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The Challenges and Success of HIT A perspective of 3 leaders

The Challenges and Success of HIT A perspective of 3 leaders. Beverly Nixon-Lewis, DO Regional CMIO Texas Tech University HSC-Amarillo, TX. Amarillo – Texas Tech University Health Sciences Center. Rolled out EHR in ‘big bang’ delivery beginning in 2008

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The Challenges and Success of HIT A perspective of 3 leaders

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  1. The Challenges and Success of HIT A perspective of 3 leaders Beverly Nixon-Lewis, DO Regional CMIO Texas Tech University HSC-Amarillo, TX

  2. Amarillo – Texas Tech University Health Sciences Center • Rolled out EHR in ‘big bang’ delivery beginning in 2008 • 60 providers, 90 residents, ~100 students, more than 200 clinical and non-clinical staff • EHR department of ~7 personnel • Local Servers • Off site Disaster Recovery Servers • IT department of ~5 personnel

  3. Discrete Data • Several Diagnostic Laboratory Services with interface through Orchard • M-Modal for transcription and voice recognition • Patient portal with discrete data forms Panhandle Reproductive Research Lab

  4. Non-Discrete Data • Radiology Services • Consultant Notes and Hospital records • Doctor Alliance • Home Health, DME, Hospice, NH documents.

  5. Patient Engagement • Patient Portal • Secure messaging/appt. requests/refills/results • Increasingly getting patients ‘logged in’ • Unexpected benefits

  6. Decreasing Provider Time in EHR • Disease specific Forms customized • ‘All normal’ with documentation of exceptions • Text Templates • Transcription/Voice Recognition • Diversion of workflows back to nursing and support staff

  7. Hospitals of Amarillo • Baptist St. Anthony’s: Siemen’s-Sorian Clinical • Results, Medication reconciliation, dictation, Image viewer • CPOE ‘coming soon’ • Healthconnect patient portal • Select lab results and radiology results • Northwest Texas Hospital: Cerner • CPOE, Results, Medication reconciliation, dictation and Image viewer • Online Health Records-Patient portal • Problem lists, Medications and completed procedures • Summary of Care

  8. Challenges • Politics and competition between hospitals • Staff turnover • Workflow adaptations • Institutional Barriers • Accessing EMR outside • EHR deptvs IT dept • MU management of Providers • Decreasing Provider Job Satisfaction and Burnout

  9. Achievements • Internal relationships • Adapting Workflow’s • Diversion of WF’s away from providers • Improving speed to documentation • MU dollars at 2.28 Million

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