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Clinical Decision Support Implementation

Clinical Decision Support Implementation. Victoria Ferguson, COO - Program Manager Christopher Taylor, CIO – Business Owner Monica Kaileh , CMIO – Steering Committee Karen Carter, CMO /Director Clinical Services. Project Charter. Background CDS Definition Project Overview/Scope

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Clinical Decision Support Implementation

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  1. Clinical Decision Support Implementation Victoria Ferguson, COO - Program Manager Christopher Taylor, CIO – Business Owner Monica Kaileh, CMIO – Steering Committee Karen Carter, CMO/Director Clinical Services

  2. Project Charter • Background • CDS Definition • Project Overview/Scope • Key Objectives • Benefits • Risks • Timeline • Training • Budget • Questions?

  3. Background • Our organization has already successfully implemented EMR and CPOE. • The next phase of meeting EMR Meaningful Use standards set by the Office of the National Coordinator is to implement a Clinical Decision Support system to improve health outcomes of the patients within our hospital system.

  4. What is Clinical Decision Support? • CDS is a clinical system, application or process that helps health professionals make clinical decisions to enhance patient care. It links health observations with health knowledge to influence choices made by clinicians for improved health care. • Determine diagnosis of patient • Alert Drug-drug interactions

  5. Clinical Decision Support • Data mining may be conducted to examine the patient’s medical history in conjunction with relevant clinical research. Such analysis can help predict potential events, which can range from drug interactions to disease symptoms.

  6. Project Overview/Scope • This project is expected to help our organization meet Meaningful Use standards upon full deployment of CDS. • The scope of the initial release of the CDS system will occur in the Family Practice clinic as a pilot project. The pilot project will involve front desk staff, medical assistants, nurses, providers, and ancillary services as needed.

  7. KEY OBJECTIVES (4) • Decision support: Aid Physicians in the Support of clinical diagnosis and treatment plan processes and promote use of best practices, condition-specific guidelines, and population-based management. • Cost control: Monitor medication orders; avoid duplicate or unnecessary tests or radiographs. • Administrative: Support clinical coding and documentation, authorization of procedures, and referrals. • Manage clinical complexity and details: Manage/track patients on research or treatment protocols; track orders, referrals follow-up, and preventive care.

  8. Benefits of CDS • Reduce The risk of medication errors. • Reduce misdiagnoses. • Provide care team with consistent information. • Improve efficiency and patient flow. • Access all information in one place.

  9. Benefit (CMS Reimbursements) • HITECHAct, which stipulates that health care providers must demonstrate the meaningful use of health IT by 2015 or face reduced Medicare reimbursements beginning in 2016. • Under meaningful use, providers must implement one clinical decision support rule, including diagnostic test ordering, as well as the ability to track compliance with that rule. That rule, furthermore, should apply to a specialty or high-priority condition

  10. Risks

  11. Timeline - 9 months Approval for CDS Implementation * April 15, 2013 Selection of CDS Vendor May 1, 2013 Software Purchased May 15, 2013 Vendor delivers CDS Software June 1, 2013 Initial roll-out in the Family Practice Clinic * June 15, 2013 Monitor and evaluate CDS July 15, 2013 First roll-out presented to Committee July 24, 2013 Full deployment begins * August 1, 2013 Roll-out done Monitor and evaluate CDS October 15, 2013 Training – Ongoing until contract ends * November 30, 2013 Final Report due to Steering Committee December 31, 2013

  12. Training • The vendor will provide the training during the initial implementation and provide training materials for the organization to maintain. • All employees in the organization will receive training for their specific role related to the process. The program administrator will learn all roles in order to fill in when needed. • Additional training will be given to the other employees as a contingency plan. These employees will then be responsible for training new employees.

  13. BUDGET • Capital Budget------------------------------------------------------$100,000 • Hardware----------------------------------------------------------------$5,000 • Software-----------------------------------------------------------------$25,000 • Provider compensation and Temporary Staff--------------$60,000 • Incidentals--------------------------------------------------------------$10,000

  14. Questions?

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