Accelerating EHR Adoption A Regional Extension Center Success Story. Sponsored by Ohio Health Information Partnership & Welch Allyn, Inc.
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1 Accelerating EHR Adoption A Regional Extension Center Success Story Sponsored by Ohio Health Information Partnership & Welch Allyn, Inc. 1
2 Agenda Introduction Objectives Presenters-Panelists GoToMeeting Dashboard Program Content REC Challenge Assisting Small Primary Care Practices in a Timely EHR Adoption Process Introduction to EHR Prep-Select Program Demo Little Flower Family Practice Success Story On-line Q&A 2
3 Objectives 1. Provide a road-map to guide RECs toward accomplishing one of their most challenging tasks 2. Introduce a web-based program that can benefit RECs in managing this difficult process 3. Show you how it s done! 3
4 Panelists Cathy Sonnhalter REC Implementation Manager, Ohio Health Information Partnership Bruce Kleaveland President, Kleaveland Consulting, Inc. James Johns, MD President, Little Flower Family Practice Donna Johns, RN, BSN Practice Administrator, Little Flower Family Practice 4
5 Addressing an Primary REC Challenge Assisting Small Primary Care Practices with EHR Adoption Cathy Sonnhalter REC Implementation Manager Ohio Health Information Partnership 5
6 Ohio Health Information Partnership Seven (7) Regional Partners providing Outreach to PPCPs Responsible for 6,000 PPCPs in 77 counties within Ohio 4,500 PPCPs currently registered with program [Cathy please update number above and add any relevant bullets as you see fit] 6
7 The Challenge To guide thousands of PPCPs [without an EHR], through a timely selection and implementation process. How do we Actively engage and educate resource- and time- constrained small practices in a complex technology project? Manage 3 rd party consulting providers with varying skill- and experience- levels? Monitor all of this activity to deliver a consistent process across all consultants? Scale this effort to manage a project involving 7-regional partners and >60 individual consultants? Accomplish all of these tasks fast enough to survive ONC timelines and financial limitations??? 7
8 Finding a Solution How best to provide assistance to PPCPs with EHR selection and implementation? Should OHIP build or buy? OHIP s EHR Implementation & Workflow Work Group found the Welch Allyn Prep-Select Tool through a referral by one of our MD members. 8
9 Why EHR Prep-Select? REC Benefits Broad application for PPCP s from MDs who haven t begun EHR search to those well on their way Leverages diverse REC consulting resources proven training program and remote service delivery format Reproducible-Scalable on-line access to common project plan and dashboard tracking tools Streamlines preparation and selection process positions clients for implementation process 9
10 Why EHR Prep-Select? Consultant-Practice Benefits Heavy emphasis on education and documentation provides valued self education tools for MDs & staff Standardized project format keeps practices and consultants on task, saving significant time for all Level-sets varying skill-experience levels among consultants Remote service delivery format enables access to difficult-to-reach, rural practices 10
11 Additional Benefits Smooth transition to apply program outside of subsidized PPCPs to specialists (Ohio Optometric Association, as well as Chiropractors & Podiatrists). Prep-Select will become one part of a three-part program for physicians to receive up to 20 Category-1 Performance Improvement CMEs. 11
12 EHR Prep-Select Demonstration Bruce Kleaveland President Kleaveland Consulting, Inc. 12
13 Little Flower Family Practice Goes Live! Jim Johns, MD - President Donna Johns, RN, BSN Practice Administrator 13
14 Practice Background Location: Canton, OH Specialty: Family Practice, Sports Medicine Staff: 1-MD, 1-CNP, 4-nurses, 4-general staff Patient Volume: 3,500 patients Ave. 50/day 14
15 EHR Project Snapshot Pre-REC Engagement Project Status Reviewed multiple EHRs but no defined procurement project REC Engagement Oct-2010, introduced to program through REC-sponsored regional conference Welch Allyn Prep-Select Project Initiation January 2011 EHR Project Team James Johns, MD, President; Donna Johns, RN, Practice Administrator Completed Preparation EHR Program and Selection March
16 Primary Challenges Project Organization Capturing and prioritizing all critical details of a complex project Workflow Changes Preparing for workflow changes required with EHR adoption Project Management Keeping the project moving forward despite typical practice distractions Vendor Selection Effectively managing process to insure provider-practice needs are met Capital Requirements Estimating capital needs and acquiring cost-effective funding HIT Experience and Expertise Limited technology experience-expertise 16
17 Consulting Approach This tool helps organize what can be a very complicated process into something that s pretty easy to process in a step-by-step systematic fashion, Bruce Kleaveland says. Leverage EHR Prep-Select structured, web-tool to provide overall framework for project management, preparation, and selection Leverage program educational content to enable practice to make timely decisions, supported by consultant expert Keep project on steady, progressive track to EHR selection Guide workflow decisions to set the stage for a smooth implementation and go-live phase, post selection-decision Outline plan for MU submission, post go-live 17
18 Results Increased our confidence and reduced our anxiety re: selection Completed the EHR organization and prep process in 60-days Completed vendor evaluation, selection and contract negotiation 150-days after project initiation Selected e-mds, Ohio Health Information Partnership preferred vendor Low interest loan secured vetted by Ohio REC EHR Go-live: Friday, July 21 st Phase-I Meaningful Use Attestation: planned in Nov., this year We will attest to meaningful use for the Medicare incentive before the end of this year, Donna Johns says. The $44,000 from the government will not cover all of the costs. A practice should not do it for the money, but because it will help them improve the care they give the patient. 18
19 Questions? Thank you! 19
20 Ohio Health Information Partnership OHIP is pleased to provide you with additional information on the Welch Allyn Prep-Select Tool in the following PowerPoint. Please contact: Cathy Sonnhalter OHIP s REC Implementation Manager csonnhalter@ohiponline.org 20 20
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