Meaningful Use: More than IT

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Slides from the Hielix Webinar discussing how achieving meaningful use in hospitals is more than just a technology upgrade. Full webinar is available on Vimeo (https://vimeo.com/user7074907)

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Meaningful Use: More than IT

  1. 1. Meaningful Use More Than IT
  2. 2. Meaningful Use for HospitalsMeaningful Use: Using certified EHR technology to improve quality,safety, efficiency, and reduce health disparities in healthcare.Goals of Meaningful Use:• Engage patients and families in their healthcare• Improve quality of care• Improve care coordination• Improve population and public health• Maintain privacy and security
  3. 3. Biggest MU Attestation Challenges• Understanding the requirements• Hospital staff buy-in• Physician/clinician trust• Vendor scheduling• Clinical quality measure reporting• Interdepartmental coordinationSource: HIMSS
  4. 4. Reaching Stage 1• 110,000 Eligible Professionals attested & received funds (20% of all eligible professionals)• 2,400 Hospitals attested & received funds (48% of eligible hospitals)Source: Health Data Management
  5. 5. Meaningful Use TimelineSource: http://assistancecenter.missouri.edu
  6. 6. Meaningful Use ObjectivesEligible Hospitals must complete (Stage 1):• 14 core objectives• 5 objectives out of 10 from menu set• 15 total Clinical Quality MeasuresEligible Hospitals must complete (Stage 2):• All requirements build on Stage 1 reqs.• 16 core objectives• 2 objectives out of 5 from menu set• 49 total Clinical Quality Measures
  7. 7. KPMG Study• 71% of hospitals report being more than halfway to completion of the adoption of EHR, but only 48% confident they will meet Stage 1 of MU• Barriers reported: – Difficulty understanding the requirements – Training and change management efforts – Data capture – Generating the metrics required
  8. 8. RWJF Study• Those close to accomplishing MU: – 40% had not implemented drug-drug and drug-allergy interaction checks – 35% could not provide patients with a copy of their record – 30% had not implemented computerized physician order entry (CPOE)
  9. 9. Heart of the Issue• Clinician resistance – Getting clinicians to use the EHR as part of their daily work, particularly those physicians that are affiliated with, but not employed by the hospital• Security and compliance – Unattended workstations/devices with patient data – Passwords that are shared, written down – Tightening security creates more tasks for clinicians, creating a vicious circle
  10. 10. Solution Approaches• Study and understand workflows – Workflows vary significantly from department to department – Focus on functions throughout the clinician’s day and across departments – Understand the value of order sets and coordinate their use within the EHR system• Identify advocates and super-users – Clearly identify workflow improvements and other visible clinician benefits – Focus on those clinicians who are most difficult and take the time to get them the one-on-one support they need
  11. 11. Solution Approaches• Use clinicians to train clinicians – Provides the trainee with the support of someone who understands the delivery of care – Make training available at the convenience of the physician – Have on-demand training tools available• Implement single sign-on – Particularly where security has been increased, tasking the clinicians with signing in and out repeatedly creates frustration – Immediately unburdens the clinician from password management – Consider passive proximity devices and biometrics
  12. 12. Solution Approaches• Re-authentication for ePrescribing and CPOE – Consider similar proximity/bio-authentication approaches• Support clinical roaming – Virtual desktops allow clinician access wherever they may be in the facility – Allows opening a patient record in one location, then accessing it immediately in another
  13. 13. Potential Impact of Stage 2 Criteria for MU• Increased thresholds• Menu measures moving to Core measures• Impact of 40% imaging requirements• Clinical decision support rules from one to five required• “Packed” versus “unpacked” order sets
  14. 14. IT/Operational Issues Impacted by MU• Inpatient EHR/PM• Ambulatory EHR/PM (if different from inpatient)• Mobility platform• Storage, data backup/archive• Hospital’s progress to the cloud• Privacy & Security• Clinical workflows• Hospital/physician alignment
  15. 15. Wrapping up• Meaningful Use is a strategic, long-term program for hospitals• It impacts both legacy systems as well as newly adopted technology• Meaningful Use is primarily a human challenge, solid clinical workflows are imperative for success• Can’t attack MU as IT vs. Operations – the two must work together and coexist
  16. 16. Thank you for attending!For a copy of slides please check slideshare within the next 24 hours: www.slideshare.net/Hielix/Other ways to connect:• Twitter: @Hielix• Email: info@hielix.com• Web: www.Hielix.com

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