often is your agency charged? If your agency is charged for use of electronic health records, on what basis is the charge determined? Please provide any other information about your agency's use of electronic health records and/or how the EHR is funded: (please specify) (please specify) Open- Ended Maryland Monthly cost per provider + customization cost Michigan Monthly Flat Rate Through general funds. Mississippi Annually Flat Rate Missouri N/A N/A Nevada Our EHR was a beta module from our Offender Management System provider. They no longer sell or support it. They now recommend interfacing a third party EHR software with the Offender Management System. We funded the module, when we procured the Offender Management System. New Jersey N/A N/A New York ASCA Survey: Electronic Records 16 May 15, 2014

17 Electronic Records If your agency is charged for use of electronic health records, how often is your agency charged? If your agency is charged for use of electronic health records, on what basis is the charge determined? Please provide any other information about your agency's use of electronic health records and/or how the EHR is funded: (please specify) (please specify) Open- Ended North Carolina Monthly Cost per inmate Funded out of health budget. We do not have a record as of today but will within 30 days. North Dakota North Dakota Ohio Monthly Per prescriber Funded through general revenue resources. Oregon Rhode Island South Carolina South Dakota Quarterly Maintenance and Support Flat Rate Agency funding. EMR interfaces with inmate tracking system and pharmacy vendor (in another state). EMR generates documents for all encounters. Also over 1 million scanned documents in over 4 years of use. Our EHR is very simple and dated. Used primarily to enter treatment notes. working towards a contract for an EHR - to be implemented summer 2015 Texas It is included as part of our contract for Correctional Managed Care. It is included as part of the contract. It is funded within the contract for Correctional Managed Care. Utah EHR is used to track State inmates health in both the CUCF and Draper prisons as well as those housed in the Co. Jails. Since we own the EHR we don't pay any fees. Virginia ASCA Survey: Electronic Records 17 May 15, 2014

18 Electronic Records If your agency is charged for use of electronic health records, how often is your agency charged? If your agency is charged for use of electronic health records, on what basis is the charge determined? Please provide any other information about your agency's use of electronic health records and/or how the EHR is funded: (please specify) (please specify) Open- Ended Washington We are currently exploring the feasability of getting into an EHR. We invited nine different vendors in to conduct system demonstrations. We do anticipate submitting a budget request package within the next 12 months. We do believe we will look to toward a monthly fee for service contract arrangement rather than outright purchasing of a product. West Virginia Wisconsin We are in the process of procuring an electronic medical records system. Wyoming Contracted medical provider paying for ongoing usage. Was 50/50 between state and medical contractor for design/build Paid by medical contractor WDOC and Corizon shared cost of design/build. Corizon paying ongoing use and maint. costs. If medical contractor changes the EMR belongs to WDOC and new medical contractor will be required to begin payment for usage. EMR selected is provided by CorrecTec but developed to be Wyoming specific and interface with our inmate management system for real time inmate information from DOC. Monthly - 7 Cost per Inmate s Quarterly - 2 Cost per User - 1 Annually - 4 Flat Rate ASCA Survey: Electronic Records 18 May 15, 2014