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Adoption of Electronic Healthcare Records

Adoption of Electronic Healthcare Records. Alexander Flores Arin Halicki Tiangan Lian Damien Mar Chong Mahesh Seethraman. Introduction. State of US Healthcare Rising Costs Quality of Care Recent Legislation. Solution: What can EHR do for you?. Network Good. Benefits. Insurance

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Adoption of Electronic Healthcare Records

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  1. Adoption of Electronic Healthcare Records Alexander Flores Arin Halicki Tiangan Lian Damien Mar Chong Mahesh Seethraman

  2. Introduction • State of US Healthcare • Rising Costs • Quality of Care • Recent Legislation • Solution: What can EHR do for you?

  3. Network Good Benefits Insurance Companies Patients Medical Groups EHR (platform) Doctors Hospitals Government Benefits EHR is a Network good with it’s own delicate eco-system….

  4. EHR Platforms • Different versions • Formats • Language • Service offerings • Different pricing models • Size • Bundles • Incentives • Interoperability and Scalability Can Drive EHR Success

  5. What’s driving EHR adoption? • What’s driving EHR adoption? • American Recovery and Reinvestment Act of 2009 • 2011 – 2015 scaled payment incentives to hospitals and physicians • By 2015 scaled reimbursement penalties from Medicare plus escalation • Reporting treatment outcomes and other metrics • Physician Quality Reporting Incentives (PQRI) • State Reporting Requirements eg. CA DMHC/OPA/OSHPD • Pay for performance • Improved Quality – error reductions • Cost reduction

  6. Top Motivating Factors for EHR Adoption (75% of Hospitals) Share patient-record info among healthcare practitioners and professionals Improve clinical processes or workflow efficiency Reduce medical errors; improve patient safety Improve quality of care State and Pattern of HIT Adoption, RAND, 2005

  7. Factors Influencing EHR Adoption System-level factors Regional factors Hospital type Hospital-bed-size Medicare and Medicaid Physician practice and size

  8. By System-Level Factors

  9. By Regional Factors

  10. By Hospital Type

  11. By Hospital-Bed-Size Category

  12. By Medicare

  13. By Medicaid

  14. By Practice and Size

  15. Barriers to EHR Adoption Older Records Costs of conversion Ownership Other challenges (Tech/Human) Patient rights & Privacy HIPAA regulations Digital security Theft of information

  16. Barriers to EHR Adoption • Other reasons • Lack of support from medical staff • Resistance to change • One system does not fit all needs • Fragmentation & customization • ROI impact State and Pattern of HIT Adoption, RAND, 2005

  17. Barriers to EHR Adoption Interoperability Synchronization Hardware Costs Who pays for it Startup costs Maintenance costs Hardware – High fixed costs Process change

  18. Recommendations • Single payer system • Create interoperability standard • Public-private ownership for patient information • Financial incentives for EHR Adoption • Leasing of EHR solutions or SaaS • Pay for performance • Free/Subsidized basic System • Train new healthcare practioners about EHR. • At Medical schools

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