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Georgia Rural Health Information Technology Conference

December 10, 2009. Georgia Rural Health Information Technology Conference. Wallace Ed Brown, Senior VP/CIO Gwinnett Medical Center. Healthcare Information Systems Requirements to Achieve Meaningful Use Certification. ebrown@gwinnettmedicalcenter.org. Gwinnett IT Journey.

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Georgia Rural Health Information Technology Conference

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  1. December 10, 2009 Georgia Rural Health InformationTechnology Conference Wallace Ed Brown, Senior VP/CIO Gwinnett Medical Center Healthcare Information Systems Requirements to Achieve Meaningful Use Certification ebrown@gwinnettmedicalcenter.org

  2. Gwinnett IT Journey • Board Priority Quality and Patient Safety • Strategic IT Plan • Board Approval • Vendor Selection and Negotiation • Governance • Physician Involvement • Project Management

  3. HITECH System Requirements • Electronic Medical Record (EMR) • Quality Reporting • Connectivity • Security/Confidentiality Enhancements • Infrastructure

  4. HITECH System Requirements • Electronic Medical Record • Clinical Data Repository • Clinical Documentation • Computer Provider Order Entry (CPOE) • ePrescribing • Bar-coded Medication Administration • Medical Device Interoperability • Medical Imaging

  5. HITECH System Requirements • Quality Reporting • Data Warehouse (Clinical & Financial) • Reporting Module • Connectivity • Physicians and Hospitals Exchange Clinical Data • Health Information Exchange (HIE) • Problem: Standard Patient Identifier • Security/Confidentiality Enhancements • Paperless Legal Medical Record • Provide Electronic Medical Record to Patient • Selectively Secure Access Per Patient Request

  6. HITECH System Requirements • Infrastructure • Hardware Redundancy and Reliability • Network • Server • Data Storage • Computer Center • Support • IT • Super Users • Interfaces • Registration, ADT, Orders, Results • Engine • Specialists “Care Critical” Trumps “Mission Critical”

  7. Considerations • Recognize the significance of this major clinical transformation; may be the most complex project ever undertaken. • Secure trusted consulting. • Educate the Board. • Shift funding priorities over the next few years. • Organize Governance driven by doctors and nurses. • Recognize the need for professional project management.

  8. Considerations • Develop comprehensive RFP specifications and make responses part of contract. • Negotiate with at least two viable vendors. • Negotiate “Limitation of Liability.” • Recognize shortage of healthcare IT professionals for both vendors and providers. • Be wary of vendors without healthcare track record. • Allow 24-36 months to complete from contract signing.

  9. Considerations • Consider pooling of resources or hooking up with larger medical center. • Viable vendors are going to be overwhelmed with work. • Realize that percentage of expense budget for IT will rise.

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