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FLEX and HIT

FLEX and HIT. Ron Sconyers Rural Healthcare Solutions, LLC. F L E X. F oundation L everage E ngage X exute. F O U N D A T I O N. What is your IT Identity HIMSS What are you dealing with Definition of terms. Identify IT Identity (1). Defining Key Terms. RECORD TERMS

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FLEX and HIT

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  1. FLEX and HIT Ron Sconyers Rural Healthcare Solutions, LLC

  2. F L E X • F oundation • L everage • E ngage • X exute

  3. F O U N D A T I O N • What is your IT Identity • HIMSS • What are you dealing with • Definition of terms

  4. Identify IT Identity (1) Rural Healthcare Solutions LLC

  5. Defining Key Terms • RECORD TERMS • Electronic Medical Records • Electronic Health Records • Personal Health Record • NETWORK TERMS • Health Information Exchange • Health Information Organization • Regional Health Information Organization Rural Healthcare Solutions LLC

  6. What is an Electronic Health Record? • ELECTRONIC MEDICAL RECORD (EMR) • An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within ONE health care organization. Rural Healthcare Solutions LLC

  7. What is an Electronic Health Record? • ELECTRONIC HEALTH RECORD (EHR) • An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across MORE THAN ONE health care organization. Rural Healthcare Solutions LLC

  8. What is an Electronic Health Record? • PERSONAL HEALTH RECORD (PHR) • An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual. Rural Healthcare Solutions LLC

  9. What is a Health Network • HEALTH INFORMATION ORGANIZATION (HIO) • An organization that oversees and governs the exchange of health-related information among organizations according to nationally recognized standards. . Rural Healthcare Solutions LLC

  10. What is a Health Network • HEALTH INFORMATION EXCHANGE (HIE) • The electronic movement of health-related information among organizations according to nationally recognized standards. Rural Healthcare Solutions LLC

  11. What is a Health Network • REGIONAL HEALTH INFORMATION ORGANIZATION (RHIO) • A health information organization that brings together health care stakeholders within a defined geographic area and governs health information exchange among them for the purpose of improving health and care in that community Rural Healthcare Solutions LLC

  12. CA PPS Stage 7 Medical record fully electronic; HCO able to contribute CCD as byproduct of EMR; Data warehousing in use 0.0% 0.4% Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 0.0% 1.0% Stage 5 Closed loop medication administration 1.0% 4.4% Stage 4 CPOE, CDSS (clinical protocols) 1.0% 3.4% Stage 3 Clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 42.9% 18.7% Stage 2 Clinical Data Repository, Controlled Medical Vocabulary, Clinical Decision Support, may have Document Imaging 32.8% 29.6% Stage 1 7.7% 13.0% Ancillaries – Lab, Rad, Pharmacy – All Installed Stage 0 7.4% 36.7% All Three Ancillaries Not Installed EMR Adoption ModelSM Data from HIMSS AnalyticsTM Database N = 1,257 / 3,913 2009 HIMSS Analytics

  13. <100 Beds Critical Access Stage 7 Medical record fully electronic; HCO able to contribute CCD as byproduct of EMR; Data warehousing in use 0.0% 0.0% Stage 6 Physician documentation (structured templates), full CDSS (variance & compliance), full R-PACS 0.2% 0.0% Stage 5 Closed loop medication administration 1.4% 1.0% Stage 4 CPOE, CDSS (clinical protocols) 1.3% 1.0% Stage 3 Clinical documentation (flow sheets), CDSS (error checking), PACS available outside Radiology 18.7% 23.1% Stage 2 Clinical Data Repository, Controlled Medical Vocabulary, Clinical Decision Support, may have Document Imaging 29.6% 35.9% Stage 1 13.0% 12.3% Ancillaries – Lab, Rad, Pharmacy – All Installed Stage 0 36.7% 25.7% All Three Ancillaries Not Installed EMR Adoption ModelSM<100 Beds and Critical Access Data from HIMSS AnalyticsTM Database N = 2,579 / 1,257 2009 HIMSS Analytics

  14. EMR Adoption Model Scores for Critical Access Hospitals (n=1257) Data from HIMSS AnalyticsTM Database N = 1257 2009 HIMSS Analytics

  15. F L E X • F oundation • L everage • E ngage • X exute

  16. Leverage • ARRA • Other areas to address

  17. Funding and Incentives • Medicare – Hospitals • System must be “certified” (assume means CCHIT) • Connected in a manner that provides…for the electronic exchange of health information to improve the quality of health care. • Submits information ..on such clinical quality measures and such other measures as selected Rural Healthcare Solutions LLC

  18. F L E X • F oundation • L everage • E ngage • X exute

  19. ENGAGE • Develop a Strategic Plan • S W O T Analysis • Gap analysis from Office of National Coordinator Policies • Identify Physician leader(s)

  20. F L E X • F oundation • L everage • E ngage • X exute

  21. Xecute • Execute your plan • Develop status reports

  22. Bibliography (1)Hickman, George T., and Smaltz, Detlev H. (Herb), The Healthcare Information Technology Planning Fieldbook. Chicago, IL: Health Information and Management Systems Society; p28 Rural Healthcare Solutions LLC

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