rec case studies in success, arkansas · the national hit rec consortium, ongoing ehr installation...

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Contact: Jonathan M. Fuchs, FACHE Chief Operating Officer Arkansas Foundation for Medical Care, Inc. [email protected] 501-212-8636 HITArkansas 501-212-8616 REC Case Studies in Success, Arkansas REC – EHR Summit San Francisco

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Page 1: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Contact:

Jonathan M. Fuchs, FACHE Chief Operating Officer Arkansas Foundation for Medical Care, Inc. [email protected] 501-212-8636

HITArkansas 501-212-8616

REC Case Studies in Success, ArkansasREC – EHR SummitSan Francisco

Page 2: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability
Page 3: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability
Page 4: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability
Page 5: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Core team composition

• Project Director– Debbi Karwoski

• Program Manager– Linda Hardage

• Program Liaison/Marketing– Eldrina Easterly

• Data Manager– Nathan Ray

• Program Coordinator– Brittany Shachmut

• Implementation Specialist– Lacey Howard

• Implementation Specialist– Marquette Walker

• Implementation Specialist– Valerie Moring

• Implementation Specialist– Kortni Dixon

• Implementation Specialist– Troy Kall

Executive Sponsor: Jonathan Fuchs, FACHE, COO

Page 6: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Our grant requirements

• By December 2011– 1,280 priority primary care physicians validated as

certified meaningful users– 35 Critical Access Hospitals and 137 associated

physicians

• By December 2013– Additional 1,280 primary care physicians validated as

certified users

• Maintain HITArkansas organizational sustainability beyond year 4

Page 7: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Our role

• Provide technical assistance, guidance and training to providers

• Support and accelerate the adoption and use of electronic health records

• Implement and institute reporting to improve healthcare outcomes

Page 8: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Services offered

• Practice readiness assessment• Workflow analysis and redesign• Project management & vendor oversight • Post-implementation review• Care management guidance• Evaluation of EHR data reporting capabilities• Facilitate validation towards meaningful use

Page 9: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Provider benefits• On-site technical assistance with EHR adoption • Education on selection, implementation and use of an EHR

system • Access to group purchasing of EHR systems and technical

support • End-to-end project management support of EHR

implementation • Access to current information regarding meaningful use

and best practices from around the country through the ONC Communities of Practice

• Support for practice and workflow redesign to achieve meaningful use of EHR system

Page 10: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

• Ongoing provider communication– Program updates: State/National information– Continuous updates on www.hitarkansas.com– Exclusive monthly newsletter– Ongoing seminars and meetings– Onsite visits and telephone support– Ongoing staff education and training– Continuing updates on Meaningful Use

• HITArkansas is your “go-to” for everything EHR and meaningful use

Provider benefits

Page 11: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

How it works. . .

• Pre-application on www.HITArkansas.com• Initial visit scheduled – provider service

agreement• Practice assessment visit• EHR implementation or upgrade• Ongoing touch-base (visits and/or calls)• Post-EHR implementation evaluation• Meaningful Use readiness assessment• Validation of attestation of Meaningful Use

Page 12: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Provider responsibilities

• Identify EHR project team– Team leader and physician champion

• Identify “agreed upon” project milestones– Includes “go-live and “meaningful use”

• Purchase and implement approved EHR system

• Communicate to HITArkansas– Evaluation process – Barriers and any problem areas of implementation

• Complete required activities in project plan

Page 13: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Provider costs

• HITArkansas kept fees low– With providers top-of-mind

• First payment of $500 will be invoiced upon receipt of the signed provider service agreement

• Second payment of $500 will be invoiced upon completion of meaningful use attestation and validation

Page 14: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Beyond year 2For a nominal fee, HITArkansas will offer ongoing support in

the following areas:

• Ongoing phone assistance: To answer unique questions, such as compliance with meaningful use criteria and how this affects annual cost reimbursement entitled to EHR-based providers.

• Web-based access: Access to a library of training aids, tools and best practices techniques. Also, allow for special research requests for information that would be needed by all EHR-based providers. This will also include tips on who to get full utilization from the EMR to enhance the quality of patient care and inspire a more robust revenue cycle.

Page 15: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

• Consulting services access: Access to an AFMC EHR professional for up to three hours to work on opportunities unique to the EHR environment.

• Monthly newsletter: This will be a sharing of information from the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability. Other coverage would include changes in Medicare and Medicaid policy, alerts and other issues that impact the effectiveness of EHR applications.

• Discount pricing for ad hoc services: AFMC is positioned to offer data analysis services to pinpoint practice profiling and benchmarking with other EHR users. These services will be supplied at the lowest possible cost to the provider.

Beyond year 2

Page 16: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Where we are now

• More than 757 preliminary pre-applications

• 268 distinctive clinical locations represented

• EHR vendor selection currently underway -concurrent with National certifications

• Goal: 1,280 priority primary care providers (PPCP) to meaningful use by December 2011

• 35 Critical Access Hospitals and 137 associated physicians

Page 17: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability
Page 18: REC Case Studies in Success, Arkansas · the national HIT REC Consortium, ongoing EHR installation work, software vendor developments, technological changes, and developments in interoperability

Contact information

• Web: www.hitarkansas.com• E-mail: [email protected]• Phone: 501-212-8616• Fax: 501-212-8689

• Jonathan Fuchs [email protected]• Debbi Karwoski [email protected]• Eldrina Easterly [email protected]