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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

Meaningful Use: Stories from the Field - Challenges and Successes

Sharon Stewart , Senior Consultant, QHR

September, 2014

the problem unpleasant meaningful use surprises
The Problem: Unpleasant Meaningful Use Surprises
  • Audit failures
  • Vendor failures
  • Employee and provider revolts
audit failures uncertified ehr version
Audit Failures – Uncertified EHR Version
  • Bought it – didn’t install it
  • Certified for last year
  • Missing components
audit failures incomplete system coverage
Audit Failures – Incomplete System Coverage
  • Attest with departmental data
  • Departmental system data missing
audit failures incomplete documentation
Audit Failures – Incomplete Documentation
  • Allowable expense justification (CAH)
  • Vendor logo missing
  • Unable to match attestation numbers
  • Clinical Quality Measures

Clinical Quality

audit failures that pesky risk analysis
Audit Failures – That Pesky Risk Analysis
  • Risk analysis covers EHR
  • Remediation plan documentation
  • Remediation progress documentation
vendor failures late to deliver
Vendor Failures – Late to Deliver
  • Technically on time / practically too late
  • Contract protections
vendor failures missing a detail
Vendor Failures – Missing a Detail
  • Certified to 2014 standards
  • Use the “CHPL” to check
  • Perpetual patching
vendor failures they just give out
Vendor Failures – They Just Give Out
  • Get tired and quit, but don’t tell you
  • “The Exemption” isn’t really
provider revolts weak solutions
Provider Revolts – Weak Solutions
  • Physician documentation tools are immature
  • Pre-op order process doesn’t work
  • Messy medication reconciliation
  • Discharge process is still hybrid
provider revolts customization blessing or curse
Provider Revolts – Customization: Blessing or Curse?
  • Improve your provider experience
  • Experts in short supply
  • Providers can’t tell you what they need

Curse

Blessing

employee revolts impacts on nursing
Employee Revolts – Impacts on Nursing
  • Nursing as a solution for provider problems
  • Their efficiency = your miss on MU targets
employee revolts white knight in the pharmacy
Employee Revolts – White Knight in the Pharmacy
  • Home meds for medication reconciliation
  • CPOE glitch-catchers
  • CPOE boo-boo catchers
  • Good drug file design
how to succeed it s all about communication
How to Succeed – It’s All About Communication
  • Monthly Meaningful Use review
  • Provider process optimization – forever
  • Vendor vigilance
slide16

Questions

Sharon Stewart, FACHE, MSHCAD

Senior Consultant

Quorum Health Resources, LLC

105 Continental PlaceBrentwood, TN 37027

Sharon_stewart@qhr.com

817-657-8164 Mobile