Registry applications of Centricity… learning lessons daily….

1. Registry applications of Centricity… learning lessons daily…. Barb Flock, RHIT, CPHQ Rockwood Clinic bflock@rockwoodclinic.com

2. A BIT OF BACKGROUND • ROCKWOOD CLINIC - Spokane • ~270 providers, 40:60 PCP:Specialists • 29 sites • Central facility • Satellites: 6 primary care • ~ 1000 Staff FTE’s • Ancillary services: Lab, Radiology, ASC, GI ASC, Urgent Care, PT • WSDC I, II • Internal Spread (Spokane 4 Rounds - Complete) • ~2500 Patients in registry – DEMS • Centricity for EMR – 05/06 (Valley), 08/06 (Cheney, Med Lake, Moran), 11/06 Platte River, 12/07 Centricity Registry go-live, 9/08 roll-out complete. All sites live!

3. The Platte River Plan

4. Platte River Plan • Historical Upload • Pre-load (meds, problems, allergies) • EHR 1(rx refills, phone notes, flags) • EHR 1.2, 1.3 etc… • EHR 2 (encounter documentation) • Orders Module (labs, imaging) • Follow-Up

5. Can Centricity Serve as a Registry? • A registry includes clinically useful and timely information on all patients. • Information system provides reminders and feedback for providers, patients and staff. • Registry can identify relevant patient subgroups for proactive care. • Registry facilitatesindividual patient care planning. • Share information with patients and providers to coordinate care

6. We’re Working On It! • Last visit information into Centricity • Created an Obs Term to ID Registry Patients (3500) • Customized Diabetes Form to track DEMS info and more… • “Pop-Ups” • Created Reports to identify sub-groups • CAD, CKD, Asthma, HTN 2008 • Creating a dashboard….

11. Some Challenges • Active/Inactive • Upgrades… • Training and Retention • Attribution • Database Expertise • Dictation • Priorities

12. Tips for Success • Find an interpreter • Uniform Education/Training • Platte River helps go live

13. THANK YOU!