Orange County Health Care Agency (HCA) Behavioral Health Services (BHS) Electronic Health Record (EHR) System. HCA Director Mark Refowitz.

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Amanda O’Connor’
8 years ago
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1 Orange County Health Care Agency (HCA) Behavioral Health Services (BHS) Electronic Health Record (EHR) System HCA Director Mark Refowitz Item #37 1 of 9

2 Overall Scope Existing and Future Registration Clinical Doc Mgmt System & Decision Support Personal Health Records Potential Interfaces HCA Correctional Health Services EHR System Billing Inter operability Existing Functionality Lab HCA BHS EHR System E-Prescribe Health Info Mgmt New Functionality Scheduling Mobile Support HIPAA Privacy and Security M.U. Compliance Doc Imaging/ e-sig 2 of 9

3 Schedule - EHR Implementation Phases Upgrade Network Infrastructure Cerner Millennium Upgrade Medi-Cal SDMC Phase II - Billing Compliance Upgrade to HIPAA 5010 Billing Compliance Current Project Approved In Process Upcoming Request: Correctional Health EHR Current Request: Behavioral Health EHR Phase 1 Future Request: Behavioral Health EHR Phase 2 Future Request: Behavioral Health EHR Phase 3 Upgrades to HPUX, Oracle, Cerner Millennium and Storage System CDMS, DR, mpages, e- Prescription, Doc Imaging, P2Sentinel, HIM, Full Billing Integration, Network Upgrades, etc. Voice Recognition, Deployment at all facilities, Meaningful Use reporting; Network Upgrades, ICD-10 Interoperability & Interfaces with providers, Related Network Upgrades, Consumer Portals, Full Meaningful Use Compliance, Cerner Millennium Upgrade. 3 of 9

4 Cost Summary FY Total Performed FY Network upgrades $1,904 Equipment $4,949 Software $3,251 Reserve $817 Kiosks $300 $27,520 $24,026 (MHSA) $3,494 (Non MHSA) Services $5,605 Maint & Subscrip $5,565 Admin Costs $3,468 Taxes $609 Training & Education $510 Travel $542 4 of 9

5 Cost Summary FY by Phase Phase 1 Phase 2 Phase 3 Total FY FY FY FY All Phases Cerner $ 2,744,867 $ 4,140,331 $ 50,000 $ 971,522 $ 7,906,719 Cerner M&S Non Cerner $ 438,473 $ 660,718 $ 746,193 $ 1,418,064 $ 3,263,448 $ 1,905,142 $ 2,422,663 $ 3,340,061 $ 4,064,831 $ 11,732,696 Total $ 5,088,482 $ 7,223,712 $ 4,136,253 $ 6,454,416 $ 22,902,863 Total costs shown here only include current and future costs, and not expenses incurred in the past Fiscal Years, nor the contingency reserve 5 of 9

6 Potential Risks and Mitigation Vendor Performance Contractual protections via contract Specifications and Scope of Work Selection rights for assigned resources Scope Stability Documented workflows and business rules established at onset Maintain focus on Meaningful Use guidelines/compliance Funding MHSA primary funding/ funds available at Agency level Staffing Interoperability/Integration Regulatory Requirements Security and Privacy of Data Dedicated and competent Agency Core Team and Work Team, includes Clinical, Administrative, Financial and Information Technology staff Negotiation with Cerner on assignment of key PM personnel For Clinical data sharing, follow published and emerging standards and protocols For integration of third-party software with the Cerner system, ensure via contractual obligations Contractual protections via contract for compliance Maintain high awareness and understanding of emerging requirements and changes Ensure network protection consistent with industry best practices and federal and state requirements Ensure software meets all applicable regulations Internal training and education/ policies and procedures 6 of 9

7 Expected Benefits Compliance Higher Quality of Care and Timeliness Through Better Coordination of Services Better Treatment Outcomes with Regulatory Mandates Including HIPAA, Privacy and Security, Billing, Meaningful Internal Efficiencies and Error Reduction, with Uniform and Standard Methodologies for Service Delivery More Effective Partnerships With Provider Organizations Consumer Online Access to Information Use 7 of 9

8 Recommended Action Authorize the Health Care Agency Director or designee to execute the Agreement with Cerner Corporation for Provision of the Behavioral Health Electronic Health Record System Services. 8 of 9

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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