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EHR Implementation Case study: Dr Chrono

EHR Implementation Case study: Dr Chrono. Dorieanne Bati Katherine Jose Jonathan Munar. Abstract. Health Records go paperless. Operational Impact. Paper filing Old-fashioned clipboard Frustration Staff having to keep everything in their head (memorize) and go back to desktop.

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EHR Implementation Case study: Dr Chrono

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  1. EHR Implementation Case study: DrChrono DorieanneBati Katherine Jose Jonathan Munar

  2. Abstract • Health Records go paperless

  3. Operational Impact • Paper filing • Old-fashioned clipboard • Frustration • Staff having to keep everything in their head (memorize) and go back to desktop. • Information lost. • Physician and Patient—limited time together • DrChrono: triage notes, conducting history, physical down to discharging patient and emailing a summary. • Variable consistency and accuracy of patient record

  4. Strategic Impact • Time involved in vendor selection process • Nurses need to be involved (time conflicts). • Dedication of “training time.” • Lack of time and funding to cope with change. • Conversion not an upgrade • Not an “easy fix. • Process reengineering • Going from paper and pen to iPad. • Change in workflow. • Short-sightedness • EMR shouldn’t just measure today—it should measure tomorrow.

  5. Cultural Impact • People factors • Personal characteristics and expectations • i.e. prior EMR experience • Staff’s personal time investment in exchange for the benefits expected from the system • Shift in tasks (i.e. documentation by staff vs. physicians) • Could lead to role ambiguity and conflict • Staff participation • Culture that support EMR adoption/use

  6. Political Impact • DrChronos adoption part of overall organizational vision and mission • Senior health executives to have strong vision and awareness of strategies • Growth, Diversification, Turnaround, Defensive • Able and ready to execute strategies to ensure that any obstacles encountered during achiev

  7. The Proposed Solution • DrChrono- a patient care platform that consists of an iPad basedEHR, an iPad based patient portal (onboarding system) and a web based practice management and medical billing system. • The company released the first Pad EHR system to be in accordance with ONC-ATCB stage 1 Meaningful Use criteria by Infogard Laboratories in June 2011. • Provides a number of free medical search engines: medical icd-9 search engine, electronic medical insurance payer search engine, and iPhone ICD-9 search engine. • A place to ask questions about medical billing.

  8. Operational Impact

  9. Strategic Impact • HCO is more efficient overall • Fanning and printing • Legibility issues • Documentation “in hand” for every patient • Expedites care • Spending time taking care of patient • Less time typing and document • Make life easier for patient • In and out as quickly as possibly

  10. Cultural Impact • Enhanced communication between all staff in an HCO.

  11. Political Impact

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