3/13/2013. Continuing Medical Education Disclaimer

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1 Back to Basics with EHR Adoption - PREWORK March 13, :30 1:00 p.m., EST Don Sargent, Project Manager Continuing Medical Education Disclaimer This is to certify that Don Sargent has disclosed no relevant financial relationships to this presentation. Back to Basics with EHR Adoption - PREWORK March 13, :30 1:00 p.m., EST Don Sargent, Project Manager 1

2 Six Steps of EHR Adoption Pre-work Assessment Planning System Selection Implementation Post Live Back to Basics with EHR Adoption Series Pre-work (3/13/2013) Assessment (4/10/2013) Planning (5/8/2013) System Selection (6/12/2013) Implementation (7/17/2013) Post Live (8/14/2013) Why CCME Promotes EHR Adoption Effective EHR Implementation will: Improve patient quality of care Prevent medical errors Reduce health care costs Increase administrative efficiencies Engage patients and families in their health care Expand access to affordable care 2

3 Objectives 1. Learn the basics of Return on Investment (ROI) 2. Identify senior-level responsibilities 3. Understand role of a physician champion 4. Build an effective EHR implementation team 5. Review effective meeting techniques 6. Identify key EHR technology terms/definitions 7. Distinguish recommended EHR functionalities ROI Calculation - Return On Investment (ROI) analysis is one way to build a business case for implementing an EHR. When practices are using ROI analysis it is important to agree on the formula. 3

4 Cost Savings - Reduced transcription costs Malpractice insurance savings Fewer paper charts means less: Storage & recall Pulling & filing Paper chart supplies CoverMD: Revenue Growth - Improve health maintenance Increase preventative services Improve coding / up-coding Reallocation of office space Meaningful Use incentives Increased Efficiency - Fewer pharmacy call-backs Better inter-office communication Electronic Health Records means: Universal access to charts Concurrent chart use Elimination of chart pulls 4

5 Improved Quality - More complete clinical record Easier compliance with chart requests and chart audits Improved medication management Built-in protocols and clinical decision support EHR Hard Costs - Software license, upgrade, and support fees Hardware expenses, maintenance, and support Implementation and training fees Interface fees Network/networking expenses EHR Soft Costs - Scanning and back-loading chart documents into the EHR Employee overtime and/or temps needed during implementation Temporary loss of revenue during Go-Live due to a reduced patient schedule Additional IT staff expense 5

6 Senior Level Commitment Senior Level Commitment Create a Project Charter Assign a Project Manager Role of Project Sponsor Select a Physician Champion Identify Stakeholders Build an Implementation Team Introduce project to staff Identify EHR Budget The Role of the Physician Champion 6

7 The Role of the Physician Champion Assign a Physician Champion They re critical to the success of the project Extreme changes to clinical workflow Physicians respond to other physicians Enthusiastic about EHR The Role of the Physician Champion Roles and Responsibilities Project Advocate Role model and facilitator Involved throughout planning and implementation process Continually communicating the value of the EHR Build the Implementation Team 7

8 Build the Implementation Team Members need to be Enthusiastic Positive Well-respected Forward thinking Very knowledgeable of their department s internal processes This is a critical step for a successful implementation! Build the Implementation Team Roles within the team Physician Champion Project Manager Work flow Coordinator Application Administrator Application Trainer (super user) Technical support staff Build the Implementation Team Staff members from Physician Assistants, Nurse Practitioners, Nursing, Medical Assistants Ancillary Staff Lab, X-Ray, EKG, etc Administration Registration, Billing, Medical Records 8

9 Effective Meeting Techniques Effective Meeting Techniques Meeting Essentials Recurring (place/time/day) Prepare agenda Stated purpose and objectives Encourage discussion Appreciation and recognition Effective Meeting Techniques Making the Most of Your Meetings Record minutes and distribute Assign owners for take-aways and deliverables Communicate progress 9

10 Key EHR Technology Terms Key EHR Technology Terms EHR Hardware and Software Terms - Assess the Implementation Team s knowledge of general technology terms and acronyms Provide basic education glossary of hardware / software terms and acronyms Key EHR Technology Terms Common Terms / Acronyms - ASP/Cloud Host Web Portal Client/Server GUI HL7 CPOE CHPL Digital vs. Digitized Signature Voice Capture vs. Recognition Interfaced vs. Integrated 10

11 Key EHR Technology Terms Additional Resources - Webopedia TechWeb - WhatIs NetLingo EHR Functionality EHR Functionality Data Entry Options - Keyboard, mouse (laptop) Touch screen (tablet) Templates Handwriting / voice recognition Import / scan documents Structured vs. non-structured data 11

12 EHR Functionality Medical Records - Problem List (Dx) Medication list Allergy list Immunization record Advance directives Prescriptions (erx) Progress notes (SOAP) EHR Functionality Medications/Prescriptions - eprescribing (erx) Formulary checking Formulary management Medication history Weight- and age-based dosing Drug Interaction Alerts Drug, allergy, food Geriatric, pediatric, pregnancy EHR Functionality Other Key Features - CPOE (Orders/Results) Referral order management Preventive health maintenance Reminders orders, meds Flow sheets Charts/graphs and trend data Reporting 12

13 Thank you for joining us today! Don Sargent CCME Project Manager, EHR Consultant Upcoming Webinars CME Available! FEATURED WEBINAR 2013 EHR Incentive Program Changes: What EPs need to know NOW Wednesday, March 27, :30 1:30 p.m., EST LUNCH & LEARN WEBINAR Back to Basics with EHR Adoption: Assessment Wednesday, April 10, :30 1:00 p.m., EST LUNCH & LEARN WEBINAR The Evolution of Health Care: The Role of the EHR Wednesday, May 1, :30 1:00 p.m., EST 13