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EHR Success: Maximizing Benefit for the Enterprise

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judi Binderman

on 21 September 2012

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Transcript of EHR Success: Maximizing Benefit for the Enterprise

Judi Binderman, MD, MBA, MHSA
CMO, VP Physician Services
Encore Health Resources EHR Success:
Maximizing Benefit for the Enterprise HIMSS level 7
CCHIT certification
Meaningful Use
Health Information Exchange
Patient Centered Medical Home
Accountable Care Organizations
ICD-10 What are we facing today? New Methods of
Documenting and Managing
Healthcare New
Models and Methods
of Care Delivery The Projection in 2008 "By December 31, 2014, with the proper incentives and funding, we believe it is reasonable to expect that all non-federal US hospitals can reach Stage 4..."

EMR Capabilities and Expected Benefits in US Non-federal Hospitals and Physician Clinics
HIMSS Report Data from HIMSS Analytics Database © 2012 N = 5,318 N = 5,303 HIMSS Analytics Latest Info HIMSS Level Trends On the Ambulatory Side Health organizations that will be successful are those that view electronic health records not as a solution in and of themselves, but as enablers to improve the quality of clinical care and become more patient centric.

Successful implementation of advanced clinical systems requires a deliberate strategy, leadership commitment and involvement, an organized project structure, extraordinary efforts by virtually every affected clinician to master and integrate new tools into their workflow, and a considerable investment of resources in IT and change management The Real Success Story Key Success Factors: People, Process, Technology People Factors: Governance Multi-disciplinary
Broad representation Set the vision
Stay engaged People Factors: Culture Technology Factors Usability
Technology is a tool to IMPROVE process and information flow, NOT dictate how things work
Quantity and type of devices
Device placement
Mobile support, devices
Integration with other systems in use What's the best practice
for implementation? So if we accept the premise
that EHR's are required
for all this... Providers and patients need to be convinced of value of exchanging information
Concern about sharing information electronically while being able to safeguard privacy and security
Large segment of providers ineligible for incentives, rate of EHR use low (Long term care, rehab, psych)
Paper is more efficient, cost effective and requires no typing Yesterday's Concerns Too few physicians to care for too many patients --> time is a premium
Too much detail required in templated documentation that isn't relevant
Electronic documentation doesn't 'tell the patient story'
Older physicians and staff are poor typists
More data entry responsibilities shifted to physicians
Security and privacy of on-line information Today's Concerns
Content Development Supports doing the 'right' thing
Required elements are minimal
Clear, valuable alerts
Multidisciplinary input
Standardized, best practices End-to-end patient journey
Daily provider work
Improvements made where technology helps Classroom & practical exercises
Hands-on play time
Relevant to daily work
Just in time availability
Begin 8 weeks before live CPOE Success At the elbow 24/7
Rapid issue resolution
Clinical help desk
Physician Resource Center Workflows Training
Support Documentation Success
Executive and physician leadership
Physician participation early, ongoing
Education about ICD 10 coding schema
Impact on reporting
Impact on reimbursement
Potential quality improvement with research
Monitoring of compliance with feedback
Educated, experienced nursing staff support
Support hybrid documentation as compromise Process Factors Vendor Selection
Considers ALL user needs
Communications: often, multiple methods
Expectation management
Physician Engagement early on
Support Reporting/Feedback In Summary Physicians are back to being the driving force in future delivery models
Physician documentation that captures discrete data
Compliance for MU incentives
Integrated care for patient across the continuum
Physician engagement and adoption are difficult but not impossible
The emphasis has to be on people and process THEN technology
Requirements will continue to become more onerous for providers (paperwork over care?)
Patience, leadership, communication and reporting back are critical to achieving success
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