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Smart Use of Clinician’s Time Kathy Church, BSN, PMP. Ideas we work with. Realities to consider…. 70% of practices are tiny businesses Physicians have many different work flows within a practice -- each specialty has unique work flows Re-imbursement is declining

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Smart use of clinician s time kathy church bsn pmp

Smart Use of Clinician’s TimeKathy Church, BSN, PMP



Realities to consider
Realities to consider…

  • 70% of practices are tiny businesses

  • Physicians have many different work flows within a practice -- each specialty has unique work flows

  • Re-imbursement is declining

  • Physicians are time bankrupt and profoundly distracted


Tactic 1 physician meetings
Tactic 1: Physician meetings

  • Leverage existing meetings

    • Hospital committees

    • Medical society meetings

    • Respect established governance and agenda

    • Work with physician liaisons and help them be successful

  • SAVE TIME-Avoid the disconnect between technical and clinical workflows by engaging discussion/coordination


Tactic 2 being asked
Tactic 2: Being asked*

  • When physicians are asking questions or seeking help, this is the magic time…

  • Listen and offer to partner, do the homework and bring back solution(s)

  • Example: Find an EMR for small offices; HealthLINC did research on 8 vendors, reduced it to 4 and presented to physicians with comparison data


Tactic 3 communication tools
Tactic 3: Communication Tools

  • Leverage existing communication (they already read it!)

    • Medical society newsletters

    • Hospital medical staff newsletters

    • CME lectures

    • Keep other physician liaisons informed about HIE

    • Promote positive images of physicians

  • Example: Able to get articles published in the MedTimes, the planned physician newsletter.


  • Tactic 4 watering holes
    Tactic 4: Watering holes

    • Food attracts physicians – meals are a planned break

      • Physician’s dining room

      • Surgery lounge

      • Lunch meetings

  • High traffic areas

    • Emergency room, high need for information

    • Rehabilitation units, high need for care coordination

    • Solve information flow problems in these areas

  • Example: Weekly Tuesday workflow lunch provides opportunity for gathering and asking any questions and seeing new tools being rolled out. Often doctors bring in new computers for setup.


  • Tactic 5 ease of use
    Tactic 5: Ease of use

    • Tools that work on various platforms

    • Ease of learning new product(s) with flexible training

    • Replace not “add to” existing work

    • Organized useful data, not overloading

    • Examples: use of Single Sign On more globally; Continuity of Care (CCD) data aggregation


    Tactic 6 trusted staff
    Tactic 6: Trusted staff

    • Practice administrators are key

      • Trusted relationships with physicians

      • Work with business advisors

      • Help them be successful

      • Electronic health care is often overwhelming

  • Example: HealthLINC provides annual conference targeting the office leadership to enhance their understanding of Health IT.


  • Physicians as final decision makers
    Physicians as final decision makers

    • Work with practice administrators on background decisions, planning, details, and when to engage the physicians

    • Work with physicians for big decisions

      • Preparation

      • Excellent data

      • Physicians advisory committee only as needed


    Outcomes
    Outcomes…

    However beautiful the strategy, you should occasionally look at the results.

    Winston Churchhill

    Thanks, Kathy Church

    [email protected]

    Winston Churchill


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