EHR CLINICAL HEALTH CHECKS

1. EHR CLINICAL HEALTH CHECKS Presented by: Tina Wolfe

2. Talking Points • Understanding where EHR comes from. • Understanding why Implementation fails or succeed. • Understanding the advantage of Paper vs. Electronic charting. • Vendor vs. Programs, can they work together. • Understanding how a Health Check can help you!!!

3. The Evolutions of EHR President Bush, at the State of the Union Address, in January 20, 2004 evoke The President’s Health Information Technology Plan President Obama signed into law on February 17, 2009 The American Recovery and Reinvestment Act (ARRA) commonly referred to as the Stimulus This was stated to be the most important piece of health care legislation to be passed in the last 20 to 30 years“ and would change the "foundation for health care reform.

4. 5 Reasons WHY Implementations Fail

5. 7 Steps to a Successful Process

6. Critical areas for clinical assessment : EHR Implementation Team Workflow Design

7. What’s the difference? Paper Chart Electronic Chart Easily and quickly Access Identify which patients are due for preventive screenings or checkups Track data over time Ability to heck how patients are doing on certain parameters—such as blood pressure readings or vaccinations Monitor and improve overall quality of care within the practice Supply savings • Creating and storing charts • Adding or modifying documentation • Unreadable and misspelled notes, orders and RX's • Finding information in the chart ( order, results, progress) • Tracking down charts • Supply spending

8. Thehybrid medical record Examples Include: • Outside Dictation • Electronic Results • Laboratory • Radiology • Paper Documentation • Progress notes • Ancillary care • Provider information • Graphic sheets and • Provider orders • Other Media Types: • Film • Video • Imaging system A combination of paper and electronic records

9. Vendors and Programs Meaningful Use GreenwayMedical Scanning Audits Centricity ICDCoding eClincalWorks PCMH Patient Portal Waiting Room Solution Interfaces (Lab/Radiology) NextGen E-prescribing ACOs Other EMR E&M Coding

10. Software Vendor Responsibilities All EHR companies offer some form of training during the Deployment phase: Normally, it is not until after the training is when you notice that things are not coming together. A Clinical Health Check is a process your organization should complete within a year of your EHR implementation.

11. Two Components of an Office Point of Care Ancillary Care

12. What Is… The Health Check or Assessment The objective of this program is to assist clients who has been on an EMR software (Greenway, Centricity, eClinicalworks etc.…)., but find themselves still struggling with how to implement the changes required by CMS, Government or create workable workflows within their practice etc… The overall goal is to help practices change their concept and thought process regarding the software by accepting change in their workflow. The key initiatives or this service are: Analyze our customers’ workflow Create benchmarks for each process Fabricate a systematic workflows using their EMR Software Ultimately generate revenue

13. through this process, we will focus on: Evaluation – Evaluate the overall office processes to include the current roles of the staff and utilization of EHR system during daily operations. Analysis – Analyze the efficiency of the tools within the EHR system as it relates to the client's EHR vendors best practices. Recommendations – Consultation on the discoveries found during the analyzes as to find mitigation on broken processes. Implementation– Based on the recommendations agreed upon, we will incorporate the needed workflows as well as introduce new products and functionalities to move towards Meaningful Use Stage II compliance. (i.e. Patient portal, HL7 interfaces, etc...) Evaluation – Evaluate the overall office processes to include the current roles of the staff and utilization of the EHR system during daily operations as comparison to your initial evaluation.

14. Benchmarking examples Check-In Process Has check in time improved? Are you checking insurance eligibility / driver license? Are demographics being updated? Confirmations call for next appointments Clinical Process Is face sheet being prepared prior to appointment? Are they capturing the Meaningful Use data? Are they using the e-prescribing? Is tasking/orders tracking used correctly? Provider Process Are they using a template? Are they completing note during the visit, after the patient leaves or later? Are they completing prescriptions, ordering labs and x-rays procedures? Are they scheduling the patient’s next appointment? Are interfaces working?

15. What to Expect When we Arrive:

16. Investment There’s an investment on the client’s part for this to be successful: Time – The practice has to invest in the time to learn. Adjustment – To the changing times and regulations of CMS Attitude – How you react will affect your staff Concepts – We need to be open to new ideas Workflow – A re-training or new workflows and concepts

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