8/13/2013. Back to Basics with EHR Adoption Post Live. Back to Basics with EHR Adoption Post Live. Continuing Medical Education Disclaimer

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1 Back to Basics with EHR Adoption Post Live August 14, :30 1:00 p.m., EDT Gary Balser, Manager EHR Programs & Services 2013 The Carolinas Center for Medical Excellence All Rights Reserved Continuing Medical Education Disclaimer This is to certify that Gary Balser has disclosed no relevant financial relationships to this presentation. Back to Basics with EHR Adoption Post Live August 14, :30 1:00 p.m., EDT Gary Balser, Manager EHR Programs & Services 2013 The Carolinas Center for Medical Excellence All Rights Reserved 1

2 Back to Basics with EHR Adoption LUNCH & LEARN WEBINAR Pre-work Recorded March 13, 2013 Assessment Recorded April 10, 2013 Planning Recorded May 8, 2013 System Selection Recorded June 12, 2013 Implementation Recorded July 17, 2013 Post Live Today s webinar recording will available soon Six Steps of EHR Adoption Pre-Work Assessment Planning System Selection System Implementation Post Live Evaluation Review: Pre-work Steps Perform financial/roi assessment Confirm senior-level commitment Assign a physician champion Select EHR implementation team Learn to conduct effective staff meetings Learn EHR hardware and software terms Review recommended EHR functionalities 2

3 Review: Assessment Steps Perform readiness assessment Assess practice culture Evaluate the environment for change Assess computer skills of all employees Assess patient satisfaction Evaluate hardware and networking needs Perform workflow analysis Review: Planning Steps Create plans: Turn assessment findings into actionable information Plan for backloading and scanning paper charts Determine implementation approach Draft internal project plan for EHR Implementation Define EHR implementation goals and measurements Review: EHR Selection Steps Research vendors and develop a short list Create the vendor selection matrix Send RFPs and review responses Schedule and attend vendor demonstrations Reference site visits Negotiate your EHR contract 3

4 Implementation Highlights Receive/review vendor implementation plan Work with vendor on system customization Test system and interfaces System training Practice using EHR in exam room (without patients) System backup and testing Establish downtime procedures Why CCME Promotes EHR/HIE? Effective EHR/HIE Implementation will: Improve patient quality of care Prevent medical errors Reduce health care costs Increase administrative efficiencies Engage patients/families in their health care Expand access to affordable care Keyword: Meaningful Use Data capture and sharing Advanced clinical processes Improved outcomes Source: ONC, CMS Presentation 7/22/2010 4

5 Step 6 Post Live Evaluation Session Objectives Review EHR adoption process Conduct a post-live assessment to evaluate implementation success Review meaningful use and CMS incentive programs Maintain the EHR with a go-forward strategy Perform a meaningful use gap analysis What can practices with an EHR do now? What is Post-live Evaluation? Conducted about 30 days after go-live; assesses how your practice is adjusting to the EHR and serves as a transition between the implementation phase and the ongoing maintenance phase of EHR adoption. The output of this evaluation is an action plan for resolving issues and a go-forward strategy for application maintenance. 5

6 Post Live Evaluation Steps 1. Review implementation goals 2. Assess system usage 3. Conduct meaningful use gap analysis 4. Create go-forward strategy for EHR application maintenance and training Review Implementation Goals Revisit goals Examine goals Celebrate successes Refine opportunities Assess System Usage Evaluate how your practice has adapted to the EHR Examine which functionalities are being used Evaluate which (if any) implementation tasks are outstanding Output is an action plan that specifies responsible party and target dates for completion. 6

7 Meaningful Use Gap Analysis Review meaningful use criteria Determine criteria you can meet Determine shortfalls Create action plan to meet criteria Creating the Go Forward Strategy Will there be a committee that approves system changes? Who will add new items/revise existing items in the EHR? Who will add/delete users? Authorize permissions? Who will handle backups? Creating the Go Forward Strategy Who will open tickets with the vendor? Who will perform upgrades? How will new users be trained? Current users on new releases? Who will update policies and procedures? 7

8 What Can Practices Do Now? Review reporting requirements Firm up the basics of documentation Implement a bi-directional lab interface Implement erx with interaction checking Create a process for medication reconciliation and HIPAA security analysis What Can Practices do Now? Perform documentation gap analysis: medications, problem lists, allergy lists, vitals, BMI, etc. Create lists of patients within the EHR using clinical decision support rules and send patient reminders Create clinical summary with basic health information What Can Practices Do Now? Implement a patient portal Determine your source for statewide information or HIE Look at health departments or immunization registries Begin using order entry Assess EHR-based patient education resources 8

9 What Can Practices Do Now? USE YOUR RESOURCES For More Information CMS EHR Incentive Program Website Office of the National Coordinator for HIT CCME Contact Me Gary Balser Manager EHR Programs & Services Copyright 2013 by The Carolinas Center for Medical Excellence (CCME). All rights reserved. Printed in the U.S.A. Reproduction in whole or in part must be credited to CCME. 9