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Meaningful Use: Stories from the Field - Challenges and Successes

Meaningful Use: Stories from the Field - Challenges and Successes. Sharon Stewart , Senior Consultant, QHR September, 2014. The Calls You Don’t Want to Receive (or Miss). The Problem: Unpleasant Meaningful Use Surprises. Audit failures Vendor failures Employee and provider revolts.

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Meaningful Use: Stories from the Field - Challenges and Successes

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  1. Meaningful Use: Stories from the Field - Challenges and Successes Sharon Stewart , Senior Consultant, QHR September, 2014

  2. The Calls You Don’t Want to Receive (or Miss)

  3. The Problem: Unpleasant Meaningful Use Surprises • Audit failures • Vendor failures • Employee and provider revolts

  4. Audit Failures – Uncertified EHR Version • Bought it – didn’t install it • Certified for last year • Missing components

  5. Audit Failures – Incomplete System Coverage • Attest with departmental data • Departmental system data missing

  6. Audit Failures – Incomplete Documentation • Allowable expense justification (CAH) • Vendor logo missing • Unable to match attestation numbers • Clinical Quality Measures Clinical Quality

  7. Audit Failures – That Pesky Risk Analysis • Risk analysis covers EHR • Remediation plan documentation • Remediation progress documentation

  8. Vendor Failures – Late to Deliver • Technically on time / practically too late • Contract protections

  9. Vendor Failures – Missing a Detail • Certified to 2014 standards • Use the “CHPL” to check • Perpetual patching

  10. Vendor Failures – They Just Give Out • Get tired and quit, but don’t tell you • “The Exemption” isn’t really

  11. Provider Revolts – Weak Solutions • Physician documentation tools are immature • Pre-op order process doesn’t work • Messy medication reconciliation • Discharge process is still hybrid

  12. Provider Revolts – Customization: Blessing or Curse? • Improve your provider experience • Experts in short supply • Providers can’t tell you what they need Curse Blessing

  13. Employee Revolts – Impacts on Nursing • Nursing as a solution for provider problems • Their efficiency = your miss on MU targets

  14. Employee Revolts – White Knight in the Pharmacy • Home meds for medication reconciliation • CPOE glitch-catchers • CPOE boo-boo catchers • Good drug file design

  15. How to Succeed – It’s All About Communication • Monthly Meaningful Use review • Provider process optimization – forever • Vendor vigilance

  16. Questions Sharon Stewart, FACHE, MSHCAD Senior Consultant Quorum Health Resources, LLC 105 Continental PlaceBrentwood, TN 37027 Sharon_stewart@qhr.com 817-657-8164 Mobile

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