Thagard Student Health Center

1. Thagard Student Health Center Past, Present and Future

2. Electronics Louis Garofalo

3. Electronics: Past • Only 10 Computers at Thagard before 2000 • By 2005 there were 75-80 • Set $500,000 budget for going electronic • Medicat • Transition affected patient capacity • One Failed Implementation

4. Electronics: Present • IT Staff • Doctors, Nurses, IT Specialists • EMRs • Least Utilized Technology

5. Electronics: Future • E-mail Notifications • Online Patient Portal • Electronic Doctors Notes • Big Bend RHIO

6. Employees & Services Courtney Duran

7. Employees & Services: Past The Old System • Typing was an issue-paperwork was done in the office at the front desk • Often slowed down the nurses and the patients • Wait times were long • Making appointments was sometimes troublesome • Done by phone • Cancellation fees

8. Employees and Services: Present Finances • Programming, support • Saved around $150,000 with paper and out of date systems Employees • Staff now works with computers daily The New System • Medicat • Make/cancel appointments online • Message physicians or nurses • View general medical history • Edit/correct insurance information • Fill out forms prior to coming in

9. Employees and Services: Future Thagard Services • Medical records on flash drives • Touch technology • Tele-Medicine • Clinicians may access the system from home • More automation The Staff • Looking at hiring more IT staff members • Help train nurses and physicians • Ensure that the system does not have meltdowns

10. Problems, Drawbacks, Complaints Eli Perl

11. Problems, Drawbacks, Complaints: Past • Paper-based record keeping system • Bulky • Slow • Unorganized • Inefficient Employees had little to no computer skills

12. Problems, Drawbacks, Complaints: Present • Spent $250,000 for the new EMR system from Quest Diagnostics • Four staff members were “relieved of their positions” due to qualification issues necessary for the new EMR system • Training staff was difficult: • Varied learning curve • Employees had little to no computer skills • Some were opposed and threatened to quit

13. Problems, Drawbacks, Complaints: Future • There will always be potential issues • Working under continuous University budget cuts • EMRs are relatively new and may fail altogether if not universally adopted. • By 2015…?

14. Your herpes test came back negative. Appointment Scheduling at TSHCCasey Jones

15. Appointment Scheduling at TSHC • Past • Maintained a patient queuing system that incorporated call-in appointments with limited walk-in capacity. • Appointments were recorded into a flat-file system that was entirely dependent on clerical workers for data entry and maintenance. • The system was functional, yet not very efficient.

16. Appointment Scheduling at TSHC • Present • Call-in appointments are handled by a central call center, and recorded into an SQL database. • Walk-in capacity, other than that for medical emergencies, has been eliminated. • An online scheduling system is currently in the final stages of testing and development, and is planned for release in January.

17. Appointment Scheduling at TSHC

18. Appointment Scheduling at TSHC

19. Appointment Scheduling at TSHC • Future • The ability to call in for an appointment will be maintained indefinitely, provided mainly for emergency visits. • Tasks that once required human intervention can be carried out algorithmically (in software). • Storage of appointment data in a modern SQL database opens the door for real-time analysis, load-balancing, and efficiency tweaking.

20. E-Prescribing Zach Vaugh

21. E-Prescribing: Past • November 7, 2005 - CMS published foundation standards that became effective on January 1, 2006.  • Medicare Modernization Act • 2006 - MMA required CMS to implement pilot projects to test additional standards

22. E-Prescribing: Present • April 7, 2008 - The final e-prescribing rule was published at the Federal Register. • Provides three electronic tools for use in e-prescribing: • Formulary and benefit transactions • Medication history transactions • Fill status notifications

23. E-Prescribing: Future • We don’t know???? BUT! • Medicare is offering incentives towards physicians that offer E-Prescribing. • This program began January 1, 2009 and provides incentives for eligible professionals who are successful e-prescribers.

24. Datamining Jeff Budnick

25. Data Mining: Past • Prior to 2001 • There was none • Everything done by paper • No way to send great amounts of data without great amounts of paper • Trees would hate us • After 2001, only limited data • Only raw data. • Info on diagnosis data • Limited Sending abilities

26. Data Mining: Present • After Implementation… • Able to: • gather large amounts of data • send large amounts of data • disassociate data from patients • Send data to multiple places to be analyzed • ACHA • SCHA

27. Data Mining: Future! • There will be Deloreans • Soon while we fly around in cars, we’ll be able to control everything about our health care • We’ll be able to: • View test results online • Make appointments online • Perform simple tests at home • All the data that is gathered can be sentto your doctor and to other organizations

28. Examples of HIT at Other Colleges The Bad…The Good…The Questionable… Michele Kiker

29. UC Berkeley Who? UC Berkeley and Mills College What? 160,000 Total 97,000 SSN When? October 9, 2008 April 9, 2009 How? Secured Databases

30. Indiana University Who? Students and Families What? PHR’s EHR’s Online appointments When? 2009 How?

31. Mid-State Technical College, University of Wisconsin Marathon County & Northcentral Technical College. Who? Women State Medicaid program What? Screen Kiosks Free Contraceptives How? Foundation Award

32. Questions? Thoughts? Comments? Witticisms?