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HIMSS 2006. Davies Award Southeast Texas Medical Associates, LLP (SETMA, www.setma.com ) February 14, 2006. HIMSS 2006. SETMA’s Time Line October, 1997– MGMA March, 1998 – Purchase August, 1998 – EPM Rollout January 1999 – EMR Rollout. HIMSS 2006. Benchmarks

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himss 2006

HIMSS 2006

Davies Award

Southeast Texas Medical Associates, LLP

(SETMA, www.setma.com)

February 14, 2006

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HIMSS 2006

SETMA’s Time Line

October, 1997– MGMA

March, 1998 – Purchase

August, 1998 – EPM Rollout

January 1999 – EMR Rollout

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Worst Day of My life Jan ‘99

Celebration May ‘99

Fahrenheit 451 Jan ‘00

Hospital EMR Jan ‘01

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Benchmarks Continued

Disease Management Jan ’02

Diabetes Education May ‘04

Paperless Dec ‘04

Nursing Home EMR Dec ‘04

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Benchmarks Concluded

LESS Initiative Dec ‘04

Tutorials Completed July ‘05

Research Program Jan ’06

The Future

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Current Functions of Note

Diabetes Prevention

Hypertension Prevention

Pain Management and Habituating Medications

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Current Functions of Note

Nursing Home Care

Hydration Assessment

Nutrition Assessment

Unavoidable Skin Lesions


Fall Risk Assessment

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Current Functions of Note

Disease Management

ACS, Angina, Asthma, CHF,

Diabetes, Diabetes Education,

Headaches, Hypertension, Lipids,

Metabolic Syndrome, Renal

Disease, Weight Management

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Current Functions of Note

Electronic Tickler File

Future Labs

Charge Posting

Guidelines (28)

Insulin Infusion

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HIMSS 2006

Current Functions of Note

Smoking Cessation





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HIMSS 2006

Current Functions of Note

Drug Interactions

Admission Orders

Discharge Summaries

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HIMSS 2006

Special Data Bases

General Medicine

Nursing Home



Physical Therapy


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HIMSS 2006

Principles of Development

  • Electronic Patient Management rather than Electronic Patient Records
  • Bring to bear upon every patient encounter what is known rather than what a particular provider knows.
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HIMSS 2006

Principles of Development

  • Make it easier to do it right than not to do it at all.
  • Continually challenge providers to improve their performance.
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HIMSS 2006

Principles of Development

  • Infuse new knowledge and decision-making tools throughout an organization instantly.
  • Establish and promote continuity of care with patient education, information and plans of care.
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HIMSS 2006

Principles of Development

  • Enlist patients as partners and collaborators in their own health improvement.
  • Evaluate the care of patients and populations of patients longitudinally.
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HIMSS 2006

Principles of Development

  • Audit provider performance based on the Consortium for Physician Performance Improvement Data Sets.
  • Create integrated disease-management tools giving patients the benefit of expert knowledge while they get the benefit of a global approach to their total health.
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HIMSS 2006

Healthcare delivery is not improved

simply by the providing of more

information to the healthcare

provider at the point of care.

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HIMSS 2006

Care is improved by data display

which creates a dynamic

interaction all members of the

healthcare team, simultaneously

integrating data across disease

processes and specialties.

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HIMSS 2006

Care is improved when data and

decision-making tools are

displayed in a fashion which

dynamically changes as the

patient’s situation and needs


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HIMSS 2006

Care improves when data processed in

one setting is simultaneously available

in all settings resulting in efficiency and

in displaying the impact elements

contained in one data set exert upon

multiple aspects of a patient’s health.

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HIMSS 2006

Care is improved when evaluation of

its quality, as measured by evidenced-

based criteria, is automatically

determined at the point of care and

when the data display makes it simple

for the provider to comply with the

accepted standards of care.

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HIMSS 2006

Healthcare is improved when data can be

Displayed longitudinally, showing the

patient how their efforts have affected their

well-being. This is circular thinking.

  • A person begins at health.
  • Aging and habits result in illness.
  • Positive steps retain or restore health.
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HIMSS 2006

Healthcare improvement via

systems will require dynamic

auditing tools giving providers and

patients immediate feedback on the

effectiveness of their healthcare.

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HIMSS 2006

The Future

What is will look like is beyond me

but it will be built upon the

foundation of excellence, just as

our presence system is.