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Learn how clinical registries can drive quality improvement effortlessly. Understand the components, benefits, and implementation strategies involved. Discover the impact on workflow and revenue opportunities.
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PBHCI Monthly Webinar Series:Introduction to Clinical Registries February 18, 2011
If you dialed in to this webinar on your phone please use the “raise your hand” button and we will open up your lines for you to ask your question to the group. (left) If you are listening to this webinar from your computer speakers, please type your questions into the question box and we will address your questions. (right)
Jeremy Nelson CEO Afia Inc. Jeremy@afiahealth.com 734-418-8162
Dr. Elizabeth Molina-Ortiz • Diabetes Medical Director • Institute for Family Health
Poll Question # 1 • Are you currently using an EMR?
Poll Question #2 • How many clients do you expect to serve through your integration project annually?
What is a Registry? • An electronic clinical record on each of your patients and information about the patients (problems, vitals, care needs, clinical observations) • A tool to drive quality improvement at every possible moment • A tool usable by the whole care team to drive quality improvement • A reporting engine to manage the entire patient population and measure performance • A manager of data from disparate sources and submitter of data to various destinations
Components of a Registry Encounter Forms Patient Outreach Quality Reports Payor Info Registry Quality Programs Labs Imm Registries EMR Public Reporting PMS Payors PHR EMR, PHR, etc. 3rd Party
Why a Registry? • Focused on quality improvement • Lightweight, easy-to-use • Little impact on workflow • For many, it is their “EHR” • Supports numerous quality initiatives simultaneously
How Does it Fit? • Used By • Behavioral Health Centers • Practices • FQHCs/Free Clinics • Academic Health Centers • Integrated Health Centers • IPAs/PHOs • Used For • Quality improvement • Pay for performance • Patient centered medical homes • Clinical research support • Residency training and documentation • Soon…Meaningful use • In a Variety of Formats • Standalone • Alongside EHRs and HIT • Integrated into an EHR • Single Sign-on with other solutions
What’s In This For Me? • Efficiency • Visit planning and coordination of care preparation • Simple and effective population management • Offloads work required for P4P and QI programs • Revenue • Pay for performance • Medical home • Additional visits and delivered services • Quality • Keep all patients up to date • Patients on same pages as care team • Actionable reports
Clinical Data Repository Database of demographic and clinical patient information with clinician-verified diagnoses “EMR-Lite”
Point-of-Care • Helps you keep up with what’s due for patients • Reminds you to deliver services you may miss • Saves the provider time – allows the care team to prep a patient, complete forms, set up services • Puts the provider, entire care team and patients on the same page • Captures non-billable services • Built for speed and efficiency – uncluttered
Patient Summary • Database of patients, problems and clinical data • Can be single problem, multi-problem, all-problem
Clinical Decision Support • “Rules engine” that delivers evidence-based guideline alerts for wellness, screening and disease management Rule Examples
Patient Outreach • Letters, call lists or e-mails to reach patients • Those due for services • Those with ordered services not completed
Patient Outreach • Eliminates chart audits to figure out what patients are due for • Get in patients for needed services – additional visits and delivered services • Lets you track ordered services to ensure they are completed • Keeps every patient up-to-date
Reporting • Tell you where you are relative to the quality guidelines you are managing against • Tell you, when you are not meeting the guideline, why that is the case so you can do something about it
Quality Program Management • Assembles all the data needed for reporting • Lets you proactively monitor your status relative to a program • Gives you insight on where you need to focus • Submits the data on your behalf • Lets you submit clinically verified data
Dr. Elizabeth Molina-Ortiz • Diabetes Medical Director • Institute for Family Health
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