Tri-State REC Kick Off Meaningful Use Basics: Developing a Solid Plan for Your Electronic Practice June 18, 2010

1. Tri-State REC Kick OffMeaningful Use Basics: Developing a Solid Plan for Your Electronic Practice June 18, 2010 Session 1A

2. You have left this world behind

3. A small community with successful EMR adoption

4. Matt Waldron, MD from Paoli, Indiana Location independent work �It won�t make you faster and won�t save you money,� he said. Why make the move? �EMR has portability and accessibility. I can read patients� charts at any office location and log in anywhere I can get Internet access,� Dr. Waldron explained. Core: Matt is part of rural health network that has received national recognition through a HRSA funded grant in 2006-9 Unexpected: Over 90% of the physician in Orange County Indiana use EMR-lite or EMR Concrete: These physicians are smart and energetic. We have supported their journey. In the last 2 years they have been able to recruit new primary care physicians, EMR and HIE is part of this. Core: Matt is part of rural health network that has received national recognition through a HRSA funded grant in 2006-9 Unexpected: Over 90% of the physician in Orange County Indiana use EMR-lite or EMR Concrete: These physicians are smart and energetic. We have supported their journey. In the last 2 years they have been able to recruit new primary care physicians, EMR and HIE is part of this.

5. At work with EMR Lite Using Clinical Messaging Using eRx Using dragon dictate for office visits Using forwarding to send reviewed path reports to Surg Ctr Reporting to registry with BH labs

6. HIE or EMR�need both

7. Indiana, Ohio HIEs reach milestone in clinical data exchange "Coordination of care requires information sharing," said Jim Laughlin, MD, of Southern Indiana Pediatrics. "While many medical practices have systems that can share information internally, the connection between different regions and organizations allows me to track patient results from many labs or specialists. It is only through this kind of information sharing that we can hope to coordinate care in an efficient manner." Care coordination.Care coordination.

8. Physicians we know� Positives Assertive Productive

9. Tri-State REC Service Area

11. Assessing your EMR Empty vs. Empowered Medical Record Receiving results before to upload Receiving results at start up Managing ordering EMR and EMR lite�both are options

12. Finding the missing parts Gap analysis Going thru the full MU list Defining the missing pieces Timelining them Getting help for the hard ones See MU criteria in clumps instead of individual items

13. Example of gap analysis

14. Example of gap analysis

15. Example of gap analysis

16. Example of gap analysis

17. Example of gap analysis

18. Pushing the vendor Each EMR practice have invested much in their vendor Vendors provide service to the practice Meaningful use achievement relies heavily upon their provisions to the practice The REC will help identify what to push on You keep the pressure on, the heat turned up

19. Staying ahead of the curve Tri-State wants to give time for change Start now Plan the steps Meet the milestones Accomplish the goal Remember change is two part� Technical change Personnel change

20. Three areas to improve coordination Join the Tri-State REC Participate actively with your coach Attend education we will provide Network with other �like� practices

21. Hitting a homerun with Tri-State

22. Divide and Share time Raise hands for different EMRs Separate into like groups Share cards and plan network opportunities

23. Questions Time for Q&A Thank you Dr. Todd Rowland and Kathy Church

24. Accessory slides To follow

25. Why healthLINC = Connect = technology, coordination, connected to patients Care = care coordination, health care Collaborate = coordination, across organizations Consumers = inclusive of patient and families Confidential = respectful of privacy and confidentiality Communicate = enhance communication Cost-effective = reduce administrative burden Comfortable = safe, secure place Community = oriented to larger community

26. Clinical perspective at the front line�

28. Components of CCD--Continuity of Care Document Header Purpose Problems Procedures Family History Social History Payers Advance Directives* Alerts (allergies) Medications Immunizations Medical equipment Vital signs Functional stats Results Encounters Plan of care Are you struggling with adv directive adherence??Are you struggling with adv directive adherence??