2011 Capstone Project

Transcription

1 2011 Capstone Project Capstone Team: Ryan Belmonte & Mary Ann German 7/1/2011 1

2 Capstone Objective 7/1/2011 2

3 Capstone Purpose To align with organizations involved in efforts to support providers in becoming meaningful users of HIT by creating a registry of EHR vendors in major health care facilities in Washington State and by sharing that information with the local health care community. 7/1/2011 3

4 Capstone Sponsors 7/1/2011 4

5 Capstone Key Informants 7/1/2011 5

6 Capstone Project Scope Project Kickoff: CHITA board meeting April 13, Key Informant Interviews and Contacts CEO, Foundation for Health Care Quality Vice President and Chief Technology Officer, Group Health Cooperative Senior Policy Analyst, Washington State Health Care Authority Executive Director, Health Information Program, WSHA Director, Health Care Economics, Practice Resource Center, WSMA 7/1/2011 6

7 We defined our scope to include Washington State hospitals and group practices with 50+ healthcare providers. This map from AHRQ s website shows the number of hospital beds in Washington clustered in the Puget Sound area. 7/1/2011 7

8 7/1/2011 8

9 We created td a data table with 124 target t facilities and began to source contact information 7/1/2011 9

10 We reviewed published information for facility and contact information: Washington State Health Information Exchange: Strategic and Operational Plans 2011 WSHA Membership Directory Physician Group Practices, Health Care of the Future Puget Sound Business Journal, April 2010 Billian s Hospital Blue Book 7/1/

11 We composed survey questions to elicit vendor and product data, implementation challenges and status, tt EHR project manager contact t information. Q7. Q3. What Is your is EHR the most solution significant comprised challenge of a single you Q9. Q1. Please face vendor Does in provide the your or EHR multiple facility the acquisition name use vendors? and and/or address EHR? of implementation your organization. process? Q2. Q4. Does Please your list facility your facility contract EHR with vendor(s)? an EHR Q8. Who is the EHR vendor? implementation project Q5. What Q10. is your How estimate may manager? we of contact your organization s you? progress pogessimplementing pe e a complete peeehr? 7/1/

12 Catalyst Survey Tool We developed a Catalyst survey to elicit EHR vendor information from our target facilities, with questions about EHR vendors, products and project progress. 7/1/

13 Survey Questions Logic 7/1/

14 EHR Vendor Registry Inputs WSHIMA E alert WSHA contact s Catalyst Survey results Target facility database EHR Vendor Registry 7/1/

15 Challenges and Course Corrections Defining the scope and scale of our project Validating table data with Billian s Hospital Blue Book Cold calls to facilities time consuming Catalyst survey target contacts difficult to obtain WSHIMA E Alert distribution Targeted recipient distribution list from WSHA Survey respondents need incentive to participate 7/1/

16 Barriers to Success 7/1/

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18 Target Facilities with EHR Vendor Data Vendor name or NONE is populated in vendor 1 data field for 64 of our 124 target facilities Because some facilities utilize multiple EHR vendors, our data table relationship between facility and vendor is not 1:1 7/1/

19 EHR Vendor Query Results For 64 facilities with vendor data, Figure 3 shows how many of the 64 target facilities specified particular EHR vendors: Facility EHR Vendor Data (n=64) EPIC 24.37% 5. 8% 5. 8% MEDITECH 16.24% 5. 8% % CERNER 10.15% % NB: Some facilities have more than one EHR vendor % EHR vendor data is incomplete and not validated at this time. EPIC MEDITECH CERNER MCKESSON GE No Vendor 7/1/

20 Next Steps Delete the survey from Catalyst Share our project findings with sponsors Share our hospital and group practice database with fellow HIHIM students to aid their job search Thank our sponsors and informants Celebrate! 7/1/

21 Capstone Lessons Learned Documentation on EHR vendors is not widely available Dynamic healthcare h environment invalidates published information only a few years old Survey respondents appreciate incentives Accountable Care Organizations may impact group practice choice of EHR vendors and products Swedish is providing Epic and associated systems support to Polyclinic and Minor & James 7/1/

22 Resources Gretchen Murphy, MEd, RHIA, FAHIMA, Director, Heath Informatics and Health Information Program, School of Public Health, University of Washington Kelly Llewellyn, MHA, Senior Policy Analyst, Washington State Healthcare Authority Bob Perna, MBA, FACMPE, Director, Healthcare Economics, Practice Resource Center, WSMA Jim Cannon, Executive Director, Health lh Information Program, WSHA Joyce Duffy, Central Office Program Director, Washington State Health Information Management Association (WSHIMA) Kathleen Peterson, MS, RHIA, CCS, Professor, Health Informatics and Health Information Management, School of Public Health, University of Washington Washington State Hospital Association. (2011) WSHA Membership Directory. Seattle: WSHA Puget Sound Business Journal. (April 2010). HealthCare of the Future: Physician Group Practices. ehealth Collaborative Enterprise, OneHealthPort. (July 2010). Washington State Health Information Exchange: Strategic and Operational Plans. Washington State Healthcare Authority. Olympia, WA: ehealth Collaborative Enterprise. Billian's hospital blue book. (2002). Atlanta, GA: Billian Pub. MGMA. (2011). Electronic Health Records: Status, Needs and Lessons: 2011 Report Based on 2010 Data, Medical Group Management Association, HIMSS Foundation. (2006) The Clinical Systems Hospital IT Market, Chicago: The Dorenfest Institute. h / / h / / l h 7/1/

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