Maximizing Your EHR Investment: A Year Of Innovation In Review Presented by: Rebecca Smith Chief Information Officer Henderson Behavioral Health
Who Is Henderson Behavioral Health?
Who Is Henderson Behavioral Health? Oldest & Largest Not-For-Profit Behavioral Health Care System In South Florida 20 Locations 19 In Broward & 1 In Palm Beach County Serve Over 25,000 Clients Per Year Inpatient Crisis Stabilization Unit With 23 Beds Residential Treatment With 206 Beds For Adults & Children Supported Housing With 702 Beds Centralized Provider Of Youth Case Management First Worldwide CARF Accredited Student Counseling Program Serving NSU, UM and Broward College
Who Is Henderson Continued Evidence-Based Practices; Wraparound, MST, CBT, MI, Psycho-education, Supported Employment, ACT, & Housing 1st 600+ Staff Providing Services Across 20 Our Locations CARF Accredited At The Highest Level For 21 Consecutive Years 38 Million Dollar Budget Previous System CMHC/MIS User From 1995-2010 2010 Federal SAMHSA Science & Service Award Winner 2010-2012 American Heart Assoc Fit Friendly Company 2013 Awarded Primary Care Integration SAMHSA Grant Organizational Commitment To Teaching & Learning; Interns & Medical Students
Henderson Payer Breakdown Medicare 1% ChildNet 4% Other 4% Self Pay 6% Medicaid 19% County 26% State/Managing Entity 33% Private Insurance 5% & Growing (ObamaCare)
Software Originally On The Henderson Dashboard March 2011 myavatar Practice Management myavatar Clinician Workstation mylearningpointe
Critical Project Success Factors Management Buy-In & Support Dedicated Project Team Consistent Communication Comprehensive Project Planning Quality Conversion & System Testing Timely Implementation User Acceptance & Training
Don t Forget Original Lessons Learned IT Department Skill Sets Billing Department Skill Sets Clinical Computer Literacy Supervisor Training Agenda Customization Isn t Always A Good Thing Going Live Is Only The Beginning Continue To Apply To Future Projects
Our EHR Investments Already Made IT Staffing Organizational Time Commitment Staff Time for Meaningful Use Reporting Technology Expenses Hardware/Initial & Ongoing Software/Initial & Ongoing WAN/Wi-Fi Infrastructure Imaging/Storage Disaster Recovery Staff Training Ergonomics
nnovation Extends The Value Of Your EHR nvestments
Initial Additions To The Henderson Dashboard Clinicians Taking The EHR Into The Field 2012 E-Prescribing & Lab Orders 2013 Primary Care & Behavioral Health Integration 2013
Securely Taking The EHR Chart Into The Field Our Solution: MobileConnect 2012 Enables a clinician to work disconnected in the field Increases field clinician s productivity Can be a part of disaster preparedness plan Outcomes Can Reduce Cach/myAvatar licenses needs No monthly-recurring cost like air-cards Concurrent documentation in the field is more thorough Clinicians have access to client chart information in the field More timely documentation integrated into the chart
E-Prescribing & Lab Orders Our Solution: OrderConnect 2013 Mobile I-Pad app available Reporting: easily analyze prescribing practices Sample med management/inventory Meaningful Use certified solution Outcomes Real time script delivery Reduced liability Drug to drug and interaction checking Allergy alerts Clients can t lose the electronic prescription Paper script savings help fund the solution
Primary Care & Behavioral Health Integration Our Solution: Primary Care I-Pad App June 2013 A way to not have two separate systems to maintain Integrates with our existing EHR & E-Prescribing User friendly, natural workflow Outcomes Easy care coordination & integrated chart Reduce emergency department visits Reduce hospital admissions Reduce use of specialists Delivery of wellness and prevention services A sustainable plan for the future
Active Projects On The Henderson Windshield Our Meaningful Use Stage 1 Document Imaging/Records ICD9/10 Migration Consumer Portal Health Information Exchange EHR Interface Opportunities
Our Meaningful Use Stage 1 E-Prescribing & Labs Problem List Demographics Vitals Smoking Status CQM s & Decision Support Electronic Record Release Clinical Summaries Consumer Portal
Document Imaging/Records Our Solution: Perceptive Integrates with our EHR Phase I EHR From today forward Phase II Back scanning Phase III - Other areas of the organization Outcomes Better Access to External Documentation Possible Centralized Eligibility Centralized Records Release Chart & Paper Savings Real Estate Recoup Easier Audits
ICD9/10 Migration Our Solution: Netsmart s Subscription Service Includes cross-mapping between ICD-9, ICD-10, DSM-IV, DSM-5 and the problem list Outcomes BH & Primary Care Diagnosis Integration User friendly terms for searching Clinicians can use what they are comfortable with already Combines Axis I, II, III and moves to diagnosis list format Go Live can accommodate multiple timelines since payers are at various stages.
Consumer Portal Our Solution: myhealthpointe Secure messaging with clients Manage appointments Appointment reminders via text Ability to view their appointments, medications, lab results and visit notes Client check in kiosk for intake Outcomes More accurate care record Fewer missed appointments Less phone calls to handle (appointments & refills) More engaged clients
Health Information Exchange Our Solution: CareConnect Epic: Memorial Healthcare System Cerner: Broward General Healthcare System Future HIE once 42CFR can be navigated successfully Outcomes Reduce the # of referral rejections Reduce data entry for accepted referrals Reduce time frame between referral and admission Improved Client Satisfaction Smoother referral process coordination between shifts Paper/Fax savings
Other EHR Opportunities Improved Productivity Measures GL Interface/Web Financials Timesheets/Leave Tracking Crosswalk Productivity based on adjudicated claims Interface HR and EHR Practitioner data Incidentals/Flex Fund Automation Interfacing Timesheets to MyAvatar for State Duty Roster production & data uploads Revisits Libraries Compliance Indicators Batch 270/271
How Do You Continue to Add Value To Your Technology Investments
Henderson Projects On The Horizon Last Phase of Aruba Wireless Network Infrastructure Other I-Pad Apps Intake Client Satisfaction Surveys Residential Hourly Checks Continued Regional & Statewide Expansion Primary Care Service Expansion Meaningful Use Stage 2 CARF Health Home Standards VOIP: EHR Interface TeleHealth Onsite Pharmacy Operations
Do You Know Your Organization s Change Tolerance Threshold?
C-Level Objective Make sure technology initiatives are an essential enabler for reducing cost and/or improving the delivery of services!
Don t Forget This Part Of The Why!
Questions? Rebecca Smith Chief Information Officer Henderson Behavioral Health rsmith@hendersonbehavioralhealth.org 954-777-1649