How to Find Smooth Sailing While Implementing EHRs

1. How to Find Smooth SailingWhile Implementing EHRs HIPAA COW Spring Conference April 4, 2008 Kalahari Resort

2. Speaker Introductions • Theresa Eckman EHR Project Director SSM Integrated Health Technologies Madison, WI • Daniel R. Peterson Director, Information Services and EHR Advantage ProHealth Care, Inc. Waukesha, WI • Michael A. Rosencrance CIO/VP, Information Services UW Medical Foundation Madison, WI

3. The SSM/WIITTS Experience • SSM/WI partnership with Dean Health System • 2 wholly-owned + 2 affiliated hospitals • 500+ physicians (Dean & SMDV) • One Patient = One Record Adventure • EMPI 2002 • Lab, Radiology, & Transcription 2003 • Common Sched/Reg 2005 • Big Bang Inpatient 2008

4. The ProHealth Experience • Two-hospital system in suburban Milwaukee • 220 system physicians • 200 independent/affiliated physicians • Created “Virtual Medical Community” • Implemented GE Centricity EMR in 2006 • 3 phase implementation methodology • Interfaces to hospital ancillaries • Will add clinical messaging and patient portal in 2008

5. The UW Health Experience • Part of UW Academic Medical Enterprise • 1,100+ Physicians/Faculty • Partner w/ UW Hospital and Clinics • The “Epic” Journey • Registration/Scheduling/Billing 2001 • Pilot EMR 2004 • Switch to Phased Approach 2005 • UW Hospital Officially Joined 2006 • Making UW Health “More than a Brand”

6. EHRs at Their Core3 Components • Foundational Work • Implementation • Maintenance and Support

7. Important LessonsFoundational Work • Planning • Resource Allocation • Interfacing Ancillary Systems • Data Conversions • Populating the Record BEFORE Go-live

8. Important LessonsImplementation • Choose Your Approach Carefully • Work Flow Analysis and Design • Training • Go-Live Support

9. Important LessonsMaintenance and Support • Resources • Optimization • Upgrade and Maintenance Testing • Communication and Sharing

10. Questions?