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Davies Award Winner, 2005 Southeast Texas Medical Associates, LLP (SETMA)

Davies Award Winner, 2005 Southeast Texas Medical Associates, LLP (SETMA). Dwane J. McGowan HTM 680 13 June, 2013. CASE OVERVIEW: SETMA. Sought change from document management to data management using NextGen technology

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Davies Award Winner, 2005 Southeast Texas Medical Associates, LLP (SETMA)

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  1. Davies Award Winner, 2005Southeast Texas Medical Associates, LLP (SETMA) Dwane J. McGowan HTM 680 13 June, 2013

  2. CASE OVERVIEW: SETMA • Sought change from document management to data management using NextGen technology • Multiple clinics, ER, hospitals, hospice, level II laboratory, and a nursing home • Desires an Enterprise Practice Management (EPM) system, starting with an EMR • Vendor chosen bases on reputation, financial stability, support/training provided, and scalability • Phased go-live, 1 work area at a time

  3. SETMA’s Objectives • Improve care quality • Improve patient safety • Increase patient/provider communication • Enhance reporting efficiency • Raise provider production and satisfaction • Develop a comprehensive clinical document • Improve workflow/billing practices

  4. ONC MU GOAL 1Improving quality, safety, efficiency, and reducing health disparities • Adoption of e-prescribing • Improved billing with ICD-9, CPT codes • Recorded demographics, vital signs-capture of notes and basic data about patients • Incorporated lab results into the EHR • Met public health reporting requirements for diseases and immunizations • Reported to patient registries

  5. ONC MU GOAL 2Engage patients and their families • E-mail communication with patients • Send lab results if authorized and security in place • Clinical summaries of visits available • Phone calls electronically sent to physicians for review- improved inquiry documentation • Patient portal established

  6. ONC MU GOAL 3Improve care coordination • One time registration/data capture • Sharing of data system-wide • Decreased duplication of testing, requests for personal data

  7. ONC MU GOAL 4Improve population & public health • Transmit data to immunization registries • Increased immunization rates from 20% to 80% • Created disease specific clinics • Use of templates with best practices

  8. ONC MU GOAL 5Privacy & Security of PHI • Security in place 24/7 for transmission of emails and lab results • Use of an established vendor to meet HIPAA requirements

  9. Benefits Realized by EHR • Increased efficiencies system-wide • Streamlined referral process for specialists • Improved clinical documentation, workflow • Net annual revenue increased $3 million • Charting and transcription costs down $352,000 • Patient safety improved, medication errors down • Physician satisfaction, and production increased

  10. Lessons Learned • Focus on full-scale implementation essential and “high tech will promote high touch” • All capabilities of the EHR must be employed • Need a respected physician champion for provider buy-in • Don’t delay starting an EHR initiative- benefits entity, payors, and the public • Ongoing training for all levels of staff essential • Establish a defined timeline for implementation

  11. QUESTIONS?

  12. References • Healthcare Information and Management System Society (2007). Improving quality and reducing cost with electronic health records: case studies from the nicholas e. davies awards. Chicago, IL: HIMSS

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