Lakewood Health System

1. Lakewood Health System Tim Rice, President Minnesota Rural Health Conference, Smart Health 2006: Focus on Technology July 17-18, 2006

2. SMALL, RURAL, INTEGRATED HEALTH SYSTEM • PRIVATE, NOT FOR PROFIT ORGANIZATION

3. SMALL, RURAL, INTEGRATED HEALTH SYSTEM • Twenty-five bed critical access hospital • Ninety-eight bed long term care • Sixteen active medical staff – integrated clinic • Four satellite clinics • Sixty consulting specialists • Ambulance/transportation • Home Care/Hospice • Forty independent senior living apartments • Twenty-seven assisted living apartments • Full continuum of services • 650 employees

4. INFORMATION TECHNOLOGY HISTORY • Telemedicine • Clinical Information System – Care Center • Clinical Information System – Home Care • IT Staff and Support • PACS – Radiology • Clinic Practice Management System • Clinic EMR • Hospital Clinical Information System • USDA Grant System Connectivity • Web-site/Intranet

5. EHR IMPLEMENTATION PROCESS • Administrative Direction • RFI • In-House Demonstration • Site Visits • Product Selection – Best Breed • Team EMR – Clinic • Physician Leadership • Dedicated Support Team • Selected Hospital System • Team EMR – Hospital • Team EHR

6. LESSONS LEARNED • Have Physician Champions • Utilize a Team Approach • Dedicated Clinical and IT Support • Address Negativity Right Away • Be Sensitive to Your Work Culture • No Program or System is Right for Everyone • Cannot Accommodate Every Wish / Set a Standard • Have a Game Plan / Be Flexible • Expect the Unexpected • Celebrate the Victories

7. FINANCIAL AND QUALITY CARE BENEFITS • Increased Staff and Physician Productivity • Capture Charges at Point of Care • Significantly Reduced Clinic AR Days • Enhanced Clinic Prescriptions • Enhanced Quality Improvement • Enhanced Transfer of Information

8. SUMMATION • Would Never Go Back • Increased Public Perception • Increased Professionalism • Improved Patient Care