Georgia rural health information technology conference
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December 10, 2009. Georgia Rural Health Information Technology Conference. Wallace Ed Brown, Senior VP/CIO Gwinnett Medical Center. Healthcare Information Systems Requirements to Achieve Meaningful Use Certification. [email protected] Gwinnett IT Journey.

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Georgia rural health information technology conference

December 10, 2009

Georgia Rural Health InformationTechnology Conference

Wallace Ed Brown, Senior VP/CIO

Gwinnett Medical Center

Healthcare Information Systems Requirements to Achieve Meaningful Use Certification

[email protected]


Gwinnett it journey

Gwinnett IT Journey

  • Board Priority Quality and Patient Safety

  • Strategic IT Plan

  • Board Approval

  • Vendor Selection and Negotiation

  • Governance

  • Physician Involvement

  • Project Management


Hitech system requirements

HITECH System Requirements

  • Electronic Medical Record (EMR)

  • Quality Reporting

  • Connectivity

  • Security/Confidentiality Enhancements

  • Infrastructure


Hitech system requirements1

HITECH System Requirements

  • Electronic Medical Record

    • Clinical Data Repository

    • Clinical Documentation

    • Computer Provider Order Entry (CPOE)

    • ePrescribing

    • Bar-coded Medication Administration

    • Medical Device Interoperability

    • Medical Imaging


Hitech system requirements2

HITECH System Requirements

  • Quality Reporting

    • Data Warehouse (Clinical & Financial)

    • Reporting Module

  • Connectivity

    • Physicians and Hospitals Exchange Clinical Data

    • Health Information Exchange (HIE)

    • Problem: Standard Patient Identifier

  • Security/Confidentiality Enhancements

    • Paperless Legal Medical Record

    • Provide Electronic Medical Record to Patient

    • Selectively Secure Access Per Patient Request


Hitech system requirements3

HITECH System Requirements

  • Infrastructure

    • Hardware Redundancy and Reliability

      • Network

      • Server

      • Data Storage

      • Computer Center

    • Support

      • IT

      • Super Users

    • Interfaces

      • Registration, ADT, Orders, Results

      • Engine

      • Specialists

        “Care Critical” Trumps “Mission Critical”


Considerations

Considerations

  • Recognize the significance of this major clinical transformation; may be the most complex project ever undertaken.

  • Secure trusted consulting.

  • Educate the Board.

  • Shift funding priorities over the next few years.

  • Organize Governance driven by doctors and nurses.

  • Recognize the need for professional project management.


Considerations1

Considerations

  • Develop comprehensive RFP specifications and make responses part of contract.

  • Negotiate with at least two viable vendors.

  • Negotiate “Limitation of Liability.”

  • Recognize shortage of healthcare IT professionals for both vendors and providers.

  • Be wary of vendors without healthcare track record.

  • Allow 24-36 months to complete from contract signing.


Considerations2

Considerations

  • Consider pooling of resources or hooking up with larger medical center.

  • Viable vendors are going to be overwhelmed with work.

  • Realize that percentage of expense budget for IT will rise.


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