Time for an EHR Check Up?

Derek KosiorekPrincipal

MGMA Healthcare Consulting GroupOctober 2013

MGMA 2013 ANNUAL CONFERENCE

Objectives

• Diagnose EHR productivity and workflow issues

• Apply continuous-improvement principles to the EHR system

• Understand the current and future opportunities that a properly configured EHR can offer

30 in 30 – EHR Optimization

Make sure the version of your EHR is certified

30 in 30 – EHR Optimization

EHR is NOT an IT function

30 in 30 – EHR Optimization

Watch for newer technologies. Cloud based solutions and new input devices can offer many advantages.

30 in 30 – EHR Optimization

Using post-it notes can help visualize the flow of data in the office.

30 in 30 – EHR Optimization

Revisit original goals of EHR transitionHow did you do?

30 in 30 – EHR Optimization

Create list of measurable goals for optimization

30 in 30 – EHR Optimization

Make sure data is backed up

30 in 30 – EHR Optimization

Are data points structured?

30 in 30 – EHR Optimization

Speed of data lines

30 in 30 – EHR Optimization

What is attitude of staff?Who do you need to win over the most?

30 in 30 – EHR Optimization

Meaningful Use Gap analysis

30 in 30 – EHR Optimization

www. Launch that portal .com

30 in 30 – EHR Optimization

Visit portal as patient to see if it works as expected

30 in 30 – EHR Optimization

Risk = Threat x Vulnerability x Impact

30 in 30 – EHR Optimization

Interview or survey staff about what can be improved. Remember, perception is reality!

30 in 30 – EHR Optimization

Identify users who need refresher training

30 in 30 – EHR Optimization

Create a training structure for new users. The worst person to teach them is often sitting next

to them.

30 in 30 – EHR Optimization

Any opportunity in the physical workflow?

30 in 30 – EHR Optimization

Gauge the alerts to make sure they do not show up too rarely or too frequently. Alert

fatigue is a real thing!

30 in 30 – EHR Optimization

Interfaces should flow to structured dataNo more printing and reading lab reports

30 in 30 – EHR Optimization

When buying new equipment, consider the interface needs

30 in 30 – EHR Optimization

Determine what reports are neededAre they taking a long time for someone to put together?

30 in 30 – EHR Optimization

Prepare for doctor-patient messaging

30 in 30 – EHR Optimization

Kiosks in your reception area can easily pay for themselves in a short amount of time.

30 in 30 – EHR Optimization

Have someone in clinical review and sign off on the

workflows. They bring credibility to other clinical staff.

30 in 30 – EHR Optimization

DON’T assume your patients are too old for internet

30 in 30 – EHR Optimization

Test the software upgradesIncluding the Interfaces & UI

30 in 30 – EHR Optimization

Don’t trust your written processes. Visit your remote sites and observe whether they are

actually being followed.

30 in 30 – EHR Optimization

Have system guru or owner

30 in 30 – EHR Optimization

Follow the 80/20 rule! Don’t get hung up on exceptions

• Questions?