EHR Vendor Selection 101: Considerations, Tools & Tips. NYC REACH May 2013

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Amelia McGee
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1 EHR Vendor Selection 101: Considerations, Tools & Tips NYC REACH May

2 Choosing an EHR Vendor With over 2,000 EHRs certified for Meaningful Use, choosing one can seem overwhelming for providers. Thankfully, NYC REACH has resources to help providers find the right EHR for their practice. There is no one size fits all EHR --- Only you can decide which solution is best for your practice through planning and careful consideration. Choosing a vendor can be daunting and takes dedication, but NYC REACH is here to help you explore your options! 2

There is no one size fits all EHR --- Only you can decide which solution is best for your practice through planning

3 The Selection Process Define your needs and EHR Criteria Narrow your choices Actively Shop Compare and Evaluate Choose! 3

4 Determine Your Specific Practice Needs Analyze your current work flow Efficiencies/difficulties How can an EHR help you with practice management? Initial appointment setting Patient check-in Establish your EHR criteria Increase practice efficiency Encourage accuracy Improving quality of care Improving care coordination for your patients Increase cost savings and practice profitability Patient moves to treatment Medical check-in complete Physician diagnosis of patient Orders 4

Initial appointment setting Patient check-in Establish your EHR criteria Increase practice efficiency Encourage

5 How to narrow your choices 1. Certification (ONC, MU) 2. Fully Integrated Practice Management System 3. Success with similar practice 4. Understand the EHR market in your region 5. Tap into personal relationships 5

6 Cost Considerations When choosing an EHR, it s important to consider the various costs associated with adoption. Be mindful of the costs that come with getting up and running on an EHR and maintaining your system! EHR Fees IT Costs Other EHR license Data Hosting Implementation Training Data Mitigation Hardware & Office network IT support (Implementation) IT Support (Ongoing) Billing clearinghouse Lost revenue during implementation/training 6

EHR Fees IT Costs Other EHR license Data Hosting Implementation Training Data Mitigation Hardware & Office

7 Compare & Evaluate Company Integrity Cost & Benefit Look & Feel Features & Functions 7

8 Considerations for Specialists Specialists face many of the same considerations while choosing the right EHR for their practice but there are several additional considerations they should keep in mind. While shopping for the right vendor, the following are some important factors to explore: Contact your professional society to locate resources they have for choosing the right vendor to fit your specialty type. Before implementing, make sure that the EHR you are considering has: Appropriate templates you will need for your specialty Testing functionalities that accommodate the specific tests you need to run If you are a specialist and have additional questions, make sure to contact your organization or NYC REACH to get the answers you need before moving forward. 8

While shopping for the right vendor, the following are some important factors to explore: Contact your professional society to locate resources they have for choosing the right vendor to fit

9 Vendor Demonstrations To see the product in action, take part in a Vendor Demonstration! Your NYC REACH Outreach Specialist can help you set up a time to meet with different vendors so that you can see the different features of their EHR in person or via WebEx. Before your vendor demonstration, be sure that: All key members on your practice can be present. You should choose an EHR that fits the people who will be using it most! You are prepared to identify your practices needs Have a checklist explaining the features and specifications you are looking for Develop a typical clinical scenario ahead of time and have the vendor show you the process Ask to work through specific tasks (documentation, eprescribing, etc.) To be connected to a PCIP Outreach Specialist: Call (347) pcip@health.nyc.gov 9

Before your vendor demonstration, be sure that: All key members on your practice can be present. You should choose an EHR that fits the people who will be using it most!

10 The Selection Process NYC REACH Vendor Partners As the only Regional Extension Center housed within a health department, our mission goes beyond Meaningful Use achievement. NYC REACH aims to help providers and vendors advance EHRs as a tool to improve public health. To reflect this mission we developed a new EHR Vendor Recognition Program that features the following tiers: Public Health Champions are EHR vendors that go beyond Meaningful Use and have developed a special relationship with the NYC Health Department. These companies work to develop innovative public health tools and reporting capabilities to improve quality across the city. Meaningful Use Champions are EHR Companies that work closely with NYC REACH to help their users meet the Meaningful Use requirements through joint trainings, shared materials, and a strong local presence. 10

To reflect this mission we developed a new EHR Vendor Recognition Program that features the following tiers: Public Health Champions are EHR vendors that go beyond Meaningful Use and have developed a

11 NYC REACH Vendor Partners Public Health Champions Meaningful Use Champions Updated as of May 2013; Vendors recognized after this date will be listed on the vendor page * For more information about our Vendor Partners visit: 11

date will be listed on the vendor page * For more information

12 External Resources Free Online Tools: American EHR Partners: - Browse EHR systems, view product lists and vendor directories, explore tools for EHR product comparisons and more. EMR Consultant: - Free comprehensive online EHR matching system and vendor database Nationally Recognized Consumer Reports: Black Book Rankings: KLAS Research: 12

EMR Consultant: http://www.emrconsultant.

13 Next Steps: How NYC REACH can help After you ve become an NYC REACH member and selected the EHR system right for your practice, our staff can work with you to make the necessary next steps, including: Implementation Support: Sharing best practices in IT infrastructure assessment, project management, workflow analysis, and vendor relations Clinical Quality Consulting: Coaching around EHR-enabled workflow redesign for key disease areas Assistance on clinical and administrative workflow redesign and optimization Setting up templates to fit your practice Meaningful Use Training and Billing Support: Visits focused on billing workflow redesign and correcting billing and documentation for preventive services and counseling In-person and online classes on Meaningful Use, billing best practices, privacy and security and patient engagement. Classes are both in-person and online Online members-only resource library with a variety of self-help tools Stay tuned for more information about additional quality improvement services. 13

EHR-enabled workflow redesign for key disease areas Assistance on clinical and administrative workflow redesign and optimization Setting up templates to fit your practice Meaningful Use Training and

14 Tools and Resources from NYC REACH: Vendor Selection Worksheet NYC reach offers a Vendor Comparison Worksheet to assist providers while they compare different vendors. Use the worksheet to keep track of EHR specifications and compare! 14

assist providers while they compare different vendors.

15 Outreach Specialists by Borough Brooklyn Flora Daniel (347) Bronx Victoria Pascoe (347) Manhattan & Staten Island Lauren Corboy (347) Queens Ava Bastian (347) You can also go to and click on the Join Now buttons on the left and top navigation bars. 15

gov (347) 396-4693 Manhattan & Staten Island Lauren Corboy lcorboy@health.nyc.

16 THANK YOU! QUESTIONS? 16

EHR Vendor Adoption and Change: Considerations, Tools & Tips

EHR Vendor Adoption and Change: Considerations, Tools & Tips Tabitha Mercado Client Systems Coordinator NYC REACH NYC Department of Health & Mental Hygiene April 2015 1 PCIP was founded in 2005 as a bureau