1 doctors go digital presentation to the clinic board dec 3 rd 2009 group 4 – lynne carveth,...
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Doctors Go DigitalPresentation to the Clinic Board
Dec 3rd 2009 Group 4 – Lynne Carveth, Barbara Kapelman M.D., Lisa Heavilon, Chad Hodge, Jeremy
Music
Current State - Chad
Large Multi-specialty Freestanding Outpatient Clinic
• 150 MDs• 150 MAs• 50 RNs/LPNs• 200 secretary and clinical support staff• 120 administrative staff • 10 On-site dedicated IT staff• All clinics housed within 6 floors• Clinic is a member of local RHIO• Lab, Radiology and Pharmacy on-site
Strategic Plan - Barb
Phased approach over 4 years to bring clinic up to date on technology based on needs assessment
• Phase 1: 1 year – Implement EMR
• Phase 2: 1 year – integration with Lab, Radiology and Pharmacy, including ePrescribing
• Phase 3: 2 years – RHIO
ROI – Qualitative - Barb
An Electronic Medical Record will:
• Improve patient care• Improve patient safety• Improve efficiency• Improve patient satisfaction• Improve staff satisfaction• Improve public perception of our clinic as a first-
rate, state-of-the-art facility
ROI – Quantitative - Barb
The Clinic will experience:
• Reduction in chart-pulls (reduction in medical records staff)• Reduction in transcription costs• Savings in rent for storage space• Malpractice premium discount (5%)• Increased revenue:
– Improved charge capture and billing efficiency– Higher coding levels– More efficient documentation
cleaner charge submissions faster paymentfewer claims denied
• Decrease in Accounts Receivable
• Estimated break-even at 5 years
EMR Selection Process – 1 BARB
Establish a selection committee of:
• Physicians
• Nurses
• Revenue cycle specialist
• Medical records specialist
• Pharmacist
• IT experts
Vendor Selection Process - Lisa
Selection Method• High Level screening• Send RFP• Establish in-depth evaluation criteria
– Vendor background– Functional Requirements– Technical Requirements– Interoperability Requirements– Performance Requirements– Usability– Privacy and Security Requirements
• Evaluation– RFP– Demos– Site Visits– Use Case scenarios– Costs
RFP - Lisa
Top Vendors provided details on:• Functionality:
– Customizable electronic chart– E-prescribing– Interoperability
• Labs• Radiology• RHIO
– Patient portal– Clinical Decision Support
• Cost (including one-time and annual)
Top Vendors Selected - Lisa
Top 5 Vendors Evaluated (in no particular order )
• Allscripts (Healthmatics/Touchworks )
• CliniComp Intl. (Essentris)
• Eclipsys (Sunrise Clinical Manager)
• IDX (Groupcast)
• Next Gen (Next Gen)
Project Budget - Jeremy
Phase 1 – EMR - Jeremy
EMR – Implementation• Startup and planning• Hardware and software• Staff preparation and training• Workflow re-engineering• Custom clinical content and set-up• Pre-loading of information• Go-live• Continuous improvement
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Phase 2 – Integration - Jeremy
Integration – Phase 2
• Lab– Technology – HL7– Lab/Micro
• ePrescribing
• Radiology (PACS)– Technology - DICOM
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Phase 3 – RHIO -Chad
• Our facility has signed up to join the local RHIO, which encompasses 5 metropolitan hospitals in our state, and 2 in a neighboring state, as well as a dozen free clinics, and over 50 local physician offices.
• RHIO’s allow participants to query medical records of a patient across multiple facilities, to get a more complete picture of the patients medical history.
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Phase 3 - RHIO Implementation -Chad
• Insurance companies offer incentives to use the RHIO, by paying higher prices for certain services, or by paying for each search result that is used.
• We are participating in the RHIO not as a competitive advantage, but as a way to keep up with the other local facilities, and to not miss out on the incentives from the use of patient search.
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Communication Plan - Lynn
PHASE I (6 months prior to training)
Posters – Contact PR Medical Staff Office – Contact regarding plan Newsletters – Contact PR Department Heads – Contact regarding plan Hospital Website – Contact designer
PHASE II (4 months prior to training)
Posters – Display 30 Medical Staff Offices – Schedule physicians Newsletters – For staff and physicians Department Heads – Schedule staff Hospital Website – Links for staff and physicians
PHASE III (2 months prior to training)
Posters – Remain unchanged Medical Staff Offices – Remain unchanged Newsletters – For patients Department Heads – Remain unchanged Meet and Greet – Table for questions
Training/Education - Lynn
Training PlanPHYSICIANS (3 HOURS)-Scheduled through Medical Staff Office-Occurs over a 3 week period after clinic hours until 10 pm
CLINICAL STAFF / CLINIC SUPPORT STAFF (2 HOURS)-Scheduled through Department Heads-Occurs over a 4 week period during clinic hours with staff coverage provided
LAB / RADIOLOGY / PHARMACY (2 HOURS)-Scheduled through Department Heads-Occurs over a 2 week period during clinic hours with staff coverage provided
ADMINISTRATION (2 HOURS)-Scheduled through Department Heads-Occurs over a 3 week period after clinic hours until 10 pm
Training/Education - Lynn
EMR Functionality Training• Log into and out of patient system
• Open chart and locate encounter
• Locate table of contents
• View complete chart
• Locate problem list, medication list, flow sheets, doctor’s orders, lab and radiology results
• Communicate with lab, pharmacy, and radiology staff
• Locate progress notes
• Utilize charting tools including smart list, smart text and smart phrases
• View clinic schedules
• Review templates (department specific)
• Review roles and responsibilities (department specific)
• Practice scenarios
Recommendation _ Lisa
We’ve presented • Needs Assessment• Long-term Strategy • Financial Impact • Training and On-going Education
Our recommendation is:
Recommendation - Lisa
Eclipsys (Sunrise Clinical Manager)
• Based on overall weighted evaluation criteria – Interoperability– Ease of Use– On-going technical and customer support
• Consider applying for stimulus funds at a later date when ‘Meaningful Use’ has been better defined
Are there any questions?
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