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Session 1A

Tri-State REC Kick Off Meaningful Use Basics: Developing a Solid Plan for Your Electronic Practice June 18, 2010. Session 1A. You have left this world behind. Dr. David Trachenburg. A small community with successful EMR adoption. Matt Waldron, MD from Paoli, Indiana.

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Session 1A

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  1. Tri-State REC Kick OffMeaningful Use Basics: Developing a Solid Plan for Your Electronic PracticeJune 18, 2010 Session 1A

  2. You have left this world behind Dr. David Trachenburg

  3. A small communitywith successful EMR adoption

  4. Matt Waldron, MD from Paoli, Indiana Location independent work • “It won’t make you faster and won’t save you money,” he said. Why make the move? “EMR has portability and accessibility. I can read patients’ charts at any office location and log in anywhere I can get Internet access,” Dr. Waldron explained.

  5. At work with EMR Lite • Using Clinical Messaging • Using eRx • Using dragon dictate for office visits • Using forwarding to send reviewed path reports to Surg Ctr • Reporting to registry with BH labs

  6. HIE or EMR…need both Without planning Health Information Exchange Model Hospitals Hospitals Public health Public health Primary care physician Laboratory Primary care physician Laboratory Health Information Exchange Pharmacy Pharmacy Specialty physician Specialty physician Payors Payors Ambulatory center (e.g. imaging centers) Ambulatory center (e.g. imaging centers)

  7. Indiana, Ohio HIEs reach milestone in clinical data exchange "Coordination of care requires information sharing," said Jim Laughlin, MD, of Southern Indiana Pediatrics. "While many medical practices have systems that can share information internally, the connection between different regions and organizations allows me to track patient results from many labs or specialists. It is only through this kind of information sharing that we can hope to coordinate care in an efficient manner."

  8. Physicians we know… Positives Assertive Productive • Negatives • Assertive • Critical These are the customers of our Primary Care outreach for Meaningful Use Throughout our area…. In the middle of every difficulty lies opportunity… Albert Einstein

  9. Tri-State REC Service Area 9

  10. Integrate physician leaders in meaningful use plans – both inpatient and outpatient

  11. Assessing your EMR • Empty vs. Empowered Medical Record • Receiving results before to upload • Receiving results at start up • Managing ordering • EMR and EMR lite—both are options

  12. Finding the missing parts • Gap analysis • Going thru the full MU list • Defining the missing pieces • Timelining them • Getting help for the hard ones • See MU criteria in clumps instead of individual items

  13. Example of gap analysis

  14. Example of gap analysis

  15. Example of gap analysis

  16. Example of gap analysis

  17. Example of gap analysis

  18. Pushing the vendor • Each EMR practice have invested much in their vendor • Vendors provide service to the practice • Meaningful use achievement relies heavily upon their provisions to the practice • The REC will help identify what to push on • You keep the pressure on, the heat turned up

  19. Staying ahead of the curve • Tri-State wants to give time for change • Start now • Plan the steps • Meet the milestones • Accomplish the goal • Remember change is two part— • Technical change • Personnel change

  20. Three areas to improve coordination Join the Tri-State REC Participate actively with your coach Attend education we will provide Network with other “like” practices

  21. Hitting a homerun with Tri-State A network tool Your home team card

  22. Divide and Share time • Raise hands for different EMRs • Separate into like groups • Share cards and plan network opportunities

  23. Questions Time for Q&A Thank you Dr. Todd Rowland and Kathy Church

  24. Accessory slides To follow

  25. Why healthLINC = Connect = technology, coordination, connected to patients Care = care coordination, health care Collaborate = coordination, across organizations Consumers = inclusive of patient and families Confidential = respectful of privacy and confidentiality Communicate = enhance communication Cost-effective = reduce administrative burden Comfortable = safe, secure place Community = oriented to larger community

  26. Clinical perspective at the front line… Linda Wells, NP: I get my results faster… The patients phone number is right there, making communication easier…

  27. Souheil Haddad, MD: Good, timely, easy to use, intuitive, hopefully we can extend to a full EMR lite at our office

  28. Components of CCD--Continuity of Care Document Header Purpose Problems Procedures Family History Social History Payers Advance Directives* Alerts (allergies) Medications Immunizations Medical equipment Vital signs Functional stats Results Encounters Plan of care

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