Meaningful Use: More than IT
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Meaningful Use: More than IT



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 (

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 (



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Meaningful Use: More than IT Presentation Transcript

  • 1. Meaningful Use More Than IT
  • 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. Biggest MU Attestation Challenges• Understanding the requirements• Hospital staff buy-in• Physician/clinician trust• Vendor scheduling• Clinical quality measure reporting• Interdepartmental coordinationSource: HIMSS
  • 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. Meaningful Use TimelineSource:
  • 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. Thank you for attending!For a copy of slides please check slideshare within the next 24 hours: ways to connect:• Twitter: @Hielix• Email:• Web: