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

Size: px
Start display at page:

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

Transcription

1 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 Conference San Francisco, November 10, 2006

2 CBWCHC - Demographic Overview- Established in % of patients use language other than English Location: 3 sites in Manhattan 1 site in Queens Payor mix: 70 % Medicaid, Medicare, Managed Medicare Products 28% uninsured 2% commercial insurance plan Patients served in 2005: >35,000 Number of visits in 2005: 140,000

3 Mission Implement an EMR system that will electronically document, support, and transform the Center s patient data to improve clinical quality of care and healthcare delivery process. Vision EMR will serve to improve upon three domains: Quality of Care Empower patient Empower staff

4 EMR project - Goals Patient encounter documentation Access & review test results and clinical documents Integrate Clinical Pathway to practice Provide guidelines and health maintenance reminders on disease prevention E-Rx with interaction checking Enhanced pt education at the time of encounter Better utilization of data for outcome analysis and QA process Instant, appropriate, enterprise-wide access

5 Establishment of Clinical Informatics Department Clinical Informatics department separate from IT department CI reports to Chief Medical Officer CI responsible for all clinical data CI responsible for all functionality of EHR

6 EMR Leadership EMR Steering Committee EMR Core Team Design Team Reporting Workgroup Design Team Design Team Funding Work Group

7 EMR Ownership EMR project is not an IT/IS project Clinician driven and Clinician created Clinical team selected the system

8 Process Redesign Design eliminates irrelevant or duplicate documentation and redundant processes Design supports clinical data collected from other systems, which are captured by an interface whenever reasonable Patient data is standardize throughout the patient record Patient safety is a primary design requirement

9

10

11

12

13

14 Guiding principles Encourage participation Challenge the current ways Design for best practice Clinicians time is highly valued If you oppose, you must propose

15 Common Objections System takes too much time Confidentiality/Security Patient-Physician relationship 100% accuracy?

16 How to Overcome Leadership Physician Executive Physician Champion Participation Domain expert Super users to take ownership of processes and support changes Training

17 Managing Change Pain Management Transition is the core issue Acknowledge expected losses Outline specific expected changes Involve affected individuals Identify potential problems Maintain open communication

18 Hardware Considerations Standardized hardware Space considerations Connectivity Remote access

19 Interfaces Demographic interface Duplicate patient charts Device integration Laboratory interface Billing interface Document management interface

20 Preload Process Focus on: Pts with chronic diseases Pts with future appointments Incentives for doctors to preload Familiarity with the system Load historical clinical information Increase efficiency during go-live

21 Instant EHR Benefit Reliable documented clinical communication: staff communication, documenting phone notes, referral, etc Mobility of patient records Patient level data is retained and validated from encounter to encounter Culture change of standardization Quality assurance

22 Current ROI Outcomes data generated for: Obesity in Pediatrics DM Review (A1C, LDL, Microalbumin, Eye exam) Women s Health and Men s Health Outcomes Review Geriatric Care Review Depression in Mental Health (PHQ3 and PHQ9) Public reporting to NYCDOH Child Immunization Registry Communicable diseases

23 Key Lesson Learned Organizational structure & direction MD acceptance & engagement Comparison with peers Choices: Incremental/staggered rollout vs big bang Historical data upload vs cold start Perfect vs good enough

24 Key Lesson Learned Watch for variation and scope creep Capture consensus Be prepared for surprises Make sure everyone is telling the same story Communicate, communicate, communicate Be painfully honest with your staff and leadership Tell them often; show them more often

25 Future ventures Ongoing upgrades Further optimization Ongoing educational and research opportunities Device integration New technology Changes never end.

0 What is Meaningful Use and where are we? 0 What is the Physician Quality Reporting System and where stage are we on?

0 What is Meaningful Use and where are we? 0 What is the Physician Quality Reporting System and where stage are we on? Outline 0 What is Meaningful Use and where are we? 0 What is the Physician Quality Reporting System and where stage are we on? 0 How can we leverage the EMR to demonstrate the quality of our care? Meaningful

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

Jonathan Siff, MD, MBA, FACEP MetroHealth Medical Center

Jonathan Siff, MD, MBA, FACEP MetroHealth Medical Center Jonathan Siff, MD, MBA, FACEP MetroHealth Medical Center Discuss some basic definitions List benefits of electronic records systems and reasons for getting one Discuss types of systems in broad terms Learn

More information

Decreasing Complexity and Cost of EHR Adoption John Weir President CAPG Policy Committee Meeting February 23, 2010

Decreasing Complexity and Cost of EHR Adoption John Weir President CAPG Policy Committee Meeting February 23, 2010 Decreasing Complexity and Cost of EHR Adoption John Weir President CAPG Policy Committee Meeting February 23, 2010 Presentation Outline About Lumetra Healthcare Solutions (LHS) Current opportunity with

More information

HIMSS Davies Enterprise Application --- COVER PAGE ---

HIMSS Davies Enterprise Application --- COVER PAGE --- HIMSS Davies Enterprise Application --- COVER PAGE --- Applicant Organization: Hawai i Pacific Health Organization s Address: 55 Merchant Street, 27 th Floor, Honolulu, Hawai i 96813 Submitter s Name:

More information

Development of a Rural ACO Model: The Taos Experience

Development of a Rural ACO Model: The Taos Experience Development of a Rural ACO Model: The Taos Experience What Who Why Where How Michael Kaufman, MD Jemery Kaufman, MD Our Definition: ACO Care - Patient centered and specific Organized Innovative and Evidence

More information

Daniel Mingle, MD MS 219 Streaked Mt Rd, South Paris, ME 04281 (207) 441-3064 Daniel.Mingle@mingleanalytics.com

Daniel Mingle, MD MS 219 Streaked Mt Rd, South Paris, ME 04281 (207) 441-3064 Daniel.Mingle@mingleanalytics.com Daniel Mingle, MD MS 219 Streaked Mt Rd, South Paris, ME 04281 (207) 441-3064 Daniel.Mingle@mingleanalytics.com Healthcare Consultant Optimizing Healthcare Systems on an EMR Platform With over 30 years

More information

UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION

UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION UAB HEALTH SYSTEM AMBULATORY EHR IMPLEMENTATION Richard Rosenthal, MD Associate Chief of Staff Ambulatory Services Associate Professor of Medicine Department of Medicine Endocrinology Agenda About UAB

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

Health Care Leader Action Guide on Implementation of Electronic Health Records

Health Care Leader Action Guide on Implementation of Electronic Health Records Health Care Leader Action Guide on Implementation of Electronic Health Records July 2010 TRANSFORMING HEALTH CARE THROUGH RESEARCH AND EDUCATION 2 Health Care Leader Action Guide on Implementation of Electronic

More information

Electronic Health Records: Trends, Issues, Regulations & Technologies

Electronic Health Records: Trends, Issues, Regulations & Technologies New September 2010 Critical Report! Electronic Health Records: Trends, Issues, Regulations & Technologies A Management Primer & Update Including: EHR Definition and Role EHR vs. EMR The New Momentum in

More information

The Impact of Proposed Meaningful Use Modifications for 2015-2017 June 23, 2015

The Impact of Proposed Meaningful Use Modifications for 2015-2017 June 23, 2015 The Impact of Proposed Meaningful Use Modifications for 2015-2017 June 23, 2015 Today s presenters: Al Wroblewski, Client Services Relationship Manager Elisabeth Renczkowski, Content Specialist Disclaimer

More information

NY Medicaid EHR Incentive Program. Eligible Professionals Meaningful Use Stage 2 (MU2) Webinar www.emedny.org/meipass

NY Medicaid EHR Incentive Program. Eligible Professionals Meaningful Use Stage 2 (MU2) Webinar www.emedny.org/meipass Eligible Professionals Meaningful Use Stage 2 (MU2) Webinar www.emedny.org/meipass May 2015 2 Meaningful Use Stage 2 Overview of EHR Introduction to Meaningful Use Meaningful Use Stage 2 Objectives Clinical

More information

An Essential Ingredient for a Successful ACO: The Clinical Knowledge Exchange

An Essential Ingredient for a Successful ACO: The Clinical Knowledge Exchange An Essential Ingredient for a Successful ACO: The Clinical Knowledge Exchange Jonathan Everett Director, Health Information Technology Chinese Community Health Care Association Darren Schulte, MD, MPP

More information

1. How are you using health IT enabled clinical quality measures for internal quality improvement efforts and patients care?

1. How are you using health IT enabled clinical quality measures for internal quality improvement efforts and patients care? 1. How are you using health IT enabled clinical quality measures for internal quality improvement efforts and patients care? Sharp Rees-Stealy medical group (SRSMG), a 400-physician multispecialty group

More information

Better patient care and better practice management

Better patient care and better practice management www.hitecla.org INTRODUCTION BENEFITS CHALLENGES WHY NOW? INCENTIVES FOR PROVIDERS HOW WE HELP SUMMARY Better patient care and better practice management Using Electronic Health Records in a meaningful

More information

Office of Health Information Technology & Quality. Tips for Customizing your EHR system for your Health Center. Date: 05/21/10

Office of Health Information Technology & Quality. Tips for Customizing your EHR system for your Health Center. Date: 05/21/10 U.S. Department of Health and Human Services Health Resources and Services Administration Office of Health Information Technology & Quality Tips for Customizing your EHR system for your Health Center Date:

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

Goals and Objectives for Electronic Health Record (EHR) Implementation

Goals and Objectives for Electronic Health Record (EHR) Implementation Goals and Objectives for Electronic Health Record (EHR) Implementation Guidelines Provided By: The National Learning Consortium (NLC) Developed By: Health Information Technology Research Center (HITRC)

More information

SNMHI Summit 2011. Meaningful EHR Use: Technology Designed to Support the PCMH. Jeff Hummel, MD, MPH

SNMHI Summit 2011. Meaningful EHR Use: Technology Designed to Support the PCMH. Jeff Hummel, MD, MPH Summit 2011 LEARN SHARE TRANSFORM Meaningful EHR Use: Technology Designed to Support the PCMH Jeff Hummel, MD, MPH Medical Director for Clinical Informatics, Qualis Health Session 3C March 8, 10:30AM-12:00PM

More information

13/10/2015. Sidra Medical & Research Center. Objectives. A Data Driven Safety Culture. Learning Healthcare System

13/10/2015. Sidra Medical & Research Center. Objectives. A Data Driven Safety Culture. Learning Healthcare System Objectives Sidra Medical & Research Center Building a Data Driven Safety Culture October 6 th 2015 Describe a model Learning Healthcare System Review the role of Health Information Technology in Patient

More information

IL-HITREC P.O. Box 755 Sycamore, IL 60178 Phone 815-753-1136 Fax 815-753-2460 email info@ilhitrec.org www.ilhitrec.org

IL-HITREC P.O. Box 755 Sycamore, IL 60178 Phone 815-753-1136 Fax 815-753-2460 email info@ilhitrec.org www.ilhitrec.org IL-HITREC P.O. Box 755 Sycamore, IL 60178 Phone 815-753-1136 Fax 815-753-2460 email info@ilhitrec.org www.ilhitrec.org INTRODUCTION BENEFITS CHALLENGES WHY NOW? HOW WE HELP SUMMARY Better patient care

More information

Meaningful Use. A Success Story, The Rest of the Story and Our Way Forward

Meaningful Use. A Success Story, The Rest of the Story and Our Way Forward Meaningful Use A Success Story, The Rest of the Story and Our Way Forward Michael H. Zaroukian, MD, PhD, FACP, FHIMSS CMIO and Professor of Medicine - Michigan State University Medical Director, Clinical

More information

The MARYLAND HEALTH CARE COMMISSION

The MARYLAND HEALTH CARE COMMISSION The MARYLAND HEALTH CARE COMMISSION February 2012 The main goal of using technology in the health care arena is to improve the quality of patient care Adopting EHRs can enhance patient safety through:

More information

The Power of One: The Challenge of Centralized Scheduling. Tamela Dodds, Danielle Stern

The Power of One: The Challenge of Centralized Scheduling. Tamela Dodds, Danielle Stern The Power of One: The Challenge of Centralized Scheduling Tamela Dodds, Danielle Stern Your Speakers Tamela Dodds Operations Manager Cincinnati Children s Hospital Medical Center Danielle Stern, MHA Service

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

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

Kaiser Permanente Southern California Depression Care Program

Kaiser Permanente Southern California Depression Care Program Kaiser Permanente Southern California Depression Care Program Abstract In 2001, Kaiser Permanente of Southern California (KPSC) adopted the IMPACT model of collaborative care for depression, developed

More information

Electronic Medical Records. Robert M. Underwood, MD, CPE, FAAEM CMIO, RMH Healthcare

Electronic Medical Records. Robert M. Underwood, MD, CPE, FAAEM CMIO, RMH Healthcare Electronic Medical Records Robert M. Underwood, MD, CPE, FAAEM CMIO, RMH Healthcare Disclaimer I am an employee of RMH Healthcare No financial interest in any IT company What is a CMIO? History: September

More information

EHR-Enhanced QI: Insights from the NYC DOHMH experience The Primary Care Information Project

EHR-Enhanced QI: Insights from the NYC DOHMH experience The Primary Care Information Project TITLE EHR-Enhanced QI: Insights from the NYC DOHMH experience The Joslyn Levy, BSN, MPH Dana Stephenson, MPH New York City Department of Health and Mental Hygiene PCPCC Presentation July 8th, 2010 AGENDA

More information

6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation

6/12/2015. Dignity Health Population Health Management and Compliance Programs. Moving Towards Accountable Care. Dignity Health Poised for Innovation Dignity Health Population Health Management and Compliance Programs Julie Bietsch, VP Population Health Management Dawnese Kindelt, Senior Compliance Director, Clinical Integration June 8, 2015 Moving

More information

MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.

More information

ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION)

ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION) ESSENTIA HEALTH AS AN ACO (ACCOUNTABLE CARE ORGANIZATION) Hello and welcome. Thank you for taking part in this presentation entitled "Essentia Health as an ACO or Accountable Care Organization -- What

More information

Anatomy of Implementation. The Structural Framework for Meaningful Use of Electronic Health Records

Anatomy of Implementation. The Structural Framework for Meaningful Use of Electronic Health Records Anatomy of Implementation The Structural Framework for Meaningful Use of Electronic Health Records National Health Care for the Homeless Council June 2012 DISCLAIMER This publication was made possible

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

Successful EHR Change Management

Successful EHR Change Management Successful EHR Change Management Roles and responsibilities White paper Table of contents Executive summary... 2 Introduction... 3 Never underestimate the power of the people... 3 People... 4 From resisting

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

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

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

Stage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene

Stage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary

More information

By Debra Davidson, PhD, MSA, MS Luciane Tarter, RN, BSN. SBIRT grant for Behavioral Health APCP. Mo Health Net Health Home Program SBIRT

By Debra Davidson, PhD, MSA, MS Luciane Tarter, RN, BSN. SBIRT grant for Behavioral Health APCP. Mo Health Net Health Home Program SBIRT By Debra Davidson, PhD, MSA, MS Luciane Tarter, RN, BSN 1 2 Team Based Care for Chronic Illness Our journey: 24 months APCP: Advanced Primary Care Practice Grant for Medicare : NCQA Level 3 by 2014 MoHealth

More information

Success Story - University Medical Practice Associates (UMPA), St. Luke s - Roosevelt Hospital Center, part of Continuum Health Partners, Inc.

Success Story - University Medical Practice Associates (UMPA), St. Luke s - Roosevelt Hospital Center, part of Continuum Health Partners, Inc. Cover 1. Title: Driving Improvement of Diabetes Care in Upper West Side and Harlem neighborhoods of New York City through Clinical Decision Support and Analytics 2. Organization: University Medical Practice

More information

The Medical Home: A Continuing Renovation Job. Paul Kaye, MD Executive VP, Practice Transformation February 22, 2012

The Medical Home: A Continuing Renovation Job. Paul Kaye, MD Executive VP, Practice Transformation February 22, 2012 The Medical Home: A Continuing Renovation Job Paul Kaye, MD Executive VP, Practice Transformation February 22, 2012 DISCLAIMER: The views and opinions expressed in this presentation are those of the author

More information

The HITECH Act: A Grand Experiment In HIT Implementation and Sustainability. Kim Dunn, MD, Ph.D.

The HITECH Act: A Grand Experiment In HIT Implementation and Sustainability. Kim Dunn, MD, Ph.D. The HITECH Act: A Grand Experiment In HIT Implementation and Sustainability August 11, 2011 Kim Dunn, MD, Ph.D. Agenda Historical Context for Reform Overview of ARRA Funded Programs Implications for Texas

More information

1. Introduction - Nevada E-Health Survey

1. Introduction - Nevada E-Health Survey 1. Introduction - Nevada E-Health Survey Welcome to the Nevada E-Health Survey for health care professional providers and hospitals. The Office of Health Information Technology (OHIT) for the State of

More information

Contra Cost Health Plan Quality Program Summary November, 2013

Contra Cost Health Plan Quality Program Summary November, 2013 Contra Cost Health Plan Quality Program Summary November, 2013 Mission Statement: Contra Costa Health Plan, along with our community and county health care providers, is committed to ensure our diverse

More information

American Academy of Pediatrics

American Academy of Pediatrics American Academy of Pediatrics TESTIMONY OF SUSAN KRESSLY, MD, FAAP PRACTICING PEDIATRICIAN AMERICAN ACADEMY OF PEDIATRICS before the COMMITTEE ON SMALL BUSINESS SUBCOMMITTEE ON REGULATIONS AND HEALTHCARE

More information

HEDIS/CAHPS 101. August 13, 2012 Minnesota Measurement and Reporting Workgroup

HEDIS/CAHPS 101. August 13, 2012 Minnesota Measurement and Reporting Workgroup HEDIS/CAHPS 101 Minnesota Measurement and Reporting Workgroup Objectives Provide introduction to NCQA Identify HEDIS/CAHPS basics Discuss various components related to HEDIS/CAHPS usage, including State

More information

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Bureau of Primary Health Care Office of Quality and Data Affordable Care Act - Health Center Controlled Networks

More information

Implementation of Electronic Patient Records Lessons Learned from the Literature (05/23/04)

Implementation of Electronic Patient Records Lessons Learned from the Literature (05/23/04) In association with Simon Fraser University & the Vancouver Coastal Health Research Institute FOR CIRCULATION X NOT FOR CIRCULATION Implementation of Electronic Patient Records Lessons Learned from the

More information

EHR for Behavioral Health. BH Encounter Documentation in EHR

EHR for Behavioral Health. BH Encounter Documentation in EHR EHR for Behavioral Health Developed by: Wendy Wisdom, MSW RPMS Behavioral Health System OIT Federal Lead, CAC Peter Stuart, MD Medical Director for Sonoma County Indian Health Project 2 Learning Objectives

More information

Achieving Meaningful Use with Centricity EMR

Achieving Meaningful Use with Centricity EMR GE Healthcare Achieving Meaningful Use with Centricity EMR Are you Ready to Report? GE Healthcare EMR Consulting CHUG Fall Conference October 2010 Achieving Meaningful Use with Centricity EMR The EMR Consulting

More information

Integration of EMR/PHR and Patient Portal with Decision Support

Integration of EMR/PHR and Patient Portal with Decision Support Integration of EMR/PHR and Patient Portal with Decision Support Charles B. Eaton M.D., M.S. Center for Primary Care and Prevention Memorial Hospital of Rhode Island David K. Ahern, Ph.D. Health e-technologies

More information

Patient Centered Medical Homes and Meaningful EHR Use: Competing for Scarce Resources or Dynamic Synergy?

Patient Centered Medical Homes and Meaningful EHR Use: Competing for Scarce Resources or Dynamic Synergy? Patient Centered Medical Homes and Meaningful EHR Use: Competing for Scarce Resources or Dynamic Synergy? Jeff Hummel, MD, MPH Medical Director, Washington & Idaho Regional Extension Center March 31, 2010

More information

Webinar #1 Meaningful Use: Stage 1 & 2 Comparison CPS 12 & UDS 2013

Webinar #1 Meaningful Use: Stage 1 & 2 Comparison CPS 12 & UDS 2013 New York State-Health Centered Controlled Network (NYS HCCN) Webinar #1 Meaningful Use: Stage 1 & 2 Comparison CPS 12 & UDS 2013 January 31, 2014 Ekem Merchant-Bleiberg, Director of Implementation Services

More information

Care360 EHR Frequently Asked Questions

Care360 EHR Frequently Asked Questions Care360 EHR Frequently Asked Questions Table of Contents Care360 EHR... 4 What is Care360 EHR?... 4 What are the current capabilities of Care 360 EHR?... 4 Is Care 360 EHR an EMR?... 5 Can I have Care360

More information

Prepared for the Tides Foundation San Francisco, California. Prepared by Kendall Guthrie, Ph.D. and Adelaide Nalley Blueprint Research and Design

Prepared for the Tides Foundation San Francisco, California. Prepared by Kendall Guthrie, Ph.D. and Adelaide Nalley Blueprint Research and Design Blueprint Research & Design, Inc. 247 Fourth Street, Suite 105 Oakland, CA 94607 T: 510.893.9700 F: 510.893.9750 E: info@blueprintrd.com Moving from Data Collection to Health Promotion: Lessons on the

More information

Improving Evidence-Based Primary Care for Chronic Kidney Disease. Walter L. Calmbach MD MPH South Texas Ambulatory Research Network (STARNet)

Improving Evidence-Based Primary Care for Chronic Kidney Disease. Walter L. Calmbach MD MPH South Texas Ambulatory Research Network (STARNet) Improving Evidence-Based Primary Care for Chronic Kidney Disease Walter L. Calmbach MD MPH South Texas Ambulatory Research Network (STARNet) Learning Objectives 1. be familiar with the clinical relevance

More information

HEALTH INFORMATION TECHNOLOGY SUMMIT Successful Selection/Implementation Electronic Health Record

HEALTH INFORMATION TECHNOLOGY SUMMIT Successful Selection/Implementation Electronic Health Record HEALTH INFORMATION TECHNOLOGY SUMMIT Successful Selection/Implementation Electronic Health Record Samuel DeLeon, MD Chief Medical Officer Urban Health Plan Introduction Overview Initial EMR selection/implementation

More information

NHCHC Meaningful Use of Electronic Health Records Resource Catalogue. Meaningful Use Overview

NHCHC Meaningful Use of Electronic Health Records Resource Catalogue. Meaningful Use Overview Meaningful Use Overview Meaningful use is the use of a certified electronic health record (EHR) to demonstrate improved quality and safety of health care delivery for a patient population within a clinical

More information

Delivery System Reform Incentive Pool Plan (DSRIP) One Hospital s Experience

Delivery System Reform Incentive Pool Plan (DSRIP) One Hospital s Experience Delivery System Reform Incentive Pool Plan (DSRIP) One Hospital s Experience Carolyn Brown, Director Quality and Safety Vickie Wilson, Manager - DSRIP ABOUT US Santa Clara Valley Hospital and Health System

More information

IC 3 : Improving Continuous Cardiac Care Quality Improvement in Practice

IC 3 : Improving Continuous Cardiac Care Quality Improvement in Practice IC 3 : Improving Continuous Cardiac Care Quality Improvement in Practice Presenter Disclosure Information Paul Chan, MD FINANCIAL DISCLOSURE: None FUNDING FOR THE IC3 PROGRAM: Bristol-Myers Squibb / Sanofi

More information

How to Play by the (Final) Rules:

How to Play by the (Final) Rules: Click to edit Master title style How to Play by the (Final) Rules: An Overview of Meaningful Use Stage 2 Bruce Maki, MA M-CEITA / Altarum Institute Regulatory and Incentive Program Analyst March 11, 2015

More information

4Medapproved Learning Lunch Webinar Series 7.24.13 How to Keep up with Stage 2 MU (Meaningful Use) Questions and Answers

4Medapproved Learning Lunch Webinar Series 7.24.13 How to Keep up with Stage 2 MU (Meaningful Use) Questions and Answers 4Medapproved Learning Lunch Webinar Series 7.24.13 How to Keep up with Stage 2 MU (Meaningful Use) Questions and Answers Q: Does transfer of care happen within a health system - say for example primary

More information

Mona Osman MD, MPH, MBA

Mona Osman MD, MPH, MBA Mona Osman MD, MPH, MBA Objectives To define an Electronic Medical Record (EMR) To demonstrate the benefits of EMR To introduce the Lebanese Society of Family Medicine- EMR Reality Check The healthcare

More information

Become a Practice Champion. The Crucial Role of Office Managers

Become a Practice Champion. The Crucial Role of Office Managers Become a Practice Champion The Crucial Role of Office Managers Office Manager Responsibilities Oversees the process of patient registration, triage, examination, treatment, and checkout. Develops guidelines

More information

Practice Fusion Whitepaper

Practice Fusion Whitepaper Practice Fusion Whitepaper Leveraging the Power of Clinical Data October, 2008 501 Folsom Street. First Floor. San Francisco. California. 94105 Introduction Clinical data is extraordinarily powerful and

More information

Medicare & Medicaid EHR Incentive Programs

Medicare & Medicaid EHR Incentive Programs Medicare & Medicaid EHR Incentive Programs Eligibility 2 Who is Eligible to Participate? Eligibility was defined in statute Hospital-based EPs are NOT eligible for incentives DEFINITION: 90% or more of

More information

Integrated Health Systems: Promise And Performance

Integrated Health Systems: Promise And Performance Integrated Health Systems: Promise And Performance Stephen M. Shortell, Ph.D. Blue Cross of California Distinguished Professor of Health Policy and Management Professor of Organization Behavior Dean, School

More information

Networking Your Way to an Interoperable EHR

Networking Your Way to an Interoperable EHR Networking Your Way to an Interoperable EHR Minnesota Rural Health Conference June 28, 2010 Anne Schloegel Minnesota Department of Health Office of Rural Health and Primary Care Health Information Exchange

More information

MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On August 24, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated final rule for Stage

More information

Ways to Fix the System

Ways to Fix the System Building the Health Informatics Chunnel: The PHR Meets the EHR Daniel Z. Sands, MD, MPH Cisco Systems and Harvard Medical School Boston, MA Harvard Medical School Copyright D. Z. Sands IBSG - 1 U.S. Healthcare

More information

MEDICAL ASSISTANCE STAGE 2 SUMMARY

MEDICAL ASSISTANCE STAGE 2 SUMMARY MEDICAL ASSISTANCE STAGE 2 SUMMARY OVERVIEW On September 4, 2012, CMS published a final rule that specifies the Stage 2 Meaningful Use criteria that eligible professionals (EPs), eligible hospitals (EHs)

More information

The Medical Home. The Triple Aim Institute for Healthcare Improvement. Compiled by: Douglas Eby MD MPH CPE Workgroup Coordinator

The Medical Home. The Triple Aim Institute for Healthcare Improvement. Compiled by: Douglas Eby MD MPH CPE Workgroup Coordinator The Medical Home The Triple Aim Institute for Healthcare Improvement April 16, 2009 Compiled by: Douglas Eby MD MPH CPE Workgroup Coordinator IHI Medical Home Work Group Medical Home IHI Triple Aim Page

More information

Oregon Standards for Certified Community Behavioral Health Clinics (CCBHCs)

Oregon Standards for Certified Community Behavioral Health Clinics (CCBHCs) Oregon Standards for Certified Community Behavioral Health Clinics (CCBHCs) Senate Bill 832 directed the Oregon Health Authority (OHA) to develop standards for achieving integration of behavioral health

More information

Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview

Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview Meaningful Use: Terms & Timelines, Changes to Stage 1, and Stage 2 Overview NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Agenda Terms & Timelines of Meaningful

More information

A COMPARISON OF MEDI-CAL MANAGED CARE P4P MEASURE SETS

A COMPARISON OF MEDI-CAL MANAGED CARE P4P MEASURE SETS A COMPARISON OF MEDI-CAL MANAGED CARE P4P MEASURE SETS The matrix below provides a comparison of all measures included in Medi-Cal P4P programs and the measures includes in DHCS s External Accountability

More information

Networked Personal Health Records

Networked Personal Health Records Networked Personal Health Records Table of Contents Potential of Personal Health Records (PHRs) What is a PHR? Common functions of a PHR Ideal attributes The PHR environment Consumer perceptions about

More information

Using EHR Information to Support Workflows for Medical Homes: Get the right tool for the job

Using EHR Information to Support Workflows for Medical Homes: Get the right tool for the job Using EHR Information to Support Workflows for Medical Homes: Get the right tool for the job Jeff Hummel, MD, MPH Medical Director for Clinical Informatics Qualis Health January 26, 2010 Objectives Introduction:

More information

Stage 2 Overview Tipsheet Last Updated: August, 2012

Stage 2 Overview Tipsheet Last Updated: August, 2012 Stage 2 Overview Tipsheet Last Updated: August, 2012 Overview CMS recently published a final rule that specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical

More information

Meaningful Use and Electronic Health Record. May 16, 2012

Meaningful Use and Electronic Health Record. May 16, 2012 Meaningful Use and Electronic Health Record May 16, 2012 Who is Promedica? 2 Who is Promedica? ProMedica is a mission-based, not-for-profit healthcare organization formed in 1986. ProMedica has more than

More information

Population Health: Sharing A Parkland Perspective

Population Health: Sharing A Parkland Perspective Population Health: Sharing A Parkland Perspective Sue Pickens, MEd, PCMH CCE Sobha Fuller, DNP, RN-BC, NEA-BC, PCMH CCE Who is Parkland? Dallas County Hospital District d/b/a Parkland Health & Hospital

More information

Selecting an Electronic Health Record System: Step by Step. Tushar Ranchod, MD

Selecting an Electronic Health Record System: Step by Step. Tushar Ranchod, MD Selecting an Electronic Health Record System: Step by Step Tushar Ranchod, MD Disclosures No corporate sponsorship. No EHR vendor support or involvement. Electronic Health Records Good reasons to adopt

More information

Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements

Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements Stage 2 Final Rule Overview: Updates to Stage 1 and New Stage 2 Requirements The Centers for Medicare and Medicaid Services (CMS) issued the Stage 2 Final Rule on September 4, 2012. The Stage 2 Final Rule

More information

Integrating Self Management Supports in Primary Care

Integrating Self Management Supports in Primary Care Integrating Self Management Supports in Primary Care Support for this product was provided by a grant from the Robert Wood Johnson Foundation in Princeton, New Jersey, 2009 Objectives: To describe key

More information

A Project in Process. Technology for a Small Integrated Clinic

A Project in Process. Technology for a Small Integrated Clinic A Project in Process Technology for a Small Integrated Clinic Provides quality, affordable primary and preventive medical care and health education services in six locations throughout Napa County Serves

More information

Health Information Technology Backgrounder

Health Information Technology Backgrounder Health Information Technology Backgrounder An electronic health record (EHR) is defined by the National Alliance for Health Information Technology as an electronic record of health-related information

More information

Creating Provider Buy-in for Disease Management

Creating Provider Buy-in for Disease Management Creating Provider Buy-in for Disease Management Edward F.X. Hughes, M.D., MPH Professor, Kellogg School of Management, Northwestern University and Randall E. Williams, M.D. CEO, Pharos Innovations; Assistant

More information

ADVANCING CLINICAL & BUSINESS INTELLIGENCE AND THE USE OF ANALYTICS IN HEALTHCARE

ADVANCING CLINICAL & BUSINESS INTELLIGENCE AND THE USE OF ANALYTICS IN HEALTHCARE ADVANCING CLINICAL & BUSINESS INTELLIGENCE AND THE USE OF ANALYTICS IN HEALTHCARE James E. Gaston, FHIMSS Sr. Dir. of Clinical & Business Intelligence HIMSS and HIMSS Analytics James.Gaston@HIMSSAnalytics.org

More information

ELECTRONIC MEDICAL RECORD DECISION SUPPORT TOOL A Guide to Implementation

ELECTRONIC MEDICAL RECORD DECISION SUPPORT TOOL A Guide to Implementation ELECTRONIC MEDICAL RECORD DECISION SUPPORT TOOL A Guide to Implementation The Electronic Medical Record (EMR) Decision Support Tool is an evidencebased template to assist clinicians in implementing a standardized

More information

Validating EHR Reports

Validating EHR Reports Validating EHR Reports October 2012 Cardiac Learning & Action Network: Improving Cardiac Population Health through Primary Care Redesign Introduction The use of electronic health records (EHRs) has greatly

More information

The HITECH Act and Meaningful Use Implications for Population and Public Health

The HITECH Act and Meaningful Use Implications for Population and Public Health The HITECH Act and Meaningful Use Implications for Population and Public Health Bill Brand, MPH Public Health Informatics Institute Meaningful Use for Public Health Professionals: Basic Training May 16,

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. 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

A State-Wide EHR for NSW Health

A State-Wide EHR for NSW Health A State-Wide EHR for NSW Health New South Wales Health, NSW, Australia New South Wales (NSW) Health provides healthcare to the most populous state in Australia, covering an area of 800,000 sq km and a

More information

A Provider s Perspective on Electronic Health Record Systems Adoption in Small Practices

A Provider s Perspective on Electronic Health Record Systems Adoption in Small Practices A Provider s Perspective on Electronic Health Record Systems Adoption in Small Practices Research-in-Progress Chi Zhang Southern Polytechnic State University chizhang@spsu.edu ABSTRACT This research-in-progress

More information

Modified Stage 2 Final Rule 2015-2017

Modified Stage 2 Final Rule 2015-2017 Modified Stage 2 Final Rule 2015-2017 Illinois Health Information Technology Regional Extension Center (ILHITREC) SUPPORT PROVIDED BY ILHITREC: The Illinois Health Information Technology Regional Extension

More information

Meaningful Use of HIT by RHCs NOSORH Region A Meeting Providence, RI June 18, 2013

Meaningful Use of HIT by RHCs NOSORH Region A Meeting Providence, RI June 18, 2013 Meaningful Use of HIT by RHCs NOSORH Region A Meeting Providence, RI June 8, Learning Objectives Understand the status of adoption of HIT and EHRs by RHCs Discuss how RHCs with EHRs perform on Stage meaningful

More information

EHR AND IHIS DEVELOPMENT. Standards, Perspectives and Approaches. Rudi Samoszynski International Consultant Health Systems

EHR AND IHIS DEVELOPMENT. Standards, Perspectives and Approaches. Rudi Samoszynski International Consultant Health Systems EHR AND IHIS DEVELOPMENT Standards, Perspectives and Approaches Rudi Samoszynski International Consultant Health Systems Electronic Medical Records (EMR) and Electronic Health Records (EHR) 1. EMR: replicate

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