esMD Pilot Project University of Pittsburgh Medical Center

1. esMD Pilot Project University of Pittsburgh Medical Center Brad E. Dicianno, MD, MS Associate Professor Physical Medicine and Rehabilitation Medical Director, UPMC Center for Assistive Technology Human Engineering Research Laboratories www.herl.pitt.edu

2. UPMC role • Center for Assistive Technology • Human Engineering Research Laboratories • Previous work in leading best practice in PMD documentation, CME courses • Active in PMD research Human Engineering Research Laboratories www.herl.pitt.edu

3. Overview of Pilot • Problems with incomplete documentation/denials • Need for electronic workflow • esMD clinical template • Alternative PDF workflow for clinics already following best practice Human Engineering Research Laboratories www.herl.pitt.edu

4. Standards demonstrated • Ability to produce and transmit a PDF from EMR • Ability to share document with vendor and collaboratively complete documentation • Ability to transmit the PDF to CMS via HIH with proper metadata Human Engineering Research Laboratories www.herl.pitt.edu

5. Resources Needed • Clinician experts are key • Clinical office staff who submit documentation • Supplier/Vendor • HIH  • CMS • EMR team e.g. EpicCare Human Engineering Research Laboratories www.herl.pitt.edu

6. Detailed Product Description Pilot Ecosystem Patient DME Supplier + Clinical PDF Clinical PDF Physicians LCMP Bundled PDF LCMP Evaluation University of Pittsburgh HIH eClinical Template ECM Medicare Administrative Contractors Content Transport Services Payer CMS Private Network 6 Human Engineering Research Laboratories www.herl.pitt.edu

7. Other Partnerships • NuMotion • EpicCare • Other HIH? Human Engineering Research Laboratories www.herl.pitt.edu

8. Measures of Success • - Successful transmission of complete PDF • - Ability to transmit PDF via different workflows Human Engineering Research Laboratories www.herl.pitt.edu

9. Timeline • Obtain example of best practice documentation • Assemble collaborative team • Identify metadata to be transmitted • PDF Generation • Approval of HIH for collaboration • Begin process of testing workflow Human Engineering Research Laboratories www.herl.pitt.edu

10. Lessons Learned • Input from clinicians is key • Need significant support from EMR vendor • Many steps to get workflow through HIH in place • Collaboration by CMS and Vendor crucial Human Engineering Research Laboratories www.herl.pitt.edu

11. Questions? • dicianno@pitt.edu Human Engineering Research Laboratories www.herl.pitt.edu